Dr. Gregory Patterson Surgeon

• Lumpectomy

  • Cancerous (invasive ductal carcinoma, DCIS)

    • Lumpectomy, also called breast-conserving surgery, is a procedure that removes the breast cancer along with a small amount of the healthy tissue surrounding it.

  • Non-cancerous (fibroademona, cyst, infection)

• Mastectomy

  • Cancerous (invasive ductal carcinoma, DCIS)

    • A mastectomy is surgery that removes all of the breast tissue, either to treat breast cancer or to prevent it from developing in people at high risk for the disease. Some lymph nodes from the underarm on the side of the tumor are usually removed as well to see if the cancer has spread beyond the breast.

  • Non-cancerous (risk reduction)

    • Generally this is for patient’s with a strong family history of breast cancer and who are BRCA-1 or BRCA-2 gene positive.

• Sentinel lymph node biopsy

  • During a lumpectomy, the surgeon also usually removes one to three underarm lymph nodes. Removing these lymph nodes is known as a sentinel lymph node biopsy. A doctor called a pathologist examines these lymph nodes to check for any signs of cancer. If the pathologist finds cancer, you may need to have more lymph nodes removed through a procedure called axillary lymph node dissection.

• EVAR

  • Abdominal endovascular aneurysm repair (EVAR) is a minimally invasive alternative to major open surgery for the repair of abdominal aortic aneurysms (AAAs)

  • Use Medtronic website for info

  • CAUSES

    • Degeneration caused by atherosclerosis

    • Trauma

    • Cystic medial necrosis

    • Arteritis

    • Syphilis

    • Inherited connective tissue disorders

  • Risk Factors

    • Over 65 years old

    • Smoker (or former smoker)

    • Family history of AAA

    • High blood pressure

    • High cholesterol

    • Poor leg circulation or COPD

    • Had heart bypass surgery

    • Obesity

• Lower extremity bypass

  • Peripheral artery bypass is surgery to reroute the blood supply around a blocked artery in one of your legs. Fatty deposits can build up inside the arteries and block them.

A graft is used to replace or bypass the blocked part of the artery. The graft may be a plastic tube, or it may be a blood vessel (vein) taken from your body (most often the opposite leg) during the same surgery.

• Dialysis access

  • Fistula

    • Fistula: An artery in your forearm or upper arm is sewn to a vein nearby.

    • This allows needles to be inserted into the vein for dialysis treatment.

    • A fistula takes from 4 to 6 weeks to heal and mature before it is ready to use.

  • Grafts

    • An artery and a vein in your arm are joined by a U-shaped plastic tube under the skin.

    • Needles are inserted into the graft when you have a dialysis.

    • A graft can be ready to use in 2 to 4 weeks.

  • Pseudoaneurysm

    • In hemodialysis fistula, pseudoaneurysm generally results from repeated puncturing of the vein at the same site, leading to a bulging anatomical defect in the vein area. Serious complications can occur like fistula thrombosis or skin rupture.

  • Peritoneal dialysis access

• Carotid endarectomy

• Lifeport placement/removal

Wound Care

• Above the knee amputation

• Below the knee amputation

• Toe amputation

• Trans metatarsal amputation

• Wound management

Cholecystectomy- removal of gallbladder

Hernia repair

• Inguinal

• Umbilical

• Ventral

• Incisional

Appendectomy- removal of appendix

Hemorrhoidectomy- removal of hemorrhoids

Splenectomy- removal of spleen

Parathyroidectomy- removal of parathyroid

Thyroidectomy- removal of thyroid, usually preformed with ENT doctor

Lipoma excision- excision of fatty nodule in body

Sebaceous cyst excision

Hidradenitis excision- excision of sweat glands in the body, mostly affects African Americans.