Surgical Services

General surgeons and a variety of surgical specialists work in close cooperation with our staff to provide advanced diagnostic and therapeutic treatments. We invest in state-of-the-art technology in order to provide the highest quality of surgical care available.

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Thomasville Medical Center Surgical Services offers you surgical specialists that provide the area's most up to date procedures in addition to services such as sinuplasty, limb salvaging and lap nissen fundiplication that are available at TMC and only selective locations throughout the Triad.

Angiogram (Heart Catheterization) Anterior Cruciate Ligament (ACL) Repair Appendectomy Artificial Cervical Disc Replacement (PCM) Balloon Sinuplasty Bile Duct Bypass Biopsy Bladder Repair Blood Transfusion Breast Reduction and Augmentation Cardioverter Defibrillator Implantation Carotid Endarterectomy Cataract Removal Cesarean Birth Colon Resections (Colectomy) Colonoscopy Colostomy/Ilestomy Common Bile Duct Exploration Corneal Transplant Cystoscopy Dilation and Curettage Endometrial Ablation Endometrial Biopsy Endometriosis Treatment Endoscopic Retrograde Cholangiogram with Stone Removal Endovascular Stenting Fine Needle Aspiration Flexible Sigmoidoscopy Foot and Ankle Surgery Gallbladder Removal (Cholecystectomy) Gastrectomy Gastrointestinal Procedures Hand Surgery Heart Catheterization Heart Failure Treatment Hemorrhoid Procedure Hydrocele Treatment Hysterectomy Hysteroscopy Infertility Treatment Inguinal Hernia Repair Joint Injections (Intra-Articular Injection) Joint Replacement Knee Ligament Repair Laparoscopic Surgery Laproscopic Nissen Fundoplication Laser-Based Therapies Lobectomy Lumbar Epidural Steroid Injection Lumpectomy Lymph Node Dissection Mastectomy Minor Surgical Procedures Mole Removal and Treatment Myelogram Myringotomy with Tubes Neck and Back Pain Treatment Needle Localizations Nucleoplasty Optic Nerve Decompression Otoplasty Pacemaker Implantation Pancreatectomy Paracentesis Pediatric Surgery Pelvic Floor Repair Pelvic Organ Prolapse Treatment Peripheral Stent Placement Pilonidal Cystectomy Pneumonectomy Prostatectomy Radio Frequency Ablation Renal (Kidney) Stone Surgery Rotator Cuff Repair Segmental or Wedge Resection Sharp Debridement Sigmoidoscopy Sinus Endoscopy Skin Grafting Spectroscopy Splenectomy Stenting Stretta Procedure Surgical Tumor Removal Tendon/Nerve Repair Testicular Torsion Treatment Thyroidectomy Total (Simple) Mastectomy Ureteroscopy Uterine Fibroid Removal (Myomectomy) Vasectomy
Skin Grafting

A surgical procedure by which skin or a skin substitute is placed over a burn or nonhealing wound to permanently replace damaged or missing skin.

Sharp Debridement

The removal of dead or necrotic tissue or foreign material from and around a wound to expose healthy tissue using a sterile scalpel, scissors or both.

Radio Frequency Ablation

Sometimes, individuals suffer from rapid, uncoordinated heartbeats. Radio frequency ablation is recognized as one of the most effective treatments for eliminating fast heartbeats. During the procedure, a catheter is inserted through the groin and guided all the way to the heart. When the catheter reaches the area to be treated, radio frequency energy is delivered to the treatment site. The energy destroys the heart tissue that was causing the rapid impulses of the heart.

Pelvic Organ Prolapse Treatment

Neck and Back Pain Treatment

Treatment options for people suffering from neck and back pain.

Myelogram

A myelogram is a specific x-ray study that allows careful evaluation of the spinal canal and nerve roots. It involves the injection of a dye or contrast material into the spinal canal.

Lumbar Epidural Steroid Injection

An injection of long-lasting steroid in the epidural space – that is the area which surrounds the spinal cord and the nerves coming out of it.

Joint Injections (Intra-Articular Injection)

A joint injection is a procedure used in the treatment of inflammatory joint conditions.

 

Flexible Sigmoidoscopy

Flexible sigmoidoscopy uses a short, lighted tube to examine the sigmoid colon and rectum.

Fine Needle Aspiration

For a fine needle aspiration biopsy,  a very thin needle is placed into the lump or suspicious area to remove a small sample of fluid and/or tissue. No incision is necessary. A fine needle aspiration biopsy may be performed to help to differentiate a cyst from a lump.

Endometriosis Treatment

The endometrium is the tissue that lines the uterus. When this tissue grows somewhere else in the body it is called endometriosis. These abnormal growths may cause mild to severe pelvic pain, especially during menstruation. Endometriosis may also be associated with infertility. Treatment for endometriosis can be either medical or surgical. Various oral and injectable hormones are available to help slow the growth of endometriosis. Although significant improvement results from initial treatment in some patients, others have recurring symptoms and persistent disease. Recent studies demonstrate that endometriosis can be managed equally well with laparoscopic removal.

Endometrial Biopsy

An endometrial biopsy is  a procedure in which a sample of tissue is obtained through a tube that is inserted into the uterus.

Endometrial Ablation

A surgical procedure that destroys the lining of the uterus. Unlike a hysterectomy, it does not remove the uterus. Endometrial ablation may stop all menstrual bleeding in some women. However, some women still have light menstrual bleeding or spotting after endometrial ablation. A few women have regular menstrual periods after the procedure. Women who have endometrial ablation still need to use some form of birth control even though, in most cases, pregnancy is not likely after the procedure.

Colonoscopy

A colonoscopy is  a procedure that allows the physician to view the entire length of the large intestine and can often help identify abnormal growths, inflamed tissue, ulcers and bleeding. It involves inserting a colonoscope, a long, flexible, lighted tube, in through the rectum, up into the colon. The colonoscope allows the physician to see the lining of the colon, remove tissue for further examination and possibly treat some problems that are detected.

Carotid Endarterectomy

This surgical procedure removes plaque and clots from the carotid arteries located in the neck. These arteries supply the brain with blood from the heart. Endarterectomy may help prevent a stroke from occurring.

 

Uterine Fibroid Removal (Myomectomy)

Surgical procedure done to remove fibroids from the uterus while leaving the uterus intact.

Infertility Treatment

Infertility is defined by the American Society for Reproductive Medicine (ASRM) as a disease of the reproductive system that impairs the body's ability to perform the basic function of reproduction. Types of treatments for women may include: ovulation medications, intrauterine insemination, surgery, or assisted reproductive technology (ART). There also is a range of treatment options currently available for male factor infertility. Treatment may include: assisted reproductive technologies (ART), drug therapy, or surgery.

Cesarean Birth

Cesarean delivery (also called a cesarean section or C-section) is the surgical delivery of a baby by an incision through the mother's abdomen and uterus. This procedure is performed when it is determined to be a safer method than a vaginal delivery for the mother, baby, or both.

Vasectomy

A permanent sterilization procedure for men. The operation, usually done in a doctor's office, requires cutting and sealing the vas deferens,the two tubes that carry sperm out of the testicles.

Lobectomy

During a lobectomy, an entire lobe of the lung is removed in order to eliminate the tumor and any cancerous tissue around it.

 

Laparoscopic Surgery

Laparoscopic surgery (also known as minimally invasive surgery) is performed through multiple small incisions (1/4" to 1/2" long) using specially designed surgical instruments and viewed through a laparoscope, or surgical telescope.

Bile Duct Bypass

This procedure is done if the pancreas has blocked the main bile duct. A new connector to the bowel may need to be created to avoid jaundice.

 

Testicular Torsion Treatment

In testicular torsion the spermatic cord that provides the blood supply to a testicle is twisted, cutting off the blood supply. Prolonged testicular torsion will result in the death of the testicle and surrounding tissues. Treatment is a simple and minimally invasive surgical procedure. 

Hydrocele Treatment

An accumulation of fluid in any sac-like cavity or duct - specifically in the tunica vaginalis testis or along the spermatic cord. The condition is caused by inflammation of the epididymis or testis or by lymphatic or venous obstruction of the cord. The fluid accumulation will often go away on its own, but when intervention is needed, surgical removal is the most effective form of treatment.

Artificial Cervical Disc Replacement (PCM)

The Artificial Cervical Disc is designed as a replacement for a damaged or diseased spinal disc.

 

Needle Localizations

A special examination for localizing questionable masses that cannot be felt but are seen on mammogram films. The radiologist places a needle with a wire into the area of abnormality. The needle remains in the breast once it is in the area of interest.  The patient then goes to the operating room for the biopsy procedure. The needle is used as a guide by the surgeon to ensure that the correct area of abnormality is removed.

Gastrointestinal Procedures

Prodedures to diagnosis and/or treat conditions affecting the gastrointestinal (GI) tract, which is the part of the digestive tract where the body processes food and eliminates waste. It includes the esophagus, stomach, liver, small and large intestines, and rectum.

Tendon/Nerve Repair

Various treatments or procedures to repair damage to the tendons and/or nerves.

Rotator Cuff Repair

The rotator cuff is a group of four tendons and the related muscles that stabilize the shoulder and allow you to raise and rotate your arm. Surgery may be used to treat a rotator cuff disorder if the injury is very severe or if nonsurgical treatment has failed to improve shoulder strength and movement sufficiently.

Knee Ligament Repair

Knee ligament repair is a treatment for a complete tear of a knee ligament that results in instability in the knee. The surgery involves reattaching the torn ends of the ligament or replacing the ligament with a piece of healthy tendon. A tendon from the kneecap or hamstring, for example, is grafted into place to hold the knee joint together. The tendon graft may come from the person (autograft) or from a cadaver (allograft).

 

Joint Replacement

Surgeons perform joint replacement surgeries for knees, hips and shoulders. Following joint replacement surgery, most patients are able to resume previous daily activities with vastly improved comfort levels and ease of movement.

 

Surface replacement surgery is sometimes recommended for younger, more physically active patients. Other alternatives to total joint replacement include Osteotomy, Arthroplasty and Arthrodesis.

Hand Surgery

Surgery to address conditions and injuries of the hand.

Foot and Ankle Surgery

Surgical procedures to treat problems with the foot and ankle.

Endovascular Stenting

Endovascular stenting is a minimally invasive procedure that uses advanced technology and instrumentation to treat such disorders of the circulatory system as blockage or damage to blood vessels caused by the build up of plaque (fatty deposits, calcium deposits, and scar tissue) in the arteries, a condition called atherosclerosis (hardening of the arteries). The doctor may recommend the placement of an endovascular stent, a small wire-mesh tube that surgeons call a scaffold, in an affected artery. The procedure may be done in conjunction with cleaning or repairing the artery.

Blood Transfusion

The process of transferring blood or blood-based products from one person into the circulatory system of another. Blood transfusions can be life-saving in some situations, such as massive blood loss due to trauma, or can be used to replace blood lost during surgery.

 

Minor Surgical Procedures

Minor surgical procedures are those that can be done in the physician's office with local anesthesia.

Pelvic Floor Repair

Surgical repair of the pelvic floor, which refers to the pelvic diaphragm, the sphincter mechanism of the lower urinary tract, the upper and lower vaginal supports, and the internal and external anal sphincters. It is a network of muscles, ligaments and other tissues that hold up the pelvic organs (vagina, rectum, uterus and bladder). When this system is torn or weakens, the organs may shift, bulge and push outward or against each other. As a result, women may suffer from urinary or fecal incontinence or obstruction, vaginal prolapse, vaginal pain, sexual dysfunction, and other problems.

Total (Simple) Mastectomy

A surgeon removes the whole breast. Some of the lymph nodes under the arm may also be removed.

Thyroidectomy

Total thyroidectomy: Your surgeon will remove the entire gland and sometimes the lymph nodes surrounding the gland. All thyroidectomies are done under great care to avoid injury to vital structures in the surrounding area.

Subtotal (near-total) thyroidectomy: Your surgeon will remove one complete lobe, the isthmus, and part of the other lobe. This may be done for nodules limited to one lobe of the thyroid gland.

Stretta Procedure

Stretta (which means "tight," in Italian) is an FDA-approved, non-invasive procedure that uses radiofrequency energy to help the valve between the esophagus and stomach shrink or tighten and, therefore, prevent acid from flowing up from the stomach. It also destroys some of the nerves around the valve that causes it to open inappropriately.

 

Spectroscopy

Spectroscopy is a type of MRI which is used to study structures of chemical compounds.

Sigmoidoscopy

Examination of the rectum and lower part of the colon (sigmoid colon) using a flexible viewing tube passed through the rectum.

Segmental or Wedge Resection

Segmental or wedge resection surgery removes only a small part of the lung.

Pilonidal Cystectomy

A procedure in which the doctor removes a certain type of cyst from the buttock cleft area near the tailbone.

Pneumonectomy

A pneumonectomy is a operation that removes an entire lung in order to treat the patient's cancer.

 

Paracentesis

Paracentesis is a procedure to remove fluid that has accumulated in the abdominal cavity (peritoneal fluid), a condition called ascites. Ascites may be caused by infection, inflammation, abdominal injury, or other conditions, such as cirrhosis or cancer. The fluid is removed using a needle inserted through the abdominal wall and sent to a lab for analysis to determine the cause of the fluid buildup. Paracentesis also may be done to drain the fluid as a comfort measure in people with cancer or chronic cirrhosis.

Pancreatectomy

This operation removes the whole pancreas, part of the stomach, part of the small intestine, the common bile duct, the gallbladder, the spleen, and nearby lymph nodes.

 

Otoplasty

A cosmetic surgery to change the appearance of a person's external ears. Otoplasty can take many forms, such as bringing the ears closer to the head (often called ear pinning), reducing the size of very big ears, or reshaping various bends in the cartilage.

Nucleoplasty

Nucleoplasty is a new, minimally-invasive procedure that offers relief to those with contained lumbar disc herniation or pain.

 

Myringotomy with Tubes

Myringotomy is a surgical process where small incisions are made in a patient's eardrum to remove fluid buildup, a common cause of ear infections, especially in young people.

Lymph Node Dissection

A lymph node dissection, also called lymphadenectomy, is surgery to remove lymph nodes. This may be done to examine lymph nodes for cancer cells. The removal and examination of the cancerous lymph nodes will help determine the exact stage and grade of the cancer and may reduce the spread of the disease.

Laproscopic Nissen Fundoplication

Laparoscopic Nissen Fundoplication is a surgical procedure that alleviates GERD symptoms when lifestyle changes or anti-reflux medications have not controlled symptoms.

Inguinal Hernia Repair

Laparoscopic inguinal hernia repair involves making an incision below the belly-button. A special ballooned instrument is then inserted in the space between the abdominal muscles and the lining of the abdomen. Two smaller incisions allow a passage for other specialized surgical instruments. The contents of the hernia are reduced and the defect is repaired by inserting a piece of mesh to patch the hernia defect.

Gastrectomy

A laparoscopic gastrectomy procedure is performed to treat recurrent ulcer disease, to remove a chronic gastric ulcer, to stop hemorrhage in a perforated ulcer or to remove cancer.

Endoscopic Retrograde Cholangiogram with Stone Removal

This is an x-ray and procedure to remove stones in the common bile duct.

Common Bile Duct Exploration

A common bile duct exploration is sometimes performed when a stone is found blocking the common bile duct. Tubes, catheters and x-ray guidance are used in this procedure.

Breast Reduction and Augmentation

Surgeons offer a variety of breast surgery options to patients who are unhappy with the shape, size or appearance of their breasts.

 

Bladder Repair

Surgery to repair  bladder prolapse (cystocele), or other bladder-related conditions. 

Balloon Sinuplasty

A type of endoscopic surgery in which a catheter-based device clears blocked sinuses, restoring normal sinus drainage and function, and preserving normal anatomy and mucosal tissue.

 

Anterior Cruciate Ligament (ACL) Repair

Repair of the ligament, located in the center of the knee, that controls rotation and forward movement of the tibia (shin bone).

Mole Removal and Treatment

Moles that display abnormal traits should be removed to ensure they are not pre-cancerous or cancerous. A dermatologist is able to determine if a mole is irregular and needs to be removed. Moles may also be removed for aesthetic purposes.

Pediatric Surgery

Pediatric surgery is the treatment of disease, injury or other disorders in children by direct physical intervention, usually with instruments. Surgery involves the cutting into the skin or other organ to accomplish restoring the body to a healthful state.

Stenting

Stenting places a tiny, expandable coil (stent) inside a blood vessel at the site of a blockage. The stent is expanded to open up the blockage.

Peripheral Stent Placement

Peripheral stenting is one common treatment option for treating Peripheral Arterial Disease (PAD). A small incision is made in the patient's groin or arm, and a catheter is inserted. A stent is then inserted through the catheter. The doctor navigates the stent to the site of vessel narrowing. The stent is then expanded, and blood flows more easily through the blood vessel.

Pacemaker Implantation

A pacemaker insertion is the implantation of a small electronic device in the chest (just below the collarbone) to help regulate electrical problems with the heart. When a problem develops, such as a slow heart rate, a pacemaker may be recommended to ensure that the heartbeat does not slow to a dangerously low rate.

Heart Failure Treatment

Heart failure is a serious form of heart disease, but it can be monitored and treated in an attempt to improve heart function and reduce symptoms. The proper treatment for heart failure depends on what area of your heart is affected, and can include medicine and/or surgery.

Cardioverter Defibrillator Implantation

An implantable cardioverter defibrillator (ICD) insertion is the implantation of an electronic device (just below the collarbone) used to help regulate electrical problems with the heart. An ICD monitors the heart's electrical activity and responds with either anti-tachycardia pacing (ATP) or shock therapy to prevent sudden cardiac arrest. An ICD can also record and store information about your heart rhythm and therapies delivered by the ICD for your physician to review.

Heart Catheterization

A doctor inserts a thin plastic tube (catheter) into an artery or vein in the arm or leg. From there it can be advanced into the chambers of the heart or into the coronary arteries.

Angiogram (Heart Catheterization)

Also called an "arteriogram" or "heart catheterization," an angiogram is an x-ray of the arteries and veins to detect blockage or narrowing of the vessels.

Surgical Tumor Removal

For certain types of cancer, surgical removal of the tumor is the easiest, most effective method of treatment. In many cases it is just the tumor, or a part of the tumor, that is removed. However, it might be necessary to remove an entire diseased organ, such as a lung or kidney.

Lumpectomy

A type of breast-conserving surgery that may be used as a part of a treatment plan for breast cancer. During a lumpectomy, the cancerous lump and a portion of the breast tissue around the cancerous lump are removed. However, the breast itself remains intact.

Ureteroscopy

Ureteroscopy is an examination in which a long, thin scope, a flexible tube and a viewing devise are inserted through the bladder, into the ureter, and then into the kidney if necessary. This procedure is usually performed for the treatment of ureteral and kidney stones. General anesthesia is typically used for this procedure.

Renal (Kidney) Stone Surgery

Some kidney stones pass out of the body without any intervention by a physician. But in cases that cause lasting symptoms or other complications, kidney stones may be treated with various techniques, including shock waves or extracorporeal shock wave lithotripsy (ESWL), ureteroscope, tunnel surgery (also called percutaneous nephrolithotomy).

Corneal Transplant

Corneal transplantation is recommended for patients with severe infection, injury, damage, scarring or eyes that no longer allow light to pass through. Surgery will replace the clear covering of the eye that is damaged and no longer transparent. Corneal transplant is a painless procedure performed while the patient is awake. The damaged cornea is removed and the corneal graft is stitched in place.

Cataract Removal

Cataract removal is a procedure that removes the lens of the eye that has become clouded. Naturally eyes allow light rays to clearly focus on the back of the eye. When a cataract is present the light rays become blocked and the vision becomes cloudy. Cataract removal is performed by making a small incision at the edge of the outer lining of the eye. A special microscope is used. An artificial lens may be placed inside the eye to correct vision without glasses or contact lenses. The incision is closed with fine stitches.

Cystoscopy

Cystoscopy (also called cystourethroscopy) is an examination in which a scope, a flexible tube and viewing device, is inserted through the urethra to examine the bladder and urinary tract for structural abnormalities or obstructions, such as tumors or stones. Samples of the bladder tissue (called a biopsy) may be removed through the cystoscope for examination under a microscope in the laboratory.

Hysteroscopy

Hysteroscopy is the visual examination of the canal of the cervix and interior of the uterus using a thin, lighted, flexible tube called a hysteroscope. The device is inserted through the vagina.

Hysterectomy

Hysterectomy is the surgical removal of the uterus. Different portions of the uterus, as well as other organs, may be removed at the same time.

Dilation and Curettage

Dilation and curettage (also called D & C) is  a minor operation in which the cervix is dilated (expanded) so that the cervical canal and uterine lining can be scraped with a curette (spoon-shaped instrument).

Splenectomy

Removal of the spleen, an organ located in the upper left portion of the abdomen, behind the stomach. Its functions are to filter blood, remove bacteria, make blood and store blood.

 

Laparoscopic surgery to remove the spleen uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors located in the operating room.

Gallbladder Removal (Cholecystectomy)

Removal of the gallbladder (Cholecystectomy) may occur when gallstones develop. They are small hard masses often consisting of cholesterol and bile salts that form in the gallbladder or bile duct. These stones may block the flow of bile out of the gallbladder.

Appendectomy

The appendix is a small, finger-shaped pouch of intestinal tissue located between the small intestine and large intestine. If the appendix becomes infected, it must be surgically removed before a hole develops in the appendix and spreads the infection to the entire abdominal space. An appendectomy is the surgical removal of an infected appendix.

Sinus Endoscopy

Sinus Endoscopy, a treatment for chronic sinus problems, is a minimally invasive procedure that eliminates the need for an external incision. The sinus surgery procedure begins through the nose, removing the thickened and diseased tissue blocking the sinuses. Most of the healthy tissue in the sinuses is undisturbed allowing for a rapid recovery.

Optic Nerve Decompression

Optic nerve compression occurs when there is increased pressure to the nerve of vision without a discernable cause. Women from their teens through 50s are more likely to have this condition. Surgery involves opening the sinuses through the nose and then carefully drilling the bone over the optic nerve. The lining of the nerve is then slit to allow the nerve to swell and relieve the pressure. Computer-guided surgery is sometimes used to aid in identifying structures in the sinus. This allows for accurate navigation in the nose.

Hemorrhoid Procedure

In many cases hemorrhoids can be treated without surgery. In certain cases, however, surgery is necessary. In the past, hemorrhoid surgery required several incisions and resulted in significant postoperative pain. PPH (procedure for prolapse and hemorrhoids) has recently been developed as a surgical treatment for the removal of hemorrhoids.

Colostomy/Ilestomy

A colostomy or ilestomy is performed when the large intestine, rectum, or anus is unable to function normally or needs rest from normal functions. This procedure can be performed using laparoscopic surgery. Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the belly button. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors located in the operating room.

Colon Resections (Colectomy)

Laparoscopic intestinal resection surgery (colectomy) uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the belly button. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors in the operating room. Anyone with a condition that requires removal of a large part of the intestine, including diverticulitis, Crohn's disease, some colorectal cancers, and rectal prolapse may be a candidate for laparoscopic intestinal surgery.

Biopsy

A biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present.

Prostatectomy

A prostatectomy is a surgical procedure for the partial or complete removal of the prostate.

 

Mastectomy

A mastectomy is surgery to remove portions or all of the breast.

Forsyth Medical Center Thomasville Medical Center Thomasville Medical Center - Surgical Center
Thomasville Medical Center - Surgical Center

Located at Thomasville Medical Center:
1st Floor
207 Old Lexington Road
Thomasville, NC 27360
(336) 476-2580

Thomasville Medical Center

207 Old Lexington Road
Thomasville, NC 27360
(336) 472-2000

Forsyth Medical Center

3333 Silas Creek Parkway
Winston-Salem, NC 27103
336-718-5000