Acute Care Surgery

Acute Care Surgery

Central New Jersey’s first choice with Acute Care Surgery, is offered by Dr. Steven Curtiss, Scott Rosen, Rocco Tutela and Alissa Brotman O’Neill, of The Surgical Affiliates of NJ.

Acute Care Surgery revolves around the specialized treatment of specific surgical diseases and the surrounding consequences induced on the body by those diseases. Often worsened by pre-existing conditions, the care given to patients suffering from these processes starts by trying to improve the state the body is in prior to embarking on the surgical procedure. Sometimes interval procedures may be required in order to complete the task at hand.


Gall Stones and Gall Bladder Disease

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The appendix is an organ which projects from the first portion of your colon or large intestine. When it becomes inflamed it can cause infection, peritonitis and abscesses. When this occurs it needs to be removed and an appendectomy is performed.

Bowel Obstruction

Bowel Obstruction is the interruption of normal intestinal flow. This stoppage can be due to a mechanical or functional reason. Mechanical bowel obstruction is most often due to scar tissue from previous abdominal or pelvic surgery. This scar tissue can cause a kinking of the bowel resulting in obstruction.

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Appendicitis can be simple or complex. If simple appendicitis is recognized an appendectomy is performed and patient’s typically go home within 48 hours. If complex, patients may remain hospitalized and go on antibiotics while awaiting return of bowel function. Sepsis can set in and prolonged recovery may ensue.

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The gastrointestinal tract produces several liters of fluid per day and when the intestines are obstructed, this fluid along with swallowed air begins to back up in the system. This combination is often accompanied by abdominal distension, severe pain and vomiting. Flatulence and bowel movements often cease and patients typically present to their physician with a myriad of symptoms related to obstruction.

Other causes of mechanical obstruction can also be due to an incarcerated hernia, inflammatory bowel diseases, cancer, previous radiation or swallowing a foreign body. Also, as previously stated, bowel obstruction can also be due to a functional cause. This is often called ileus or paralysis of the intestines. Ileus, is typically a secondary manifestation of some other disease process going on in the body. Ileus results in cessation of normal function and flow of the entire gastrointestinal tract. It commonly occurs post surgical procedure, but can be the result of pancreatitis, gastroenteritis or colitis, ischemia or trauma, as well as medical conditions and medications.

Diagnosis and Treatment

Prompt diagnosis and treatment are the cornerstones to good outcomes and something, The Surgical Affiliates of NJ are adept at. If you have any of the above stated symptoms, you should contact your physician or seek prompt medical attention at an acute care or emergency medical facility.

Massive dehydration, electrolyte imbalance and even perforation can occur These may result in prolonged hospitalization, permanent organ damage and even sometimes death. Typically, the first steps in treatment include resuscitation with IV fluids, decompression, occasionally antibiotics and even sometimes surgery.

Surgical Intervention

Used only as a last resort, is only necessary approximately 20-30% of the time. While surgical intervention can occasionally be performed laparoscopically and involve simple cutting of scar tissue, it can also be more involved; requiring exploratory surgery, partial removal of intestines, prolonged ICU care and sequelae.

Bowel obstruction, although primarily a disorder of the digestive system is a complex process ultimately involving multiple organ systems. The Surgical Affiliates of NJ are fortunate to have an available surgeon 24 hours a day, 7 days a week to help manage patients suffering from this problem. Their combined experience in managing this disorder has gained them an unparalleled reputation which will assure you appropriate care.