The Department of Surgery at North Shore University Hospital and Long Island Jewish Medical Center provides comprehensive surgical care for adult and pediatric inpatients and outpatients. To provide and maintain state-of-the art expertise and equipment, the department is divided into six subspecialty divisions and eight sections. All physicians are specialists in their areas, and teaching appointments are through the Albert Einstein College of Medicine.
The Division of General Surgery provides tertiary care for complex hepatobiliary and pancreatic diseases, procedures for benign and malignant conditions of the breast, gastrointestinal tract, biliary tract, pancreas and liver. Also provided are surgical procedures for all types of hernias, including inguinal, femoral, epigastric and incisional. Another service provided by this division is the surgical management of patients with hypertension secondary to endocrine pathology such as pheochromocytoma and aldosteronoma.
Transplant Services provides pre-transplant evaluation of patients with kidney diseases and living donors. We also provide follow-up care of kidney and pancreas transplant recipients.
The Section of Laparoscopy/Minimally Invasive Surgery performs endoscopic and laparoscopic procedures for diagnosis and treatment of a variety of conditions which were previously treated by open surgical procedures. The procedures most commonly performed by this service are laparoscopic cholecystectomy, Nissen fundoplication for gastroesophageal reflux disease, repair of inguinal hernias, and laparoscopically-assisted colon resection and, more recently, laparoscopically assisted repair of abdominal aortic aneurysm. Additionally, laparoscopy is frequently used in the staging and management of intra-abdominal malignancies, including laparoscopic ultrasound-guided biopsies and tumor ablation.
The Section of Breast Surgery performs procedures for benign and malignant conditions of the breast. Many patients are managed in the ambulatory setting. There are weekly breast clinics staffed by full-time attending surgeons and surgical residents.Patients with breast conditions are seen in the offices of the full-time and voluntary attending faculty. These patients may also be seen at the Women's Comprehensive Health Center where there is an on-site breast specialist. Breast patients are also offered options related to reconstructive procedures following a mastectomy.
The Section of Head and Neck Surgery performs a large number of surgical procedures, including thyroidectomies, parathyroidectomies, thymectomies and parotidectomies. Major resections for oral, pharyngeal and laryngeal cancers are performed in conjunction with plastic, oral and general surgeons. Reconstruction of the head and neck and the implantation of prosthetic appliances, permit rapid rehabilitation of the patients.
The Division of Plastic Surgery and Reconstructive Surgery offers a wide range of cosmetic and reconstructive procedures for adults and children. These include the subspecialties of craniofacial surgery, microsurgery, pediatric plastic surgery, general reconstructive surgery as well as cosmetic procedures. In addition, there is a specialized multi-disciplinary Cleft/Craniofacial Program for the treatment of congenital and traumatic deformities of the face and skull.
The Section of Hand Surgery performs procedures aimed at correcting fractures of the bones and at repairing traumatic injuries to tendons and nerves of the hand. Also performed by this service are extensive reconstructive procedures to correct hand deformities in those with chronic rheumatoid arthritis. An important procedure performed by this section, which requires microvascular techniques, is the re-implantation of amputated fingers.
The Division of Colon and Rectal Surgery treats all conditions affecting the anus, rectum and colon. This includes frequently seen benign problems, such as hemorrhoids, fissure, and fistula, as well as the management of malignant tumors of the bowel. Non-specific inflammatory bowel disease, that is, ulcerative colitis and Crohn's Disease are of special interest. Programs for treating these patients are well-established.
Other important areas within the Division include the management of anal incontinence, sphincter-saving operations for cancer, the reservoir-anal procedure, and new technologies. Because of the large number of patients who are seen, the Division is often solicited to participate in clinical trials involving new approaches to treatment. Clinical research is an important aspect of the Division's commitment. There is a residency program in colon and rectal surgery which offers postgraduate general surgeons the opportunity for a year of training leading to Board Certification in Colon and Rectal Surgery.
The Division of Surgical Critical Care/Trauma at Long Island Jewish Medical Center manages all aspects of the critically ill patient, including the placement of central lines, arterial lines, pulmonary artery catheters and chest tubes. Interpretation of hemodynamic and biochemical data on these patients is also addressed. Patients who require improvement of their cardiovascular function before any major surgical procedure are also handled managed by this service. Transfer of critically ill patients with a surgical problem is accommodated.
Division of Pediatric Surgery offers comprehensive care for children with general surgical problems, including thoracic and abdominal, surgical oncology, trauma, esophageal, pulmonary malformations of the thoracic wall, burns and neonatal surgery.
The Division of Pediatric Surgery at Steven and Alexandra Cohen Children's Medical Center of New York is an international referral center for the treatment of colorectal problems in children. The number of patients with anorectal malformations operated at this institution represents the largest series in the world. The Division offers a comprehensive evaluation and management for children who suffer from fecal incontinence.
The Division of Vascular Surgery performs procedures on the abdominal and thoracic aorta, and reconstructive procedures for pathologic condition affecting the mesenteric, cerebrovascular and extremity arteries. Access procedures for renal failure and procedures for varicose veins and venous disease are also performed.
The Non-Invasive Vascular Laboratory provides the following diagnostic services for the inpatient and the outpatient:
- Carotid Duplex Screening
- Venous Duplex Scanning of Upper and Lower Extremities
- Arterial Bypass Graft Assessment to Monitor Patency
- Hemodialysis Access Scanning
- Pre-Operative Vein Mapping
- Arterial Duplex Scanning to Detect Aneurysms,Pseudoaneurysms and A-V Fistulas
- Arterial Doppler Studies to Access Arterial Insufficiency
The Section of Podiatry within the Division of Vascular Surgery performs podiatric procedures with diagnosis and treatment of a variety of conditions related to the foot and ankle, including reconstructive and elective foot surgery; wound care of the diabetic foot and limb preservation.