General surgery is a surgical specialty that focuses on abdominal concerns,
- Esophagus (food tube)
- Small bowel
- Gallbladder and bile ducts
- Thyroid gland
- Hernia repair
General surgeons often provide surgical care for diseases and conditions
affecting the skin, breast and soft tissue. They also perform colonoscopies,
endoscopic procedures used to screen and diagnose problems of the colon
Surgical breast oncologist M. Katherine Hughes, M.D., specializes in the
surgical treatment of breast cancer utilizing a number of advanced techniques
including localized partial mastectomy, nipple-sparing techniques; oncoplastics;
and hidden incisions. She earned her medical degree from the University
of Miami Miller School of Medicine in Florida; completed surgical residency
at Loma Linda University Health in California; and completed fellowship
training in surgical breast oncology at the University of Texas Southwestern
Medical Center in Dallas. She is board certified by the American Board
Dr. Hughes office is located inside the Oncology Center of Excellence,
5th Floor, Medical Plaza A, 617 23rd St., Ashland, Ky.
To reach Dr. Hughes, please dial (606) 325-2221.
This procedure helps remove the gallbladder by laparoscopic (or minimally
invasive) techniques. Small incisions of up to half an inch are made and
ports (small plastic tubes) are placed through these incisions. The camera
and the instruments all go through the ports which allow the physician
to operate. The camera serves as the surgeon's eyes during surgery. Recovery
time is quick and most patients return home the same day.
Hernia repair is the one of the most common procedures a general surgeon
performs. There are several types of hernia: an
inguinal hernia is when part of the intestine or bladder comes through the abdominal
wall. Nearly all groin hernias are this type, and most often occur in men.
umbilical hernia occurs when part of the small intestine gets past the abdominal
wall near the navel. A
hiatal hernia is when the upper stomach gets in the hiatus, a part of the diaphragm.
To repair these issues, a general surgeon uses a laparoscope to examine
the area from the inside and make repairs, using mesh, as needed.
General surgeons perform this procedure to relieve symptoms of gastroesophageal
reflux disease, or GERD. During nissen fundoplication, a surgeon wraps
the top of the stomach around the lower esophagus, reinforcing the lower
esophageal sphincter. This makes it less likely that acid will back up
in the esophagus.
General surgeons can remove cancerous parts of the skin, called melanomas.
To properly diagnose the issue, a provider perform either a skin exam
or a biopsy to help plan treatment. An examination of the lymph nodes
or a CT scan prior to treatment is also a possibility.
Colon cancer - polyp removal
General surgeons often perform endoscopy procedures, including polyp removal
during a colonoscopy. This procedure has a long flexible tube with a small
video camera where the physician can see the colon and remove polyps at
the same time, if needed.
Surgery to remove all or part of the colon is called a colectomy. The surgeon
can remove the affected part of the colon, usually with small, normal
areas on either side, as well.
Thyroid nodule removal
Surgery can remove all or part of the thyroid gland, or nodules that are
distinct from the gland. The gland is a butterfly-shaped gland in the
lower third of the neck.
Pilonidal cyst removal
These cysts can develop directly above a patient's backside, and usually
require draining the infection, then removal.
General surgeons can remove a diseased or damaged spleen during this procedure.
The spleen is on the upper left part of the belly, and usually helps fight
germs and infections, and helps filter blood.