Today even complex surgeries can be performed on a same day basis. ELIH OR suites are fully equipped with state-of-the-art laparoscopic instrumentation. Additionally enhanced ancillary services including-- pathology, histology, cytology, and microbiology and pre-surgical diagnostics support consistent positive outcomes.  


 

 

When Cindy Locrotondo of Southold needed to have her gall bladder removed, she chose the Ambulatory Surgery Pavilion at Eastern Long Island Hospital.  "I was so glad to be in such a caring environment, surrounded by family and friends."

The professional nursing staff closely monitors you from pre-surgical testing to recovery. In addition to providing you with written post-op instructions, the nursing staff is know for their extra measure of caring such as-- faxing your post-op prescription to your local pharmacy, so your medications are ready and waiting on your way home.      

Common surgical procedures include:

• Appendectomy
• Mastectomy  
• Laparoscopic Surgery
• Gallbladder
• Hernia
• Colon Resection

Agostino Cervone, MD Diplomate, American Board of Surgery Fellow American College of Surgeons Riverhead, 631-284-9250	Lawrence Kelly, MD Diplomate, American Board of Surgery Fellow American College of Surgeons  Cutchogue, 631-734-7184
Leslaw Gredysa, MD & George Keckeisen, MD Both - Diplomate, American Board of Surgery Fellow American College of Surgeons Southampton 631-287-1433 and Riverhead 631-369-8539

 

     





 










 

 

             

 

 

Scott M. Press, MD Diplomate,  American Board of Urology Greenport, 631-477-1885

Regular urological screenings for men over the age of 50 should include a prostate specific antigen (PSA) test. 

The PSA is a simple blood test, performed in combination with clinical exam. 


Early detection is always the BEST defense in a course of treatment. 

 

Urology Services

Diagnosis and treatment of the following cancers:

• Prostate Cancer
• Kidney Cancer
• Bladder Cancer
• Testicular Cancer

• Non-Cancerous Prostate Disease
  • Diagnosis and treatment of enlarged prostate (BPH)
  • Microwave thermotherapy (TUMT)
  • Greenlight laser 
• Kidney Stone Disease
  • Kidney stone treatment and prevention
  • Shock wave lithotripsy 
• Incontinence Male/Female
  • Stress Incontinence
  • Urge Incontinence – “Overactive Bladder”
  • Sacral Nerve Stimulation

 

“Receiving care close to home was extremely important to me.  I can’t thank the staff enough for their genuine concern for my well-being and, of course, their skillful care.”  Jerry Brown of Cutchogue, a prostate cancer survivor, is grateful his hometown hospital has advanced urology services.

Vascular surgery is a subspecialty of general surgery in which diseases of the vascular system, or arteries and veins, are managed, largely via surgical intervention.

The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system except that of the heart and brain.



Cardiothoracic surgeons manage surgical disease of the heart and its vessels. Neurosurgeons manage surgical disease of the vessels in the brain (eg intracranial aneurysms).

---

What is Vascular Surgery?

Vascular Surgery is the surgical treatment of the body’s blood vessels. Procedures are related to reestablishment of impaired circulation. Vascular Surgeons treat patients for lymphatic diseases, strokes, aneurysms, varicose veins and other conditions
 

---

How can I tell if I have a spider vein problem or a varicose vein problem?

Shut your eyes while you are standing, and feel your legs. If you cannot feel the veins, you have a spider vein problem. If you can feel the veins, and they push in easily but bounce right back out, you have varicose veins.

 

What is Reconstructive Surgery?

It's estimated that more that one million reconstructive procedures are performed by plastic surgeons every year. Reconstructive surgery helps patients of all ages and types - whether it's a child with a birth defect, a young adult injured in an accident, or an older adult with a problem caused by aging.

The goals of reconstructive surgery differ from those of cosmetic surgery. Reconstructive surgery is performed on abnormal structures of the body, caused by birth defects, developmental abnormalities, trauma or injury, infection, tumors, or disease. It is generally performed to improve function, but may also be done to approximate a normal appearance.

Cosmetic surgery is performed to reshape normal structures of the body to improve the patient's appearance and self-esteem.

Although no amount of surgery can achieve "perfection," modern treatment options allow plastic surgeons to achieve improvements in form and function thought to be impossible 10 years ago.

 

---

Recovery time depends on the individual, but usually follows a general pattern. For the first five to seven days, the patients take fairly strong pain medicine, usually a mild narcotic. During this time they generally stay at home, and they cannot drive a car or operate machinery. Near the one-week mark, when they are on milder medicine, they can start light exercise, such as walking, treadmill, stationary bike, but not impact exercises like running or aerobics. The second week, weights or exercise machines can be added, and then after three weeks, running and aerobics can be done. The point at which work can be resumed depends upon how the work activities fit into the progression described above, and this is individualized. Some Physicians recommend that an elastic binder be worn for varying lengths of time.

 



 

---

What can I do to reduce scarring?

A: For the first day or two after surgery rest a lot. All surgery is tiring. You can reduce swelling by elevating the site of surgery. Ice will also reduce swelling and pain. Apply it carefully so you do not damage the area. After the first twenty-four hours it will make very little difference. You can sometimes speed up the resolution of bruising by applying mild heat. Remember that the area around your incision is numb and burning yourself is easy. So be careful. Some patients feel that applying vitamin E or aloe vera to the wound may help. If you apply these creams do not rub the scar for about six weeks because you can damage the fragile new tissue.

 

 

 

---

 

Are there medicines that I should avoid before surgery?

A: Yes. Do not take aspirin for two weeks before surgery. It may increase the risk of bleeding. Remember, many over-the-counter medicines contain aspirin. So, check the label carefully. Other medicines that may increase your risk of bleeding include vitamin E and antihistamines. Many cold remedies contain antihistamines.  

 

 

 

 

 

 

---

 

 

When is the best time to have reconstructive surgery?

A:There is no one "best" time for every patient, because the timing depends upon many factors that are different for each individual woman. But in general, a good time to do reconstruction is right at the same time as the mastectomy, or within a few days later. In contrast, the first few months beyond those opportunities are not as favorable, because of the healing that is going on. And then, after at least six months have passed, the timing becomes optimal again, and stays so for years, unless there has been radiation therapy. Radiation therapy greatly complicates reconstruction to a degree that increases as the years go by. If there is to be radiation, most plastic surgeons will try to accomplish the reconstruction as early as possible.

 

 



 

---

How should I prepare for surgery?

A: Begin by thinking about what you will need in the house in the days after surgery. Do your shopping ahead of time and relax for a few days afterwards. You might consider getting gas in the car and cash from the bank. Make certain you have filled all your prescriptions and know how to take them. For a few days before surgery you may want to take extra vitamin C, many people feel this can reduce bruising and encourage healing. Make certain you do not take any aspirin or aspirin containing medicine for two weeks before surgery because this can increase your risk of bleeding. Antihistamines and vitamin E may also increase bleeding so you should avoid them. The night before surgery, set an alarm so you know you will not oversleep. This is especially important if you take a sleeping tablet the night before surgery. Do not eat or drink anything after midnight the night before surgery. The only exception to this is if you have regular medicine that you take in the morning. You can take these with a small sip of water. Above all call if you have any questions. The best time to ask questions is a few days before surgery. The worst time is right before your operation when you may be a little sleepy and confused.

 

Board Certified Plastic Surgeons

Judy Ann Emanuele, MD
Diplomate, 
American Board of Surgery
Diplomate, 
American Board of Plastic Surgery
Fellow American College of Surgeons
Riverhead, 369-0490

Steven Palumbo, MD
Diplomate, 
American Board of Plastic Surgery
Fellow American College of Surgeons
Quogue, 653-6112

 

---

Common procedures include:

• Plastic & Reconstructive Surgery
• Hand & Microvascular Surgery
• Carpal Tunnel Syndrome
• Breast Surgery-Reconstruction/Augmentation
• Face & Eyelid Surgery/Nose Reshaping
• Scar Revision/Birthmark Removals
• Body Contouring/Liposuction 

Although plastic surgery can be cosmetic, this type of intricate surgery is often repair and reconstruction due to accidents, injury, illness or prior surgery. Patients often need emergency plastic surgery.

Reconstructive plastic surgery is often performed to correct acquired or congenital abnormalities such as cleft lip or cleft palate, facial bone fractures, tumors, or to compensate for tissue removed in cancer or other surgery. 

 

"ELIH has a caring, competent reputation which gave me confidence going in for the procedure. The nurses were outstanding . they tended to both me and my worried husband.and Dr. Emanuele is a miracle maker."

       

Plastic surgery procedures include both cosmetic enhancements as well as functionally reconstructive operations. In the former case, where aesthetics are considered more important than functionality, plastic surgery is sometimes referred to as cosmetic surgery. Most procedures involve both aesthetic and functional elements. The word "plastic" derives from the Greek plastikos meaning to mold or to shape; its use here is not connected with the synthetic polymer material known as plastic. Plastic surgeons typically mold and reshape the following tissues of the body: bone, cartilage, muscle, fat, and skin.  

 

---

How long will I have to stay in the hospital?

A: Most plastic surgery procedures are performed on an outpatient basis. In some cases, usually when the surgery is very extensive or complications arise, an overnight stay might be required.   

 

---

 

Will I be given medication for the pain?
 

A: Each patient will tolerate pain post-operatively in a different way, and we consider this. While some patients may describe the pain as an ache, others experience greater discomfort. Appropriate pain medications are prescribed for the post-operative patients, and these help minimize discomfort. Most facial cosmetic operations have minimal discomfort post- operatively. Liposuction is slightly more uncomfortable, and operations that require elevation or tightening of the muscles-such as an abdominoplasty or breast augmentation have discomfort equal to that of a C-section.

 

---

What will happen during recovery?

A: Following surgery you will have physical restrictions on your activities for several days to several weeks depending the surgery. Business and social activities need to be curtailed to give your body sufficient time for healing. For more involved surgeries such as facelift, abdominoplasty, and breast reduction you will need to be off of work for 2-3 weeks. Breast augmentation varies between several days and 2 weeks. We will discuss with you in detail specific work and exercise restrictions.

 



 

 

---

What is the proper age for plastic surgery?

A: It is not the question of too old, but whether one is healthy enough to have the surgery. We always individualize your care. We will work closely with your physician (s) or medical specialists to develop a surgical plan that is thoughtful and safe for you.
Your desire to change your appearance is the biggest factor for when to choose plastic surgery. Younger aged people seem to have better results due to factors such as better skin resiliency and healing abilities, but those factors are very individual.

 

 



 

---

How do I know if I am a good candidate for plastic surgery?

A: The best plastic surgery candidate is someone with realistic expectations and an understanding of the limitations set by medicine, technology, and each patient's own body. Good candidates have a strong self-image, and well-developed reason for pursuing a plastic surgery procedure. They are looking for improvement of a physical trait, knowing that while this positive change may enhance their self-image, it will not change people's perception of them. Dangerous motivations for plastic surgery would be purely doing it to gain popularity, or attempting to reverse recent life crises.

 

Whether you are an active athlete or someone experiencing chronic joint pain due to osteoarthritis, our Orthopaedic specialists are here to help you improve your physical condition.  Our goal is to decrease your pain and improve your overall range of motion. Education, strengthening exercises, reduction of stress on joints, anti-inflammatory medications, and surgery are all tools available to help improve your condition.  If you are living with chronic pain or arthritis, call for a consultation 631-298-4579. 

• Joint Replacement Surgery 
• Fractures and Sprains
• Sports Related Injuries
• Arthroscopic Surgery 

Fred M. Carter II, MD
Diplomate, American Board of Orthopaedic Surgery 

"I am singing the praises of Dr. Carter to everyone who will listen. After rotator cuff surgery, I am horseback riding and enjoying my leisure time again."  Pat Sulahian, Shelter Island

Orthopedic surgery or orthopedics (also spelled orthopaedics) is the branch of surgery concerned with acute, chronic, traumatic, and overuse injuries and other disorders of the musculoskeletal system. Orthopedic surgeons address most musculoskeletal ailments including arthritis, trauma and congenital deformities using both surgical and non-surgical means.  According to applications for board certification from 1999 to 2003, the top 25 most common procedures (in order) performed by orthopaedic surgeons are as follows:

• Knee arthroscopy and meniscectomy
• Shoulder arthroscopy and decompression
• Carpal tunnel release
• Knee arthroscopy and chondroplasty
• Removal of support implant
• Knee arthroscopy and anterior cruciate ligament reconstruction
• Knee replacement
• Repair of femoral neck fracture
• Repair of trochanteric fracture
• Debridement of skin/muscle/bone/fracture
• Knee arthroscopy repair of both menisci
• Hip replacement
• Shoulder arthroscopy/distal clavicle excision
• Repair of rotator cuff tendon
• Repair fracture of radius (bone)/ulna
• Laminectomy
• Repair of ankle fracture (bimalleolar type)
• Shoulder arthroscopy and débridement
• Lumbar spinal fusion
• Repair fracture of the distal part of radius
• Low back intervertebral disc surgery
• Incise finger tendon sheath
• Repair of ankle fracture (fibula)
• Repair of femoral shaft fracture
• Repair of trochanteric fracture

 

---

Joint replacement is one of the most common and successful operations in modern orthopaedic surgery. It consists of replacing painful, arthritic, worn or diseased parts of the joint with artificial surfaces shaped in such a way as to allow joint movement. Prognosis is good to excellent in 95% of major joint replacements (hips and knees). Pain relief is especially reliable. Full recovery of range of motion is not always accomplished. Joint replacements are available for other joints on a limited basis, most notably shoulder, elbow, wrist, ankle, and fingers.  

• Colposcopy- Colposcopy is a diagnostic tool used for further evaluation of abnormal Pap smears. This procedure provides a non-surgical way for your physician to visualize your cervix.   
  
  
• Cyrosurgery- Cervical cryosurgery or cryotherapy is a gynecological treatment that freezes a section of the cervix. Cryosurgery destroys abnormal cervical cells that show changes that may lead to cancer. These changes are called precancerous cells. Your gynecologist may use the term cervical dysplasia to describe your condition.    
  
  
• LEEP Procedure- The loop electrosurgical excision procedure (LEEP) is used when there is an indication of abnormal cells on the surface of the cervix.    
  
  
• Hysteroscopy- Hysteroscopy provides a way for your physician to look inside your uterus. A hysteroscope is a thin, telescope-like instrument that is inserted into the uterus through the vagina and cervix. This tool often helps a physician diagnose or treat a uterine problem.    
  
  
• Pelvic laparoscopy- Laparoscopy is usually performed under general anesthesia; however, it can be performed with other types of anesthesia that permit the patient to remain awake. The typical pelvic laparoscopy involves a small (1/2" to 3/4") incision in the belly button or lower abdomen.    
  
  
• D&C- Often used to diagnose or treat abnormal uterine bleeding, the D&C is one of the most common GYN operative procedures. Dilation and Curettage also provides important information about whether uterine cancer is present. 

One of the Safest & Most Successful Procedures Performed Today

Great advances have been made in cataract surgery.

Millions of people undergo this vision-improving procedure every year.

And, they experience excellent results.

For patients, it's a simple operation. A tiny incision is made in the eye. Through this incision, the surgeon inserts an instrument, about the size of a pen tip. The surgeon may select to use either an AquaLase® * device, which uses gentle pulses of liquid to wash away your cloudy lens, or an ultrasonic instrument that breaks up and gently removes your cloudy lens. Once the clouded lens has been removed, the next step is to replace it. That is, to implant an artificial lens that will do the work of your own lens. This artificial lens is referred to as an intraocular lens or IOL.

 

How will it feel?
Cataract surgery is an outpatient procedure. You'll spend just a few hours at the site. Because your eyes will be treated with anesthetic, you should feel little to no discomfort. After the surgery, you'll be given a short time to rest. Then, the very same day, you can go home. Within the next 24 hours, your doctor will probably want to see you for an evaluation. Drops will be prescribed to guard against infection and help your eyes heal. For a few days, you may need to wear a clear shield, especially at night, to prevent you from rubbing your eye.

 

---

Typical symptoms include: 

 

• Cloudy, fuzzy, foggy, or filmy vision. 
• Changes in the perception of colors. 
• Problems driving at night because headlights seem too bright. 
• Problems with glare from lamps or the sun. 
• Frequent changes in your eyeglass prescription. 
• Double vision.

These symptoms can also be signs of other eye problems. If you have any of them, consult an ophthalmologist for an eye examination.

 

---

Cataract by Definition
Simply put, a cataract is a "clouding" of the lens in your eye. The lens, located just behind the iris, or the colored part of your eye, works like the lens of a camera. It picks up images, then focuses the lights, colors, and shapes on the retina, which sends the images to your brain.



Cataract – As light passes through the cataractous lens, it is diffused or scattered. The result is blurred or defocused vision.



The human lens, made mostly of protein and water, can become clouded—so clouded it keeps light and images from reaching the retina. Eye injury, certain diseases, or even some medications can cause the clouding. But, in over 90% of cases, clouding is caused by the aging process.

A cataract can be the reason sharp images become blurred, or seeing things at night is more difficult. It may also be why the eyeglasses or contact lenses that used to help you read, or do other simple tasks, no longer seem to help.


What a Cataract Is Not
A cataract is not a "film" over the eye, and neither diet nor lasers will make it go away. The best way to treat a cataract is to remove the old, clouded lens and provide a replacement.

 

---

Most people have plenty of time to decide about cataract surgery. Your doctor cannot make the decision for you, but talking with your doctor can help you decide. 

Tell your doctor how your cataract affects your vision and your life.

 

Read the statements below, see which ones apply to you, and tell your doctor if:

 

1. I need to drive, but there is too much glare from the sun or headlights. 
2. I do not see well enough to do my best at work. 
3. I do not see well enough to do the things I need to do at home. 
4. I do not see well enough to do things I like to do, such as read, watch TV, sew, hike and play cards.
5. I am afraid I will bump into something or fall. 
6. Because of my cataract, I am not as independent as I would like. 
7. I cannot see well enough with my glasses. 
8. My eyesight bothers me a lot.

You may also have other specific problems you want to discuss with your eye doctor

 

---

 
The natural lens of the eye that has been damaged by a cataract is surgically removed and then replaced with a clear artificial lens. During the surgery, usually done on an outpatient basis, a tiny incision is made in the eye and the cataract-damaged natural lens is removed through the incision. An artificial lens is then inserted through the same incision.

Most patients have significantly improved vision after the procedure.

 

 

 

 

 

---

 
Cataract surgery is performed millions of times every year in the United States. In fact, it is the most commonly performed surgery in the U.S. About 98 percent of patients have a complication-free experience that results in improved vision. Nevertheless, cataract surgery has risks and complications. Most complications resolve in a matter of days to months. In rare cases, patients lose some degree of vision permanently as a result of the surgery.



 

 

---

As with any surgery, pain, infection, swelling, and bleeding are possible, but very few patients experience serious problems. Your surgeon may prescribe medications for these effects. Retinal detachment also occurs in a few people. Be on the lookout for excessive pain, vision loss, or nausea, and report these symptoms to your eye surgeon immediately.

 

 

 

 

---

After surgery you may return to your normal activities. You may bend, stoop over, go up and down stairs, watch TV, read or work in the garden as usual. You may take showers and shampoo your hair. However, the most important instruction to remember is DO NOT RUB YOUR EYE for at least one week after surgery, and do not go swimming for two weeks after surgery.