#hemorrhoidsurgery

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Good day for office proctology. As a colorectal surgeon, a large part of my practice includes, NOT doing surgery. Many patients with anorectal problems like hemorrhoids and anal fissure can be managed non-surgically.
Injection sclerotherapy is a simple, safe, and painless treatment for hemorrhoids performed here in the office. We also offer infrared coagulation, also an office treatment, for more stubborn hemorrhoids. Anal skin tags can often be removed in the office and many patients with anal fissure may be managed with medical creams.
Thus, while many patients think that a visit with a surgeon will result in surgery, only a small percent of my patients with anorectal conditions require surgery.
For a consultation with me please call
☎️310 289 9224
Same day appointments and available and treatment can often be offered the day of consultation.
#karenzaghiyanmd #colorectalsurgeon #colorectalsurgery #proctology #proctologist #hemorrhoids #hemorrhoidsurgery #hemorrhoidtreatment #analfissure #analfistula #skintags #skintagremoval #losangeles #losangelesdoctors #crohnsdisease #ulcerativecolitis #rectalbleeding #colonoscopy #coloncancerawareness #curecancer #colonhealth #coloncancer #roboticsurgery #roboticcolectomy

kelan kita muling matitikman?... #sili #hemorrhoidsurgery #cruellife
#sinamak 😭

#PikahWithFamily
Doakan ayahanda sihat eh.
In Syaa Allah Aamiin.
...
#columbiaAsiaCheras #cherasselatan #hemorrhoidsurgery

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Good day for office proctology. As a colorectal surgeon, a large part of my practice includes, NOT doing surgery. Many patients with anorectal problems like hemorrhoids and anal fissure can be managed non-surgically.
Injection sclerotherapy is a simple, safe, and painless treatment for hemorrhoids performed here in the office. We also offer infrared coagulation, also an office treatment, for more stubborn hemorrhoids. Anal skin tags can often be removed in the office and many patients with anal fissure may be managed with medical creams.
Thus, while many patients think that a visit with a surgeon will result in surgery, only a small percent of my patients with anorectal conditions require surgery.
For a consultation with me please call
☎️310 289 9224
Same day appointments and available and treatment can often be offered the day of consultation.
#karenzaghiyanmd #colorectalsurgeon #colorectalsurgery #proctology #proctologist #hemorrhoids #hemorrhoidsurgery #hemorrhoidtreatment #analfissure #analfistula #skintags #skintagremoval #losangeles #losangelesdoctors #crohnsdisease #ulcerativecolitis #rectalbleeding #colonoscopy #coloncancerawareness #curecancer #colonhealth #coloncancer #roboticsurgery #roboticcolectomy

Almost everyone experiences CONSTIPATION at some point in their lives and 16 % of American and 1/3 of those over 60 years of age suffer from chronic constipation.
What's causing it? Poor diet lacking in fiber and water, lack of exercise, and a host of medications commonly prescribed for chronic medical conditions including antacids, antidepressants, antihistamines (Benadryl, Zyrtec, Claritin, Allegra), NSAIDS (Ibuprofen, Motrin, Aleve, Naproxen), blood pressure pills (atenolol, verapamil, diltiazem), anti-nausea meds (zoftan), iron and multivitamins, and opioid pain medications (Vicodin, Norco, Dilaudid). Read more about the growing epidemic below:
https://www.statnews.com/2017/08/17/constipation-bowels-colon/
#drkarenzaghiyan #colonhealth #gihealth #healthygut #healthylife #healthyeating #colorectalcancer #colorectalcancerawareness #rectalcancer #rectalcancerawareness #rectalbleeding #hemorrhoids #hemorrhoidsurgery #analfissure #constipation #chronicconstipation #colorectalsurgeon #colorectalsurgery #proctologist #proctology #analhealth #analpain #berries #losangeles #beverlyhills #westhollywood #constipation #fiber #highfiber

So grateful for what I do. Everyday patients entrust me with their lives. There is no greater honor or responsibility. When I was a student embarking on a career in surgery, someone wise told me to only "do this" if no other job in the world would satisfy you. And in the early mornings, way before dawn, that I rose from the comfort of my bed to go pre-round on 20 surgical patients at UCSD, I could not imagine anywhere else I would rather be. Now, many years later, there is not one morning I rise to come to work that I don't look forward to my day. Blessed and privileged sums up the day!
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#drkarenzaghiyan #colorectalcancer #colorectalcancerawareness #rectalcancer #rectalcancerawareness #rectalbleeding #hemorrhoids #hemorrhoidsurgery #analfissure #constipation #chronicconstipation #colorectalsurgeon #colorectalsurgery #proctologist #proctology #analhealth #losangeles #beverlyhills #westhollywood #ibd #crohnsdisease #ulcerativecolitis

Plain Greek yogurt with a small drizzle of honey and coconut flakes for breakfast! Daily dose of probiotic and fiber without all the sugar that comes in prepackaged alternatives with fruit at the bottom! So delicious and good for you! Next challenge: getting the kids to switch over!
#drkarenzaghiyan #colonhealth #gihealth #healthygut #healthylife #healthyeating #colorectalcancer #colorectalcancerawareness #rectalcancer #rectalcancerawareness #rectalbleeding #hemorrhoids #hemorrhoidsurgery #analfissure #constipation #chronicconstipation #colorectalsurgeon #colorectalsurgery #proctologist #proctology #analhealth #analpain #berries #rasberry #blueberry #blackberry #losangeles #beverlyhills #westhollywood

Robotic colorectal surgery has many advantages. One of them is in obese patients. Where both open and laparoscopic surgery can be quite challenging in obese patients - the robot overcomes that allowing successful minimally invasive surgery to be achieved. While minimally invasive robotic surgery allows small incisions, the benefits go beyond this and include better visualization and overall a much more precise operation.

#roboticsurgery #roboticcolectomy #colorectalsurgeon #colorectalsurgery #hemorrhoids #hemorrhoidsurgery #hemorrhoidtreatment #gihealth #colonhealth #laparoscopiccolectomy #pelvicfloordysfunction #pelvicorganprolapse #rectocele #enterocele #vaginalprolapse #uterineprolapse #pelvicfloor #losangeles #beverlyhills #westhollywood #orangecounty #venturacounty #coloncancer #colorectalcancer #ulcerativecolitis #crohnsdisease #drkarenzaghiyan

Did you know... surgery is not always needed if you have hemorrhoids. Also there are different procedures and surgeries that can be offered. The surgeons at Hemorrhoid Institute are both board certified surgeons. Call (210)490-2828 to discuss your options.
www.colorectalsurgeryservices.com www.hemorrhoidinstituteofst.com #hemorrhoids #fistula #fissure #colonoscopy #hemorrhoid #hemorrhoidectomy #hemorrhoidsurgery #hemorrhoidtreatment

Drawing for patient this morning ... who can guess what it is?
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Did you say sigmoid diverticulitis with abscess? Then you are right! Diverticula are small pouches arising off the wall of the colon causing a relative weakness in the wall. While uncommon in young people, about 80% of 80 year olds have diverticulosis. In some patients, diverticula can get inflamed causing diverticulitis. A microscopic rupture of the diverticulum can cause an abscess.
Management in this case: radiology will drain the abscess. If he improves ... that's typically the extent of the treatment. We used to think that an abscess implied complicated disease and required surgery, but we now know that an abscess located close to the colon does not portend a higher risk of diverticular rupture. Thus these patients can be managed as "uncomplicated" and non-surgically. Another myth: that more than 2 attacks requires surgery. This is also not true. The decision for surgery in patients with repeated attacks is a personal one relating to quality of life and impact of repeat attacks. Many patients are scared into unnecessary surgery for fear of having a perforation and a colostomy bag. However, we now know that although some patients with diverticulitis present with a perforation as their first attack, those who present with uncomplicated disease tend to have uncomplicated recurrence if one occurs. On the other hand, failure to improve with medical management, fistula to the bladder or vagina, and stricture or narrowing of the colon caused by diverticulitis does require surgery.

#diverticulitis roboticsurgery #roboticcolectomy #colorectalsurgeon #colorectalsurgery #hemorrhoids #hemorrhoidsurgery #hemorrhoidtreatment #gihealth #colonhealth #laparoscopiccolectomy #pelvicfloordysfunction #pelvicorganprolapse #rectocele #enterocele #vaginalprolapse #uterineprolapse #pelvicfloor #losangeles #beverlyhills #westhollywood #orangecounty #venturacounty #coloncancer #colorectalcancer #ulcerativecolitis #crohnsdisease

Up early since crack of dawn when I'm least distracted and focused to get some academic work done! Research grant application near complete, board review questions written, and results from our study showing safety of early feeding after emergency colorectal surgery submitted for publication. Now off to my real Job
#surgeon #surgeonlife #colorectalsurgery #colorectalsurgery #roboticsurgery #roboticcolectomy #hemorrhoids #hemorrhoidsurgery #hemorrhoidtreatment #gihealth #colonhealth #laparoscopiccolectomy #healthyeating #healthcare #pelvicfloor #losangeles #beverlyhills #westhollywood #orangecounty #venturacounty #coloncancer #colorectalcancer

Enhanced recovery after colorectal surgery is the standard of care. If your surgeon is not doing this- ask why!
What we do technically do as surgeons is only 50% of the puzzle in postop recovery. How we manage you before and after is the rest. .
Enhanced recovery includes a list of treatments to improve postop recovery and includes:
1️⃣oral antibiotic in addition to mechanical bowel prep to reduce surgical infections
2️⃣allow liquids up until 2 hours before surgery (no more hours of starvation
3️⃣non-opioid preemptive pain meds right before surgery including Tylenol, NSAID, and gabapentin
4️⃣TAP block to numb the abdominal wall before or during surgery
5️⃣regular diet immediately after surgery (no more waiting for gas or bowel movements)
There is more ... but these are the main ones! As patients become more knowledgeable about treatments and their care - it is our job as docs to provide this info in a way that patients can understand and participate in their recovery! Knowledge is power!
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#roboticsurgery #roboticcolectomy #colorectalsurgeon #colorectalsurgery #hemorrhoids #hemorrhoidsurgery #hemorrhoidtreatment #gihealth #colonhealth #laparoscopiccolectomy #pelvicfloordysfunction #pelvicorganprolapse #rectocele #enterocele #vaginalprolapse #uterineprolapse #pelvicfloor #losangeles #beverlyhills #westhollywood #orangecounty #venturacounty #coloncancer #colorectalcancer #ulcerativecolitis #crohnsdisease

Karen Zaghiyan, MD, FACS, FASCRS

Have you ever wondered what the long string of letters after a doctors name means?
FACS (Fellow of the American College of Surgeons) and FASCRS (Fellow of the American Society of Colorectal Surgeons) means that the surgeon's education and training, professional qualifications, surgical competence and ethical conduct have passed rigorous evaluation and found to be consistent with the high standards established and and demanded by the American College of Surgeons and American Society of Colorectal Surgeons. Board certification in general surgery (FACS) and colorectal surgery (FASCRS) are requirements for both titles. The string of letters behind the name is not just for show. It's a representation of the quality treatment you should expect from your surgeon. .
For Consultations with Dr. Zaghiyan, call ☎️310 289 9224
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