VR Surgical Associates

reflux surgery

GERD, or gastroesophageal reflux disease, is a condition that causes food or acid to come back up into the esophagus from the stomach. It can cause symptoms such as heartburn, regurgitation, difficulty swallowing, feeling like food gets stuck, increased belching or bloating, and chest or upper abdominal pain. In some cases, these symptoms are caused by a hiatal hernia.

In patients with severe reflux or a hiatal hernia, laparoscopic surgery can be done to repair the hernia and wrap the stomach to prevent reflux. A Nissen Fundoplication is the most common reflux surgery performed.

endocrine surgery

Surgery may be performed on various endocrine glands to remove all or part of the gland. Endocrine surgery is used to treat a variety of diseases such as thyroid cancer, thyroid nodule and goiter, Grave's disease, hyperparathyroidism and hypercalcemia, adrenal adenomas, pheochromocytoma, and pancreatic tumors.

The most common endocrine surgeries performed are thyroidectomy, parathyroidectomy, and adrenalectomy. Pancreatectomy and adrenalectomy may be done laparoscopically to reduce pain and recovery time.

colon and rectal surgery

Colorectal Surgery, also known as proctology, manages many disorders of the colon, rectum and anus. These include hemorrhoids, constipation, anal fissures and fistulas, pilonidal cysts, colon polyps, colorectal cancer, anal cancer, diverticulosis and rectal prolapse.

Procedures may include colon resection, hemorrhoidectomy, and colonoscopy.

Hernia repair

Hernias are weaknesses or holes through which other organs may protrude. They can occur in many different places, and each has a specific treatment. These include inguinal (groin), ventral, umbilical, femoral, incisional, and hiatal (diaphragmatic) hernias.

Hernias may be repaired open or laparoscopically, with or without mesh.

skin and soft tissue

Skin and soft tissue surgery involves the diagnosis and treatment of diseases affecting skin, fat, and muscle tissues. Some examples are moles, melanoma and other skin cancers, cysts, lipomas, abscesses, skin ulcers and sarcomas.

Treatment may include biopsy, excision, incision and drainage or debridement.


Endoscopy utilizes a long flexible camera to examine the inside of your stomach or intestines. Colonoscopy and esophagogastroduodenoscopy (EGD) are examples of common endoscopic procedures. 

These may aid in the diagnosis and treatment of colon polyps and cancers, stomach ulcers, gastritis, reflux and hiatal hernias.

Laparoscopic and Robotic surgery

Also called Minimally Invasive Surgery, or "key-hole" surgery, Laparoscopic surgery is a modern technique in which procedures in the abdomen are performed through small incisions. This allows for shorter hospital stays, reduced pain, and faster recovery.

With Robotic surgery, the DaVinciĀ® system translates the surgeons hand motions into the smoother, more precise movements of the robotic arms and instruments. Robotic surgery is also done through smaller incisions.

Many procedures can be accomplished using laparoscopy and robotic surgery, including removal of the gallbladder and appendix, hernia repair, colon resection, splenectomy, reflux and endocrine surgery.

General and Colorectal Surgery
breast disease

Breast diseases may be benign or malignant. These may include masses or lumps, cysts, breast cancer, fibrocystic breast disease, breast pain, infections and inflammation, nipple discharge, gynecomastia, and ductal ectasia.

Diagnosis and treatment may include breast exams, mammogram or ultrasound, and breast biopsy, lumpectomy or mastectomy.