Laparoscopic Center of San Diego, A Medical Corporation

The goal of Laparoscopic Center of San Diego, A Medical Corporation (LCSD) is to provide the highest level of service to our patients in a comfortable, caring environment.  Under the direction of Dr. Adam S. Fierer, a board certified surgeon, LCSD believes that its patients should be well informed.  Having surgery is a stressful event and we believe that by taking the time to educate you about your condition and about your surgical options, we can lessen some of this stress. 

Our practice specializes in general surgery with an emphasis in basic and advanced laparoscopic surgery.  This includes the diagnosis and treatment of breast diseases, cancer, abdominal illness and endocrine disorders.  Laparoscopic procedures include abdominal disorders and inguinal herria repair. Laparoscopic surgery, also referred to as minimally invasive surgery, is a surgical technique that uses a long, thin telescope-like instrument (the laparoscope) attached to a video camera that projects images onto a video monitor.  This allows surgeons to view a patient's organs and internal structures and perform entire surgeries through tiny incisions.  We perform the following laparoscopic surgical procedures:

 

• Laparoscopic Nissen Fundoplication
• Laparoscopic Re-do Fundoplication
• Laparoscopic Toupet Fundoplication
• Laparoscopic Paraesophageal Hernia Repair
• Laparoscopic Heller myotomy
• Laparoscopic Splenectomy
• Laparoscopic Adrenalectomy
• Laparoscopic Cholecystectomy
• Laparoscopic Common Bile Duct Exploration
• Laparoscopic Appendectomy
• Laparoscopic Inguinal and Abdominal Hernia Repair
• Laparoscopic Colon Resection
• Laparoscopic Tenckhoff Catheter Placement and Revision
• Laparoscopic Exposure for Lumbar fusion
• Laparoscopic Pancreas Resection and Laparoscopic Gastric (Stomach) Procedures

  

---

History of Laparoscopic Surgery

Back in the mid 1980's, most surgical operations involving the abdomen were performed as a traditional "open" procedure, meaning that large incisions were made by the doctor to perform the surgery.  But that changed when surgeons began using the Laparoscope for removal of the gallbladder.  This procedure became known as Laparoscopic Cholecystectomy.  Laparoscopic surgery was well utilized by gynecologists for years, but the use of the Laparoscope for the removal of the gallbladder was able to provide patients with less post-operative pain and recovery period.  

Soon, other "minimally invasive" procedures began to appear, such as Laparoscopic Herniorrhaphy and Laparoscopic Bowel Resections.  Today the concept of "minimal invasive" or "minimal access" surgery has penetrated most surgical subspecialties including Orthopedics, Neurosurgery, Thoracic, Vascular, Cardiac Surgery and Plastic Surgery.  The advantage of this technology is that procedures which previously required weeks or months of post-operative recovery can now be performed on an outpatient or short stay basis.  Patients return to full function weeks faster than before.

Sometimes known as "keyhole" or "pinhole" surgery, laparoscopy typically entails five incisions of 5 to 10 millimeters - just large enough to admit the passage of the surgeons light, a tiny video camera, and precision-crafted surgical instruments.  With today's state-of-the-art technology, laparoscopic surgery allows surgeons magnification of the procedure area up to 20 times actual size, permitting surgeons to see anatomical structures in exquisite detail.  

  Home  |  About Our Practice  |  About Dr. Fierer  |  About Our Staff  |  Procedures  
   Maps & Directions  |  Office Policies  |  Medical Links  |  FAQ's |  Contact Us  | Terms of Use  | Notice of Privacy Practices

Copyright © 2000 Laparoscopic Center of San Diego, A Medical Corporation and MedNet Technologies, Inc. All Rights Reserved.
This site is optimized for a display setting of 800 by 600 pixels, or greater.