General Surgery Specialties

Surgical Procedures Performed by Dr. Gay

---

Breast

• Breast Cancer Surgery
• Aspiration Cyst
• Excisional/Incisional Biopsy
• Fine Needle Aspiration Biopsy
• Mammary Implant Removal
• Mastectomy for Gynecomastia
• Mastectomy, Simple, Subcutaneous, Partial, Modified Radical
• Needle/Wire Localized Biopsy
• Nipple/Subareolar Duct Exploration

---

Digestive

• Anoscopy
• Appendectomy - Open and Laparoscopic
• Biliary Endoscopy-Biopsy, Stone Removal, Dilation
• Cholangiography, Fluoroscopy
• Cholecystectomy - Laparoscopic and Open
• Cholecystostomy
• Closure of Rectovaginal Fistula
• Colon Cancer
• Colon Resection
• Colostomy, Ileostomy Formation
• Common Bile Duct Exploration
• Diagnostic Laparoscopy
• Drainage Intra-Abdominal or Pelvic Abscess
• Enterocele Repair
• Enterolysis, Adhesiolysis
• Exploratory Laparotomy
• Gastrectomy - Partial, Vagotomy
• Gastrorrhaphy
• Gastrostomy Tube Placement
• Hemorrhoidectomy-Internal and External
• Incision & Drainage Anorectal abscess
• Jejunostomy Feeding Tube Placement
• Lateral Internal Sphincterotomy for Anal Fissure
• Liver Biopsy-Laparoscopic and Open, Needle or Wedge
• Meckel's Diverticulectomy
• Omentectomy
• Pancreatitis Treatment-Medical
• Paracentesis
• Proctopexy for Rectal Prolapse
• Pyloromyotomy
• Pyloroplasty
• Rectocele Repair
• Seton Placement
• Small Bowel Resection
• T-Tube Placement and Cholangiography
• Umbilectomy

---

Female Genital (performed incidental to a general surgical procedure)

• Incision & Drainage of Vulvar, Bartholin Gland, Perineal Abscess
• Lysis of Pelvic-Abdominal Adhesions
• Pelvic Laparoscopy

---

G.I. Endoscopy

• Colonoscopy-screening, Biopsy, Polypectomy, Injection, Diagnostic, Therapeutic
• Constipation, Diarrhea & GI Bleeding Issues
• Esophagogastroduodenoscopy - Biopsy, Injection, Dilation
• Flexible Sigmoidoscopy
• Percutaneous Endoscopic Gastrostomy Placement
• Transpyloric Feeding Tube Placement

---

Head/Neck/Respiratory

• Bronchoscopy-Therapeutic
• Chest Tube Placement
• Endotracheal Intubation-Laryngoscopic, Fiberoptic
• Fine Needle Aspiration Thyroid Nodule/Cyst
• Parathyroidectomy
• Thoracentesis
• Thyroidectomy
• Tracheostomy

---

Hemic/Lymphatic

• Lymph Node Biopsy
• Lymphadenectomy-Axillary, Pelvic, Retroperitoneal
• Sentinel Lymph Node Mapping and Biopsy
• Splenectomy, Splenorrhaphy

---

Hernia Repair - Adult and Pediatric, with/without Mesh, Absorbable/Temporary Mesh

• Abdominal Wall Reconstruction - Component Separation, Myofascial Release
• Hernia Repair
• Epigastric
• Femoral
• Incisional
• Inguinal
• Umbilical
• Laparoscopic
• Parastomal
• Robotic
• Spigelian

---

Male Genital

• Hydrocelectomy
• Incision & Drainage of Scrotal Abscess
• Vasectomy

---

Skin/Soft Tissue

• Skin Cancer & Melanoma Skin Removal
• Debridement/Difficult Wound Closure
• Excision-Benign and Malignant
• Incision and Drainage
• Laceration/Wound Repair
• Lipoma Removal
• Pilonidal Cyst

---

Urological

• Closure of colovesicular fistula

---

Vascular

• Central Venous Access-Percutaneous
• Implantable Catheter and Reservoir (tunneled and non-tunneled), fluoroscopy, angiography (Port Placement)