Advances in Technology Allow More Local Surgeries
Advances in technology and anesthesia are making it possible to offer less invasive surgical procedures in the local community. Less invasive techniques can result in shortened hospital stays as well as decreased recovery time for patients. As a result, Miami County Surgeons can offer more procedures locally, giving patients the option of surgery in a familiar setting close to home.
The Miami County Surgeons can perform a variety of surgical procedures such as abdominal surgery, including gallbladder, appendix and colon cancer; anti-reflux surgery; breast biopsies and cancer surgery; thyroid, parathyroid and vascular surgery; colonoscopies; and upper endoscopies.
“We can do the same colon cancer surgeries and breast cancer surgeries that they can do any place else, so many times patients can stay here at home,” said surgeon Chris Grove, M.D., who is a Piqua native.
Other surgeons in the group include L. Stewart Lowry, M.D.; Patrick Larreategui, D.O.; and Daniel Taylor, M.D. Dr. Rowan Nickol recently retired from the practice, and Zachary Simmons, M.D., will join the practice later this summer.
Laparoscopic surgery, when suitable, helps promote recovery because it involves a few small incisions as opposed to a traditional open surgical procedure, Dr. Grove said. In addition, the less invasive surgery usually means people can resume activities more rapidly following discharge.
The Miami County Surgeons also utilize advances in pain management which allows select patients to control pain without the use of a narcotic after surgery.
“When you are not taking a narcotic, you don’t get the dizziness, the nausea and the gut doesn’t slow down in reaction to the narcotic. That is what allows us to get patients out of the hospital quicker,” Dr. Grove explained.
Another step forward in patient comfort due to technology is use of carbon dioxide versus air in colonoscopies. “Using the air makes the patient feel bloated the rest of the day. They have to pass the air out where in using carbon dioxide the body absorbs it, and then it is breathed out. This gets them out of recovery quicker, home quicker, and without the bloated feeling,” Dr. Grove said.
The physicians at Miami County Surgeons anticipate they will pursue robotic surgery training with the focus on learning now for use in the future, Dr. Grove said. While proven benefits have been seen with robotic surgeries for urology and gynecology, the use in general surgery is an evolving field, he noted.
“We want to be at the front end, be prepared, and also want to evaluate safety and cost-effectiveness,” he said.
Dr. Grove said the practice wants people to know it is local, works with local physicians, is available to provide many types of surgeries and is close if there is a problem following surgery.
“Everything I do here, I would feel comfortable having done here myself, and to my family,” Dr. Grove said.
For more advanced procedures that require a tertiary hospital setting, seamless referral to one of the larger Premier Health providers in Dayton is one of the advantages of being part of a system of providers. Because the Miami County Surgeons practice at Upper Valley Medical Center, which is a part of Premier Health, access to tertiary care is always available when needed.
Now located in Piqua at the UVMC Outpatient Care Center/North in Piqua, Miami County Surgeons will be moving to a new home in the Physician Office Building under construction at Upper Valley Medical Center sometime near the end of the year.
Surgery Testimonial: Ron Hart
Ron Hart of Troy underwent outpatient hernia surgery at UVMC in late April. Dr. Grove performed the procedure.
For Hart, who works in information technology at Dayton Children’s Hospital, the surgery was his first since an appendectomy in 1972.
Hart was pleased to say he experienced no problems with the surgery done under general anesthesia followed with the Exparel administered to the surgery site near the end of surgery. Exparel is a long-acting local anesthetic.
“I had surgery on Tuesday and I could feel it start wearing off Friday afternoon,” he said. The Exparel enabled and encouraged him to move around more than he would have had the site not been numb, Hart explained.
“It did get me up and moving around a little bit,” Hart said, adding the doctor and staff were clear in instructions to not overdo in the days following surgery.
Hart said his knowledge of the computer software used by Dr. Grove, and the doctor’s understanding of it made him even more comfortable.
“Knowing that he put that much effort to learn that, just think of what he does with surgical procedures, being on top of the newest and best techniques,” he said.
Hart said the overall experience definitely was positive.
“Of course I was nervous before surgery,” Hart said. “But the experience – the people, the hospital itself – made it positive. It was a 10 out of 10, for having surgery.”