877-659-0011

SURGICAL SPECIALISTS, P.C.

EMERGENCY SURGERY

Emergency Surgery

We never know when, if ever, anyone would be put into a situation requiring emergency surgery. We never plan to be involved in an accident or any situation that will require emergency surgery.

Emergency surgery gets its name from the fact that it is a type of surgery that must be performed immediately, or the patient could potentially be permanently harmed or face death. Emergency surgery has many degrees of urgency. It can be less serious and involve an appendectomy or a broken bone. The patient may present themselves in the emergency room with a more serious condition where it may be necessary to stop massive bleeding as a result of an accident or gunshot wound.

There are instances where a patient will go to the emergency room not feeling well, and unknowingly has a serious medical condition. Others will go to the emergency room, often by ambulance, being obviously injured and possibly not responsive. Those being transported by ambulance receive care immediately in the ambulance by paramedics or other trained medical professionals.

Dr. Peter Ingraldi is The Director of Surgical Critical Care at Norwalk Hospital. Along with Dr. Ingraldi, Dr. Craig Floch, Dr. Neil Floch, and Dr. Abe Fridman are all specially trained in emergency surgery, trauma and acute care. And acute care as are Dr. Neil Foch and Dr. Craig Floch. It is comforting to know that we are part of a team that provides outstanding 24 hour expertly recognized acute care. The surgery program includes preoperative optimization, operative interventions and postoperative care.

Our surgeons participate in the 24 hour program at the acclaimed Norwalk Hospital, which is rated in the top five percent of hospitals nationally for critical excellence. We also cover St. Vincent's Medical Center in Bridgeport, making us available to patients in both communities. Our program includes the treatment of acute care patients in trauma surgery, critical care surgery and emergency surgery. Our team cares for your acute care surgical needs 24 hours a day, 7 days a week and 365 days a year.

Our surgeons are specifically trained in the management and care of the critically ill and injured patients. Our acute care surgical practice is designed to meet their surgical needs and follow-up as well. We have offices in Norwalk, Fairfield, Stamford, Waterbury and New London.

Our team provides emergency surgery in many areas, some of which include:

  • Acute emergency care
  • Acute appendicitis
  • Bowel obstructions
  • Acute gallbladder disease
  • Car accidents
  • Traumas
  • Complicated lacerations
  • Abdominal exploration
  • Spleen removal (splenectomy)
  • Sepsis and severe infections
  • Trauma evaluation and management
  • Postoperative complications
  • Peritonitis, perforated viscus, and abdominal sepsis
  • Enterocutaneous fistulas
  • Gastrointestinal hemorrhage (GI bleed)
  • Acute pancreatitis

If the need arises, we can also treat critical illness following surgery or trauma,
and high-risk surgical patients.

WHAT TO EXPECT FROM EMERGENCY SURGERY

ASSESSING THE CONDITION
Upon entering the Emergency Department several processes are initiated. A triage nurse will typically assess the patient's medical condition, take vital signs, take a medical history of present and past illnesses, and discuss the symptoms. This will be presented to your physician who will perform his own assessment and physical examination.

If the patient arriving at the Emergency Department is critically ill, care will begin immediately, and the assessment of their condition will be done simultaneously. They may need to be stabilized with medications, transfusions, intravenous fluids or other types of interventions.

The nursing staff will generally start an IV, or initiate IV access when the
situation requires medications.

DIAGNOSTIC TESTING
When the patient is stabilized as much as possible, and the physical
assessment is completed, diagnostic tests may then be ordered.

These tests are used to help the doctors determine the cause and severity of the illness.

Should the tests indicate a need for surgery, a surgeon is then consulted to participate in the care of the patient. We have a trauma or general surgeon on our 24 hour team who is always available to perform the assessment of
the patient while the patient is still in the Emergency Department.

WHAT TO EXPECT IF SURGERY IS REQUIRED
Should surgery have to be performed, general anesthesia is usually
the anesthesia of choice.
(It paralyzes the entire body, including the lungs and causes the patient to become unconscious.) An IV medication is initially given to relax the patient. The anesthesiologist places a breathing tube (endotracheal) into the patient's throat and down into the chest to assist the patient's breathing during the surgery. The tube is connected to a ventilator. The medicine will cause temporary paralysis of the body, which is why the intubation is necessary. The patient is completely sedated and unconscious prior to the start of the procedure.

As soon as the ventilator has taken over the breathing function for the patient, all of the other medications are given to prevent movement during surgery and to make certain that the patients sleeps throughout the entire surgical procedure.

The anesthesiologist will continuously monitor the patient's heart activity
and vital signs throughout the procedure.

If the need arises, the anesthesiologist may place additional IV lines in the arms or place a central line (a larger IV) that allows him to give more
medication simultaneously.

EMERGENCY SURGERY
As soon as the anesthesia takes full effect, emergency surgery
will begin.
The section of the body that will be operated on is cleansed and surrounded by sterile drapes to isolate the area with a germ free
barrier.

The length of time of the surgery and the number of surgeons involved is
determined by the nature of the surgery and complexity of the procedure.

Transfusions and medications will be provided to stabilize the patient
during the surgery if the need arises. Intravenous fluids are given
during surgery to compensate for any blood or fluid loss during the
surgical procedure.

RECOVERY
Once the surgery is concluded, the patient is transferred to the
Post-Anesthesia Care Unit (PACU) if their condition is stable.

During this part of the recovery period, the patient will be groggy until
the anesthesia completely wears off. Vital signs will continue to be
closely monitored and pain medication will be given as needed.

When the anesthesia wears off and the patient becomes alert, they are
transferred to a hospital room. If constant monitoring is required or the
patient is unstable they are taken to the Intensive Care Unit. The patient
will remain on the ventilator until they are strong enough to breath on
their own. There are situations where the patient may still be in critical
condition after surgery and additional surgical procedures may be
required.

AFTER EMERGENCY SURGERY
Typically, after surgery antibiotics are given to prevent infection
and medication is given to control pain.
Recovery time, including
rehabilitation therapy, will depend on the type and severity of the surgical
procedure. Patients requiring a ventilator to breathe are generally kept in
the Intensive Care Unit until they are able to breathe on their own.

When patients are unable to eat because they are too sick, nutrition is
provided through an IV or a tube that goes up the nose and down the
esophagus into the stomach (NG or nosogastic tube). When they are able,
the patients begin eating by sipping small amounts of clear liquids and
then gradually progress to a normal diet as the food is tolerated.

When the patient's condition is stabilized by surgery, they begin their
recovery by sitting on the side of the bed and then walking to the
bathroom with help. The hospital staff will provide care for the incision
and teach the patient how to care for it when they are ready to be
discharged and leave for home.

The patient is discharged when they are stable and are able to take care
of their basic needs at home including eating, drinking and using the
bathroom.

The length of time of the surgery and the number of surgeons involved is
determined by the nature of the surgery and complexity of the procedure.

Transfusions and medications will be provided to stabilize the patient
during the surgery if the need arises. Intravenous fluids are given
during surgery to compensate for any blood or fluid loss during the
surgical procedure.

 

LOCATIONS


148 EAST AVENUE, SUITE 3A
NORWALK, CT 06851
203-899-0744

2 TRAP FALLS ROAD, SUITE 100
SHELTON, CT 06484
203-256-9707

778 LONG RIDGE ROAD, SUITE 101
STAMFORD, CT 06902
203-348-0589

52 WASHINGTON AVENUE, SUITE 3
NORTH HAVEN, CT 06473
203-285-2861

831 BOSTON POST ROAD, SUITE 202
MILFORD, CT 06460
203-647-0140

Dr. Craig Floch

the founder and senior partner of Fairfield County Bariatrics & Surgical Specialists, P.C. His commitment has enabled us to become one of the most prominent, dedicated, personal and highly respected practices serving Connecticut, New England and New York.

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Dr. Neil Floch

the Director of Minimally Invasive Surgery at Norwalk Hospital as well as the Bariatric Director of the Hospital. He is the first fellowship trained advanced Laparoscopic Surgeon in Fairfield County.

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Dr. Peter Ingraldi

is a partner of Fairfield County Bariatrics & Surgical Specialists, P.C. He joined our practice in 2007. Dr. Ingraldi specializes in general surgery and surgical critical care and is Board Certififed in both fields.

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Abe Fridman

joined our practice September 1, 2012. Dr. Fridman specializes in general and bariatric surgery.

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Dr. Marko Lujic

is the newest member of Fairfield County Bariatrics & Surgical Specialists, P.C., having joined our practice in October 2017. Dr. Lujic will lead our initiative in Milford and will provide comprehensive general surgical services, including breast surgery, thyroid surgery and melanoma in addition to managing traditional general surgery consultations.

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