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Dr. Andrew Dobradin is a board certified general surgeon
and Fellow of the American
College of Surgeons who has expertise in the comprehensive
care of surgical patients. He is skilled in and uses state
of the art procedures, particularly in the field of minimally
invasive surgery and laparoscopy.
Varicose Veins
Consultation
More than 25% of adult American population is affected by varicose veins. They are most frequently the manifestation of underlying pathological changes with the blood backflow increasing the pressure on the wall of the vein. The malfunction of the venous valves is the major cause of such dysfunction.
The initial evaluation of the patient includes assessments of general patient medical condition and focuses on the origin and severity of the venous disease. Varicose veins may appear as bulging, twisted rope like subcuticular structures frequently associated with well recognized symptoms of generalized, dull leg pain after prolonged period of standing, leading to swelling, edema and even hyperpigmentation or ulceration. In rare situation the venous disease can be manifested by inflammation, blood clots or bleeding.
For more information about Consultation, please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
vein clinic forms, fill out and bring to appointment.
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Duplex Ultrasonography
Ultrasound examination of the venous system is also called “vein mapping”. Duplex system allows the real time evaluation of the anatomy and function of the venous system. Based on the research on the normal valve function, backflow greater than 0.5 second is recognized to be pathological. If the prolonged time of reflux is associated with the varicose veins than the condition might warrant therapy. Our equipment, Accuson X150, ensures the best quality of the ultrasound examination.
We offer Duplex study to all our patients during initial consultation.
For more information about Duplex Ultasonography,
please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
vein clinic forms, fill out and bring to appointment.
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Compression Stockings
Compression therapy benefits the patients with venous disease. The medical compression stockings provide gradually decreasing pressures (30-40 mmHg) that create gradient promoting return of the blood and reducing venous reflux. Compression stockings are worn daily and they are used frequently as the supplemental treatment with EVLT, phlebectomy and sclerotherapy. Additional intervention in form of lower extremities exercises with emphasis on ankle flexions, avoidance of high heels and leg elevation at rest have benefits and improve patients’ condition.
For more information about Compression Stockings, please
visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
vein clinic forms, fill out and bring to appointment.
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Endovenous Laser Therapy
EVLT over last few years gained opinion of the standard treatment for varicose veins. The procedure can be performed in the physician office under local analgesia in less than 60 minutes. During procedure a small laser fiber is introduced through the needle access site and positioned under ultrasound guidance in the affected vein. The light energy is delivered gradually over the length of affected vein causing it to close.
For more information about Endovenous Laser Therapy, please
visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
vein clinic forms, fill out and bring to appointment.
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Sclerotherapy
Obliteration of the abnormal vein through the process of vascular fibrosis can be triggered by injection of the sclerosant. This technique is mainly used for treatment of the small and spider veins.
For more information about Sclerotherapy,
please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
vein clinic forms, fill out and bring to appointment.
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Ambulatory Phlebectomy
Superficial varicose veins can be removed via small incisions (less than 4 mm) placed a few centimeters apart with good aesthetic result. This procedure can be performed in the physician office under local analgesia.
For more information about Ambulatory Phlebectomy, please
visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
vein clinic forms, fill out and bring to appointment.
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Digestive
Tract
Appendix
Appendicitis is a common surgical disease that requires an
emergency operation. The laparascopic technique is the treatment
of choice in my practice. Some patients with delayed diagnosis
or complications may require an open procedure.
For more information about Appendix, please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Stomach and
Duodenum
Surgical treatment of gastric cancer includes a partial or
complete resection of the stomach. Oversewing of a perforated
gastric or duodenal ulcer can be done using the laparoscopic
technique. Occasionally, for different reasons, endoscopic
or open gastrostomy surgery is performed.
For more information about Stomach and Duodenum,
please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Small
Intestines
Surgery on small intestines is done most often in the case
of a bowel obstruction and is combined with the lysis of adhesions
or repair of the hernias. These procedures can be performed
on selected patients using the laparoscopic technique.
For more information about Small Intestines, please
visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Large Bowel
Treatment of colon cancer, as well as diverticulitis, incorporates
resection of the bowel, which can be accomplished with laparoscopic
procedures. I offer these advanced techniques to my patients.
For more information about Large Bowel , please
visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Gallbladder
and Biliary Ducts
Gallstone disease and biliary dyskinesia are the most common
problems treated by general surgeons. Laparoscopic operations
can be performed on over 95% of these patients. Occasionally
exploration of the main duct needs to be performed to remove
the retained stones, however, the majority of these procedures
are done by a gastroenterologist after the operation.
For more information about Gallbladder and Biliary Ducts,
please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Abdominal
Groin Hernia
I use only a preperitoneal approach with the use of mesh
to groin hernia repair. I offer laparoscopic procedures in
the majority of bilateral hernias. Unilateral hernias are
repaired using a small incision.
For more information about Groin Hernia, please
visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Ventral
and Incisional Hernia
Abdominal wall hernias are performed with the use of prosthetic
material to prevent recurrence and to strengthen the abdominal
wall closure. Laparoscopic and open techniques can be successfully
applied to this type of surgery.
For more information about Ventral and Incisional Hernia,
please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Hiatal
Hernia and Gastro Esophageal Reflux Disease
I have a particular interest in the surgical treatment of
Gastro Esophageal Reflux Disease. The laparoscopic approach
(Nissen fudnoplication) allows patients to stop taking antacid
medications and enjoy freedom from heartburn.
For more information about Hiatal Hernia and Gastro Esophageal
Reflux Disease, please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Omentum,
Mesentery and Retroperitonum
Occasionally we have to explore the peritoneal cavity for
rare diseases of the omentum, mesentery or retroperitoneum,
mainly as a laparoscopic exploration. Staging for malignant
disease or biopsy of the abnormal lymph nodes is frequently
done during such procedures.
For more information about Omentum, Mesentery and Retroperitonum,
please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Spleen
Many hematological diseases can be improved after a splenectomy,
eg. ITP. Laparoscopic operations can be safely performed in
these cases.
For more information about Spleen, please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Endoscopy (screening and
diagnostic)
Esophago gastro duodenoscopy
(EGD)
A flexible instrument connected to a video camera is used
in my practice to diagnose diseases of the esophagus, stomach,
and duodenum, obtain surgical specimen and treat specific
conditions.
For more information about Esophago gastro duodenoscopy
(EGD), please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Percutanous
Endoscopic Gastrostomy (PEG-Tube)
With the use of the flexible scope a feeding tube is placed
trough the abdominal wall .
For more information about Percutanous Endoscopic
Gastrostomy (PEG-Tube), please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Colonoscopy
Colonoscopy is an essential procedure for colon cancer screening,
diagnosis and treatment of colon diseases like polyps or bleeding.
I use this procedure for preoperative evaluation, marking
and intraoperative testing of patients with colon cancer.
For more information about Colonoscopy, please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Breast Disease
Breast Ultrasound
Ultrasound technology is a most useful tool to evaluate breast
glands and to perform the necessary biopsy or localization
procedures.
For more information about Breast Ultrasound, please
visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Breast Biopsy
I understand the anxiety associated with the evaluation of
breast disease and consider their evaluation a top priority.
Surgical excision, fine, and core needle biopsy procedures
are used in my office to obtain material for pathological
evaluation.
For more information about Breast Biopsy, please
visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Partial
and Complete Mastectomy
I support conservative surgical treatment for the breast
tumor in my practice. I encourage my patients to utilize screening
techniques in order to achieve early diagnosis.
I cooperate with plastic surgeons and offer early reconstructive
procedures for those patients who elect to have prophylactic
mastectomies or require radical mastectomy for treatment of
breast cancer.
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Sentinel
Lymph Node Biopsy
Removal of the sentinel lymph node significantly reduces
chances of ipsilateral swelling of the upper extremity.
For more information about Sentinel Lymph Node Biopsy, please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Axillary
Lymph Node Dissection
Patients with positive sentinel lymph node require more extensive
resection of axillary lymph nodes.
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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MammoSite
Radiation Therapy System
For more information about MammoSite Radiation
Therapy System, please visit:
To make an appointment, please call us at 407-647-3460. If
you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Benign Breast Disease
For more information about Benign Breast Disease , please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient forms, fill out and bring to appointment.
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Endocrine Surgery
Parathyroid
I use minimally invasive techniques modified by me to achieve
the best possible localization of the abnormal gland. I use
a small incision, radio-guided approach with in vivo staining
for optimal identification of the abnormal parathyroid. Blood
level of parathyroid hormone is checked to ensure proper outcome.
For more information about Parathyroid, please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Thyroid
Partial and total thyroidectomies are performed for benign
and malignant diseases of the thyroid gland.
For more information about Thyroid, please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Surgical Oncology
Breast Cancer
I believe in the comprehensive approach to breast cancer
treatment and cooperate very closely with my colleagues from
oncology, radiotherapy, diagnostic radiology, plastic surgery
and genetic medicine.
For more information about Breast Cancer, please
visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Colon Cancer
I provide efficient service including screening and surgical
treatment for patients with colon cancer including laparoscopic
colon surgery.
For more information about Colon Cancer, please
visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Gastrointestinal
malignancy
A variety of different malignant diseases of the gastrointestinal
tract are treated in my office including carcinoid tumor or
GIST.
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Melanoma
and Skin Cancer
Florida has a large population of patients with skin cancers
including melanoma. I provide surgical treatment and staging
procedures for these patients.
For more information about Melanoma and Skin Cancer,
please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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Venous Access
Surgery
Chemotherapy requires dependable venous access, which we
insert when needed.
For more information about Venous Access Surgery,
please visit:
To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient
forms, fill out and bring to appointment.
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