Our Services

Chillicothe Surgical Associates specializes in General, Vascular, Thoracic and Laparoscopic Surgical care. We will strive to provide you with the best health care possible. With our new endosurgical techniques, appendectomies, gallbladder and gallstone removals, hernia repairs, even chest procedures, can all be performed with reduced pain, shorter recovery times and much smaller incisions. Several procedures that we provide are listed below.

Vascular Surgery
Balloon Angioplasty, Stent Placement, Bypass Grafting, Carotid Endarterectomy, Aneurysm Repair

Vascular surgery is a subspecialty of general surgery in which diseases of the vascular system, or arteries and veins, are managed, largely via surgical intervention. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system except that of the heart and brain. Cardiothoracic surgeons manage surgical disease of the heart and its vessels. Neurosurgeons manage surgical disease of the vessels in the brain (eg intracranial aneurysms). Learn More

Thoracic Surgery
Thoracoscopy, Lung Biopsy, Bronchoscopy, Lung Cancer

Thoracic surgery is the field of medicine involved in the surgical treatment of diseases affecting organs inside the thorax (the chest) excluding the heart. Generally treatment of conditions of the lungs, chest wall, esophagus and diaphragm. Thoracic surgery is often grouped with cardiac surgery and called cardiothoracic surgery (primarily in the United States). Learn More

Laparoscopic Surgery
Gallbladders, Groin & Hiatal Hernias, Appendicitis, Large & Small Bowel

Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, keyhole surgery, or pinhole surgery is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5-1.5cm) as compared to larger incisions needed in traditional surgical procedures. Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy. The key element in laparoscopic surgery is the use of a laparoscope: a telescopic rod lens system, that is usually connected to a video camera (single chip or three chip). Also attached is a fiber optic cable system connected to a 'cold' light source (halogen or xenon), to illuminate the operative field, inserted through a 5 mm or 10 mm cannula to view the operative field. The abdomen is usually insufflated with carbon dioxide gas to create a working and viewing space. The abdomen is essentially blown up like a balloon (insufflated), elevating the abdominal wall above the internal organs like a dome. The gas used is CO2, as it is common to the human body and can be removed by the respiratory system if it absorbs through tissue. It is also non-flammable, which is important due to the fact that electrosurgical devices are commonly used in laparoscopic procedures. Learn More

General Surgery
Stomach, Thyroid, Breast Diseases, Endoscopy of Stomach & Colon, Bowel Cancer, Sentinel Node Biopsy

General surgery, despite its name, is a surgical specialty that focuses on surgical treatment of abdominal organs, e.g. intestines including esophagus, stomach, colon, liver, gallbladder and bile ducts, and often the thyroid gland (depending on the availability of head and neck surgery specialists) and hernias. Learn More

Endoscopy
EGD, Colonoscopy, 24 Hour PH & Manometry

Endoscopy is a minimally invasive diagnostic medical procedure used to assess the interior surfaces of an organ by inserting a tube into the body. The instrument may have a rigid or flexible tube and not only provide an image for visual inspection and photography, but also enable taking biopsies and retrieval of foreign objects. Endoscopy is the vehicle for minimally invasive surgery. Many endoscopic procedures are considered to be relatively painless and, at worst, associated with mild discomfort. Most patients tolerate the procedure with only topical anaesthesia of the oropharynx using lignocaine spray. Complications are rare (only 5% of all operations) but can include perforation of the organ under inspection with the endoscope or biopsy instrument. If that occurs open surgery may be required to repair the injury. Learn More

In-office Procedures
Lesion Removal, Cyst & Mole Removal, Minor Breast Procedures with Ultrasound, A-port Removal

Chillicothe Surgical Associates perform many procedures in the office at a reduced fee compared to the same procedure in the hospital. Our practice treats a variety of conditions and the most common procedures that we perform in the office are described on this page. Learn More