Services

What We Do

Our highly skilled team of surgeons, nurses and technologists at the Methodist Germantown Surgery Center specializes in a wide range of outpatient surgical procedures. Select the specialty of interest to view some of the more common surgeries performed in the center.

Anesthesiology

Our Anesthesia Team

Anesthesiologists and nurse anesthetists put you to "sleep" for surgical procedures. All of our anesthesiologists have special training in adult and pediatrics and are experienced in putting the patient and the family at ease. These anesthesiologists work with nurse anesthetists to provide a full range of services. All surgical cases performed at the surgery center use the services of anesthesiologists and nurse anesthetists under the supervision of anesthesiologists.

What Is Anesthesia?

During surgery, you or your child will be given some form of anesthesia—medication administered for the relief of pain and sensation during surgery. The type and dosage of anesthesia is administered by the anesthesiologist. When scheduled for surgery, you will meet with the anesthesiologist or nurse anesthetist before the procedure. The anesthesiologist will review your or your child's medical condition and history to plan the appropriate anesthetic for surgery.

What Are the Different Types of Anesthesia?

There are various forms of anesthesia. The type of anesthesia you or your child will receive will depend on the type of surgery and your or your child's medical condition. Usually, an anesthesiologist will administer a sedative to make you or your child sleepy, in addition to the anesthetic. The different types of anesthesia include the following:

• Local Anesthesia – Local anesthesia is an anesthetic agent given to temporarily stop the sense of pain in a particular area of the body. A patient remains conscious during a local anesthetic. For minor surgery, a local anesthetic can be administered via injection to the site. However, when a large area needs to be numbed, or if a local anesthetic injection will not penetrate deep enough, physicians may use regional anesthetics.
• Regional Anesthesia – Regional anesthesia is used to numb only the portion of the body which will receive the surgical procedure. Usually, an injection of local anesthetic is given in the area of nerves that provide feeling to that part of the body. There are several forms of regional anesthetics, two of which are described below:
  • Spinal Anesthetic – A spinal anesthetic is used for lower abdominal, pelvic, rectal, or lower extremity surgery. This type of anesthetic involves injecting a single dose of the anesthetic medication into the subarachnoid space, which surrounds the spinal cord. The injection is made into the lower back, below the end of the spinal cord, and causes numbness in the lower body. In some situations, such as a prolonged procedure, continuous spinal anesthesia may be used. A thin catheter (hollow tube) is left in place in the subarachnoid space for additional injections of the anesthetic agent, which ensures numbness during the length of the procedure.
  • Epidural Anesthetic – The epidural anesthetic is similar to a spinal anesthetic and is commonly used for surgery of the lower limbs and during labor and childbirth. This type of anesthesia involves continually infusing an anesthetic medication through a thin catheter (hollow tube). The catheter is placed into the space that surrounds the spinal cord in the lower back (just outside the subarachnoid space), causing numbness in the lower body. Epidural anesthesia may also be used for chest surgical procedures. In this case, the anesthetic medication is injected at a higher location in the back to numb the chest and abdominal areas.
• General Anesthesia – General anesthesia is an anesthetic used to induce unconsciousness during surgery. The medication is either inhaled through a breathing mask or tube or administered through an intravenous line (a thin plastic tube inserted into a vein, usually in the patient's forearm). A breathing tube may be inserted into the windpipe to maintain proper breathing during surgery.

Once the surgery is complete, the anesthesiologist stops the anesthetic, the medication wears off, and the patient gradually wakes up in the operating room. Complete recovery from anesthesia continues in the recovery room. Expect to be sleepy and to doze off often.

Cosmetic (Plastic Surgery)

General Surgery

General surgery provides surgical treatment for a wide variety of surgical problems in children and adults. Many of our operations can be performed with minimally invasive techniques, as well as through standard techniques. A highly trained, expert team of physicians and caregivers are here to ensure you, or your child, receives the very best care possible. Our team of surgeons treats people of all ages, including infants, children, adolescents and adults.

The general surgery program treats a wide variety of surgical problems including:

• Inguinal and Umbilical Hernia
• Circumcision
• Skin Lesion
• Hemangioma and Lymphangioma
• Mass Removal
• Foreign Body Removal
• Lap Chole (Gall Bladder Removal – Laparoscopic)

Gynecology

Ophthalmology

Orthopedics

Orthopedics is a medical specialty concerned with the diagnosis, care and treatment of patients with musculoskeletal disorders. The physicians who specialize in treating injuries and diseases of the musculoskeletal system are called orthopedic surgeons or orthopedists. Orthopedists may perform surgery to restore function lost as a result of injury or disease of bones, joints, muscles, tendons, ligaments, nerves, or skin.

We specialize in orthopedic surgery for children, adolescents and adults. Orthopedics surgeons diagnose, treat, and manage musculoskeletal problems, such as:

• Scopes – Knee, Shoulder, Wrist, Ankle
• Broken Bones – Open and Closed Reduction
• ACL Repair
• Rotator Cuff Repair
• Carpel Tunnel Release
• Removal of Ganglion Cyst

Otolaryngology

Otolaryngologists can provide surgical treatment for children and adults with diseases of the ear, nose and throat. Services include:

• PE Tubes
• Adenoids
• Turbinate Reduction
• Balloon Sinuplasty
• Endoscopic Sinus Surgery
• Frenulum (Tongue Tie Surgery)
• Tonsillectomy
• Lesion Removal

Pain Management

The most common procedure for relieving chronic or acute pain that does not respond to physical therapy or medication is the injection of medication directly into the spine, joint or soft tissue. Once delivered to the site of swelling and irritation, this medication can help the area to heal and relieve pain for a number of weeks or months. If patients are going through rehabilitation or physical therapy, these injections may help them participate more easily and heal more effectively. When large joints are involved, steroids may be injected under sterile conditions by highly skilled orthopedists who have learned by experience and touch where to leave the medication. When more detail is required, such as injections placed between vertebrae or joints in the spine, these injections may be guided by fluoroscopy (a type of guided x-ray) that ensures the exact placement of the medication and the highest therapeutic benefit.

The pain management team provides services for some of these more common procedures:

• Epidural Blocks – Lumbar, Cervical
• Facet Block
• Trigger Point
• Interscalene Block
• Pain Pump
• Lumbar Transforaminal Injection

Podiatry

Podiatry or podiatric medicine is involved in the treatment of disorders of the foot and ankle. In the US, podiatric medicine is practiced by a Doctor of Podiatric Medicine (DPM). At Methodist Germantown Surgery Center, commonly performed podiatric procedures include:

• Bunionectomy
• Hammer Toe
• Joint Replacement
• Neuroma excision
• Toenail Removal
• Heel Spur Removal

Urology

We provide surgical treatment for adults and children with disease of the urological system. Some of our more common urological procedures include:

• Urethral Dilatation
• Cystoscopy
• Stone Manipulation
• Scrotal Exploration
• Circumcision
• InterStim