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Dr. Miguel Angel Perea, MD is a general surgeon in San Antonio, TX specializing in general surgery. He graduated from University of Texas Health Science Center at San Antonio, School of Medicine in 2014 and has 10 years of experience. Dr. Miguel Angel Perea, MD is affiliated with Baptist Health System (San Antonio, TX) and BHS PHYSICIANS NETWORK INC.
8019 S New Braunfels Avenue Suite 115
San Antonio, TX 78235
Colectomy (Colon Resection)
Colectomy is surgery to remove all or part of the colon, or the longest part of the large intestine. The colon may be affected by diseases such as cancer or inflammatory bowel disease. In a colectomy, all or part of the colon that is infected, blocked, or cancerous is removed.
A colectomy may be performed by laparoscopic or open surgery. A laparoscopic colectomy requires several small cuts on the abdomen, and uses a thin tube with a camera, called a laparoscope. Laparoscopic colectomies are less invasive than open procedures. For some individuals, a laparoscopic colectomy may not be possible, and instead an open colectomy is performed. In an open colectomy, a large incision is made on the abdomen. Open colectomies typically require longer recovery periods.
After the incisions are made, a portion of the colon is removed, and the remaining ends of the colon are attached to each other in a procedure called anastomosis. Waste can continue to travel through the body as normal. However, in some situations, it may be necessary for the end of the colon to be attached to an opening in the abdomen, called a stoma. This procedure is called an ostomy. Types of ostomies include:
An ostomy bag will be attached to the skin to collect waste. If the entire colon is removed, either an ileostomy is performed, or the small intestine is connected to the anus and waste may pass through as normal.
Stomas may be permanent or temporary. If the stoma is temporary, the ends of the colon will be rejoined in a later procedure. Temporary stomas are generally used to allow time for the colon to heal following surgery.
A colectomy may take between one and four hours. Following the procedure, patients will need to consume a liquid and low fiber diet before gradually returning to their normal diet. Patients will need to stay in the hospital for three to seven days for monitoring. Full recovery and return to normal activity may take anywhere from a few weeks to several months.
Gallbladder Removal Surgery (Cholecystectomy)
The gallbladder is a small, pear-shaped organ on the right side of the upper abdomen, underneath the liver. Its purpose is to store bile, which is used to digest fat. Occasionally, the gallbladder can develop mineral stones, called gallstones. If they are large enough, gallstones can block the ducts in the gallbladder and cause swelling and infection. Gallstones can be treated with lifestyle changes and medication, but sometimes this is not enough. In these cases, it is best to remove the gallbladder before it can cause more serious problems. The surgical removal of the gallbladder is called a cholecystectomy.
Today, most gallbladder surgeries are done laparoscopically. Four tiny incisions are made in the abdomen, and small tools are inserted through these tiny incisions to perform the surgery. Because the incisions are much smaller, recovery time is much faster with this type of surgery. Patients are usually discharged from the hospital the same day. Sometimes, open surgery is used to remove a gallbladder. In this type of surgery, a cut about six inches long is made in the upper right abdomen. After the gallbladder is removed, it is sutured or stapled closed. With open surgery, patients usually stay in the hospital for two to three days to recover before they are discharged.
Gallbladder removal, like any surgery, carries some risks, such as bleeding, infection, or the development of blood clots. Doctors will tell patients how to minimize their risk for complications. After surgery, patients are advised to avoid strenuous activity for several days. They should not soak in a bath until their sutures or staples have been removed. Patients should wash hands before touching the area around the incision. It will take a couple of days until patients feel like themselves again and a few weeks until their scar has healed and faded.
Small Bowel Resection
Small bowel resection is a surgical procedure performed to remove all or part of the small intestine. The small intestine absorbs nutrients from food and passes waste to the large bowel. Tumors or conditions such as cancer or inflammatory bowel disease can cause injury to the intestine or lead to blockage. To allow the small intestine to function normally, surgery to remove part of the intestine may be necessary.
Small bowel resection can be done through either a laparoscopic or open approach. If someone is having a laparoscopic small bowel resection, their surgeon will make multiple small incisions on the abdomen and insert a thin tube with a camera, called a laparoscope. If they are having an open small bowel resection, a large cut is made on the abdomen to expose the intestine. A laparoscopic small bowel resection is associated with less pain and requires a shorter recovery period, but depending on the condition, patients may have to undergo an open procedure.
After making the necessary incisions, the surgeon will remove the targeted portion of the intestine and then perform an anastomosis. Depending on the amount of intestine left, an anastomosis may involve the surgeon either joining together the ends of the intestine or creating a stoma which is an opening in the abdomen. In this procedure, called an ileostomy, the end of the small intestine (ileum) is attached to the opening in the abdominal wall. A drainage pouch will be attached to the skin to collect waste.
Stomas may be permanent or temporary. If the stoma is temporary, the ends of the intestine will be rejoined in a later procedure. Temporary stomas are generally used to allow time for the intestines to heal following surgery.
Small bowel resection is typically completed in one to four hours. After the operation, patients will need to stay in the hospital for a few days, and it may take some time before they can return to their normal diet.
Dr. Miguel Angel Perea, MD graduated from University of Texas Health Science Center at San Antonio, School of Medicine in 2014. He has a state license in Texas.
Medical School: University of Texas Health Science Center at San Antonio, School of Medicine (2014)
Licensed In: Texas
Dr. Miguel Angel Perea, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Miguel Angel Perea, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
Medical Device Business Services, Inc. |
$305
$305 |
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Education | $305 |
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Dr. Miguel Perea practices general surgery. Clinical interests for Dr. Perea include small bowel resection, colectomy (colon resection), and colon cancer. He graduated from the University of Texas Health Science Center at San Antonio, School of Medicine. Dr. Perea is affiliated with Baptist Health System (San Antonio, TX). According to Doctor.com, new patients are welcome to contact his office in San Antonio, TX.