Giorgi Kartsivadze
General Surgeon
Meet Dr. Giorgi Kartsivadze, a multifaceted healer with a journey spanning from Ulianovski Medical Institute to specialized expertise in general surgery, gastroscopy, and colonoscopy. His pursuit of excellence extends beyond borders, earning certificates in Medical-Social Expertise from St. Petersburg. Since 2013, Dr. Giorgi has seamlessly blended skill and compassion in his practice, enriching the Concierge Medical Board with his invaluable presence.
Experience Exceptional Care with Dr. Giorgi Kartsivadze at Concierge Medical Center
When it comes to general surgery, Dr. Giorgi Kartsivadze stands out for his unwavering commitment to providing top-notch medical care. With years of experience and a dedication to patient well-being, Dr. Kartsivadze ensures that each individual receives personalized attention and comprehensive treatment tailored to their specific needs.
At Concierge Medical Center, our priority is your health and comfort. Dr. Kartsivadze offers thorough consultations, taking the time to listen to your concerns, conduct a detailed examination, and discuss treatment options with clarity and compassion. Whether you’re facing a chronic condition requiring surgical intervention or an acute medical emergency, rest assured that you’re in capable hands.
In addition to providing meticulous pre-surgical assessments and consultations, Concierge Medical Center offers convenient scheduling options to accommodate urgent cases. We understand that timely access to surgical care is crucial, especially in emergency situations, and strive to ensure that you receive the attention you need when you need it most.
Trust Dr. Giorgi Kartsivadze and the dedicated team at Concierge Medical Center for exceptional general surgery services delivered with professionalism, expertise, and a genuine commitment to your well-being. Your health is our priority, and we’re here to support you every step of the way.”
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Comprehensive Overview: Surgical Procedures for Various Medical Conditions
Appendicitis:
Appendicitis occurs when the appendix becomes blocked, often by stool, a foreign body, or infection, leading to inflammation and potentially dangerous complications if the appendix ruptures. The classic symptom is abdominal pain, typically starting around the belly button and then migrating to the lower right side. Other symptoms may include nausea, vomiting, fever, and loss of appetite. Prompt diagnosis and treatment are essential to avoid complications such as peritonitis, a severe infection of the abdominal lining. An appendectomy, either traditional or laparoscopic, is the standard treatment, involving the surgical removal of the inflamed appendix.
Gallstones:
Gallstones are crystalline deposits that form in the gallbladder or bile ducts. They can range in size from tiny grains to golf ball-sized stones and can cause symptoms such as severe abdominal pain, particularly after eating fatty foods. If a gallstone blocks the bile duct, it can lead to complications like cholecystitis, inflammation of the gallbladder. Treatment often involves surgical removal of the gallbladder, known as cholecystectomy, usually performed laparoscopically to minimize recovery time and scarring.
Hernia:
Hernias occur when an organ or tissue squeezes through a weak spot in the surrounding muscle or connective tissue, creating a bulge. Inguinal hernias, the most common type, appear in the groin area, while umbilical hernias occur near the belly button. Hernias can cause discomfort, pain, and potentially life-threatening complications if the blood supply to the herniated tissue becomes compromised. Herniorrhaphy, the surgical repair of a hernia, typically involves pushing the herniated tissue back into place and strengthening the weakened area with stitches or a mesh patch.
Hemorrhoids:
Hemorrhoids are swollen veins in the rectum or anus, often caused by straining during bowel movements, chronic constipation, or pregnancy. They can cause itching, pain, and bleeding, especially during defecation. While mild cases can often be managed with lifestyle changes and over-the-counter medications, more severe or persistent hemorrhoids may require surgical removal through a procedure called hemorrhoidectomy. During this surgery, the hemorrhoidal tissue is excised, providing relief from symptoms and preventing recurrence.
Peptic Ulcer Disease:
Peptic ulcer disease involves the formation of open sores or ulcers in the lining of the stomach, duodenum, or esophagus, typically caused by infection with H. pylori bacteria, long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), or excessive alcohol consumption. These ulcers can cause abdominal pain, bloating, nausea, and gastrointestinal bleeding. Treatment aims to reduce stomach acid production, eradicate H. pylori infection with antibiotics, and promote ulcer healing. In some cases, surgery such as gastrectomy, which involves removing a portion of the stomach, may be necessary to manage complications or refractory ulcers.
Pilonidal disease:
Pilonidal disease involves the formation of a cyst or abscess in the sacrococcygeal region, commonly referred to as the tailbone area. This condition often develops due to ingrown hairs or debris trapped in the skin, leading to inflammation, pain, and sometimes infection. Surgical excision of the cyst or abscess is typically required to alleviate symptoms and prevent recurrence. The surgery involves removing the affected tissue and ensuring proper wound care to promote healing and reduce the risk of complications.
Skin abscess:
A skin abscess is a localized collection of pus within the skin, usually resulting from a bacterial infection, such as Staphylococcus aureus. Abscesses can occur anywhere on the body and often present as painful, swollen, and tender lumps beneath the skin. Treatment involves incision and drainage of the abscess to remove the pus and alleviate symptoms. In some cases, antibiotics may be prescribed to treat the underlying infection and prevent recurrence.
Ganglion cyst:
A ganglion cyst is a noncancerous lump that typically develops along tendons or joints, most commonly in the wrists or hands. The exact cause is unknown, but they may arise from trauma or repetitive stress on the affected area. Ganglion cysts are usually painless but can cause discomfort or restricted movement if they press on nearby nerves or tendons. Surgical excision may be recommended if the cyst is symptomatic or cosmetically bothersome.
Sebaceous cyst:
Sebaceous cysts are benign cysts that form beneath the skin, typically filled with keratin and oily fluid. They often develop from blocked hair follicles or oil glands and can occur anywhere on the body. While sebaceous cysts are generally harmless, they can become inflamed, infected, or cosmetically undesirable, warranting surgical excision. During excision, the cyst is removed intact to minimize the risk of recurrence.
Fistula:
A fistula is an abnormal connection or passageway that forms between two organs or between an organ and the skin. Fistulas commonly occur in the anus and are often the result of an infection, injury, or inflammatory condition such as Crohn’s disease. Fistulotomy is a surgical procedure used to treat anal fistulas by cutting open the tract and allowing it to heal from the inside out. Additional treatments may be necessary depending on the underlying cause and complexity of the fistula.
Lipoma:
Lipomas are benign tumors composed of fat tissue that develop beneath the skin. They often feel soft and movable and typically cause no symptoms unless they grow large enough to compress nearby structures. Surgical excision is usually performed if the lipoma becomes painful, interferes with movement, or for cosmetic reasons. The procedure involves making an incision over the lipoma, dissecting it from surrounding tissues, and removing it in its entirety.
Anal Fissure
A fissure-in-ano is a small tear or ulcer in the lining of the anal canal, often resulting from trauma during bowel movements or chronic constipation. This condition causes pain, bleeding, and discomfort, particularly during defecation. Lateral internal sphincterotomy is a surgical procedure used to treat chronic anal fissures by cutting a small portion of the internal anal sphincter muscle to reduce spasm and promote healing of the fissure.
Skin tags:
Skin tags are benign growths that typically occur in areas where the skin folds or rubs against itself, such as the neck, armpits, and groin. While skin tags are harmless, they can be bothersome or cosmetically undesirable for some individuals. Surgical excision is a quick and straightforward procedure to remove skin tags, typically performed under local anesthesia. After excision, the area is usually sutured closed to promote proper healing and minimize scarring.
Carpal tunnel syndrome:
Carpal tunnel syndrome is a common condition caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. This compression leads to symptoms such as numbness, tingling, weakness, and pain in the hand and fingers. Conservative treatments such as wrist splinting, corticosteroid injections, and physical therapy are often attempted initially. However, if symptoms persist or worsen, carpal tunnel release surgery may be recommended to relieve pressure on the median nerve. During the procedure, the transverse carpal ligament is cut to enlarge the carpal tunnel and alleviate symptoms.
Trigger finger:
Trigger finger, also known as stenosing tenosynovitis, is a condition characterized by the catching or locking of one or more fingers in a bent position, followed by a sudden release or “triggering” when attempting to straighten the finger. It typically results from inflammation or thickening of the tendon sheath, causing difficulty with finger movement. Treatment options include splinting, corticosteroid injections, and surgical release of the affected tendon sheath. During surgery, the constricted portion of the tendon sheath is cut to allow for smoother gliding of the tendon and improved finger movement.
Preventive Measures for Common Surgical Conditions Based on Symptoms
Introduction:
Surgical problems can arise due to various underlying conditions, ranging from acute emergencies to chronic illnesses. Recognizing the symptoms of these conditions early on and implementing preventive measures can often help mitigate the need for surgical intervention. In this comprehensive guide, we’ll explore common surgical problems, their associated symptoms, and proactive steps individuals can take to prevent or manage these conditions.
1. Appendicitis:
Symptoms: Abdominal pain starting around the belly button and migrating to the lower right side, nausea, vomiting, fever.
Prevention:
– Maintain a healthy diet high in fiber to prevent constipation, which can contribute to appendicitis.
– Stay hydrated to ensure regular bowel movements.
– Practice good hygiene to reduce the risk of infections that may lead to appendicitis.
– Seek medical attention promptly if experiencing symptoms suggestive of appendicitis to prevent complications such as appendiceal rupture.
2. Gallstones:
Symptoms: Severe abdominal pain, particularly after consuming fatty foods, nausea, vomiting, jaundice.
Prevention:
– Maintain a healthy weight through diet and exercise to reduce the risk of gallstone formation.
– Eat a balanced diet low in saturated fats and cholesterol.
– Avoid rapid weight loss or crash diets, as they can increase the risk of gallstone formation.
– Stay hydrated and limit alcohol consumption.
– Consider medications or lifestyle changes to manage conditions such as diabetes that may increase the risk of gallstones.
3. Hernia:
Symptoms: Visible bulge or lump, pain or discomfort, especially when lifting heavy objects or straining.
Prevention:
– Practice proper lifting techniques to avoid putting excessive strain on abdominal muscles.
– Maintain a healthy weight and avoid obesity, which can increase the risk of hernias.
– Quit smoking, as it can weaken abdominal muscles and contribute to hernia formation.
– Strengthen abdominal muscles through regular exercise, particularly core-strengthening exercises.
– Address underlying conditions such as chronic cough or constipation that may contribute to hernia development.
4. Hemorrhoids:
Symptoms: Itching, pain, bleeding during bowel movements, swelling around the anus.
Prevention:
– Eat a high-fiber diet to promote regular bowel movements and prevent constipation.
– Stay hydrated and avoid straining during bowel movements.
– Avoid sitting for prolonged periods, especially on the toilet.
– Practice good hygiene, including gentle cleansing of the anal area after bowel movements.
– Engage in regular physical activity to improve circulation and prevent hemorrhoid formation.
5. Peptic Ulcer Disease:
Symptoms: Abdominal pain, bloating, nausea, vomiting, gastrointestinal bleeding.
Prevention:
– Avoid long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) if possible, or use them under medical supervision.
– Limit alcohol consumption and quit smoking, as they can increase the risk of peptic ulcers.
– Manage stress through relaxation techniques such as meditation or yoga.
– Eat a healthy diet rich in fruits, vegetables, and whole grains, and limit spicy or acidic foods that may exacerbate symptoms.
– Seek treatment for conditions such as H. pylori infection or gastroesophageal reflux disease (GERD) promptly to prevent complications such as peptic ulcer formation.
6. Pilonidal Disease:
Symptoms: Pain, swelling, redness, or drainage near the tailbone.
Prevention:
– Keep the area around the tailbone clean and dry to prevent infection.
– Avoid prolonged sitting or pressure on the tailbone.
– Practice good hygiene, including regular cleansing and drying of the area, particularly after activities that may cause sweating.
– Consider hair removal techniques such as shaving or laser hair removal in hairy individuals prone to pilonidal disease.
– Seek prompt medical attention for any signs of infection or inflammation to prevent complications such as abscess formation.
7. Skin Abscess:
Symptoms: Pain, swelling, redness, warmth, or drainage at the site of infection.
Prevention:
– Practice good hygiene, including regular handwashing and cleansing of cuts or wounds.
– Avoid sharing personal items such as towels or razors that may harbor bacteria.
– Keep skin clean and dry, particularly in areas prone to friction or sweating.
– Treat minor cuts or wounds promptly with antiseptic ointments and bandages to prevent infection.
– Seek medical attention for any signs of infection, such as increasing pain, swelling, or drainage, to prevent the development of abscesses.
8. Ganglion Cyst:
Symptoms: Visible lump or bump, pain or discomfort, particularly with movement or pressure.
Prevention:
– Avoid repetitive activities or movements that may exacerbate symptoms.
– Use protective gear or padding to cushion joints during high-impact activities.
– Maintain flexibility and strength through regular stretching and strengthening exercises.
– Avoid excessive pressure or trauma to joints, particularly in areas prone to ganglion cysts such as the wrists or hands.
– Seek medical evaluation for persistent or symptomatic ganglion cysts to explore conservative treatment options before considering surgical intervention.
9. Sebaceous Cyst:
Symptoms: Visible lump or bump beneath the skin, pain or tenderness, particularly if the cyst becomes infected.
Prevention:
– Avoid squeezing or attempting to drain sebaceous cysts at home, as this can lead to infection or exacerbate symptoms.
– Keep skin clean and dry, and avoid excessive moisture or friction in areas prone to cyst formation.
– Seek medical evaluation for symptomatic cysts or those that become infected to prevent complications such as abscess formation.
– Consider surgical excision for recurrent or bothersome sebaceous cysts under the guidance of a healthcare professional.
10. Fistula:
Symptoms: Persistent drainage or discharge from an opening near the anus, pain, swelling, or redness in the anal area.
Prevention:
– Maintain good hygiene, including regular cleansing and drying of the anal area.
– Avoid prolonged sitting or pressure on the anal region.
– Seek prompt medical attention for conditions such as Crohn’s disease or inflammatory bowel disease that may increase the risk of fistula formation.
– Treat underlying conditions such as anal abscesses promptly to prevent the development of fistulas.
– Follow postoperative care instructions closely after surgical treatment to promote healing and prevent recurrence.
11. Lipoma:
Symptoms: Soft, movable lump beneath the skin, typically painless unless pressing on nearby structures.
Prevention:
– Maintain a healthy weight through diet and exercise to reduce the risk of lipoma formation.
– Avoid trauma or injury to fatty areas of the body, as this may trigger lipoma development.
– Seek medical evaluation for any new or enlarging lumps beneath the skin to rule out other potential causes.
– Consider surgical excision for symptomatic or cosmetically bothersome lipomas under the guidance of a healthcare professional.
– Follow up with regular skin examinations to monitor for changes or recurrence of lipomas.
12. Fissure-in-ano:
Symptoms: Pain, bleeding, or itching in the anal area, particularly during bowel movements.
Prevention:
– Maintain regular bowel habits and avoid straining during bowel movements.
– Eat a high-fiber diet to promote soft stools and prevent constipation.
– Practice good hygiene, including gentle cleansing of the anal area after bowel movements.
– Avoid irritating or abrasive substances such as harsh soaps or perfumed products in the anal area.
– Seek medical evaluation for persistent or recurrent anal fissures to explore conservative treatment options before considering surgical intervention.
13. Skin Tags:
Symptoms: Small, flesh-colored growths of skin, typically painless unless irritated or inflamed.
Prevention:
– Maintain a healthy weight and avoid rapid fluctuations in weight to reduce the risk of skin tag formation.
– Practice good hygiene, including regular cleansing and drying of the skin folds or areas prone to skin tags.
– Avoid friction or irritation in areas prone to skin tag formation, such as the neck, armpits, or groin.
– Seek medical evaluation for bothersome or cosmetically undesirable skin tags to explore treatment options such as surgical excision.
– Follow postoperative care instructions closely after surgical removal of skin tags to promote proper healing and minimize scarring.
14. Carpal Tunnel Syndrome:
Symptoms: Numbness, tingling, weakness, or pain in the hand and fingers, particularly at night or with repetitive hand movements.
Prevention:
– Take regular breaks and perform stretching exercises if engaging in repetitive hand activities.
– Maintain proper posture and wrist position during activities that require hand use.
– Use ergonomic tools or equipment to reduce strain on the wrists and hands.
– Avoid excessive force or pressure on the wrists, particularly during activities such as typing or using handheld devices.
– Seek medical evaluation for early symptoms of carpal tunnel syndrome to explore conservative treatment options before symptoms worsen.
15. Trigger Finger:
Symptoms: Catching or locking of one or more fingers in a bent position, followed by a sudden release or “triggering” with movement.
Prevention:
– Avoid repetitive gripping or grasping activities that may exacerbate symptoms.
– Use ergonomic tools or equipment to reduce strain on the fingers and hands.
– Take regular breaks and perform stretching exercises if engaging in repetitive finger movements.
– Maintain proper hand and finger alignment during activities to reduce strain on the tendons.
– Seek medical evaluation for early symptoms of trigger finger to explore conservative treatment options before symptoms progress.
Conclusion:
While surgical intervention may be necessary for certain medical conditions, taking proactive steps to recognize symptoms and implement preventive measures can often help reduce the risk of surgical problems. By maintaining a healthy lifestyle, practicing good hygiene, and seeking prompt medical attention for concerning symptoms, individuals can minimize the likelihood of requiring surgical treatment for various conditions. Additionally, staying informed about potential risk factors and preventive strategies can empower individuals to take control of their health and well-being.