(307) 333-4363

Appointment

Services

General Surgery

Dr. Helling and his staff at Precision Surgical, PC offer comprehensive General Surgery services.  We know that having surgery is a major life event, and we strive to make it as efficient and painless as possible.  All operations are performed utilizing advanced minimally invasive techniques tailored to the unique circumstances of each individual patient.   We are committed to serving you in a respectful, compassionate manner the way we would want our own family and friends to be treated.  Several of the common general surgery conditions that we treat are listed below.

Breast
Hernia repair
Gallbladder removal
Appendix removal
Adrenal gland removal
Abdominal cancer surgery
Acid reflux surgery
Colon and rectal surgery
Hemorrhoid surgery
Intestinal surgery
Colonoscopy and upper endoscopy
Small bowel obstruction
Laparoscopic exploratory surgery
Feeding tube placement
Spleen removal
Lymph node biopsy
Skin cancer
Complex wound repair
Lipomas and soft tissue masses
Port placement for chemotherapy or other reasons
Surgical emergencies
Traumatic injuries
Critical care
Ulcer surgery

Weight Loss Surgery

Obesity is a disease affecting more than 72 million Americans. In Wyoming, 37 percent of adults are classified as overweight and 28 percent of adults are obese. Obesity is caused by a variety of environmental, genetic and metabolic factors.

Criteria for Surgery

To qualify for weight-loss surgery, you must have:

  • BMI of 40 or greater, or more than 100 pounds overweight, OR
  • BMI of 35 or greater and at least one obesity related health problem AND
  • Inability to achieve sustained healthy weight loss despite prior weight-loss efforts.

BMI For Adults

Your BMI is

Weight Related Health Problems

  • Type 2 diabetes
  • High blood pressure
  • Sleep apnea
  • High cholesterol
  • Non-alcoholic fatty liver disease
  • Arthritis
  • Acid reflux or other gastrointestinal disorders
  • Heart disease
  • Certain types of cancer
  • Depression and low self esteem
  • Many Others

Surgical Treatment Available

When non-surgical weight-loss efforts have failed, consultation with a bariatric surgeon may be beneficial. Multiple surgical options exist and no one single operation is perfect for everyone.

Your bariatric surgeon will discuss each option with you individually to find the best treatment.

Banner WMC has been accredited as a Comprehensive Bariatric Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS).

Surgical Options

 

Dr. Helling offers comprehensive weight loss surgery options including:

LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS

How it’s done: Dr. Helling creates an egg-sized stomach pouch while bypassing a portion of the small intestine. It also drastically diminishes hormones causing hunger and high blood sugar in diabetics.

Advantages: Gastric bypass results in the greatest weight loss and the most rapid and significant resolution of weight-related illness. Most patients typically lose 70 to 80 percent of excess body weight.

LAPAROSCOPIC SLEEVE GASTRECTOMY

How it is done: Dr. Helling removes 80 to 90 percent of the stomach, leaving behind a small sleeve resembling the sleeve of a shirt. The small, thin stomach limits food intake while removing the portion of the stomach with most of the hunger hormone cells.

Advantages: Like gastric bypass, patients have a decreased appetite and diabetic remission occurs rapidly. Since there is no re-routing of the GI tract, risk of post-operative complications decrease. Patients typically lose about 60 to 70 percent of excess body weight.

OTHER OPERATIONS AND REVISIONS

Certain less common weight-loss operations may be appropriate for some patients and can be discussed individually with your weight loss surgeon. Revisionary surgery for patients who have already undergone weight loss operations can also be discussed with your weight loss surgeon on an individual basis.

LAP BAND MANAGEMENT
While we no longer place new Lap Bands, Dr. Helling and his team continue to provide comprehensive lap band management, fills, unfills, removals, and conversions to other operations.

For more information:


Dr. Kevin Helling offers additional information about various surgical options in the video below. To schedule a consultation with Dr. Helling, call (307) 333-4363. We also offer monthly support groups for patients who have had surgery or need weight-loss support. Learn more here.

Our Accreditation

Information on Bariatric Surgery

More Videos

Request a Consult

Opening Hours

Mon-Thursday 8 am to 5 pm
Friday 8 am to 3 pm
Closed Sat-Sun