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The Department of Surgery at Starling Physicians provides comprehensive care before, during, and after surgical procedures. Our experienced surgeons, Dr. Robert Napoletano and Dr. Michael Posner, specialize in laparoscopic and minimally invasive surgery. They manage a broad range of surgical conditions with particular expertise.
- Minimally invasive / laparoscopic surgery
- Hernia surgery
- Thyroid/parathyroid surgery
- Breast surgery
- Gallbladder surgery
- Colon surgery
- Vascular surgery, including VNUS closure for varicose veins
We also have two highly skilled surgical specialists, Dr. Matthew Brown and Dr. Anne Lally who work in our Newington Access Center to ensure healthy vascular access to facilitate dialysis care. Click here to learn more>
Breast Surgery & Breast Cancer Care
Starling Physician surgeons have extensive expertise and additional training in the management of breast diseases, both benign as well as breast cancer. They coordinate your care from initial diagnosis and biopsy through definitive surgery and aftercare. Our surgeons are trained in the latest, minimally invasive needle biopsy techniques to get an accurate diagnosis without a formal surgical procedure. They participate in the local/regional interdisciplinary breast team to design state-of-the-art treatment plans with other specialists, including medical oncology, radiation oncology, radiologists, nurse navigators, and occupational therapists.
Diagnoses can often be made with a simple office-based needle biopsy under local anesthesia. If the biopsy does indicate breast cancer, our surgeons can provide expert counseling on your treatment options and make personalized recommendations, connecting you to other providers as needed for complete care.
Treatment of Breast Cancer
Starling Physician surgeons have ongoing interest and expertise in the treatment of breast cancer. Once a diagnosis is made, often with a minimally invasive, office-based guided biopsy, discussion can begin about the most appropriate treatment options. The following is a summary of the different types of treatments available for breast cancer. Please note that not all of these options will be needed for any given patient.
Surgery: the first treatment after diagnosis is often surgery. The goals of surgery are to remove the breast cancer and to sample the lymph nodes, which are “glands” in the axilla (armpit) and is the first area where breast cancer might spread.
- The two basic types of surgery that can accomplish this are “lumpectomy,” where just the tumor is removed and the rest of the breast is saved, or a “mastectomy,” where all of the breast tissue is removed. Mastectomy is often done at the same time as a reconstructive procedure to form a new breast. Many women can undergo the less radical procedure with excellent results.
- Talk to your surgeon about which of these two options is best for you and the pros/cons of each.
Radiation: some patients will be offered radiation treatments after surgery. This applies to nearly all patients having lumpectomy and some having mastectomy, as well. The specifics of your cancer and the results from the surgery will determine whether this is the right option for you.
Chemotherapy: some patients will require chemotherapy, depending on several factors. Most of the time, this decision is made after surgery, but if the cancer has certain characteristics, it may be better to have chemotherapy before surgery.
Hormone treatments: certain breast cancers can be treated with hormone pills, usually after surgery, to decrease the chance of “recurrence,” or the cancer growing back or spreading to other parts of the body later.
At Starling Physicians, we have a dedicated team focused on breast health. This team includes oncologists, surgeons, radiologists, occupational therapists, social worker, and dietitian. Together, we provide medical and surgical treatment for both breast cancer and benign breast conditions.
Learn more about the services we provide and our comprehensive approach to breast health.
Laparoscopic, Hernia, and Colon Surgery
Starling Physician surgeons are specially trained to perform numerous laparoscopic and minimally invasive procedures. These techniques typically have the benefits of reduced pain, accelerated recovery, quicker return to normal activities, and shorter hospital stays (if one is required at all). Below is a partial list of laparoscopic procedures offered:
- Herniorraphy – repair of hernias of the groin, abdominal wall, and other types
- Colon surgery – colectomy for cancer, bowel disease, polyp removal
- Splenectomy – removal of the spleen for various blood diseases or emergencies
- Adrenalectomy – removal of the adrenal gland for endocrine disorders or tumors
- Cholecystectomy – removal of the gallbladder for infection, gallstones
- Fundoplication/paraesophageal or hiatal herniorraphy – repair of hiatal hernia and treatment of reflux disease
Vascular surgery includes care of numerous problems with the blood vessels in the body. Starling Physician surgeons have specialized training in these diseases and their treatments, including:
- Aneurysm surgery – minimally invasive/percutaneous graft procedures for repair
- Venous ablation (“closure” procedure) – for varicose veins and venous reflux
- Carotid surgery – to restore blood flow to the brain
- Bypass surgery – to restore blood flow to the legs
- Dialysis surgery – catheters for dialysis access fistula and shunt procedures for permanent dialysis access
- Venous access – catheters for nutrition, antibiotics, and other needs
- Port-a-cath device for chemotherapy
The Vein Center
Venous disease of the lower extremities affects over 25 million people, most of who suffer indefinitely. Leg discomfort, swelling, and varicose veins may be signs of significant vascular disease. Symptoms may worsen if left untreated.
Fortunately, there is now a new minimally invasive method to treat symptomatic superficial venous reflux and varicose veins. Most of the time this can be done as an outpatient procedure with essentially no recovery time. These procedures are typically covered by Medicare and most private insurance companies.
Any patient with persistent lower extremity swelling or visible varicose veins may be a candidate for this revolutionary procedure, including post-partum patients. In addition, any patient with chronic non-healing wounds, such as venous stasis ulcers, may benefit from this procedure.
The first step in the evaluation process is a non-invasive, lower extremity ultrasound. It is completely pain-free and is covered by insurance.
To learn more about the Vein Center, click here>>
Robert S. Napoletano, MD
New Britain – Lake Street
Suite -Building A | (860) 826-4457Southington – Main Street
Suite C | (860) 826-4457
Michael G. Posner, MD, MBA, FACS
New Britain – Lake Street
Suite -Building A | (860) 826-4457Glastonbury – 289 Western
1 Lake Street, New Britain, CT, United StatesSouthington – Main Street
209 Main Street, Southington, CT, United StatesGlastonbury – 289 Western
289 Western Blvd, Glastonbury, CT, United States
All locations: (860) 229-6963