How is adrenal surgery performed? Laparoscopic adrenalectomy in experienced hands, laparoscopic adrenalectomyadrenalectomy - an operation to remove the adrenal gland allows for quick recovery and minimal post-operative pain. 20, 21, 24 however, laparoscopic adrenalectomy is not recommended for very large tumors and those with a high likelihood of malignancy (cancer). The decision to perform an open or laparoscopic operation will be made on an individual basis by your surgeon. Approximately 3% of operations that are started laparoscopically will need to be converted to an open operation. best viagra online reviews 25, 26 conversion to an open operation is based on the judgment of the surgeon. viagra 20 mg schmelztabletten Common reasons for conversion to an open approach include the tumor being stuck to surrounding structures, signs of malignancy (cancer), and tumors too large to be safely removed laparoscopically. Laparoscopic adrenalectomy can be done using one of three different techniques: transabdominal (i. viagra for sale E. viagra without a doctor prescription Through the belly), retroperitoneal (i. E. buy viagra Through the back), and robotic. cheap generic viagra Laparoscopic transabdominal adrenalectomy: the transabdominal approach was the first technique described for this operation. trusted on line sites to buy viagra For this procedure the patient is positioned either supine (i. No prescription viagra online pharmacy E. buy cheap viagra Lying flat on the back) or on the side. should take viagra everyday Three or four small incisions (less than an inch each) are made below the rib cage. Natural alternatives to viagra men The cavity is then inflated with carbon dioxide gas. What do the two bathtubs in the viagra commercial mean For left adrenalectomies, typically 3 operating ports are used. For right adrenalectomies, one additional port is usually needed to hold the liver out of the way. qual usar viagra ou viagra/ On the left side, the spleen, tail of the pancreas, and often the colon must be carefully moved out of the way to see the gland. viagra uk next day delivery On the right side, the liver and often the colon and duodenum (first part of the small intestine) are carefully moved out of the way to see the adrenal gland. The adrenal vein is tied off and the adrenal gland is separated from the surrounding kidney and muscles. cheap viagra The adrenal is placed into a bag for removal. viagra viagra viagra melhor Often the gland can be morcellated (i. should take viagra everyday E. buy viagra online Broken into smaller pieces) while in the bag so it can be removed through the small incision. buy viagra online uk However, one of the small incisions may be made bigger at the end of the operation in order to remove the gland in one piece. Video: laparoscopic transabdominal right adrenalectomy video: laparoscopic transabdominal left adrenalectomy laparoscopic retroperitoneal adrenalectomy: in the laparoscopic retroperitoneal technique, the patient is positioned prone (i. cheap viagra E. cheap viagra Lying face down) and the adrenal gland is approach through the back. Three small incisions are made beneath. should take viagra everyday


Thank you for visiting Dr. Robert Hernandez's webpage. Robert was raised in the Sunset Part area of Brooklyn, NY. He grew up in a single parent household. His mother grew up as a farmer in Puerto Rico, moved to NYC and became a factory worker. He was encouraged by his mother to get a college education. She believed a college degree would become his path to success. In 1992, Robert graduated from Polytechnic University in Brooklyn, NY, with the Bachelor of Science in Electrical Engineering (BSEE). He was offered and accepted a position with the US Navy. He has been employed with the US Navy since September of 1992.

Brooklyn Life

It is with no surprise that growing up in a single parent household that was supported by a factory salary, made life tough. Robert remembers at least two times where his mother put up their house for sale when they were in financial distress. To make matters worse Robert was a chronic asthmatic. His mother was constantly taking him to doctors to try and help with his attacks. His mother worked multiple shifts and weekends to keep the family a float.

Although his mother encouraged him to get a good education because it would lead to success, he had a problem believing it was possible. He did not know anyone with a college degree and, hence, lacked the first hand experience of what a college degree can help achieve. His mother's encouragement was sufficient to overcome these doubts and he graduated 9th in his High School class. This helped him secure a merit based scholarship from Polytechnic University in Brooklyn, NY in 1988. By his junior year, he still believed that he would not be hired upon graduation and started to take real estate courses as a backup plan. During the first semester of his senior year, the US Navy interviewed him. During December of 1991 he received a job offer from the US Navy, contingent on graduation, which he accepted. His mother was right, his hard work and dedication paid off and he became an Electronics Engineer in 1992.

Life After Brooklyn

Following his mother's example, Robert worked overtime and weekends to build a reputation for himself. He was always ready and willing to step up and take on any challenge. Once again, his dedication and hard work would pay off, and he was given his first Lead Engineer position after working only 3 years for the US Navy. It was a small program and team, but none the less, it was a lead position. He has held many positions since then such as: Lead Integration Engineer, Lead Test Engineer, Lead Design Engineer, Lead Systems Engineer, etc. He has received various awards and promotions, throughout his life. He ultimately received a "high grade" promotion to a GS15.

In 2008 he began a Masters program, while continuing to work for the US Navy. The US Navy funded his Master of Science in Electrical Engineering (MSEE), which he received in 2010, and his Doctor of Philosophy in Electrical Engineering (PhDEE), which he received in 2014. He completed both degrees with a 4.0 GPA. He constantly speaks with students promoting the importance of a college degree in today's world. He likes to share his challenges and successes with students in hope that they will get college degrees of their own.

He has been recognized by Great Minds in STEM as a Role Model of the Week during the week of February 13 2006. Most recently he was selected, in 2015, by the Hispanic Society Of Professional Engineers (SHPE) for their Hispanic in Technology award. He feels blessed and wishes the same for everybody.

Rob's Message

Life is tough for all of us. Regardless of what challenges we encounter in our lives, we cannot let them hold us back. Rob never thought he would be employed as an Engineer, much less a Lead Engineer. He never expected a "high grade" promotion to a GS15, that he would achieve a Doctorate in Electrical Engineering, or that he would be selected for national awards. All this was possible because of his mother's encouragement to get a college education. Even though he had doubts his entire life, he still pushed on. His time, effort and hard work paid off. His message is "you can do the same." This message is not intended for just the low income, inner city children, but for all of us. Put your doubts aside, put in the time and the hard work. Push though all the challenges and don't let them hold you back. Seek to achieve your dreams and good things will happen. generic viagra mail order 100mg viagra cut half viagra daily and alcohol viagra how long it works use of viagra with high blood pressure viagra eller viagra viagra canada cost