Precision in Surgery, Compassionate Care, Guided by Faith.

Loving God.

Loving people.

Dr. Sam is a Board-Certified General, Bariatric, and Reflux Surgeon in Lakewood Ranch, Florida. He works at Lakewood Ranch Medical Center and gives personalized, faith-based care to every patient.

My Services

  • Sleeve gastrectomy is a weight-loss surgery that involves removing a large portion of the stomach, leaving a smaller, sleeve-shaped stomach that limits food intake and reduces hunger. Indications for this surgery include severe obesity with a BMI over 40, or a BMI over 35 with obesity-related conditions like diabetes or hypertension. The procedure offers significant benefits, including the potential to lose up to 60% of excess body weight and improvement or resolution of obesity-related health issues. Performed as an outpatient procedure using the da Vinci XI Surgical System, this minimally invasive approach enhances precision and recovery, often allowing patients to return home the same day.

  • Gastric bypass surgery is a weight-loss procedure where the stomach is divided to create a small pouch that is directly connected to the small intestine, bypassing most of the stomach and a portion of the intestine. This surgery is indicated for individuals with a BMI over 40 or a BMI over 35 with serious obesity-related conditions such as type 2 diabetes, high blood pressure, or sleep apnea. Gastric bypass is highly effective, with patients typically losing up to 70% of their excess body weight and experiencing significant improvements in obesity-related health issues. The surgery is performed using the da Vinci XI Surgical System, which allows for a minimally invasive approach with enhanced precision. However, unlike some other bariatric procedures, gastric bypass usually requires an overnight hospital stay for monitoring and recovery.

  • Anti-acid reflux surgery, also known as CTIF, is a procedure to treat chronic acid reflux or gastroesophageal reflux disease (GERD), characterized by symptoms like heartburn, regurgitation, chest pain, and difficulty swallowing. Indications for surgery include a hiatal hernia, persistent symptoms despite medication, severe inflammation of the esophagus, or complications such as Barrett's esophagus. The surgery involves fixing the hiatal hernia and wrapping the upper part of the stomach around the lower esophagus to strengthen the valve between the esophagus and stomach, preventing acid from flowing back up. Using the da Vinci XI Surgical System, this minimally invasive procedure is performed as an outpatient surgery, allowing most patients to go home the same day. After surgery, patients can expect a to be off medications, no more acid reflux symptoms and improvement in quality of life, with a short recovery period before resuming normal activities

  • Inguinal, umbilical, and ventral hernia surgeries address the repair of hernias occurring in different areas of the abdominal wall, where internal tissues or organs protrude through weak spots or defects. Inguinal hernias occur in the groin, umbilical hernias near the belly button, and ventral hernias along the abdominal midline. These hernias often cause discomfort, pain, and visible bulging. Using the minimally invasive DaVinci XI surgical system, surgeons can repair these hernias through small incisions, allowing for precise tissue manipulation and mesh placement to reinforce the weakened area. This technique reduces pain, scarring, and recovery time, often making the procedure suitable for outpatient surgery, enabling patients to return home the same day.

  • Item descriptionColon/rectal surgery is a procedure used to treat colon/rectal cancer and benign colon diseases like diverticulitis, polyps, and inflammatory bowel disease. Colon/rectal cancer occurs when malignant cells form in the tissues of the colon/rectum, leading to symptoms such as changes in bowel habits, abdominal pain, unexplained weight loss, and blood in the stool. Benign colon diseases, while not cancerous, can also cause significant discomfort and complications. Surgery typically involves removing the affected portion of the colon, with or without lymph nodes, and reattaching the healthy segments. The minimally invasive DaVinci XI surgical system allows surgeons to perform this complex procedure through small incisions, offering enhanced precision, reduced risk of complications, and a faster recovery. This approach minimizes scarring, decreases postoperative pain, and often leads to a quicker return to normal activities.

  • Breast cancer surgery is a critical treatment option for breast cancer, involving procedures such as lumpectomy, mastectomy, and sentinel lymph node biopsy. A lumpectomy, also known as breast-conserving surgery, removes the cancerous tumor and a small margin of surrounding tissue, while a mastectomy involves removing the entire breast to eliminate the cancer. Sentinel lymph node biopsy involves removing the first few lymph nodes to which cancer cells are likely to spread, helping to assess whether the cancer has spread beyond the breast. Symptoms leading to surgery may include a breast lump, skin changes, or nipple discharge. The choice of surgery depends on factors like the size and stage of the tumor, patient preference, and overall health. These surgeries can often be performed on an outpatient basis, allowing patients to return home the same day and recover in a comfortable environment.

  • Gastric cancer surgery is a critical treatment for gastric (stomach) cancer, a disease where malignant cells form in the stomach lining, leading to symptoms like persistent indigestion, stomach pain, nausea, vomiting, unexplained weight loss, and difficulty swallowing. The surgery involves removing part or all of the stomach (gastrectomy), depending on the cancer's stage and location, as well as nearby lymph nodes to prevent the spread of the disease and to define the stage of the disease, and reconstruction of the stomach. Utilizing the minimally invasive DaVinci XI surgical system, surgeons can perform this complex procedure with greater precision and control through small incisions, reducing the risk of complications, minimizing scarring, and facilitating a quicker recovery. This advanced technique often results in less pain and a shorter hospital stay, allowing patients to return to their normal lives more swiftly.

  • Gallbladder surgery, or cholecystectomy, is a procedure to remove the gallbladder, often due to gallstones or inflammation causing pain, nausea, vomiting, or jaundice. Symptoms of gallbladder problems include severe pain in the upper right abdomen, particularly after eating fatty foods, along with bloating, indigestion, and fever. If these symptoms persist, surgery may be necessary. Using the advanced da Vinci XI Surgical System, the procedure is minimally invasive, involving small incisions and robotic precision, which typically allows for quicker recovery. This surgery is usually done on an outpatient basis, meaning patients can go home the same day.

  • Appendix surgery, or appendectomy, involves removing the appendix, a small, tube-like organ attached to the large intestine whose exact function remains unclear, though it's believed to play a role in gut immunity. Surgery is typically required for appendicitis, a condition where the appendix becomes inflamed and infected, leading to symptoms like sharp abdominal pain (usually starting around the navel and shifting to the lower right side), fever, nausea, and vomiting. Left untreated, appendicitis can lead to a ruptured appendix, which is life-threatening. Using the minimally invasive DaVinci XI surgical system, surgeons can remove the appendix through small incisions with enhanced precision, reducing the risk of complications, minimizing scarring, and often making the procedure suitable for outpatient surgery. This approach typically results in less postoperative pain, a quicker recovery, and a faster return to normal activities, often allowing patients to go home the same day.

  • Thyroid and parathyroid surgery involves the removal of the thyroid gland, which regulates metabolism, or the parathyroid glands, which control calcium levels in the body. Indications for surgery include thyroid nodules, cancer, hyperthyroidism, or enlarged thyroid (goiter), as well as hyperparathyroidism, where overactive parathyroid glands cause elevated calcium levels, leading to symptoms like fatigue, bone pain, kidney stones, and muscle weakness. Symptoms prompting surgery workup might include a noticeable lump in the neck, difficulty swallowing, or changes in voice. The surgery typically involves making a small incision in the neck to remove the affected gland(s). In many cases, these procedures can be performed on an outpatient basis, allowing patients to return home the same day and experience a quicker recovery with minimal scarring.

  • Adrenal gland surgery, also known as adrenalectomy, involves removing one or both adrenal glands, which are small glands located above the kidneys that produce hormones like cortisol, adrenaline, and aldosterone, essential for regulating metabolism, blood pressure, and the body's stress response. Indications for surgery include tumors (benign or malignant), overproduction of hormones, or enlargement of the adrenal glands, leading to symptoms such as high blood pressure, weight gain, muscle weakness, and excessive sweating. The minimally invasive DaVinci XI surgical system allows surgeons to perform adrenalectomy through small incisions with enhanced precision, reducing complications, minimizing scarring, and often making the procedure suitable for outpatient surgery. This approach typically results in less pain, faster recovery, and a quicker return to normal activities.

  • Spleen surgery, or splenectomy, involves removing the spleen, an organ located in the upper left abdomen that plays a key role in filtering blood, fighting infections, and managing blood cells. Surgery is often indicated for conditions like splenic rupture, certain blood disorders (such as idiopathic thrombocytopenic purpura or hereditary spherocytosis), or cancers that affect the spleen. Symptoms prompting surgery may include pain in the upper left abdomen, anemia, frequent infections, or excessive bleeding. The minimally invasive DaVinci XI surgical system allows surgeons to perform splenectomy through small incisions with high precision, reducing pain, minimizing scarring, and lowering the risk of complications. This advanced technique often makes it possible for the surgery to be performed on an outpatient basis, allowing patients to recover more quickly and return home the same day.

  • Melanoma surgery is the primary treatment for localized melanoma, aiming to remove the tumor with a margin of healthy tissue to prevent recurrence. The indications for surgery include any confirmed diagnosis of melanoma, particularly when the lesion is confined to the skin. The standard procedure involves a wide local excision, where the margin size depends on the tumor's thickness. For melanomas greater than 1 mm in thickness or with other high-risk features, sentinel lymph node biopsy (SLNB) is often performed concurrently to assess for metastasis, guiding further treatment. If SLNB is positive, a complete lymph node dissection may be considered. For smaller, low-risk melanomas, surgery is often performed as an outpatient procedure under local anesthesia, allowing for quick recovery and minimal disruption to daily life.

  • Hemorrhoid surgery, or hemorrhoidectomy, is a procedure to remove hemorrhoids—swollen and inflamed veins in the rectum or anus that can cause pain, bleeding, and discomfort. Surgery is typically indicated for severe hemorrhoids that persist despite conservative treatments, such as dietary changes, medications, or minimally invasive procedures. These include large internal hemorrhoids, significant external hemorrhoids, or those that cause chronic symptoms like bleeding, prolapse, or thrombosis. Hemorrhoid surgery is generally a minor procedure performed in an outpatient setting under local or general anesthesia. The surgeon excises the hemorrhoidal tissue, providing relief from symptoms and a relatively quick recovery, allowing patients to return home the same day.

  • Chemo port placement, also known as a port-a-cath insertion, is a minor surgical procedure where a small device is implanted under the skin, usually in the chest, to provide easy and reliable access to the bloodstream for chemotherapy administration. The indications for chemo port placement include the need for long-term chemotherapy, frequent blood draws, or infusion therapies, especially in patients with poor peripheral venous access. This procedure is typically performed on an outpatient basis under local anesthesia with sedation, allowing patients to return home the same day. Ports can often be used for chemotherapy immediately after placement, making it possible to start treatment on the same day as the surgery, provided there are no complications or concerns with the port's function.

Lakewood Ranch Medical Center

Lakewood Ranch Medical Center® (LWRMC), located in the heart of the Lakewood Ranch community, has served the people of Lakewood Ranch and surrounding areas since 2004. It is an award-winning, high-quality, acute-care hospital accredited by The Joint Commission and it consistently ranks high in terms of quality, safety and patient satisfaction.