What services do we provide?
MCC’s general surgery specialists focus on the treatment of various diseases and conditions that require surgery. We use minimally invasive endoscopic and laparoscopic surgical techniques with most conditions. Our general surgeons perform a wide variety of procedures, including:
Contact our General Surgery Department: 641-494-5260
Breast Cancer Prevention
Breast cancer is a major and serious disease that unfortunately affects a large number of women each year. It is the second leading cause of cancer deaths in women and affects one in every eight women in the United States.
While the exact cause of breast cancer is not known, there are many steps you can take now to help prevent the disease. Breast cancer occurs most frequently in women who have a family history of breast or other cancers, extended use of hormone therapy and exposure to radiation. While breast cancer usually occurs later in life, it is never too soon to start taking action to prevent it. Simple steps such as healthy diet and exercise can decrease the risk of breast cancer. Limiting alcohol, staying physically active and reducing fat in your diet are all helpful to reducing your risk.
Cholecystectomy (Gallbladder Removal)
The gallbladder produces a liquid that aids digestion in the intestine. Removal of the gallbladder, called cholecystectomy, may be recommended when the gallbladder is inflamed, blocked, diseased, and cancerous or contains gallstones. Untreated gallstones can cause complications such as biliary colic, cholecystitis, cholangitis, gangrene, jaundice, pancreatitis, sepsis, fistula, ileus and cancer.
Colon resection is the surgical removal of all or part of the colon (the large intestine) for conditions such as colorectal cancer. The diseased portion is removed through an incision in the abdomen and the healthy ends are reconnected. If the entire colon is removed, the procedure is called a colectomy.
The endocrine glands are responsible for secreting hormones in our bodies. These glands include the thyroid in the front of the neck, four parathyroids behind the thyroid, two adrenal glands near each kidney, neuroendocrine glands in the pancreas, and the pituitary gland in the brain. Endocrine surgeons have special expertise in operating on the endocrine glands when they produce abnormal and harmful amounts of hormones. Surgical removal of all or part of an endocrine gland is often an effective treatment for cancer and benign tumors, cysts, nodules, parathyroid adenoma, Grave’s disease, Cushing’s Syndrome, Conn’s Disease and pheochromocytoma.
Gastroesophageal Reflux Disease (GERD), or Reflux Surgery
Gastroesophageal reflux, or esophageal reflux, is the return of the stomach's contents back into the esophagus. In normal digestion, the lower esophageal sphincter (LES) opens to allow food to pass into the stomach and closes to prevent food and acidic stomach juices from flowing back into the esophagus. Reflux occurs when the LES (valve) weakens and does not close.
GERD can lead to esophagitis, erosive esophagitis and eosinophilic esophagitis, and a hiatial hernia or a paraesophageal hiatal hernia can lead to GERD.
Symptoms of GERD or reflux include heartburn, regurgitation, hoarseness, coughing and/or sore throat, throat clearing and difficulty swallowing (dysphagia). When medications for GERD such as PPIs (proton pump inhibitors) are not controlling symptoms, or if you are looking for an alternative to medications, surgery may be an option.
Complete Diagnostic Testing
We provide complete diagnostic testing for GERD and other esophageal complaints, including 48-hour esophageal pH monitoring (Bravo probe) and esophageal high-resolution manometry.
Please note: All of the following surgeries will include repair of a hiatal hernia if present.
Dr. Matthew Fabian is the only provider in North Iowa who performs this procedure.
Using a minimally invasive laparoscopic surgical technique, a quarter-sized flexible band of magnetic titanium beads is placed around the esophagus just above the stomach. This strengthens the body's natural barrier against acid reflux while allowing food and liquid to easily pass through when swallowing. The magnets open to allow food and liquid down, then close to prevent stomach contents from moving up, stopping acid reflux at the source. The surgery is performed under general anesthesia and takes about 30 minutes. The LINX system begins working immediately, and patients generally go home the same or next day.
This GERD or anti-reflux surgery reinforces the valve at the bottom of the esophagus, called the lower esophageal sphincter, by wrapping the stomach around the lower esophagus, making it less likely that acid will back up into the esophagus.
Transoral Incisionless Fundoplication
Called the TIF procedure, this minimally invasive GERD surgery accesses the stomach through the mouth. It is performed from inside the stomach and requires no incisions. It repairs hiatal hernia and restores the shape and function of the esophageal valve.
This is a surgical procedure in which the muscles of the lower esophageal sphincter are cut, allowing food and liquids to pass to the stomach. It is used to treat achalasia, a disorder in which the lower esophageal sphincter fails to relax properly, making it difficult for food and liquids to reach the stomach.
Dr. Fabian can provide consultation to those patients who have had GERD or reflux surgery in the past and are not satisfied or are having symptoms.
A hernia occurs when tissue or part of an organ, usually the intestines, protrudes through the abdominal wall. The protruding tissue may lose blood supply and become obstructed, resulting in health problems as serious as life-threatening gangrene. Most hernias occur in the abdominal wall, either in the groin (inguinal, femoral) or navel (umbilical) or at surgical incision sites (incisional). Hernias usually cause pain in the groin or abdomen, especially during lifting of heavy objects, coughing, sneezing, urination or bowel movements. A lump or bulge may also be apparent.
Laparoscopy is a minimally invasive surgical procedure used to diagnose and treat problems of the abdominal and pelvic areas. During this procedure, an endoscope (tube) with a camera on the end is inserted through a tiny incision to allow your doctor to closely examine the organs of the area. Surgical instruments can be inserted through additional incisions to treat any identified problems.
Also known as breast-conserving or breast-sparing surgery, lumpectomy is a surgical procedure that removes cancerous or otherwise abnormal breast tissue. While it is usually performed to confirm the presence of breast cancer, lumpectomy can actually treat breast cancer if caught at an early stage. While mastectomy removes the entire breast, lumpectomy only removes a portion of the breast, keeping its overall appearance intact.
A mastectomy is a surgical procedure to remove the breast in patients with breast cancer. This is one of the most commonly used and most effective treatment options for breast cancer, as it effectively removes all traces of cancer and reduces a patient’s risk of recurrence.
Board-certified in general surgery, our specialists have well over 75 years of combined experience and extensive medical training, including advanced fellowship training from the some of the most prestigious institutions. We provide patients at Mason City Clinic with the latest in general and bariatric surgical care. Patients benefit from easier procedures, faster recoveries and better outcomes. Female patients also receive the latest information on breast cancer prevention – how a healthy diet and exercise can decrease the risk of breast cancer, and how limiting alcohol, staying physically active and reducing fat in your diet can all help reduce your risk.
To learn more about our General Surgery Services, please call 641-494-5260 today to schedule an appointment. Our general surgery patients come to us from Iowa Falls, New Hampton, Charles City, Mason City and Algona.