Other Procedures: Targeted Care, Enhanced Outcomes

Additional surgical interventions customized for your specific condition, providing essential treatment for various medical needs, improved function, and improved quality of life.

Diverse Surgical Expertise

Dr. Nguyen offers a range of specialized surgical procedures beyond the main categories to address various medical conditions and needs. Each intervention is performed with the same level of precision, care, and attention to detail, utilizing the most appropriate techniques to address your specific situation while ensuring optimal outcomes and recovery.

Explore our additional procedure options below to learn about treatments for conditions that may not fall within our primary surgical categories.

Other Procedures

Mediport Insertion or Removal for Chemotherapy

This specialized procedure either places or removes a small implantable device beneath the skin of the chest, providing convenient, long-term vascular access for chemotherapy administration and frequent blood draws.

What happens during the procedure?
Using local anesthesia and sometimes light sedation, your surgeon creates a small pocket beneath the skin of the chest and places the port reservoir. A catheter is then threaded from the port into a large vein leading directly to the heart. For removal, the process is reversed once treatment is complete. The entire procedure typically takes 30-60 minutes under local anesthesia with sedation.

Benefits:

  • Elimination of repeated needle sticks for chemotherapy and blood draws

  • Reduced risk of medication extravasation (leakage) into surrounding tissue

  • Minimal maintenance with no external components when not in use

  • Compatible with CT contrast and other IV medications when needed

  • Simple outpatient procedure with quick recovery time

Mediport placement provides cancer patients with a reliable, comfortable access option for extended treatment courses, while removal restores normal appearance and function once therapy is complete.

Other Procedures

Amputations

This critical procedure involves the surgical removal of a limb or portion of a limb, performed to address severe trauma, vascular disease, infection, or malignancy while preserving maximum function and quality of life.

What happens during surgery?
Using precise surgical techniques, your surgeon carefully identifies the appropriate level for amputation based on tissue viability and functional considerations. Blood vessels, nerves, and muscles are meticulously managed to create a healthy, well-padded residual limb optimized for healing and potential prosthetic use. The entire procedure typically takes 1-3 hours under general or regional anesthesia.

Benefits:

  • Removal of severely damaged, infected, or non-viable tissue

  • Prevention of life-threatening complications such as sepsis

  • Relief from chronic pain associated with non-salvageable limbs

  • Creation of a stable, well-healed residual limb for prosthetic fitting

  • Potential for significant functional recovery with modern prosthetics

  • Opportunity to resume activities and improve quality of life

Amputation surgery, while often a last resort, offers patients with life- or limb-threatening conditions the opportunity for pain relief, resolution of disease, and a pathway toward rehabilitation and renewed independence.

Other Procedures

Debridement of Ulcers

This essential procedure removes dead, damaged, or infected tissue from chronic wounds or ulcers, creating a clean environment that stimulates healing and prevents further complications.

What happens during surgery?
Using specialized instruments, your surgeon carefully identifies and removes non-viable tissue from the wound bed, preserving healthy tissue while eliminating barriers to healing. The approach may be surgical, mechanical, enzymatic, or a combination depending on the ulcer's characteristics. The procedure typically takes 30-60 minutes under local or general anesthesia, based on the wound's extent and location.

  • Removal of infected tissue to prevent systemic complications

  • Elimination of dead tissue that impedes the natural healing process

  • Stimulation of healthy tissue growth and wound closure

  • Reduced bacterial burden and inflammation at the wound site

  • Prevention of deeper or more extensive tissue damage

  • Creation of a clean base for advanced wound care treatments

Debridement provides a critical reset for chronic or non-healing ulcers, addressing the fundamental barriers to healing while giving the body's natural healing processes the opportunity to progress effectively.

Other Procedures

Ganglion Cyst Excision

This focused procedure removes fluid-filled sacs that develop along tendons or joints, typically in the wrist, hand, or foot, eliminating pain and restoring normal appearance and movement.

What happens during the procedure?
Using precise surgical techniques, your surgeon makes a small incision over the cyst and carefully identifies and exposes the ganglion sac. The entire cyst is meticulously dissected from surrounding tissues, and special attention is paid to removing the stalk that connects to the joint or tendon sheath to prevent recurrence. The entire procedure typically takes 30-45 minutes under local or regional anesthesia.

Benefits:

  • Complete elimination of the cyst and associated discomfort

  • Reduced pressure on surrounding nerves, tendons, and blood vessels

  • Restoration of normal joint movement and function

  • Improved appearance with removal of visible bulges

  • Lower recurrence rates compared to aspiration techniques

  • Minimal recovery time with a quick return to daily activities

Ganglion cyst excision provides a definitive solution for these common benign growths, addressing both the cosmetic concerns and functional limitations they can cause while minimizing the likelihood of recurrence.

Specialized Solutions for Diverse Surgical Needs

All our specialized additional procedures are performed by our highly trained surgical team using state-of-the-art equipment and techniques. We're committed to providing you with the most effective care for a range of unique conditions because we believe you deserve:

  • Expert management of diverse surgical needs, from mediport insertions to amputations

  • Personalized treatment plans tailored to your specific condition

  • Meticulous attention to detail for procedures like ganglion cyst excisions

  • Comprehensive wound care and specialized debridement techniques

  • Preservation of maximum function and mobility whenever possible

  • Coordinated pre- and post-operative care for optimal outcomes

  • Compassionate support throughout your surgical journey and recovery

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About

Dr. Richard Nguyen

Dr. Richard Nguyen is a board-certified General Surgeon with over 20 years of surgical expertise and fellowship training in Minimally Invasive and Bariatric Surgery from Vanderbilt University. Since establishing his practice in San Jose in 2007, he has pioneered innovative surgical techniques, including single-incision laparoscopic procedures and mastery of the da Vinci Robotic Surgical System. Beyond his acclaimed bariatric surgery practice, he has earned national recognition for his specialized expertise in both non-mesh and advanced mesh hernia repairs, while also serving as a critical approach surgeon for anterior spine access procedures. Dr. Nguyen combines technical precision with personalized care across multiple premier facilities throughout the South Bay Area.

We are affiliated with the following Hospitals/Surgical Centers:

Good Samaritan Hospital, San Jose, CA Los Gatos Community Hospital-El Camino, Los Gatos, CA Silicon Valley Surgery Center, Los Gatos Fremont Surgery Center, Fremont
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Real Clients, Real Results

Hear directly from patients whose lives have been transformed through Dr. Nguyen's surgical expertise and compassionate care. Their success stories inspire our work every day.
Crystal S. smiling one year after gastric sleeve surgery
Crystal S.

I would refer Doctor Nguyen to anyone, in fact I have and they have all had the same experience as me. He is truly great. I owe all my success to Doctor Nguyen and I thank him for all the work he has done for me and continues to do so. He is extremely amazing, and I am very grateful to him.

Lisa Q. standing outdoors following 100‑lb weight loss
Lisa Q.

At 50, I now have a life I had only dreamed of a year before. My body tells me if I am done eating. This surgery is a tool that I have used to the fullest. It is not an easy way out. It still took work. But I honestly know that I would not be living this amazing new life if I didn’t step forward to embrace this life-saving surgery.

Rickie W. celebrating diabetes remission post‑bypass
Rickie W.

Dr. Nguyen has changed my life completely. I feel so much better and I also feel like I’ve got control of my life again…I had high blood pressure, diabetes and cholesterol. I took at least 5 different medications for the past 30 years. NOW, after surgery I take no medications only vitamins!

Your Next Step

Wondering which surgical procedure might be right for your condition? We're here to help you understand your treatment options and develop a personalized surgical plan. Contact our office today to schedule a consultation.

Your path to improved health may be more achievable than you think—with advanced surgical techniques leading to faster recovery, reduced complications, and a significantly enhanced quality of life.

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