Specialized colorectal interventions customized for your condition, providing effective solutions for rectal disorders, symptom relief, and improved quality of life.
Dr. Nguyen specializes in a range of sophisticated rectal procedures tailored to address various colorectal conditions with precision and care. Each surgical approach is designed to effectively treat the underlying disorder while preserving function, minimizing discomfort, and optimizing outcomes for conditions affecting this sensitive and important area.
Our surgeon will discuss with you which rectal procedure approach might be most suitable for your specific condition and personal health circumstances.
This surgical procedure removes enlarged, painful hemorrhoids that haven't responded to conservative treatment, providing long-term relief from persistent symptoms and preventing complications.
What happens during surgery?
Using specialized instruments, your surgeon carefully identifies each hemorrhoid and meticulously removes the affected tissue, either through excision or advanced techniques like laser or ultrasonic dissection. The wound may be closed with sutures or left partially open to heal, depending on the specific approach. The entire procedure typically takes 30-60 minutes under regional or general anesthesia.
Benefits:
Permanent removal of problematic hemorrhoids and their symptoms
Long-lasting relief from pain, bleeding, and discomfort during bowel movements
Reduced risk of recurrence compared to non-surgical treatments
Prevention of complications like thrombosis or strangulation
Improvement in hygiene and quality of life
Definitive treatment for severe or persistent hemorrhoidal disease
Hemorrhoidectomy offers a comprehensive solution for patients with significant hemorrhoidal disease, eliminating both external and internal hemorrhoids while addressing the underlying issue to provide durable symptom relief and improved rectal health.
This specialized procedure removes abnormal tunnels (fistulas) that have formed between the rectum and surrounding tissue or skin, eliminating infection and preventing recurrence.
What happens during surgery?
Using precision techniques, your surgeon carefully identifies the entire fistula tract, including any branching pathways and internal openings. The complete tunnel is then surgically removed, and the wound may be closed or left open to heal from the inside out depending on the fistula's complexity. The entire procedure typically takes 30-90 minutes under regional or general anesthesia.
Benefits:
Complete removal of infected and abnormal tissue
Closure of the internal opening to prevent recurrence
Resolution of chronic drainage, pain, and recurrent abscesses
Reduced risk of future complications and infections
Higher cure rates compared to less invasive approaches for complex fistulas
Improved quality of life with elimination of embarrassing symptoms
Fistulectomy provides a definitive solution for anal fistulas by removing the entire abnormal tract, allowing for proper healing and significantly reducing the likelihood of recurrence for patients with this challenging condition.
This targeted procedure partially divides the internal anal sphincter muscle to reduce excessive tension, allowing painful anal fissures to heal and preventing recurrence of this common condition.
What happens during surgery?
Using precise surgical techniques, your surgeon carefully identifies the internal anal sphincter and makes a small, controlled incision in the muscle fibers. This strategic division releases the tension that prevents fissure healing while preserving overall sphincter function. The procedure may be performed using an open or closed technique. The entire process typically takes 20-30 minutes under local or regional anesthesia.
Benefits:
Immediate reduction in pain during bowel movements
Promotion of natural healing of the anal fissure
High success rate (85-95%) for chronic fissures resistant to conservative treatment
Quick recovery with minimal post-operative discomfort
Same-day discharge for most patients
Significant improvement in quality of life and daily functioning
Sphincterotomy offers an effective solution for patients suffering from chronic anal fissures, addressing the underlying cause of persistent pain and healing difficulty while allowing for rapid symptom relief and return to normal activities.
This definitive procedure removes infected hair-containing cysts or sinuses from the tailbone area, eliminating chronic infection and preventing future episodes of this painful condition.
What happens during surgery?
Using precise surgical techniques, your surgeon completely excises the pilonidal cyst or sinus, including all affected tissue, tracts, and hair follicles. The wound may be closed with stitches, left open to heal from the inside out, or reconstructed using advanced flap techniques depending on the extent of disease. The entire procedure typically takes 30-60 minutes under local, regional, or general anesthesia.
Benefits:
Thorough removal of all infected and abnormal tissue
Elimination of chronic drainage, pain, and recurrent abscesses
Reduced risk of recurrence with complete excision techniques
Resolution of uncomfortable symptoms and limitations
Multiple closure options tailored to your specific condition
Improved hygiene and quality of life once healing is complete
Pilonidal cystectomy provides a comprehensive solution for patients suffering from recurring pilonidal disease, addressing the root cause while offering various treatment options to match the severity of the condition and optimize long-term outcomes.
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All our rectal 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, specialized care for rectal conditions because we believe you deserve:
Precise treatment of rectal disorders with focus on function preservation
Minimally invasive approaches to reduce discomfort and recovery time
Expert management of both benign and malignant conditions
Personalized care plans designed for your specific diagnosis
Improved quality of life and relief from chronic symptoms
Comprehensive approach to preserving bowel function
Specialized follow-up care for optimal long-term outcomes
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.
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.
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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.
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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!
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.