We are open 24/7/365

Our Services

After Hours Surgical Care LLC services Broward and Palm Beach counties, Florida. Our two main products are:
1) Home Visits
2) Telemedicine (on line consultations)
We are open 24/7/365.

General Surgery

Patients discharged from hospital after surgery and recovery are not always ready to take care of themselves properly. Common surgical complications include but are not limited to wound dehiscence, wound infection, wound bleeding, wound necrosis, non-healing wounds, bladder retention (inability to urinate), and edema (swelling). AHSC significantly reduces inconvenient trips to surgical offices, urgent care centers, or emergency rooms which subsequently decreases the re-admission rates.

Wound Care

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Most wounds can be treated at home with routine first aid including thorough washing and dressing to prevent infection. Seek medical care for wounds if:

  • The wound is due to significant force or trauma
  • Bleeding is profuse despite pressure and elevation
  • There is a concern the the wound requires repair with sutures (stitches)
  • The wound is in the face
  • The wound is caused by an animal bite or scratch
  • The wound is very dirty and cannot be easily cleaned
  • There is surrounding redness, purulent discharge, increasing pain, and swelling.

Traumatic Wounds

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Traumatic wounds occurred secondary to an external force or pressure and are classified as:

  • Abrasions:
    Occurs when the skin rubs or slides against a rough surface. Like a scraped knee or road rash. They produce little bleeding but it is important to sanitize the wound and remove debris to prevent infection.
  • Lacerations:
    Are deep openings or tears in the skin caused but sharp objects. They usually bleed profusely, and require sutures.
  • Avulsions:
    A violent force (car accident, explosion) forcefully tears away the skin an underlying tissue
  • Punctures:
    Have a small external opening but can be deep and damage deep layers.
  • Pressure wounds:
    Occur on bony prominences typically in non-ambulatory patients.

Surgical Wounds

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They are also called incisions. Usually have stitches,staples, or packing placed at the time of surgery. Common complications include infection, seroma (fluid build up under the wound), hematoma (blood and clots under the wound), and dehiscence (wound separation).

Bleeding Wounds/Bleeding control

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Bleeding is a common complication of wounds. It can be controlled with direct pressure to the bleeding point, extremity elevation, silver nitrate topications, hemostatic solutions (like topical adrenaline), or stitching.

Surgical Drains

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A common surgical drain placed during surgery is the JP (Jackson-Pratt) drain. Common JP drains problems include clogging, securing stitch loss, and accidental drain pull.

Suture of Laceration

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After Hours Surgical Care has the capability of suturing a laceration at the patient's location, under sterile conditions, by an experienced surgeon.

Minor procedures

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Minor procedures are performed under topical and local anesthesia. Are associated with minimal blood loss and complications.

Local Anesthesia

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Local anesthesia is used to numb the feelings in a specific part of the body. This prevents pain during surgical procedures. Various drugs are used to block the pain. They can be applied as an injection or through applying a spray or an ointment. When dosed correctly it is safe, and short acting.

Stitches Removal

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Depending on the procedure performed, the stitches or staples will need removal between 5 to 10 days after. This procedure is painless and bloodless. Stitches removal too early can result in wound dehiscence.

Incision and Drainage of Abscess

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An abscess is a collection of pus in a warm, red, tender, and swollen area. It is most common caused by bacteria. An abscess can occur anywhere in the body. Incision and drainage is the most effective therapy for abscesses.

Incision and Drainage of Hematoma

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A hematoma is a collection of blood and clots under the skin. Hematomas can also be deep (for example into the muscle). It is a common wound complication in patients who take blood thinners for other conditions (like cardiovascular disease). Some hematomas require incision and drainage.

Lipoma and Cyst Removal

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Common benign tumors of the skin and subcutaneous tissues include lipomas and cysts. These conditions are usually benign but require surgical excision if they grow or cause symptoms.

Hemorrhoid Therapy

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Hemorrhoidal disease is extremely common. Hemorrhoids can be internal, external, or both. Internal hemorrhoids usually cause painless rectal bleeding, but rectal bleeding can also be due to other diseases (like colon cancer). External hemorrhoids frequent symptoms include anal itching, irritation, lumps, and discomfort. A common external hemorrhoid complication is acute swelling and thrombosis (the formation of a clot inside the hemorrhoid).

Skin Lesions

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Skin lesions can be benign (like a nevi) or malignant (like squamous cell carcinoma). Surgical excision is usually indicated to treat suspicious lesions.

Wound Debridement

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Wound debridement Is defined as the scientific removal of the damaged, infected, or dead tissues from the site of injury in order to facilitate speedy recovery and healing of the remaining healthy tissues as well as the affected tissues.

Dressing changes

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The dressings utilized for the care of a wound are extremely important in wound outcomes. Wound moisture, discharge, risk of infection, location, size, and bleeding are all features that will indicate a specific dressing for a given wound. In addition sometimes the extremity requires compression to minimize the associated edema (swelling).

Wound VAC

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Wound vac is a negative-pressure wound therapy. It requires a dressing (sponge) applied to the wound, and a pump that generates negative pressure. The pump connects to the dressing with a tube . It is usually changed every other day.

Colostomy Care

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A colostomy is an opening in the belly (abdominal wall) that’s made during surgery. It's usually needed because a problem is causing the colon to not work properly, or a disease is affecting a part of the colon and it needs to be removed. The end of the colon (large intestine) is brought through this opening in the skin to form a stoma. A colostomy might only be needed for a short time (temporary), maybe for 3 to 6 months. A temporary colostomy may be used when a part of the colon needs time to rest and heal from a problem or disease. But sometimes a disease, such as cancer, is more serious and a colostomy may be needed for the rest of a person's life (permanent).

Ileostomy Care

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An ileostomy is an opening in the belly (abdominal wall) that’s made during surgery. It's usually needed because a problem is causing the ileum to not work properly, or a disease is affecting that part of the colon and it needs to be removed. The end of the ileum (the lowest part of the small intestine) is brought through this opening to form a stoma, usually on the lower right side of the abdomen. An ileostomy may only be needed for a short time (temporary), maybe for 3 to 6 months, because that part of the colon needs time to rest and heal from a problem or disease. But sometimes a disease, such as cancer, is more serious and an ileostomy may be needed for the rest of a person's life (permanent).

Urostomy Care

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A urostomy is a surgical procedure that creates a stoma (artificial opening) for the urinary system. A urostomy is made to avail for urinary diversion in cases where drainage of urine through the bladder and urethra is not possible, e.g. after extensive surgery or in case of obstruction.

Feeding tubes

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If you have trouble swallowing or can't eat or drink enough through your mouth, you may need a feeding tube. You may get one through your nose or mouth for a few days or weeks while you recover from an illness.
But if you have long-term or serious reasons why you’re unable to eat, such as dementia or terminal cancer, you may have a fairly simple surgery called a percutaneous endoscopic gastrostomy (PEG). Your surgeon cuts through the skin of your belly and inserts the tube right into your stomach to deliver a liquid food mixture or a formula.

PICC line

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A peripherally inserted central catheter, is a form of intravenous access that can be used for a prolonged period of time (e.g., chemotherapy regimens, extended antibiotic therapy , or total parenteral nutrition . This catheter enters the body through the skin, and it is advanced through a peripheral vein into a central vein.

Foley Catheter

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A Foley catheter is an indwelling urinary catheter. Named for Frederic Foley, the surgeon who designed it. The Foley is a hollow, flexible tube that is inserted into the bladder through the urethra. It has a balloon at the tip which prevents the catheter from dislodgement.

AREAS OF EXPERTISE

  • Wound Care
  • Traumatic Wounds
  • Surgical Wounds
  • Bleeding Wounds/Bleeding control
  • Surgical Drains
  • Suture of Laceration
  • Minor procedures
  • Local Anesthesia
  • Stitches Removal
  • Incision and Drainage of Abscess
  • Incision and Drainage of Hematoma
  • Lipoma and Cyst Removal
  • Hemorrhoid Therapy
  • Skin Lesions
  • Wound Debridement
  • Dressing changes
  • Wound VAC
  • ColostomyCare
  • Ileostomy Care
  • Urostomy Care
  • Feeding tubes
  • PICC line
  • Foley Catheter.