June 3, 2020
June is National Hernia Awareness Month

National Hernia Awareness Month is observed each June. Hernias can be described as abnormal bulges created by a weakness or a hole, usually in the abdominal wall or groin. It occurs when an internal organ, such as the bowel or bladder, extends through the wall of the muscle or tissue where it normally resides.

A bulge in the abdomen or groin caused by a hernia is a common condition in both men and women and can range from pain-free to painful. Nearly 1 million hernia operations are performed each year in the United States.

Hernias can be congenital, which means they were present at the time of birth. They can also develop due to tissue weakness in the abdominal wall or groin, usually from overexertion and straining. Long-term constipation issues or urinating, persistent cough, heavy lifting and physical exertion can all contribute to the development of hernias. Other factors that can increase your risk for hernias include poor nutrition, chronic obstructive pulmonary disease, obesity, pregnancy, previous surgeries (specifically open surgeries) and smoking.

When hernias become painful or symptomatic it may prevent patients from participating in work, exercise or other activities that they love to do. When a hernia becomes symptomatic it is important to see your primary care physician to discuss repair before the hernia becomes very large or turns into a very serious complication. When organs are stuck in a hernia, they can lose their blood supply, which may result in an emergency that requires immediate attention.

Many times, your physician will be able to diagnosis a hernia by physical exam. However, sometimes a hernia may be difficult to see or feel due to its location or a person’s body size and shape. In those instances, radiologic tests like a CT (computerized tomography) scan or ultrasound may be ordered to help with the diagnosis.

There are different options for surgical repair, including both open surgery and minimally invasive laparoscopic (using small incisions with a laparoscope) approaches. Many times, we utilize mesh to help repair the hernia to lower the recurrence risk. Hernia repair is usually performed under general anesthesia or on an outpatient basis, so patients may be able to go home on the same day of surgery.

For more information about hernias and treatment options, please call us directly at 609-204-5357 or visit our website.

Authored by Dr. Desiree D’Angelo.


May 15, 2020
Staying Healthy during National Women’s Health Week

National Women’s Health Week was created by the Office on Women’s Health at the U.S. Department of Health and Human Services. The program intends to empower women to make their health a priority and provide resources to help them on their journey.

Some of the essential components of the program include:

  1. Getting active
  2. Eating healthy and making better food choices
  3. Importance of sleep
  4. Managing stress
  5. Avoiding unhealthy and damaging behaviors such as smoking, excess alcohol consumption, use of illicit drugs
  6. Making important doctors’ appointments

Let’s take a closer look at a few of the components:

Getting active

The hardest part of exercising is getting started and staying engaged. The key to getting active is to identify what type of exercise you enjoy, which may include bike riding, dancing, running or lifting weights. Do you like to exercise alone or in a group? Do you need the extra motivation of a trainer? Really understand what makes you tick.

Mix it up and perform different types of exercises such as cardio, strength, flexibility and balance. Start slow and set manageable, achievable goals. It’s also important to make healthy food choices. If your goal is to achieve a healthy lifestyle, be consistent, change up your routine and remember, it’s a marathon not a sprint.

The health benefits are endless from heart health, lower cholesterol, lower cancer rates including breast cancer, improved bone density, lower incidence of hypertension and type 2 diabetes. Being active is always a healthy choice and there are modifications for every age, weight, injury and level.

Managing Stress

When you get stressed your adrenal glands, the tiny glands on top of your kidneys, release adrenaline, cortisol and stimulate the release of an insulin-like growth factor (IGF-1). High stress levels put you in a chronic flight or fight state that creates unnecessary stress on your heart and blood vessels due to constant stimulation caused by adrenaline. The blood vessels constrict, making it harder for blood to flow naturally, which may lead to hypertension.

The options for stress management include a combination of basics such as breathing, meditation, exercise, massages, long walks, listening to music, being with friends and family, talk therapy and medication. Basically, any activity that takes your mind off of your stressor.

You can use meditation to help reduce stress. The beautiful thing about meditation is that it can be very personal. Some may prefer complete silence while others prefer to listen to guided meditations or music. It is essential to create a quiet space that works for you. Remember, it is difficult to quiet the mind so don’t be too hard on yourself.

Avoiding unhealthy and damaging behaviors

There are many risks associated with smoking tobacco products. The many resources available to help with smoking cessation include smoking cessation programs at the hospital, therapists that specialize in addiction, support groups and taking prescriptions and OTC medications. Speak with your PCP to create a plan that works best for you.

Alcohol overuse and abuse, much like smoking, can have a plethora of adverse effects on the body. Several studies have shown that drinking more than 1-2 alcoholic beverages per month may increase your risk of developing breast cancer. For those who drink socially, 3-7 drinks per week, be mindful of the effects that alcohol can have on your weight, blood sugar control, circulating estrogen levels, etc.

It’s your body and you want to expose it to healthy foods and activities. The most important decision we can make is to seek proper help and to change our behavior towards a healthier goal.

Make health a priority by making important doctors’ appointments

It is important to make an appointment for a well-woman visit with your primary care or family practitioner. Make sure you are up-to-date with all recommended preventative screening protocols including annual screening mammogram (starting at age 40) and screening colonoscopy (starting at age 50). Annual visits are important allies in your quest for a healthy lifestyle. You can also help identify markers for increased risk of developing cancer so you can be monitored more closely.

During the current COVID-19 pandemic, many breast centers and endoscopy suites are closed under emergency governmental order. As restrictions are being slowly lifted across the country, we encourage you to reach out to your primary care physician, OB/GYN’s, breast surgeon and GI doctors to determine when it is safe to proceed with your necessary study.

For women in need of screening mammograms, you can also reach out to the imaging center directly to find out if they are doing screening studies in addition to diagnosis. Finally, you can always check your state government website to check the status of restrictions.

For more information about National Women’s Health Week and how to make health your priority, please click here.

Authored by Dana Holwitt, MD, FACS

May 15, 2020
How to Make your Health a Priority during National Women’s Health Week
National Women’s Health Week begins on Mother’s Day every year to remind women to take care of themselves and to make their health a priority, especially this year with the COVID-19 pandemic. The Centers for Disease Control and Prevention (CDC) has several recommendations including getting the suggested screenings and preventative care, which may be delayed due to the pandemic. As health care providers, we hope that we will be able to resume breast cancer screenings as soon as possible. If… Read More
March 23, 2020
Dr. D’Angelo is Recognized for Her Outstanding Leadership in the Community
Atlantic City Weekly’s “Top 40 under 40” pays tribute to South Jersey’s most impressive community leaders. We are proud to announce that the Premier Surgical Network’s Dr. Desiree D’Angelo is among the inspiring individuals who made the list. Atlantic City Weekly's “Top 40 Under 40” is all about shining a spotlight on those young professionals under 40 years of age who go above and beyond, those who not only excel at their jobs, but who thrive as inspirations to others… Read More
August 6, 2019
Does Breastfeeding Lower Your Breast Cancer Risk?
I'm often asked questions regarding breast health, specifically breast cancer risk and breastfeeding. Most patients like to go to ‘Dr. Google’ when researching information. The intent of this topic is to summarize the benefits that breastfeeding provides and answer a commonly asked question, “does breastfeeding lower your breast cancer risk?” Overall, female hormones (estrogen and progesterone) are known to ‘fertilize’ certain breast cancers. A woman’s lifetime exposure to hormones can promote breast cancer cell growth. Studies show that breastfeeding can… Read More
July 9, 2019
UV Safety Awareness Month – Are You Wearing Your Sunscreen?
July is UV (Ultraviolet) Safety Awareness Month. Ultraviolet radiation comes from the sun, as well as artificial sources such as tanning beds, black light lamps, broken mercury-vapor lamps, plasma torches and welding arcs.UV rays are a form of ionizing radiation that can damage the DNA in the cells in your body, which in turn may lead to cancer. Since UV rays do not have enough energy to penetrate deep into the body, their main effect is on the skin, which… Read More
May 28, 2019
Male Breast Cancer – “Men Can’t Get Breast Cancer, Can They?”
“Cancer doesn’t discriminate.” Yet, when it comes to breast cancer, the disease is often associated with females. Male breast cancer is rare, but it can occur. Less than 1% of all breast cancer cases develop in men, and only 1 in 1,000 men will be diagnosed with breast cancer in their lifetime. A male’s chance of getting the disease increases with age, typically developing between the ages of 60 and 70. The American Cancer Society estimates that in 2019, 2,670… Read More