Candela and Schreier Medical Corporation - Tarzana

Products And Services

• Robotic Surgery

  Robotic surgery, also known as robotic-assisted surgery, is among the most impressive technological advancements in modern medicine. Dr. Frank Candela and Dr. David Schreier are both experienced in robotic surgical procedures and offer this as one of many services available at Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley. The team is happy to serve those living in Agoura Hills, West Hills, Calabasas, and surrounding San Fernando Valley and Simi Valley area. If you’re in need of surgical care and wonder if robotic surgery is right for you, book a consultation today, either online or by phone. Robotic Surgery Q & A What is robotic surgery? The term robotic surgery might spark images of boxy silver robots with sharp surgical instruments poised over a wary patient. In reality, robotic surgery is a surgical approach in which your (human) surgeon remains in control 100% of the time. Robotic surgery allows your surgeon to conduct operations using a high-definition, magnified, and 3D view of the surgery site while guiding a remote-controlled surgical system. A robotic arm equipped with a light, camera, and surgical instruments actually performs the surgical tasks, but only under the direction of Dr. Candela or Dr. Schreier. What are the advantages of robotic surgery? Using mechanized surgical tools allows for precise control during both routine and complex surgical procedures. The camera system delivers images far better than the human eye is capable of processing, allowing your surgeon to complete tasks that would be far more difficult or impossible through a traditional open surgery. Additional advantages of robotic surgery include: Less blood loss Lower risk of complications Faster recovery time Lower risk of surgical site infection Less noticeable scarring There are always risks associated with any surgical procedure, but robotic-assisted surgery reduces those risks. What type of procedures use robotic surgery? Candela and Schreier Medical Corporation uses the da Vinci robotic surgery system, an FDA-cleared surgical platform now in use in all 50 states and in 66 countries. The system uses wristed instruments that translate your surgeon’s hand movements to precise movement of the surgical instruments within your body. Robotic surgery is becoming the norm in many types of surgery. At Candela and Schreier Medical Corporation, the da Vinci surgical system is used in hernia repair and colon surgery. Dr. Candela and Dr. Schreier are among the most experienced surgeons in the region in regard to laparoscopic and robotic-assisted surgery. When you entrust either of them with your care, you can rest assured that you’re in capable and caring hands. To learn more about robotic surgery or other minimally invasive surgical techniques, book a consultation with Candela and Schreier Medical Corporation at your earliest convenience. Online scheduling makes it easy to find a time that fits your busy schedule.

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• Hernia Surgery

  Hernias are common and usually not dangerous, but they won’t get better on their own. That’s why patients from in Agoura Hills, West Hills, Calabasas, and surrounding San Fernando Valley and Simi Valley area turn to Dr. Frank Candela and Dr. David Schreier of Candela and Schreier Medical Corporation for hernia repair. Visit one of two of their office locations in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley. Don’t delay seeking care for a hernia when there are safe and effective treatment options. Schedule your consultation today by calling the office or using the online scheduling tool. Hernia Surgery Q & A What is a hernia? A hernia happens when one of your organs begins to bulge through an opening in the tissue that normally holds the organ in place. They occur most frequently in the abdomen, but they can also happen in your groin, upper thigh, or belly button. There are several different types of hernias. Inguinal hernia Inguinal hernias represent around 70% of all hernias. They happen when your intestines bulge through a torn or weakened section of your lower abdominal wall or your inguinal canal. In men, the inguinal canal contains the spermatic cord, which holds the testicles in place. In women, the inguinal canal holds a ligament that holds the uterus in place. Hiatal hernia Hiatal hernias occur when a portion of your stomach extends through your diaphragm and into your chest cavity. The first sign is usually gastroesophageal reflux. These hernias usually occur after the age of 50 unless due to a congenital birth defect. Incisional hernia These hernias often follow abdominal surgery, when a portion of your intestines is able to push through your surgical incision or the weakened tissue nearby. What’s my risk of developing a hernia? Anyone can get a hernia, but certain factors increase your risk, including: Family history of hernias Chronic cough Being overweight or obese Smoking Chronic constipation If you do develop a hernia, the first sign may be a lump or bulge that you can see or feel. You might also notice: Chest pain Trouble swallowing Acid reflux Discomfort in the affected area Sensations of weakness, heaviness, or pressure Gurgling, burning, or aching sensations Don’t delay seeking care for a hernia if you notice symptoms. How are hernias treated? Hernias don’t get better on their own and can develop complications if left untreated. Surgery is often the only way to restore proper organ placement. At Candela and Schreier Medical Corporation, the da Vinci surgical system allows for hernia repair using laparoscopic technology. That means smaller incisions and less risk of infection as compared to open surgery. According to clinical data, hernia surgery using the da Vinci system lowers your risk of pain, leads to shorter hospital stays, and reduces the risk of the hernia returning. Robotic-assisted surgery lets your surgeon gain a high definition, 3D view of the treatment area. The system also enables a level of precision and control that the human hand simply cannot attain. If you suspect you have a hernia, schedule a consultation with Dr. Candela and Dr. Schreier as soon as possible.

  Link: Hernia Surgery

• Laparoscopy

  Laparoscopic surgery is a surgical approach that offers numerous benefits compared to traditional, open surgery. Dr. Frank Candela and Dr. David Schreier of Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, utilize laparoscopic surgery for many different procedures. Both surgeons are highly skilled in this surgical approach and have used laparoscopic surgery for excellent treatment outcomes in patients living in Agoura Hills, West Hills, Calabasas, and surrounding San Fernando Valley and Simi Valley area. To learn more, schedule a consultation by calling the office or using the simple online scheduling tool. Laparoscopy Q & A What is laparoscopic surgery? Laparoscopic surgery is a procedure in which tissue is augmented or removed through several very small incisions, as opposed to one or more large incisions that allow access to the surgical site. A laparoscope is a thin, flexible tool equipped with a tiny light and camera at the end. Specially-designed slim surgical tools can be inserted through the laparoscope. Dr. Candela and Dr. Schreier are able to complete surgical procedures without having to place their hands inside any incision. The laparoscope transmits real-time, high-definition, 3D images to a screen. That provides a far better view of the surgical site than is available during open surgical procedures. Why is laparoscopic surgery a preferred method? Not all surgical procedures are well suited for laparoscopy. However, when this approach can be used, there are numerous reasons why surgeons prefer laparoscopic procedures. Some of the advantages include: Less noticeable scars Ability to resume normal activities sooner Less pain during healing Shorter hospital stays Reduced risk of infection Less internal scarring Prior to the development of laparoscopic surgery, many common surgical procedures required a lengthy hospital stay and came with serious risk of complications. Laparoscopic procedures lower those risks and allow you to shorten your hospital stay. Robotic-assisted surgery is one example of a laparoscopic procedure and incorporates a robotic arm to complete surgical maneuvers while your surgeon controls the process. What surgeries can be completed with laparoscopic surgery? Many types of surgeries can be done using a laparoscopic surgical approach. At Candela and Schreier Medical Corporation, laparoscopic procedures are used to: Remove a portion of your colon or rectum affected by diverticulosis Clear intestinal blockages Perform biopsies Remove your appendix or gallbladder Repair certain types of hernias Evaluate and remove tumors and other abnormal growths Dr. Schreier and Dr. Candela will discuss all available treatment options with you to help you make an informed decision about your care. If laparoscopic surgery is an option, you’ll understand the pros and cons before you move forward with your customized treatment plan. If you’re curious about what laparoscopic surgery can do for you, schedule a consultation at Candela and Schreier Medical Corporation today, either online or by phone.

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• Lymph Node Biopsy

  Sentinel lymph node biopsy is a diagnostic tool used to guide the treatment of breast cancer, certain skin cancers such as melanoma, and other specific tumor types. At Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, Dr. Frank Candela and Dr. David Schreier perform sentinel lymph node biopsy to refine your individualized breast cancer, or skin cancer treatment plan and give you the information needed to make the best possible decisions for your health. The team is happy to serve patients living in Agoura Hills, West Hills, Calabasas, and surrounding San Fernando Valley and Simi Valley area. Schedule an appointment today to get started or call the office today. Sentinel Lymph Node Biopsy Q & A What is a sentinel node? Your lymphatic system works to rid your body of toxins. Lymphatic fluid travels throughout your lymphatic system, draining into more than 600 lymph nodes where white blood cells fight off disease. Your lymph fluid travels through lymphatic vessels, and the entire system is interconnected. Some of your lymph nodes and vessels are located near your breast tissue. If breast cancer infiltrates your lymph nodes it can spread to various areas of your body relatively quickly. The lymph nodes that breast cancer would reach first are called sentinel lymph nodes. They are identified through a process called lymphoscintigraphy, which introduces a small amount of radioactive material into your breast tissue. As your breast tissue drains into your lymphatic system, a special gamma camera gathers images of the first few lymph nodes to show signs of the radioactive material. That process identifies the sentinel nodes. What is a sentinel node biopsy? A sentinel node biopsy involves surgically removing the sentinel node or nodes to check for cellular signs of breast cancer. If the lymph nodes show few or no cancerous cells, then further lymph node surgery is likely not needed. If, however, the sentinel nodes show clear indications of cancer, then your surgeon will remove additional lymph nodes in an attempt to stop the cancer from spreading to other areas of your body. Does sentinel node biopsy require recovery time? If your sentinel node biopsy does not involve removing more than a few lymph nodes, your recovery process will be relatively simple. If your surgeon removes more than a few lymph nodes during your procedure, there is a risk of lymphedema. Lymphedema is a buildup of fluid in your soft tissue due to a blockage in your lymphatic system. The condition can be managed, and there are steps you can take to lower your risk. Dr. Schreier or Dr. Candela will discuss the best ways to avoid lymphedema and other side effects that can occur with sentinel node biopsy. If you have questions or concerns about sentinel lymph node biopsy or any surgical procedure used to treat breast cancer, schedule a consultation by phone or online to sit down with a specialist and discuss your specific set of treatment needs and goals. An individualized treatment plan is the best way to achieve optimal outcomes and is a foundational principle at Candela and Schreier Medical Corporation.

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• Cholecystectomy

  Gallbladder surgery, also called cholecystectomy, is sometimes the only way to relieve the recurring pain of gallstones. At Candela and Schreier Medical Corporation, Dr. Frank Candela and Dr. David Schreier perform cholecystectomy to help patients in Agoura Hills, West Hills, Calabasas, and surrounding San Fernando Valley and Simi Valley area, have relief without future concerns for dietary indiscretion. To explore what this common surgical procedure can do to improve your quality of life, schedule a consultation today at one of their two locations in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley. Online scheduling is available, or you’re always welcome to stop by the office or call to set up your visit. Cholecystectomy Q & A What is cholecystectomy? A cholecystectomy is a surgical procedure to remove your gallbladder. It’s a common surgery and has a low risk of complications. Most men and women are able to go home the same day of their procedure. A cholecystectomy is often the best treatment course for: Gallstones located in your bile duct Gallstones in your gallbladder Gallbladder inflammation Pancreas inflammation caused by gallstones If you need surgery, your doctor works with you to determine whether open surgery or a laparoscopic procedure is the best course of action. Can I live without my gallbladder? Your gallbladder is part of your digestive system. It works to store bile that’s manufactured by your liver. When you eat a fatty meal, your gallbladder responds by releasing bile, which breaks down dietary fats and helps your body absorb them. If your gallbladder ceases to function or is surgically removed, your body can no longer store a stockpile of bile. But that doesn’t mean that your liver will cease producing bile or that your body won’t be able to effectively process dietary fat. That process will just take place in more of a gradual, rather than an on-demand, fashion. What happens during laparoscopic cholecystectomy? Once you arrive at the hospital an IV is placed to deliver fluids and medication directly into your circulatory system. You’ll be sedated throughout the procedure, and a ventilator will help you breathe. Your surgeon makes a small incision in your abdomen. The laparoscope, a thin, flexible tube equipped with a light and camera, and surgical tools are inserted through the same incision. Your abdomen is inflated with gas to increase the available space and help your surgeon get a better view of your gallbladder. Then, your surgeon uses specialized tools to remove your gallbladder and check the surrounding area for abnormalities. What is the recovery process like after gallbladder surgery? Once you’re awake and alert you may be able to go home the same day of your surgery. Gentle exercise like walking will help your body heal, and you’ll need to take care of your incision site to prevent infection. You should be able to return to your normal routines around a week after surgery. Any stitches can be removed during your follow-up visit. If you have questions or concerns about cholecystectomy, schedule a consultation at Candela and Schreier Medical Corporation today, either through the online tool or by phone.

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• Breast Cancer

  The mere mention of breast cancer can be stressful, which is why the team at Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, works to support and educate you throughout the process. Dr. Frank Candela and Dr. David Schreier both bring a wealth of experience in diagnosing and treating breast cancer and are trained in the latest approaches and techniques. The team is happy to serve those living in Agoura Hills, West Hills, Calabasas, and surrounding San Fernando Valley and Simi Valley area. To learn more, schedule a consultation at your earliest convenience. Online scheduling is available, or you’re welcome to contact the office by phone. Breast Cancer Q & A How is breast cancer diagnosed? There are several ways that signs of breast cancer might be identified. Many women find a lump during routine breast self-exams, which remain one of the most powerful ways to detect cancer in the earliest stages. Your OB/GYN might detect tissue abnormalities during a well-woman exam. Indications of breast cancer also can show up on a mammogram, MRI, or ultrasound. Any of these events should lead to a breast biopsy at Candela and Schreier Medical Corporation. A biopsy is simply the removal of a small sample of breast tissue, which is then examined for signs of cellular abnormalities. A breast biopsy can be obtained in several different ways, including: Fine-needle aspiration biopsy Core needle biopsy Stereotactic biopsy Ultrasound-guided core needle biopsy MRI-guided core needle biopsy Surgical biopsy Your provider will determine which type of biopsy is best suited for your specific needs. What are the surgical options for treating breast cancer? Surgery plays a significant role in breast cancer treatment, even when chemotherapy and radiation are also part of your treatment plan. There are multiple surgical options for you and your doctor to choose from. Lumpectomy This approach involves removing cancerous tissue from your breast while leaving the healthy tissue intact. In some cases, a larger area of tissue -- up to an entire quadrant of your breast -- might be removed. This is called a partial mastectomy. Oncoplastic surgery This is a combination of breast surgical oncology and plastic surgery. The focus is on removing any cancerous tissue while sculpting the remaining tissue to create a natural appearance. Usually, the opposite breast also is resculpted as needed to retain symmetry. Mastectomy Mastectomy is the surgical removal of your entire breast. There are various types, depending on whether lymph nodes, muscle tissue, or the nipple is also removed. How will I know which surgical approach is right for me? Patient education is an essential part of the care provided at Candela and Schreier Medical Corporation. Before you make any treatment decisions you’ll learn about the pros and cons of various options and how each choice affects both your short-term and long-term health needs. Dr. Candela and Dr. Schreier view their role as your partner in your health journey and support your active participation in your course of treatment. Schedule a consultation today to learn more and begin the treatment path that’s right for you.

  Link: Breast Cancer

• Colon Cancer

  According to the American Cancer Society, approximately 97,220 new cases of colon cancer and 43,030 new cases of rectal cancer will be detected in 2018, representing a more than 4% lifetime risk of these diseases. At Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, Dr. Frank Candela and Dr. David Schreier offer thorough diagnostic and treatment services for colorectal cancer. The team is happy to serve those living in Agoura Hills, West Hills, Calabasas, and surrounding San Fernando Valley and Simi Valley area. Consultations can be scheduled online or by phone, and appointments are usually available within 48 hours of contacting the office. Colon Cancer Q & A What is colorectal cancer? The term colorectal cancer is used to describe cancer of the colon or rectum. The two are grouped because they share many similarities. Most colorectal cancers begin as growths, called polyps, that develop on the inner lining of your colon or rectum. Not all polyps will develop into cancer, but certain types have a greater likelihood of eventually becoming cancerous. Colorectal cancer is usually a very slow-growing type of cancer. Over time, cancerous cells can grow into the layers of your colon or rectal walls. The cells can then move on to lymph vessels or blood vessels, at which point the cancer can spread to other areas of your body. What are the different types of colorectal cancer? The most common type of colorectal cancer is adenocarcinomas. This group of cancers originates in the cells that manufacture the mucus used to lubricate the lower portion of your digestive tract. Adenocarcinomas account for nearly 96% of all colorectal cancers. Additional cancers that affect your colon and rectum include: Gastrointestinal stromal tumors Carcinoid tumors Lymphomas Sarcomas A thorough diagnostic process is used to identify which type of cancer is present and how advanced the disease has become. How is colorectal cancer diagnosed? One of the most powerful diagnostic tools is a procedure called a colonoscopy. While you’re sedated, your doctor uses a colonoscope, a thin, flexible tube equipped with a light and a camera, to view the interior of your colon. Polyps may be visually detected, and a biopsy can be taken during the procedure and screened for signs of cancer. How is colorectal cancer treated? Candela and Schreier Medical Corporation uses the da VinciⓇ surgical platform to remove part or all of your colon. Your surgical plan depends on where cancerous cells are found and how far they’ve spread. The da Vinci technology enables Dr. Candela and Dr. Schreier to gain a high definition, 3D view inside your colon. This robotic-assisted system is controlled by your surgeon at all times, but uses technology to facilitate better vision, control, and precise movements than available through traditional surgery. Minimally invasive laparoscopic surgery delivers impressive outcomes with a lower risk of complications and a faster recovery time. If you’re in need of diagnostic or treatment services for colorectal cancer, schedule a consultation with Candela and Schreier Medical Corporation at your earliest convenience.

  Link: Colon Cancer

• Diverticulitis

  If you have recurrent episodes of diverticulitis, surgical treatment will greatly improve your daily quality of life. At Candela and Schreier Medical Corporation, Dr. Frank Candela and Dr. David Schreier treatment services for both conditions, helping patients in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, find lasting relief. The team is happy to serve patients living in Agoura Hills, West Hills, Calabasas, and surrounding San Fernando Valley and Simi Valley area. If you’d like to learn more about surgical solutions to these gastrointestinal conditions, schedule an appointment by phone or use the online tool. Diverticulitis / Diverticulosis Q & A What is diverticulosis? Diverticulosis occurs when weak areas in the outer lining of your intestine allow the inner layer of your intestine to push through. That creates very small pockets or pouches along a section of your intestine. Diverticulosis develops more commonly in the colon, or the lower portion of your intestine. The condition is common among men and women over the age of 60. It often presents no symptoms, and you might not know you have diverticulosis until symptoms develop, including: Bloating Diarrhea Cramping or belly pain Constipation If you notice these symptoms and they don’t subside with at-home care, schedule a diagnostic exam to determine the cause. What is diverticulitis? Diverticulitis is inflammation of one or more of the pouches formed from diverticulosis. You might not know you have diverticulosis, but if diverticulitis develops, you’ll experience discomfort or pain. Can I prevent diverticulosis or diverticulitis from developing? Medical experts are uncertain of the exact causes of diverticulosis and diverticulitis, but believe that a combination of genetic factors and lifestyle choices may be to blame. The best way to prevent these conditions is to embrace a healthy lifestyle, including: Eating a healthy and varied diet Getting plenty of exercise Avoiding smoking Maintaining a healthy weight Drinking plenty of water Avoiding corticosteroids and nonsteroidal anti-inflammatory drugs It’s important to get diagnosed and treated if signs of diverticulitis develop. Left untreated, serious infections can occur. How is diverticulosis and diverticulitis treated? A course of antibiotics can often ease an episode of diverticulitis. That approach, however, does nothing to address the intestinal pouches that lead to symptoms. If you suffer from severe diverticulitis episodes or frequent bouts of intestinal inflammation, surgery might be your best treatment option. At Candela and Schreier Medical Corporation, laparoscopic surgery can remove the affected portion of your colon and connect the healthy portions back together. Once the healing process is complete, your intestinal function will return to normal, and symptoms will cease. Many men and women delay seeking medical care over fears of a lengthy, involved open surgical procedure. In reality, today’s surgical techniques require only a few small incisions and come with a far lower risk of complications as compared with the approach used in decades past. If you’re living with uncomfortable digestive symptoms, schedule an appointment for a thorough diagnostic exam and customized treatment plan. Online scheduling is one option, or you can always reach the office by phone to set up your visit.

  Link: Diverticulitis

• Lumpectomy

  If you need a lumpectomy, you want to choose a specialist who is highly skilled at the procedure and who performs lumpectomies on a routine basis. Dr. Frank Candela and Dr. David Schreier of Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, are among the most highly sought-after breast health surgeons in the area and have helped hundreds of women navigate this and other cancer treatments with ease. To learn more about their services, book a visit today through the simple online scheduling tool or by phone. Lumpectomy Q & A What is a lumpectomy? A lumpectomy, sometimes referred to as an excisional biopsy, is the surgical removal of a portion of abnormal breast tissue. It’s a type of breast-conserving surgery because most of your breast tissue is left in place, unlike a mastectomy where all breast tissue is surgically removed. A lumpectomy is a diagnostic tool for breast cancer. Once the tissue is removed, it’s examined for signs of cellular abnormalities. Lumpectomy is also a treatment in women who have early-stage breast cancer. Am I a good candidate for lumpectomy? Lumpectomy is a great approach for many women, but there are certain conditions that may render you a poor candidate. You might need a different approach if: You have a history of scleroderma, which hardens the skin and other tissue You have systemic lupus erythematosus, which causes chronic inflammation You’ve already had radiation therapy in or near your breasts Your cancer has spread throughout your breast tissue You have multiple tumors in different quadrants of your breast You have small breasts and a large tumor If any of these conditions apply, your specialist can recommend other treatment options. How do I prepare for a lumpectomy? Dr. Schreier or Dr. Candela will give you personalized instructions prior to your appointment. It’s important to disclose all medications, vitamins, and supplements you take to avoid complications. You should also: Stop taking any blood-thinning medications, including aspirin Abstain from eating or drinking for 8-12 hours before surgery Bring a friend or family member with you on the day of your procedure You may also want to check with your insurance company about coverage to avoid billing surprises. Should I choose a lumpectomy or mastectomy? This is a very personal decision that you should make after discussing your specific needs with your specialist. In general, research shows that for women with early stage cancer affecting a relatively small portion of breast tissue, lumpectomy followed by radiation is as effective at removing all cancerous tissue as a mastectomy. To learn more about lumpectomy and other breast cancer treatment options, schedule your visit with Candela and Schreier Medical Corporation today, either online or by phone.

  Link: Lumpectomy

• Breast Biopsy

  At Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, Dr. Frank Candela and Dr. David Schreier understand the anxiety that often accompanies the need for a breast biopsy. That’s why they always take the time to sit down and discuss the procedure in detail, ensuring you understand what to expect and why this screening tool is so important to your overall health. If you’re in need of a breast biopsy, schedule your appointment by phone or online today. Breast Biopsy Q & A What is a breast biopsy? A breast biopsy is a screening tool used to gather more information about the cells in your breast tissue. If your doctor finds tissue abnormalities during your routine breast exam, or if there are other potential signs of cancer present, he or she might advise you to have a breast biopsy to learn more. There are several types of breast biopsies. Dr. Schreier and Dr. Candela choose the approach that’s right for you based on factors such as: The size of your abnormal tissue mass Where it’s located in your breast Whether there are multiple areas of concern Your overall health and personal preferences You’ll understand the pros and cons of each option before making an informed decision. What types of breast biopsies are available? Having choices is always a positive thing, and breast biopsies are no exception. Your options include: Fine needle aspiration This approach uses a very thin needle to remove a small portion of tissue from the targeted area. Core needle biopsy This approach uses a larger needle to remove a small column of breast tissue from the area of concern. Surgical (open) biopsy This approach requires a small incision to access the suspicious tissue. All or a portion of the tumor can be removed and examined for signs of cellular abnormalities. Some of the healthy tissue surrounding the tumor might also be removed. Lymph node biopsy If your specialist is concerned about cancer spreading to your lymph nodes it may be necessary to remove one or more lymph nodes to check for cellular changes. What kind of recovery is necessary after a breast biopsy? Regardless of the type of breast biopsy you have, the recovery process is relatively simple and straightforward. Your specialist bandages the area, and an ice pack reduces swelling. It’s a good idea to take things easy for the rest of the day, but you’ll be able to resume normal activities within 24 hours of your procedure. If you experience discomfort, over-the-counter pain medications that don’t contain aspirin can help. Bruising is normal around the biopsy site. If you need a breast biopsy, book an appointment at Candela & Schreier Medical Corporation today. You can set up your visit by phone or through the simple online scheduling tool.

  Link: Breast Biopsy

• Mastectomy

  In recent decades, a mastectomy meant complete removal of all breast tissue, but advancements have expanded the breast cancer treatment options available to women. At Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, Dr. Frank Candela and Dr. David Schreier offer numerous mastectomy options and can guide you toward the option that’s right for you. When you’re ready to get started, schedule an appointment online or by phone. Mastectomy Q & A What is a mastectomy? A mastectomy is a surgical procedure to remove breast tissue. There are multiple types of mastectomy, each with a distinct list of pros and cons. Partial mastectomy With partial mastectomy, only the cancerous tissue and a portion of the surrounding healthy breast tissue is removed. This is technically a form of lumpectomy. Nipple-sparing mastectomy This is the surgical removal of all breast tissue, but with the nipple preserved. Total mastectomy A total mastectomy, also called a simple mastectomy, is surgery that removes all breast tissue. The only lymph nodes removed are those located within the breast tissue. No muscle tissue is removed. Modified radical mastectomy This approach removes all breast tissue as well as certain underarm lymph nodes. No muscle tissue is removed. Radical mastectomy This approach removes all breast tissue and all underarm lymph nodes, as well as your chest wall muscles. A radical mastectomy was once the preferred approach, but radical mastectomy is now only used when there are signs that cancer has spread to your chest wall muscles. What happens during a mastectomy? Once you’ve changed into a surgical gown, your breast is marked to guide the incision lines. Anesthesia keeps you comfortable throughout the procedure. Your specialist makes the incisions needed to access the targeted portion of breast tissue. Next, your breast tissue is separated from your skin and chest wall muscles and removed along with your lymph nodes, if necessary. Surgical drains are placed to allow fluids to exit your body during the initial stages of healing. Finally, the incision is carefully stitched closed and the site is bandaged before you move to a recovery area. What is the recovery process like after a mastectomy? You’ll likely remain in the hospital for a couple of days before heading home. If you have reconstruction surgery at the same time as your mastectomy, you may remain in the hospital a bit longer. Once home, it’s important that you follow all post-op instructions carefully to reduce your risk of infection. You’ll perform a series of exercises to keep your arms and shoulders from becoming stiff and to prevent excessive scar tissue. Prescription pain medication can help with any discomfort in the days following your mastectomy. If you need a mastectomy, you probably have a list of questions and concerns. Book an appointment at Candela and Schreier Medical Corporation today to sit down and get the answers you need to move forward.

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• Oncoplastic Surgery

  For many women, the aesthetic outcomes of breast cancer treatment are a significant concern. At Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, Dr. Frank Candela and Dr. David Schreier incorporate oncoplastic surgery into procedures that remove breast tissue, helping improve the aesthetics of the breasts while also preserving your health. If you have questions about the role of oncoplastic surgery in your treatment plan, schedule an appointment today, either online or by phone. Oncoplastic Surgery Q & A What is oncoplastic surgery? Oncoplastic surgery is a combination of oncological surgery and plastic surgery, with a focus on removing all cancerous or abnormal tissue while taking steps to preserve the appearance of the breasts. It’s an approach that requires a blend of art and science, and an area of specialty at Candela and Schreier Medical Corporation. How much tissue is removed during breast surgery? The amount of tissue removed during your procedure depends on the location of the abnormal tissue, the size of the area of concern, and whether you have a high risk of your cancer spreading to other areas of your body. In most cases a conservative approach is taken, removing as little tissue as possible. In a lumpectomy, the lump or tumor is removed along with a small portion of healthy tissue surrounding the abnormality. With mastectomy, a far larger volume of tissue is removed, but every effort is made to preserve the right amount of skin and nipple tissue to create an aesthetically pleasing outcome. Your specialist works with you to determine the best oncoplastic surgical approach. The first priority is always removing all cancerous cells. Dr. Schreier and Dr. Candela understand, however, that the aesthetic end result of breast surgery is also very important. What happens during oncoplastic surgery? There are a number of techniques your surgeon can use to achieve the best possible outcome. The right approach is one that takes into consideration the location of your tumor, the size and shape of your breasts, and your overall health. Some techniques used in oncoplastic surgery include: Breast lift, where excess skin is removed and the remaining skin is sutured together to create a more lifted and firm breast Breast reduction, where excess tissue and skin are removed to reduce the overall size and shape of the breasts Nipple repositioning Flap procedures, where tissue from other areas of your body is used to create a more natural-looking breast shape If your procedure requires removing a substantial portion of breast tissue, the healthy breast is also augmented to create balance and symmetry. If you’re preparing for breast surgery and have questions about the role that oncoplastic surgery might play in your treatment, book an appointment at Candela and Schreier Medical Corporation today. You can set up your visit by phone or try the easy online scheduling tool.

  Link: Oncoplastic Surgery

• Other Cancers Or Tumors

  Cancer is a serious personal and public health issue in America, and an estimated 1,735,350 new cases are diagnosed every year. At Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, Dr. Frank Candela and Dr. David Schreier offer surgical solutions for many types of cancer and can help you make the most of your health and wellness. If you’ve been diagnosed with cancer, schedule a consultation to learn more about the services available. Try the convenient online scheduling function, or reach the office by phone to book your visit. Other Cancers & Tumors What is cancer? Cancer is not a single disease, but a collection of diseases that shares certain characteristics. The one thing that links all forms of cancer together is abnormal cell division that intrudes into nearby tissue types. During normal function, your cells grow and divide to produce new cells when needed. As your cells age or sustain damage they die, and newly produced cells take their place. When cancer is present, cells begin to divide when they’re not needed, and some of the older or damaged cells don’t die when the time comes. All those extra cells can form growths called tumors, although not all forms of cancer lead to tumors. As tumors grow they can intrude on nearby tissues and cause damage. Malignant tumors spread into nearby tissues, and some of the cancerous cells can break away and travel to distant areas of your body, where they form new tumors. What causes cancer? There is a strong genetic basis for developing cancer. If you have one or more close family members who’ve had cancer, you have a higher risk of developing cancer. Researchers know that environmental factors also increase your risk of developing cancer. Exposure to known cancer-causing substances like radiation, ultraviolet rays, tobacco smoke, and certain chemicals increase your risk of cancer. Many people develop cancer as a result of their occupation. Working in an industry that includes frequent exposure to certain metal compounds, asbestos fibers, plastic chemicals, and polynuclear hydrocarbons can increase your risk level. What are the most common treatments for cancer? Your treatment path is unique to your specific cancer and your overall health. You also have the right to select a treatment path that aligns with your personal preferences. Some of the more common treatments include: Radiation, which aims to kill targeted cancer cells and shrink tumors Chemotherapy, which aims to kill cancer with advanced drugs Immunotherapy, which seeks to help your immune system fight off cancer Targeted therapy, which focuses on fighting the cellular changes that support cancer Hormone therapy, which alters your hormonal balance to slow breast or prostate cancer Surgery, which aims to remove tumors and cancerous cells from the body If your cancer specialist recommends surgery as a treatment option, schedule a consultation to discuss the available options and find a solution that works for your specific needs. You can book your visit by phone or online.

  Link: Other Cancers Or Tumors

• Gastric Cancers

  Gastric cancer, also known as stomach cancer, causes an estimated 723,000 deaths around the world each year. Finding the right treatment path increases your odds of survival, and these procedures are an area of specialty at Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, where Dr. Frank Candela and Dr. David Schreier perform gastric cancer surgeries on a routine basis. Schedule a consultation today to explore the available treatment paths. You can book your visit online or by phone. Gastric Cancers Q & A What is gastric cancer? Gastric cancer is another name for stomach cancer. While less common than many other types of cancer, gastric cancers can be serious and require aggressive treatment. Stomach cancer is the third most common cause of cancer-related death. The most common type of gastric cancer is called adenocarcinoma of the stomach. This type of cancer develops in the cells that make up the mucosal lining of your stomach. Approximately 90%-95% of all gastric cancers are adenocarcinoma of the stomach. What are symptoms of gastric cancer? One of the reasons gastric cancer is difficult to diagnose is because the symptoms mimic many other gastric issues. Early symptoms include: Sensation of fullness during meals and bloating after eating Stomach ache Frequent need to burp Problems swallowing Persistent indigestion Heartburn If any of these symptoms are accompanied by vomiting, anemia, fatigue, or unexplained weight loss, seek medical attention right away. There are many stages of stomach cancer, ranked according to how many abnormal cells are present, where they’re located within your stomach, and whether they’ve spread to nearby lymph nodes. Early diagnosis and treatment increase your chance for survival. That’s why it is so important to schedule a diagnostic examination if you experience the symptoms mentioned above. What are the treatment options for gastric cancer? Your treatment path depends on how advanced your cancer is, as well as your overall health. Some gastric cancers can be treated with chemotherapy and radiation. Others require surgical intervention, and various medications are common with all these treatment options. Surgical solutions might focus on removing tumors or a portion of your stomach. In some cases, your entire stomach must be removed. Gastric surgeries usually require a week or more in the hospital to closely monitor your condition and ensure you’re recovering properly. As with all surgical procedures, adhering to the guidelines set out by your surgeon can help speed your recovery process. Common suggestions include quitting smoking before your procedure, improving your nutrition, and taking steps to keep your incision clean to prevent infection. You should also communicate with your surgeon about any condition that seems unusual as you move through recovery. If you’d like to learn more about diagnostic and treatment services for gastric cancers, schedule an appointment at Candela and Schreier Medical Corporation today. You can book your visit online or by phone.

  Link: Gastric Cancers

• Skin Cancer

  Skin cancer is incredibly common, affecting more Americans each year than all other types of cancer combined. If you find yourself among those receiving a skin cancer diagnosis, Dr. Frank Candela and Dr. David Schreier of Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, can help you choose a treatment path that’s right for you. Online scheduling allows you to book your visit 24 hours a day, or you’re always welcome to reach out to the office staff by phone to check appointment availability. Skin Cancer Q & A What are the different types of skin cancer? There are numerous types of skin cancer, but the most common are basal cell carcinoma, squamous cell carcinoma, and melanoma. Basal cell carcinoma This is the most common type of skin cancer. It can occur on any part of your body, but is most commonly found on the arms, neck, and head. These cancers initially appear as a pinkish or flesh colored bump on your skin. Squamous cell carcinoma This type of skin cancer is most commonly found on areas of the body that receive the most sun exposure. These cancers often resemble a firm red bump or sore and can sometimes go through a cycle of bleeding and healing. Melanoma This type of skin cancer often develops in an existing mole, but can occur on a seemingly normal area of skin. Diagnosing and treating melanoma early is important, as it can be deadly if allowed to spread. There are also several other less common skin cancer types. What causes skin cancer? Ultraviolet light is the leading cause of all types of skin cancer. Spending time in the sun might feel great at the beach or on a warm summer day, but your risk of skin cancer rises. It appears that the risk is cumulative when it comes to basal cell and squamous cell carcinomas, while your risk of melanoma is higher if you suffered severe sunburns as a child. Ultraviolet light from artificial sources like tanning beds is just as harmful as UV light from the sun. You should also know that the sun’s rays can harm your skin even during the winter months and on cloudy days. What are my treatment options for skin cancer? Basal cell or squamous cell carcinomas have several treatment options, including: Laser therapy, using concentrated light to burn off cancerous cells Electrodesiccation and curettage, using physical scraping and electrical current to remove cancerous cells Chemotherapy or other drug therapy Cryosurgery, using cold temperatures to destroy cancerous cells Another great treatment option for non-melanoma cancers is Mohs surgery, a process that entails scraping away very thin layers of tissue until a cancer-free layer is reached. Treating melanoma requires a more aggressive approach, and might include: Radiation Chemotherapy Wide surgical excision, removing a significant amount of tissue around the cancerous cells To learn more about skin cancer diagnostics and treatment, book a visit online or by phone at your earliest convenience.

  Link: Skin Cancer

• Gallbladder Removal

  If you need gallbladder removal, finding the right specialist can make the experience far less stressful. At Candela and Schreier Medical Corporation in West Hills and Thousand Oaks, California, while also serving the San Fernando Valley, Dr. Frank Candela and Dr. David Schreier have helped hundreds of patients with gallbladder removal. If you’d like to learn more about the process, book an appointment for a face-to-face consultation today. You can set up your appointment online or call to check availability. Gallbladder Removal Q & A What does my gallbladder do? Your gallbladder is a small organ found just under your ribs on the right side of your abdomen. It acts as a storage area for bile, which helps your body absorb fat from the food you eat. Bile is produced by your liver, so having your gallbladder removed does not inhibit normal bodily function. If you need to have your gallbladder removed your bile will simply travel from your liver to your small intestine without being stored and concentrated in your gallbladder. What makes gallbladder removal necessary? There are several conditions that can lead to the need for gallbladder removal, including: Gallstones in your gallbladder Gallstones in your bile duct Pancreatic inflammation Gallbladder inflammation Gallbladder cancer Gallbladder removal, also called cholecystectomy, is a common and relatively simple surgery. How do I prepare for gallbladder removal? Your specialist will give you instructions tailored to your unique set of needs. In general, you can expect to: Refrain from eating or drinking in the hours leading up to your procedure Drink a special solution the days before your surgery to clear your intestines Pause certain supplements and medications that increase your risk of bleeding It’s also helpful to find a friend or family member to assist you for a day or two after your surgery. While most gallbladder removal procedures allow you to go home afterward, complications could require an overnight hospital stay. What happens during gallbladder removal? Most gallbladder removals are done with a laparoscope, a small tube equipped with a light and camera. Your surgeon is able to see your gallbladder and surrounding tissues on a monitor during the procedure. Very slim surgical tools are used to complete the surgery, and only a few tiny incisions are necessary. You’ll rest comfortably during the procedure. Recovery from laparoscopic cholecystectomy usually takes about a week. Some gallbladder removals are done via open surgery. Your surgeon makes an incision on your abdomen around 6 inches in length to access your gallbladder, then stitches the incision closed. You may need 4-6 weeks to fully recover from an open cholecystectomy. To schedule your gallbladder removal, or if you have any lingering questions or concerns, book a visit with Candela and Schreier Medical Corporation online or by phone.

  Link: Gallbladder Removal