General Surgery

Dr Candice Silverman is a Specialist General and Laparoscopic Surgeon. Her focus is on four key surgical subspecialties:

  1. Hernia surgery,
  2. Upper-gastrointestinal surgery,
  3. Hepato-pancreato-biliary surgery, and
  4. Obesity surgery.

Specifically, Candice focuses on minimally invasive (laparoscopic) surgical procedures. In fact, Dr Silverman has performed over 2,000 laparoscopic procedures so you know you are in good hands. To read Dr Candice Silverman’s full bio please click here.

In addition to the weight loss surgery services detailed on this website, Dr Silverman also specialises in the following procedures:

Hernia surgery

Hernias are very common and can occur in a variety of different places such as the abdomen, groin, umbilicus, and can often occur at the site of a previous operation where the fascia or muscle wall has been weakened.

A Hernia is the result of a weakness in fascia / muscle lining leading to an unwanted or painful lump or bulge. This lump is usually the protrusion of internal tissues or organs through the weakness. Depending on the site and size of the hernia, repair is carried out by either open or laparoscopic (keyhole) surgery.

Whilst your hernia might not currently cause you any issues, planned repair is preferred. If left untreated a hernia usually enlarges and may result in dangerous complications requiring emergency surgery.

Cholecystectomy and common bile duct exploration

The surgical removal of a gallbladder is referred to as a ‘Cholecystectomy’. It is the preferred treatment for symptomatic gallstones and other gallbladder conditions. Generally the procedure will be performed laparoscopically. This involves 4 small incisions into the abdomen so that a camera and laparoscopic (keyhole) instruments can be used to remove the gallbladder.

If there are contraindications to the laparoscopic approach, or should there be technical or safety concerns during a procedure, an open cholecystectomy can also be performed. An open cholecystectomy involves a single incision to the right upper quadrant of the abdomen through which the gallbladder is removed.

Surgery for Gastro-Oesophageal Reflux Disease (GORD)

This is a very common condition which involves reflux of the stomach acid into the oesophagus. Symptoms of Gastro-Oesophageal Reflux Disease (GORD) often include heartburn, an unpleasant sour taste in the mouth as well as dysphagia (pain and difficulty when swallowing). Changes in diet and medications are initially suggested to treat the condition. When this fails surgery may be required.

Surgery for GORD usually involves using the stomach to recreate a competent valve to stop the flow of acid between the oesophagus and the stomach. This operation is performed laparoscopically under general anaesthetic, often in conjunction with Hiatus Hernia repair.

Cancer

Cancer is a complicated disease which can affect many areas and systems in the body. Dr Candice Silverman specialises in the assessment and surgical management of liver, biliary tree, pancreatic, oesophageal, and gastric cancer lesions.

Treatment of cancer and care for people with cancer is most effective when there is involvement from a wide variety of medical and allied health professionals. This is referred to as a multidisciplinary team.

Dr Silverman fulfils the surgical care responsibilities on this team, other members may include:

  • Medical Oncologists
  • Radiation Oncologists
  • Pathologists
  • Radiologists
  • Cancer Care Nurses
  • Psycho-oncologists
  • Haematologists
  • General Practitioners

Gastroscopy

Gastroscopy is the name for the procedure that allows a surgeon to examine the upper digestive tract, including the oesophagus, stomach and duodenum. A gastroscopy is done using an endoscope – a long, thin, flexible tube containing a camera and a light enabling a view of the lining of these organs.

A gastroscopy is usually done as part of an investigation into nausea, GORD, unexplained weight loss, vomiting, abdominal pain, anaemia or bleeding from the digestive tract. It can also be used for therapeutic purposes including dilation, stents and bleeding cessation.

Splenectomy

A Splenectomy is the name of the surgical procedure used to remove the spleen. If only part of the spleen is removed the operation is called a Partial Splenectomy.

The removal of the spleen may be necessary if the organ is damaged in a trauma. Motor vehicle accidents and severe blows to the abdomen during contact sports, such as football or hockey, can cause the spleen to rupture.

A splenectomy may also be recommended to patients with cancer or other diseases which affect blood cells. Certain conditions can cause the spleen to swell, making the organ susceptible to rupture. In other conditions, a Spenectomy may be advised to improve white blood or platelet function.