A history of innovation
As part of Prisma Health, formerly Greenville Health System, these surgeons look forward to continuing to bring the latest in colorectal surgery techniques to the community. Their practice performed the first laparoscopic colectomy in the Upstate and continues to perform the majority of laparoscopic and minimally invasive colon resections for indications from diverticulitis to cancer.
Other innovations the practice has introduced to the Upstate include:
- Use of staplers to spare rectal muscle and avoid stomas in lower anterior resections for the removal of rectal cancers
- J-pouch (ileal pouch) rectal reconstruction surgery as an alternative for ileostomies in patients with ulcerative colitis and familial polyposis
- Use of endorectal ultrasound for staging of rectal cancer
- Implementation of a procedure for prolapse and hemorrhoids (PPH), an alternative to conventional hemorrhoid surgery with shorter, less painful recovery
In addition, the physicians offer a full range of surgical solutions for anal sphincter muscle repair, rectal prolapse and anal abscess/ fistulas. The practice is expanding the indications for laparoscopic surgery techniques for treatment of colon and rectal cancers and other colorectal ailments.
Beyond surgery, the practice offers basic and advanced treatments for anal and rectal problems, from muscle relaxants and other medications to office-based procedures such as hemorrhoidal banding. The surgeons also are collaborating with Prisma Health urogynecologist Jeffrey Garris, MD, FACOG, FACS, on the establishment of a Prisma Health incontinence clinic.
Academics and Research
Drs. Robbins, Rex, Crockett and Culumovic play an active role in the surgical training of Prisma Health–Upstate’s many residents. Dr. Culumovic, who completed his surgical residency at Prisma Health, said his exposure to the colorectal surgery specialty here, led him to return to Greenville after completing his fellowship in Baltimore. Dr. Rex said there is enough clinical volume in colorectal surgery at Prisma Health to support a future fellowship.
The surgeons also stay busy with research. Surgical oncologist Steven Trocha, MD, FACS, recently analyzed their cancer surgery results for a study presented at last year’s annual meeting of the American Society of Colon and Rectal Surgeons. The research also was presented in June 2008 in a poster at the 10th World Congress on Gastrointestinal Cancer in Barcelona, Spain.
The group is collecting specimens and supplying data for a University of Georgia study that involves benign polyp protein analysis. The surgeons will be privy to early results of this research.
For more information about colorectal surgery and care, or to refer a patient to the Colon and Rectal Surgery Division, which serves Greenville, Asheville and surrounding areas throughout the Southeast, call 864-269-5500.