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Breast Surgery

GENERAL BREAST SURGERY

If you are in need of breast surgery, you’ll find great comfort in the skills and expertise of our surgical team. They have years of experience, excellent training and backgrounds—and they all share a common purpose of bringing their patients highly personalized, masterful care.

To read more about our surgical team, click on the biographies below: 

Karen Karsif, MD, FACS

Thomas L. Facelle, MD, FACS

William M. Goumas, MD, FACS

Rakesh Shreedhar, MD, FRCS, FACS

 

Offering the Latest Technology and Techniques

 

Good Samaritan Hospital's surgeons utilize a new tool to detect lingering cancer cells during breast surgery.   The MarginProbe® improves our surgeons’ ability to identify in the operating room “Cancers on the Margins” – reducing risk of additional surgical intervention following lumpectomy.

During breast-conserving surgery, our surgeons remove the cancer along with a border of healthy tissue to ensure no cancer cells remain. Our surgeons plan treatment with the goal of leaving as much of the breast intact as possible. Doctors can evaluate the tissue margins at the time of surgery with a device called a MarginProbe. This consists of a probe that uses electromagnetic waves to examine the surface of the tumor after it is removed and a console that analyzes the probe’s measurements. This information helps doctors determine if the tissue margin contains cancer cells. If cancer cells are present, more surgery may be needed. MarginProbe® was up to three times more effective in finding additional cancer on the margins of tumorous tissue as traditional methods, such as inspecting and imaging the tissue. This leads to a significant decrease in re-excision surgery and overall patient satisfaction.  

 

Good Samaritan Hospital’s New Revolutionary Procedure Makes Breast Reconstruction Easier After Cancer

The Center for Breast Health at Good Samaritan Hospital in Suffern, NY is the ONLY hospital in Rockland and Orange Counties to offer AirXpanders AeroForm® Technology

Good Samaritan Hospital, a member of the Westchester Medical Network (WMCHealth) is now utilizing a new device to prepare patients for reconstructive surgery after breast cancer more quickly, with less pain and fewer visits to the doctor.

The AirXpanders AeroForm® Technology device employs a tissue expander that’s filled with air through a remote that the patient controls unlike the traditional method of saline injections.With one press of the single-touch button, the Controller syncs with the Expander and a dose of of carbon dioxide is released, allowing the Expander to gradually expand.


Caption: The AeroForm Tissue Expander System is comprised of two primary components: the AeroForm Tissue Expander and the AeroForm Dosage Controller.

Traditionally doctors insert a temporary implant during a mastectomy, which is gradually filled with saline over a period of up to several months to expand the skin and muscle of the chest wall to make space for a long-term reconstructive implant. The process requires patients to get repeated injections and make numerous trips to the doctor’s office. The new Aeroform Tissue Expander System lets women do this on their own time outside of a doctor’s office.

Because patients administer the dose themselves, often several times a day, the process is much faster than the traditional method which can take up to six months.  It also allows for the patient to have more control of their breasts’ natural shape.  This technology is cutting-edge and is changing the face of how we address expansion for breast reconstruction in cancer survivors.

 

    Our Providers

    Karsif, Karen S.
    Karsif, Karen S.
    Medical Director, Center for Breast Health
    Breast Surgery
    Surgical Oncology
    Facelle, Thomas L.
    Facelle, Thomas L.
    Director of Surgery
    Breast Surgery
    General Surgery
    Goumas, William M.
    Breast Surgery
    General Surgery
    Surgical Oncology
    Wound Care Medicine
    Shreedhar, Rakesh
    General Surgery
    Minimally Invasive and Robotic Surgery