Hernandez Sandy

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Physicians & Surgeons, Family Medicine & General Practice, Nutritionists, Physicians & Surgeons

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Today: 8:00 am - 5:00 pm

(281) 921-1890

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Map & Directions18220 State Highway 249 Ste 300Houston, TX 77070 Write a Review

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Mon - Fri:	8:00 am - 5:00 pm

Places Near Houston with Physicians & Surgeons, Family Medicine & General Practice

North Houston (6 miles)
Satsuma (8 miles)
Cy Fair (10 miles)
Cypress (14 miles)

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Neighborhood: Willowbrook
Categories: Physicians & Surgeons, Family Medicine & General Practice, Nutritionists, Physicians & Surgeons, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Surgery-General

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Phone: (281) 921-1890

Address: 18220 State Highway 249 Ste 300, Houston, TX 77070

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Hernandez Sandy

General Practitioners

Medical Weight Loss
Part of managing obesity involves eating right and exercising on a regular basis. Board certified general surgeon Dr. Matthew St. Laurent offers all his Houston-area patients advice on nutrition and fitness to maximize their weight loss efforts.
Nutritional Counseling
Due to the nature of bariatric surgery, some patients develop nutritional deficiencies following their procedure. In these cases, supplements can be used as an effective way to ensure that patients receive the nutrients they need. We offer high-quality nutritional supplements, and our dietician can help determine which supplements you require. If you choose to enroll in a nutritional program at our practice, the fee will cover lifelong access to our dietician, a four-month supply of supplements, and detailed pre- and post-operative nutritional counseling.
High Cholesterol
Constipation
Diarrhea

Endoscopy
The cone is removed off of the actual stapler and the spike is retracted. We then introduce the stapler handle into the Roux limb and advance it approximately 5 centimeters. The spike of the stapler handle is then advanced along the anti-mesenteric border of the small intestine. It is then connected to the approximately located anvil, and then securely fastened down. The stapler is subsequently fired, and then removed from the small intestine. We make sure that there are two complete tissue rings and once this is confirmed, the stapler is irrigated and subsequently removed from the left flank incision along with the introducing cone. We then reintroduce our 15-millimeter trocar to complete the operation. The redundant portion of the small bowel overhanging the anastomosis is then resected using an additional firing of the linear stapler. The resected specimen of small intestine is then placed in a retrieval bag and brought out through the left flank incision. This prevents contamination of the subcutaneous tissue. We then reinforce the anastomosis by placing Lembert sutures of 2-0 silk to help reduce the tension on the actual staple line. These sutures are placed on both the left and right lateral aspects of the anastomosis, as well as anteriorly. This helps reinforce the anastomosis and reduce the risk of a gastric leak. We proceed to test the anastomosis. We do this by clamping the Roux limb distal to the anastomosis and then filling the upper abdomen with saline. We then perform an upper endoscopy and do an air insufflation test under the saline bath, looking for any air leak bubbles. Once we've confirmed that there is no leak, the abdominal irrigation is subsequently removed. This essentially completes the operation. We can now view the repaired hiatal hernia, the small upper stomach pouch, the anastomosis, and the Roux limb. We follow the Roux limb distally so that we can identify the distal anastomosis. Here, we can see the distal anastomosis is widely patent. We then place the omental fat back over the small intestine and our abdominal closure is undertaken. The Nathanson liver retractor is removed and then we use a suture needle passer to close the lateral fascial defect. These defects are necessary to close in order to prevent any herniation at these sites. We close the left flank incision, as well as the right paramedian incision as these are our larger trocars. The remaining 5-millimeter trocars are withdrawn without closing. We subsequently remove the remaining air in the abdominal cavity and this completes the operation. The patient's postoperative course was unremarkable. She underwent an upper GI the same day of surgery, which was normal and showed no leak. She was subsequently started on a clear liquid diet the following day and then discharged home.

Mental Health
Morbid obesity can shorten life expectancy and have numerous negative effects on your physical and mental health.

Endocrinologist

Diabetes Care
Hypothyroidism
Bariatric patients may also have very restricted diets just before or after having surgery. Many are limited to only liquids for a period of time, in which case nutritional supplements could be needed to provide the vitamins and minerals that would normally be obtained through solid foods.

X-Rays

General Surgery
Dr. St. Laurent subsequently completed his surgical training at the University of Texas Health Service Center in San Antonio, Texas. While training at the University of Texas Health Science Center, he distinguished himself by publishing multiple articles in the fields of transplant and general surgery.
Robotic Surgery
Dr. St. Laurent employs the most modern approaches possible during any weight loss surgery. He is highly skilled in laparoscopic techniques that produce minimal scarring and reduce recovery times. Furthermore, Dr. St. Laurent is certified in robotic surgery which allows for more precision and dexterity than the human hand. While operating a robotic arm, we can revise gastric bypass surgery, LAP-BAND® placement, and more.

Plastic Surgeons

Liposuction
The InMode Evolve features a few different tools that can be used to tighten skin, eliminate fat cells, and stimulate muscle growth. A great advantage of Evolve is that we can use it to treat multiple areas of your body at once. Unlike liposuction or other surgical options, Evolve requires no incisions, no anesthesia, and no downtime.
Plastic Surgery
The Evoke system uses RF energy to remodel and improve skin appearance around the face and neck. The Evoke system can reduce fine lines and wrinkles, tighten the skin around the chin and neck, reduce acne scars, and remodel facial tissue to improve its overall appearance. This is another hands-free device that eliminates the need for people with these cosmetic concerns to undergo facial plastic surgery. This form of treatment is also highly customizable and requires minimal downtime.
Laparoscopic Surgery
During laparoscopic surgery, the surgeon makes a few small incisions on the abdomen through which he inserts a laparoscope (a surgical camera) and small, extremely articulate surgical tools. The view provided by the camera allows Dr. St. Laurent to perform the surgery with minimal incisions and alteration of tissue.
Body Contouring
Non-invasive body contouring is an effective way to tighten and tone areas with stubborn fat deposits or loose skin. Whether you've recently lost a significant amount of weight or you are trying to get rid of that last bit of excess fat, body contouring can help you achieve your cosmetic goals fast.
Laser Resurfacing
Dr. St. Laurent is glad to answer all of your questions about the risks of laser hair removal, laser resurfacing, and any other treatment during your consultation.
Bariatric Surgery
Many obesity-related disorders are a direct result of poor nutrition over the years. Nutrition is also an important consideration after undergoing any type of bariatric surgery. Board certified general surgeon Dr. Matthew St. Laurent’s goal is to educate all his Houston-area patients concerning nutrition so they can enjoy a better quality of life.

Acne Treatment
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