Get Back into Forward Motion with Help from Duke Regional

Couple on bikes Adults sightseeing man exercisingOsteoarthritis, rheumatoid arthritis, injury, bone tumors and other conditions may lead to the breakdown of the hip joint and the need for hip replacement surgery. If your hip pain is interfering with your everyday life, it may be time to consider hip replacement. We can help you get back into Forward Motion and doing the things you love like walking the dog, playing golf, gardening, or playing with the kids.

To ensure the best patient care, we use a team approach. You, your surgeon, nurses, aides, therapists, care manager, and discharge planner communicate on a daily basis. This communication helps guide your care plan and discharge needs. You and your team will review your needs, preferences, and insurance coverage to offer the best possible solution for you. You and your loved ones are also a big part of your care team, and your input is critical to the success of your recovery.

Patients can prepare for surgery by attending a pre-operative education class that discusses what to expect before, during, and after surgery. There is also a printed patient guide that gives additional information about preparation through recovery.

Our surgeons are some of the most talented in the area and use less invasive approaches to spare surrounding muscle and provide a quicker recovery after surgery. Your surgeon will decide what the best method will be based on your condition.

For more information about hip replacement surgery at Duke Regional Hospital, visit

Weight Loss Surgery Seminars

Duke Center for Metabolic and Weight Loss Surgery offers regular information seminars at many locations around the Triangle. They provide you with the tools and information you need to have a successful surgery. This is also an opportunity to meet some of the team members and ask questions. Register online or call 866-637-0711. If you can’t attend in person, view it online or watch it during your first appointment. You must watch or attend the seminar before you can be scheduled to have surgery.

Please take a moment to meet the director of the center, Alfonso Torquati, MD, MSci.

Hernia Awareness Month

According to the National Center for Health Statistics, some five million Americans have a hernia. Yet, only about 750,000 seek treatment each year.

A hernia is a bulge of an organ or tissue that patients may notice as a lump in their abdomen or groin. While some hernias develop suddenly, others can take more time, possibly as the result of weight gain, chronic constipation or pregnancy. Smoking and obesity are among the top risks for hernia formation and can cause complications following hernia surgery.

Duke Regional’s physicians are highly experienced at treating all types of hernias, no matter how complex their repair. Our physicians are leaders in minimally invasive surgery, and most hernia surgeries are performed laparoscopically.

Laparoscopic surgery is performed through small incisions and offers patients a quicker recovery than the conventional approach. If this is not possible, our surgeons have extensive experience with traditional open surgical techniques for repair of all types of hernias.

For more information about hernia repair click here or visit

Physical Therapy for Cancer Patients and Survivors

Bridget Koontz, MD

Bridget Koontz, MD

Bridget Koontz, MD
Medical Director, Radiation Oncology Services

Cancer and its treatment can cause many physical problems, ranging from hand and foot numbness, incontinence, balance issues, decreased movement of the neck, arms or legs, or even swelling and fluid retention. These problems can interfere with work and daily life during and after treatment, and increase the impact cancer has on a person. Physical therapy is thought of commonly for its use in managing musculoskeletal complaints, but in fact can be very effective at reducing the burden of these cancer side effects.

Duke Regional has sought to improve access to physical therapy specifically for men and women who are currently under cancer treatment or have had cancer in the past, with the goal of preventing and treating these side effects and improving the quality of life after cancer. We are very proud to work with Lisa Massa, PT, WCS, CLT, who brings specialized training and extensive experience in cancer-related side effects to improve the lives of our patients. This new service meets our goal of providing exceptional care in a convenient and reassuring community setting. Patients can be new to our clinic or even Duke Regional, but must have a referral from a physician.

For more information, click here.

Safer, minimally invasive surgery

Nearly 99 percent of the bariatric surgeries performed by Duke Center for Metabolic and Weight Loss Surgery physicians are completed laparascopically, meaning they only require small incisions. In some cases, they are able to use the robotic tools to minimize incisions for more complex procedures that would normally require larger incisions. Smaller incisions translate to less pain, fewer complications, smaller scars, shorter stays, and faster recovery time for our patients.

Take a few minutes to learn about Ranjan Sudan, MD.

Google Glass in the Operating Room

Selene G. Parekh, MD, MBA, Duke foot and ankle surgeon, wearing Google Glass

Selene G. Parekh, MD, MBA, Duke foot and ankle surgeon, wearing Google Glass.

Selene G. Parekh, MD, MBA, Duke foot and ankle surgeon, has introduced a new tool to his operating rooms. An instrument called Google Glass that doesn’t touch the patient, but soon could have an impact on many patients on the other side of the world.

Dr. Parekh first found out about Google Glass from all the press surrounding the new product early last year. Google Glass is a pair of glasses that function as a hands-free computer complete with a built-in camera, monitor and voice command capabilities.

Since he started wearing the glasses during surgeries eight months ago, Dr. Parekh has used the technology to record and archive a few hundred cases, ranging from ankle replacements, to ankle arthroscopy, ankle fractures, bunions and hammer toes performed at Duke Regional Hospital and Duke’s Davis Ambulatory Surgical Center.

“Patients are comfortable with Google Glass being used during their procedures and intrigued by them as well,” said Dr. Parekh. “The sentiment is that it is novel and interesting.”

In about three months, once software is available, Dr. Parekh hopes to share his expertise with surgeons in India. Dr. Parekh already does a number of charitable acts focusing on education, medical research and missionary aid through the Parekh Family Foundation, a Foundation he and his wife started in honor of his parents, but Google Glass would provide additional specialized training to the surgeons in that part of the world on a much more frequent basis.

Dr. Parekh’s use of Google Glass in the operating room was also recently covered by The New York Times. Click here to read that article.