NKD MED SPA


WATERMARK SURGICAL



Surgical procedures performed by experienced surgeon with advanced skills in minimally invasive surgery



Minor Procedures

Minor procedures include surgical excision of benign and malignant skin lesions. Performed in office or at the Ambulatory Care Unit of Sechelt Hospital. Usually under local anesthetic.  Consultations by referral. No admission required. 

Excision and Laser Removal of Benign Lesions Private Pay $300 – $500 – Multi-lesion Discount

  • Moles
  • Seborrheic Keratosis
  • Actinic Keratosis
  • Sebaceous Cysts
  • Lipomas
  • Skin Tags

Excision of Skin Cancers/MSP Paid with Referral

  • Melanoma
  • Squamous Cell Carcinoma
  • Basal Cell Carcinoma
  • Dysplastic Moles
  • Atypical Nevus
Minor Procedures/MSP Paid with Referral
  • Lymph Node Biopsies
  • Temporal Artery Biopsies
  • Ganglions
  • Trigger Finger/Carpal Tunnel Injections
  • Proctoscopy
Minor Procedures Private Pay 
  • Earlobe Repair $500 (local anesthetic)
  • Rectus Diastasis $1000/4 treatments min.
  • Urge and Urinary Incontinence $300 x 4 weekly sessions. Maintenace as needed.
  • Stretch Marks $1000/3 treatments required.
  • Skin Tightening w. Accutite $3200+ per area.
  • Fat Reduction – Various Procedures/Pricing

Endoscopy & Day Surgery

Surgical and Endoscopy procedures are performed at Sechelt Hospital. These usually require a general or regional anesthetic. Consultations are by referral only.  No admission required. 

Endoscopy – Twilight Sedation/Driver Required

  • Colonoscopy with polypectomy, biopsies
  • Gastroscopy with biopsies
  • Flexible Sigmoidoscopy

Day Surgery – General Anesthetic/Driver Req.

  • Laparoscopic Inguinal Hernia Repair
  • Laparoscopic  Incisional Hernia Repair
  • Laparoscopic Cholecystectomy (Gallbladder)
  • Open Incisional Hernia Repair
  • Umbilical Hernia Repair
  • Epigastric Hernia Repair
  • Carpal Tunnel Surgery
  • Rectal Prolapse Surgery
  • Anal Fistula Surgery
  • Hemorrhoidectomy
 

Major Surgery

Surgical procedures performed at Sechelt Hospital. Often requires at least one nights stay. General or regional anesthetic. Consultations by referral only. 

 
  • Laparoscopic Colon Resection
  • Laparoscopic Small Bowel Resection
  • Laparoscopic Reversal  Colostomy & Ileostomy
  • Repair of Large Incisional Hernia
  • Repair of Massive Rectal Prolapse
  • Laparoscopic Emergency Cholecystectomy
  • Laparoscopic Emergency Appendectomy

Know before you go...

Minor Procedures

  • You can generally drive yourself to and from these procedures, depending on area treated.
  • Dissolvable stitches used, unless noted.
  • Steri-strips stay on for 7 days and bandages may be changed as needed for one week.
  • Avoid pools, hot tubs, baths for one week.
  • Most procedures are about 30 minutes.
  • Advise if on blood thinners in advance.
  • Pathology results will be provided by Dr. Menezes and will go to your family doctor. 
  • In the rare instance a privately paid lesion is malignant, the fee paid for lesion is refunded.
  • Referrals and advance biopsy is preferred for suspicious lesions. Benign not required.
  • Referral to Dermatologist by FP for multiple suspicious lesions is recommended.

Endoscopy

  • Due to sedation you will need a ride home.
  • Colonoscopy’s require prep with Bi-Peglyte. Available at pharmacies without a prescription. Ask for instructions or click here.
  • Flexible Sigmoidoscopy requires fasting after midnight and a fleet enema. Done at hospital.
  • Gastroscopy requires fasting after midnight.
  • Do NOT drink within four hours of procedures.

Major Surgery & Day Surgery

  • Due to anesthetic you will need a ride home.
  • Require general or regional anesthetic.
  • Recovery times vary by procedure.
  • Your surgeon will discuss both the procedure and expected recovery during your consult.
  • Please request doctor’s notes and medical forms required for work, from your physician.

FAQs

Before & After Care, Educational Resources

A referral is preferred for all skin lesions. Self referral maybe appropriate for lesions that are not covered by MSP. Biopsies and in some cases consultations for diagnosis of skin lesions may be available prior from your family physician or dermatologist.

A hernia is a weakness in the muscle or fascia mostly of the abdominal wall that allows the internal organs or tissues to protrude through the abdominal wall

Hernias that do not cause any symptoms can be left alone but they do enlarge and never go away. Surgical options include traditional open surgery or laparoscopic surgery with the use of a mesh 

Gallstones can be present without causing any symptoms. However when they do cause symptoms these can be pain in the upper mid abdomen or right upper abdomen; chest pain that often mimics a heart attack is common; nausea after meals; nausea and vomiting; fever and pain after meals 

 

A colonoscopy can detect the presence of polyps that can often lead to colon cancer. A stool test that shows a microscopic quantity of blood can indicate that polyps are present. A colonoscopy can reduce the overall risk of developing colorectal cancer.