Surgical Services

Brattleboro Memorial Hospital has three modern operating suites, a Cesarean section operating room located in the Birthing Center, and 32 board-certified surgeons who perform many routine and advanced procedures. The surgeons and OR staff use high tech state of the art equipment to ensure patients the best possible care. Most types of surgery except open heart, vascular, neurosurgery, and organ transplants are done at BMH.

Patients for surgery are admitted to our Ambulatory Care Unit. The Ambulatory Care Unit is located next to the operating suite on the main floor of the hospital. We also provide services such as lithotripsy, gastroenterology procedures and several pain control procedures.

When patients are scheduled for surgery they come in for a preoperative assessment appointment which is scheduled by their doctor’s office. This is a convenient way to have necessary testing performed before surgery, and for the patient to obtain additional information about their procedure. A telephone interview with the anesthesiologist is also available before surgery so you can discuss anesthesia options in advance if you wish.

The Anesthesia Department at BMH is staffed by four highly qualified and experienced physicians. In addition to Board Certification in Anesthesiology, all have additional training representing the following medical specialties: cardiac anesthesia, pediatric anesthesia, pain management, and internal medicine. Throughout your surgery, your anesthesiologist will be at your side to make sure that your vital functions stay within safe limits, and to provide timely treatment as necessary. Your anesthesiologist is also responsible for supervising your care by our Post Anesthesia Care Unit (PACU) nursing staff. Control of post surgical pain is a high priority, and each anesthesiologist is skilled in tailoring your anesthesia to provide the most comfortable recovery possible for you. In many cases, the type of anesthetic used depends on the planned surgery or procedure. Scroll down to view a complete list of anesthesia procedures for surgery at BMH. In addition, a variety of procedures for control of chronic or acute pain is available by referral from your doctor. These commonly include epidural steroid injections, trigger point injections, occipital nerve blocks.

BMH surgeries are supported by the Pathology and Histology sections of the BMH Laboratory. BMH enjoys the services of two experienced board certified pathologists who read slides of tissue to make diagnoses. The pathologists consult with each other on cases and also often request second opinions from pathology specialists at Dartmouth-Hitchcock Medical Center.

The BMH Ambulatory Care Unit (ACU) for same-day surgery, located in the Main Hospital, was recently renovated to provide all single-occupancy rooms. The newly expanded unit now has 12 single rooms visible from a centrally located nurses’ unit. The ACU provides numerous same-day surgical procedures including biopsies, arthroscopies, laser eye surgery, microscopic surgeries, endoscopies, and various other procedures.

The Ambulatory Care Unit, located adjacent to the BMH operating room suites on the 1st floor for patient convenience, also provides outpatient services such as care for patients having radiologic procedures.

BMH Pagers for Families of Same-Day Surgery Patients

Family and friends who accompany patients to the same-day surgery unit may now use the new pager system provided by the hospital to gain a little more freedom while they wait. The pager system at BMH works pretty much the same way as those used in restaurants. A family member or friend is given the devise to take with them, enabling them to run errands, take a walk, or simply go for a cup of coffee. The staff in the Ambulatory Care Unit (ACU) for same-day patients sends a signal through the pager to the family member or friend when the patient is out of surgery, or when the procedure is completed and the patient is awake. This lets them know it’s time to return to the hospital, or they can contact the ACU by phone to be advised of the patient’s status.

  • General anesthesia (going to sleep)
  • Deep or moderate sedation (twilight sleep)
  • Monitored anesthesia care (minimal sedation)
  • Spinal anesthesia
  • Epidural anesthesia for surgery and pain control
  • Nerve blocks for knee, foot, shoulder, arm and hand surgery
  • Special techniques for children:
    • “Candy flavored magic anesthesia air”
    • No-needle anesthesia
    • Oral sedation before surgery if needed
    • Numbing skin cream for painless IV starts (“EMLA”)

Gastroenterology

  • Upper endoscopy
  • Colonoscopy (and polyp removal)
  • Endoscopic Retrograde Cholangiopanctreatography (E.R.C.P.)
  • Esophageal dilation

General Surgery

  • Breast surgery – sentinel node biopsy, lumpectomy, mastectomy, stereotactic needle biopsies
  • High risk and preventive breast cancer management
  • Hernia
  • Appendectomy – open and laparoscopic
  • Laparoscopic gall bladder removal
  • Intestinal procedures
  • Pacemaker implant
  • Bronchoscopy
  • Splenectomy
  • Hand surgery

Gynecology

  • Diagnostic and operative laparoscopy, including hysteroscopy
  • Hysterectomy – abdominal & vaginal
  • Laparoscopically assisted vaginal hysterectomy (LAVH)
  • Laser surgery for endometriosis
  • Tubal ligation
  • Incontinence surgery
  • Endometrial ablation

Ophthalmology

  • Cataract removal with lens replacement (sutureless)
  • Eye muscle surgery
  • Eye lid surgery
  • Laser treatment of secondary cataracts, glaucoma, and retinal disease
  • Other eye procedures

Orthopedics

  • Total joint replacements knees / hips / shoulders / wrists / elbows
  • Arthroscopies (diagnostic and operative, most joints)
  • Carpal tunnel (open and endoscopic)
  • Hip fracture repair
  • Rotator cuff surgery (open and arthroscopic)
  • Sports injury surgery (tendon/ligament repairs)
    • shoulder instability and labral tear repairs
    • knee ACL reconstruction and meniscal surgery
    • ankle ligament reconstruction
  • Comprehensive fracture treatment
  • Lumbar spine surgery
    • Herniated disc excision
    • Decompression for spinal stenosis
    • Kyphoplasty® for vertebral compression fractures

Otolaryngology (ENT)/ Head & Neck Surgery

  • Tonsils & adenoids
  • Myringomy & tubes
  • Endoscopic nasal surgery
  • Endoscopic sinus surgery
  • Vocal cord polypectomy with laser
  • Head and neck cancer surgery – all types
  • Vocal cord surgery
  • Thyroid surgery
  • Salivary gland surgery
  • Sleep apnea surgery

Plastic Surgery

  • Breast reduction
  • Breast augmentation
  • Breast reconstruction following mastectomy
  • Scar revision
  • Face lift
  • Abdominoplasty (tummy tuck)

Podiatry

  • Foot and toe surgery

Urology

  • Scope surgery to remove prostate
  • Lithotripsy (kidney stone removal)
  • Radical Prostectomy
  • Radical nephrectomy (kidney removal for tumor)
  • Radical cystectomy (bladder removal)
  • Circumcision (adult and pediatric)
  • Hydrocele repair
  • Bladder tumor removal
  • Cystoscopy
  • Stent placement
  • Incontinence surgery

When patients are scheduled for surgery, a preoperative assessment will be completed by either telephone or hospital visit to help ensure their well-being in preparation for anesthesia and surgery. Located in the Richards Building, all preoperative services are centralized for a patient’s convenience. In addition to an evaluation by a nurse, these services include lab blood drawing, cardiac services such as EKGs and stress testing, and X-ray. Patients check in at Patient Registration on the Ground Floor of Richards Building.

Preoperative Assessment Clinical Coordinator Christine Gooley, APRN, BC, coordinates the tests needed for pre-surgery patients. She is also responsible for anesthesia evaluations, and serves as liaison between the hospital’s perioperative services – functions relating to the OR in general – and the surgeons’ offices.

Christine Gooley

Christine Gooley, APRN, BC
Pre-Operative Assessment Clinical Coordinator
Richard Building – Ground Floor
17 Belmont Ave
Brattleboro, VT 05301
Office: 802-257-8815
Special Clinical Interests: Health promotion, Care of HIV/AIDS patients
Education: Fitchburg State College (Bachelor of Science in Nursing), University of Massachusetts Graduate School of Nursing (Master of Science)
Member: American Academy of Nurse Practitioners