Dr. Domingo Galliano, Board Certified Surgeon

 

 

 

 

 

 

Dr. Domingo E. Galliano Jr.,
MD, FACS, FASCRS

Dr. Galliano is the most experienced Board Certified Colorectal Surgeon with Da Vinci Robotic Surgery in Lee, Charlotte, Sarasota, and De Soto Counties. He has performed over 800 DaVinci Robotic procedures!


General Surgery

Board Certified by
the American Board of Surgery


Colon and Rectal Surgery

Board Certified by the The American Board of Colon and Renal Surgery (ABCRS)


Surgical Critical Care

Board Certified by The American Board of Surgery


HOSPITALS


Murdock Surgical Center


Fawcett Memorial Hospital


Bayfront Health

Dr. Galliano is Medical Director of Bayfront Health's Colorectal Center of Excellence.


Why is it important you choose a Board Certified Surgeon?

A surgeon certified in general surgery by the American Board of Surgery has training, knowledge and experience related to the diagnosis and comprehensive management of surgical conditions.

Read more about Board Certified Surgeons


3D Echo Defecography (Sitzmarks)

3D Echo defecography may be used as an alternative method to assess patients with OD as it has been shown to detect the same anorectal dysfunctions observed in DF. It is minimally invasive, well tolerated, inexpensive, avoids exposure to radiation, and clearly demonstrates all the anatomic structures involved with defecation.

Sitzmarks is a colonic transit diagnostic test that helps physicians select the best therapeutic option for adult patients with severe constipation who have otherwise negative GI evaluations. The Sitzmarks test can help physicians diagnose hypomotility, colonic inertia and functional outlet obstruction.

Constipation is a major medical problem in the United States, affecting 2% to 28% of the population. Individual patients may have different conceptions of what constipation is, and the findings overlap with those in other functional gastrointestinal disorders. In 1999, an international panel of experts laid out specific criteria for the diagnosis of constipation known as the Rome II criteria. When patients present with complaints of constipation, a complete history and physical examination can elicit the cause of constipation. It is imperative to rule out a malignancy or other organic causes of the patient's symptoms prior to making the diagnosis of functional constipation. Many patients' symptoms can be relieved with lifestyle and dietary modification, both of which should be implemented before other potentially unnecessary tests are performed.

Functional constipation is divided into two subtypes: slow transit constipation and obstructive defecation. Because many different terms are used interchangeably to describe these subtypes of constipation, physicians need to be comfortable with the language.

Slow transit constipation is due to abnormal colonic motility. The diagnosis is made with the use of a colonic transit study. We continue to use a single-capsule technique as first described in the literature, but modifications of the capsule technique as well as scintigraphic techniques are validated and can be substituted in place of the capsule.

Obstructive defecation is a much more complex problem, with etiologies ranging from rare diseases such as Hirschsprung's to physiologic abnormalities such as paradoxical puborectalis contraction. To fully evaluate the patient with obstructive defecation, anorectal manometry, defecography, and electromyography should be utilized. The different techniques available for each test are fully covered in this article.

When evaluating each patient with constipation, it is important to keep in mind that the disease may be specific to one subtype or a combination of both subtypes. Because it is difficult to differentiate the subtypes from the patient's history, we feel it is imperative to evaluate patients fully for both slow transit and obstructive defecation prior to any surgical intervention. Furthermore, we have described many tests that need to be applied to one's population of patients on the basis of the capabilities and expertise the institution offers.

 

SmartPill Capsule-Based GI Testing

This is a crucial test in evaluating patients with gastrointestinal symptoms such as irritable bowel syndrome (IBS), bloating, nausea, abdominal pain, constipation, and fullness.

smartpil photoIt is pain-free and less invasive than most other GI procedures. Once the capsule is ingested, this device collects important information such as pressure, PH and temperature and transmits this data to a receiver the patient wears on a belt for a period of four days.

The physician then downloads the input to his computer and reviews the test results with the patient. This greatly facilitates the patient’s diagnosis and treatment plan without any discomfort or disruption of normal activities for the patient.


 

Bayfront Health North Port

Appointments available in our new location in North Port.


Same day appointments available. Call today!

CLINICS


Uninsured Patients


Surgical Walk-In Clinic


Clinic for Fecal and Urinary Incontinence, Constipation and Pelvic Disorders


Medical Weight Loss Clinic


Psych and Nutrition Center for IBS and IBD


Bariatric Surgery Clinic


IBS Irritable Bowel Syndrome Clinic


Ostomy, Ileostomy and Colostomy Clinic


Wound Care Clinic


Chronic Abdominal Pain Clinic


Heartburn Clinic (GERD)


Painless Hernia Clinic


Hemorrhoid Clinic


Breast Cancer Clinic


STD Clinic


Skin Cancer Clinic


Colorectal Clinic


GI GU Testing Center


Minimally Invasive Procedures

Experience less pain, minimal scarring, faster recovery, and better results.


Robotic Surgery
via Da Vinci


Laparoscopic Surgery


TEM Transanal Endoscopic Microsurgery


Solesta is a sterile gel injected into the anus to treat the symptoms of fecal incontinence.


Esophyx long-term incisionless solution for chronic acid reflux GERD


The LINX System stops acid reflux (GERD) at the source.


The Stretta procedure results in significant GERD symptom control and patient satisfaction.


ENTERRA -- Gastric Electrical Stimulation for Gatroparesis


Barrx - Radiofrequency Ablation in Barrett's Esophagus with Dysplasia


TIF Transoral Incisionless Fundoplication procedure corrects the root cause of GERD


ABS - Artificial Bowel Sphincter


Orbera Gastric Balloon for Weight Loss


SECCA - for incontinence


Sacral Nerve Stimulation


Anorectoplasty for anal incontinence


Pelvic rehabilitation for incontinence and constipation, anal / pelvic pain


Anal Fistula Plug