expert type icon EXPERT

Dr. Enrique C. Montana, M.D.

Surgeon

Dr. Enrique Montana is a general surgeon practicing in Centralia, WA. Dr. Montana specializes in abdominal contents including the esophagus, stomach, liver, gallbladder, pancreas and often thyroid glands. General surgeons are able to deal with almost any surgical or critical care emergency, also involving the skin or soft tissue trauma. Dr. Montana provides quality surgical service for gravely ill or injured patients and is able to respond quickly due to knowledge of various surgical procedures.
Dr. Enrique C. Montana, M.D.
  • Centralia, WA
  • Accepting new patients

Where is the incision for liver surgery?

Chevron bilateral incision (bilateral sub costal incision).

When should you have gastric sleeve surgery?

Have to be assessed by bariatric surgery center team.

How do you get out of bed after hernia surgery?

Get to the edge of the bed, set up turn left and up.

How long does it take to recover from hiatal hernia surgery?

Out patient laparoscopic procedure with full recovery in two weeks.

What relieves appendix pain?

Antibiotics and by surgery if indicated.

Do I need to go to the ER?

EENT consultation as soon as possible. In the meantime, do not cause irresistible urge to regurgitate or any maneuver tactics. For all you know, the cause could due to voluntary READ MORE
EENT consultation as soon as possible. In the meantime, do not cause irresistible urge to regurgitate or any maneuver tactics. For all you know, the cause could due to voluntary or self irritation to get rid of it. Watch for perforation signs. Imaging study may be needed dependent to ENT findings.

External iliac artery exploration?

Re-explore the wound. Don’t use cautery, use absorbable sutures like monocryl on lymphatics channels and bleeders apply topical hemostatics(biologic). Leave wound open with daily READ MORE
Re-explore the wound. Don’t use cautery, use absorbable sutures like monocryl on lymphatics channels and bleeders apply topical hemostatics(biologic). Leave wound open with daily wound care. Hyperbaric oxygen therapy daily. No wet to dry dressings. Appropriate antibiotic therapy, culture, and sensitivity test based including fungus. Secondary wound closure when appropriate. Personal hygiene cannot be overemphasized.

How do you get rid of genital warts?

Meticulous personal hygiene and treatment with Laser including partners of exposures. Diabetic management is of course as important.

I have abdominal lumps?

Liposuction maybe necessary. Get surgical consultation.

Why is my stomach bigger after hernia surgery?

Recurrence or the novo. Surgical consultation.

Did my hernia come back after surgery?

Your pain is unrelated to your Hernia in your right side. I bet the right hernia must be already present but not clinically apparent. After left hernia repair because of weakness READ MORE
Your pain is unrelated to your Hernia in your right side. I bet the right hernia must be already present but not clinically apparent. After left hernia repair because of weakness in the right, pressure shifted to the right thus the right hernia became apparent. Left groin pains needs to be worked especially if it is progressive.

How long does appendix surgery take?

For an uncomplicated Acute Appendicitis laparoscopically should be one hour or less.

Can I eat if I suspect appendicitis?

Of course not. You are likely to vomit and most likely your appetite will be poor. Nothing by mouth will rest your digestive gut to avoid runs which will lead to dehydration. READ MORE
Of course not. You are likely to vomit and most likely your appetite will be poor. Nothing by mouth will rest your digestive gut to avoid runs which will lead to dehydration. Emergency surgery will require nothing by mouth at least 4 hours to prevent aspiration.

How are surgical stitches removed?

Locate the knot, cut the string close to the knot, pull the knot. For the continuous stitches, cut the individual loop and pull from one cut end, start by pulling the knot. For READ MORE
Locate the knot, cut the string close to the knot, pull the knot. For the continuous stitches, cut the individual loop and pull from one cut end, start by pulling the knot. For mattress suture, cut the exposed string and pull from the knot.