Dr. Adrien Kant
Dr. Kant believes strongly that the best outcomes are achieved when patients understand what is wrong and how they can get better. She will explain the problem, options for treatment–including surgery when appropriate, and what to expect afterwards, so that each patient (and their family) can take an active role in the healing process.
Among the surgical procedures offered by Dr. Kant are laparoscopic appendectomy, laparoscopic cholecystectomy, open inguinal, and open and laparoscopic abdominal wall hernia repairs. She also has expertise in Wound Care, including debridements and the use of negative pressure wound therapy (VAC).
Dr. Kant earned her Bachelor’s degree from Cornell University, her Master’s degree from Boston University School of Medicine, and her MD from Albany Medical College. She completed her surgical residency in Detroit, Michigan, and is certified in General Surgery by the American Board of Surgery.
Q+A with Dr. Kant
What are some of the most common procedures you do?
I am a general surgeon, and most of my surgeries involve taking out gallbladders and appendixes and fixing hernias. Often, these patients come with complaints of abdominal pain, and some have nausea or vomiting. Even after urgent surgery, many patients are able to go home by the next day, with much less pain, and the ability to resume their normal activities fairly quickly.
One of the most frequent procedures I do in the Emergency Room is to drain abscesses, using local anesthesia.
How do you perform your operations?
I do both laparoscopic and open surgery.
To minimize recovery time, I prefer to operate laparoscopically when appropriate. I continue to expand my abilities with laparoscopy, so that I may perform even more of my operations this way in the future.
However, it is very important to maintain my skills in open surgery, particularly in cases where the anatomy is difficult or distorted, which can make laparoscopy impossible without endangering the patient. This may be especially true in reoperative procedures.
In the OR, I like to do my own surgical prep, place my own catheters when necessary, and double-check the antibiotics. After surgery, I take extended care of patients with slow-healing wounds and frequently do dressing changes myself.
How do you relate to your typical patient?
There is no typical patient – I need to make sure that each individual patient understands what is going on with their body, how I can help them, and how they can help themselves. I make sure that I do not miss what they are communicating to me, and at the same time, that I obtain their full medical history. It is important that we understand and agree on a plan going forward and that my, the patient’s, and their family’s expectations are all clear. Prior to surgery, I explain the procedure in detail, make sure that all questions are answered, and summarize the postoperative plan as well. After surgery, I update family if they are present, and ensure that orders and postop instructions are complete.
What would you tell a patient who is nervous about having surgery?
Being nervous, especially before an operation, is completely normal. For some patients, suddenly needing their appendix or gallbladder taken out is the first time they have ever needed surgery. I put patients at ease by reminding them they are in good hands, with an experienced team, who perform these procedures frequently and confidently. I welcome questions from patients and family members at any time. I am honest and straightforward about what they can expect, which builds trust. And I find that patients appreciate my direct and reassuring bedside manner.
What can patients do to help their own healing process?
Patients can help themselves achieve the best possible outcome in several ways. Before having surgery, a patient who smokes can quit. Additional risks for complications from surgery due to smoking go down significantly, if a patient stops using tobacco for at least 4-8 weeks before the procedure. Losing weight and becoming more fit can improve a patient’s ability to get moving and keep moving before and after having surgery.
In the hospital, and after going home from an operation, I strongly encourage patients to take responsibility for getting themselves up and out of bed, walking around, and practicing deep breathing exercises to keep their lungs clear. These are things that only each patient can do, and must do, to recover as quickly and comfortably as possible.