Upland Hills Health Center
General Surgery Clinic
Board Certified General Surgery
Services and Instructions

Dr. Dachman and Dr. Schmus are recognized as national educators and leaders in General Surgery.  They continues to develop new procedures and approaches to diseases with a team of experts at Upland Hills Health in Dodgeville, WI.


Our Surgeon's Provide:


Incisionless Surgery for GERD (Heartburn):  No more heartburn, no more scars, no more pills.  If you are one of millions of Americans suffering from daily heartburn please schedule a free consultation to explore options to reduce or eliminate the need for any medications.  Our practice leads Wisconsin in experience with transoral incisionless fundoplication.  

Hernia Repair:  The essentials of hernia repair are simple and our surgeons are among the nation's most experienced in this regard.  Getting you back to work quickly and safely is what the ideal hernia repair is all about. With over 50 years of hernia repair experience, Dr. Dachman and Dr. Schmus can get you back to your lifestyle faster than you may think possible.  Having performed over 20,000 procedures in Southern Wisconsin, Dr. Dachman and Dr. Schmus are a wise choice for your surgery.  

Perhaps you are searching for answers related to a prior hernia surgery with another surgeon.  If this is the case, please feel free to contact us for a consultation.  Our surgeons frequently evaluate patients experiencing difficulties from their previous operations.  These problems can include hernia recurrences, pains and other abnormal sensations.

Gallbladder Surgery:  Known as two of Wisconsin's most experienced laparoscopic surgeons, Dr. Dachman and Dr. Schmus perform hundreds of procedures every year.  Laparoscopic (small incision) surgery is the most common type of operation Dr. Dachman and Dr. Schmus perform.  Gallbladder disease is common and we serve the needs of patients with gallbladder stones, gallbladder pains and emergency gallbladder attacks.  Dr. Dachman and Dr. Schmus have performed thousands of laparoscopic surgeries over the course of their combined 50 year careers in surgery.  You can feel confident that your surgical procedure is being performed by seasoned surgical veterans and an expert support staff.

Breast Cancer Diagnostic and Treatment Services:  No surgeon in Southwest Wisconsin has treated more women and men with breast cancer than Dr. Dachman.  The oncology program at Upland Hills Health in Dodgeville, WI is fully armed with the latest life saving techniques and most effective medical treatments available anywhere in the USA.  You can rest assured your treatment will be provided in a multi-disciplinary team setting featuring the finest surgeons, oncologists and nurses available.

Colon and Rectal Surgery:  Diverticular disease, colon cancer, hemorrhoids, anal fistulas, anal fissures, rectal prolapse,  bowel obstructions, Crohn's Disease and Ulcerative Colitis are among the disorders frequently addressed in The General Surgery clinic.  Minimally invasive techniques and state of the art equipment combine to create patient safety, comfort and effective results.  For over 20 years, Dr. Dachman has been an innovator of techniques that provide patient satisfaction.  Dr. Dachman and Dr. Schmus understand the complexity of these disorders and the challenges patients face when stricken by diseases affecting their digestive system.

Colonoscopy:  In 1995, the American public barely knew about the benefits of screening colonoscopy.  When Katie Couric, the network news-woman led a campaign to educate our culture about the benefits of colonoscopy the American Medical Association and the National Cancer Institute strongly supported her efforts.  Since then, the rates of newly diagnosed colon and rectal cancers has dropped sharply.  This is because colonoscopy is a preventive technique aimed at stopping colon and rectal cancers before they can ever happen.  By screening patients for "Polyps" (small, benign cancer pre-cursors), physicians are able to remove these growths and stop them from ever becoming cancers.  In Southwest Wisconsin, thousands of patients have trusted the care they have received to our surgeons' experience.  You cannot find a safer, more comfortable colonoscopy experience anywhere--period.

Diagnostic endoscopy:  Colonoscopy, Gastroscopy, Bronchoscopy, Cystoscopy

Therapeutic endoscopy:  Polyp removal, treatments for bleeding, removal of foreign objects, esophageal variceal banding

Breast diagnosis and treatment:  Abnormal mammograms, palpable lumps, abnormal nipple discharge.  Comprehensive breast cancer treatment.

Laparoscopic surgery:  Anti-reflux surgery (heartburn surgery), gallbladder removal, small and large intestine surgery, diverticular disease, colon and rectal cancer removal, hernia repair, diagnosis of abdominal pain and pelvic pain.

Emergency surgery:
  Appendectomy, bowel obstruction, diverticulitis, traumatic injuries, strangulated hernias, abcess drainage, thrombosed hemorrhoids.

Additional diseases treated:
 
Thyroid masses.
digestive disorders--diarrhea, constipation.

Hemorrhoids and other anal disorders--Drs Dachman and Schmus both perform THD-Transanal Hemorrhoidal Dearterialization--a state of the art, painless treatment for hemorrhoids that bleed or prolapse.  Learn more by scheduling a visit.  There is no need to suffer from this painful condition.

Tumors of the skin, fat and muscles. 

Treatment of complex wounds. 
Nutrition support services including feeding tubes. 
Venous access device implants for chemo-therapy and long term antibiotic therapy.
Treatment of varicose veins of the lower extremities.


There are often circumstances when a primary physician asks Dr. Dachman or Dr. Schmus for consultative advice regarding unusual circumstances a patient may face.  Not every consultation with our physicians means that a surgery is going to be performed, in fact, many consultations are to exclude surgery as a needed modality in treating a particular problem.



To Schedule An Appointment
call (608)935-2018

Upland Hills Health Center General Surgery Clinic is a provider for most insurance companies in the United States of America.  Please inquire with our staff regarding your personal insurance plan.  We will be happy to answer questions about coverage.

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Instructions for post-operative patients



Surgery can be a stressful experience.  We hope your recovery goes smoothly.  To help reduce some of your anxiety and reduce surgical discomfort we offer these tips:


 

HERNIA REPAIR

1.      Plan on getting some extra rest time.  Don’t be in a big hurry to return back to “business as usual”. 

2.      Avoid strenuous activities like landscaping, furniture moving, shoveling, heavy lifting, working out and lawn mowing by foot.

3.      For the first few days, it is common for the area around the incision to be swollen, discolored, and sore.  To help reduce swelling, you can put an ice pack in a thin towel.  Place the towel on the swollen area 3 to 5 times a day for 15 to 20 minutes at a time. 

4.      It is common to see bruising of the area near the operation site.  In men, the scrotum often becomes bruised.  The testicle(s) may become sensitive.  This is normal and will resolve.

5.      You have been given a prescription strength pain reliever:  Use it if you have pain at a level 6/10 or above.  For less severe pain, use a non-prescription pain reliever—Tylenol (acetaminophen) is preferred.

6.      When returning to your routine, follow this simple rule:  “If it hurts, don’t do it.” 

7.      Eat healthy, high fiber foods and drink lots of fluids to avoid constipation.  If you feel the need, a basic laxative can be used to stimulate a bowel movement:  Milk of Magnesia.

8.      You can begin having sex again when you feel ready.

9.      Keep your follow up appointment and if you have questions write them down so you won’t forget them.

10. Call Dr. Dachman if you have a fever over 101 degrees F, trouble urinating or unusual heavy bleeding.

 

 

 

Gallbladder Removal

 

1.      Plan on getting some extra rest time.  Don’t be in a big hurry to return back to “business as usual”. 

2.      Avoid strenuous activities like landscaping, furniture moving, shoveling, heavy lifting, working out and lawn mowing by foot.

3.      For the first few days, it is common for the area around the incisions to be swollen, discolored, and sore.  It is common to see bruising of the area near the operation site.  An ice pack over the incisions for 15-20 minutes at a time may help reduce soreness and bruising.

4.      You have been given a prescription strength pain reliever:  Use it if you have pain at a level 6/10 or above.  For less severe pain, use a non-prescription pain reliever—Tylenol (acetaminophen) is preferred.

5.      When returning to your routine, follow this simple rule:  “If it hurts, don’t do it.” 

6.      It generally takes around 10 days to feel fully re-energized.

7.      Eat healthy, high fiber foods and drink lots of fluids to avoid constipation.  If you feel the need, a basic laxative can be used to stimulate a bowel movement:  Milk of Magnesia.

8.      You can begin having sex again when you feel ready.

9.      Keep your follow up appointment and if you have questions write them down so you won’t forget them.

10.  Call Dr. Dachman if you have a fever over 101 degrees F, trouble urinating or unusual heavy bleeding.


Breast Biopsy

 

1.      We ask that you rest for the remainder of the day following your biopsy.

2.      The elastic binder should remain in place for the first 24 hours following your procedure—this reduces swelling and bruising.  If it feels too tight, you may remove it.  We suggest you wear a good support bra instead—sleep in your bra for the first evening after the biopsy.

3.      When removing the elastic bandage and gauze, please discard the gauze.  You may keep the elastic bandage for future use if you wish.

4.      Shower over the incision and wash with a mild soap.  Rinse, pat dry and you may wear your usual bra as desired.  We recommend placing gauze or a folded Kleenex in your bra cup to protect it from blood spotting.

5.      Avoid bumping your breast.  This can stimulate bleeding and bruising.

6.      Use a non-aspirin pain reliever like Acetaminophen or your prescription strength pain medicine.

7.      Results from your biopsy will be discussed at your postoperative visit.

Call Dr. Dachman if you experience excessive swelling, bleeding or pain.
 

 

 

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