expert type icon EXPERT

Dr. Mario A. Cerame, M.D.

Surgeon

Dr. Mario Cerame is a general surgeon practicing in Cartersville, GA. Dr. Cerame 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. Cerame provides quality surgical service for gravely ill or injured patients and is able to respond quickly due to knowledge of various surgical procedures.
42 years Experience
Dr. Mario A. Cerame, M.D.
  • Cartersville, GA
  • University of Rome
  • Accepting new patients

Is there a surgery for anal fissures?

It is a general understanding that fissures that have been treated with stool softeners and anti-spasmotics for 2-3 month with no improvement should be treated with surgery. It READ MORE
It is a general understanding that fissures that have been treated with stool softeners and anti-spasmotics for 2-3 month with no improvement should be treated with surgery. It (generally) will eliminate the pain. There is a 5% risk of "incontinence" of some sort. Usually only temporary but it can require remedial surgery.

Is there a risk involved in a back surgery?

There is a risk with any surgery. Risks include generic things like bleeding, infection, and failure to do the intended good. You also will have a risk for heart attack, stroke, READ MORE
There is a risk with any surgery. Risks include generic things like bleeding, infection, and failure to do the intended good. You also will have a risk for heart attack, stroke, or blood clot, which is dependent on your PERSONAL risk factors. Do you have cardiac or lung problems?
You are, however, probably asking about specific risk factors. Paralysis, spinal fluid infection or spinal fluid leakage, and even worsening of your pain are unfortunately potential sequela from spine surgery. BE SURE to follow the instructions your surgeon gives you. If he doesn't volunteer them, ask him/her what you can do to improve the results.

Doctors are requesting surgery for my grandpa. Is it the right thing to do?

I have operated on plenty of 82 year old people with good results. On the other hand, I have recommended non-operative posture for some 50-somethings because of excessive risk READ MORE
I have operated on plenty of 82 year old people with good results. On the other hand, I have recommended non-operative posture for some 50-somethings because of excessive risk factors.

Is surgery required for cutting a bone growth in my hand?

Old surgical dictum: leave well enough alone. You can't improve on asymptomatic.

My pregnant wife has been recommended gall bladder removal surgery. When can we do it?

In general, if symptoms from gallstones are such that the pregnant female cannot wait until she completes her pregnancy, the second trimester is the best time to operate. That READ MORE
In general, if symptoms from gallstones are such that the pregnant female cannot wait until she completes her pregnancy, the second trimester is the best time to operate. That would be from the 13th- 28th week.

What does a hair transplant procedure involve?

This surgery has evolved over time. Initially, the surgeon would take a strip of hair from the back of the scalp and cut this strip into small pieces, then he transplants this READ MORE
This surgery has evolved over time. Initially, the surgeon would take a strip of hair from the back of the scalp and cut this strip into small pieces, then he transplants this tiny hair bearing scalp grafts into the desired location. Now, there is some automation to the cutting process.

My hernia has developed again. Should I get it operated on?

I cannot answer this without seeing the scans and examining you. A considerable proportion of hernia surgery patients will have pain postoperatively. Pain by itself does not mean READ MORE
I cannot answer this without seeing the scans and examining you. A considerable proportion of hernia surgery patients will have pain postoperatively. Pain by itself does not mean recurrence. On the other hand, a CT scan is not the appropriate way to diagnose a hernia.

Can a 74 year old diabetic patient undergo aortic dissection surgery?

A catheter-directed insertion of a covered stent may help him live longer. Hypertension is bad for aortic dissection. Is he on dialysis? Quality of life issues are paramount READ MORE
A catheter-directed insertion of a covered stent may help him live longer. Hypertension is bad for aortic dissection. Is he on dialysis?

Quality of life issues are paramount for patients with high risk disease. He needs to decide whether he wants it done based on the risk factors that should be spelled out prior to embarking on this procedure. Stroke and heart attack are real risk factors on these patients.

My dad's stitches opened after bypass surgery, leading to blood loss. Will it require another surgery?

This is a loaded question. Was it just the skin that split open or did the wires break? Are you saying his chest wound opened up or the wounds in his legs? You should be specific READ MORE
This is a loaded question. Was it just the skin that split open or did the wires break? Are you saying his chest wound opened up or the wounds in his legs? You should be specific in your questions, if you want an accurate response.

What are the black dots all over my body after my gallbladder surgery?

How long has it been? Are the dots, pigmented skin or small hemorrhages called petechiae? Did your platelet count drop after surgery?

Is diarrhea and pain after a surgery normal?

You should be concerned. Antibiotic associated colitis could be the cause. Where is your pain, upper or lower?

What is the appropriate age to do a branchial cyst surgery?

Surgery is the appropriate solution. When the bronchial cysts start to manifest, surgery is indicated.

With respiratory problem, is it wise to plan gallbladder operation?

Of course! Just be sure you tell the anesthesiologist so that you will not be given irritating inhaled anesthetics. Talk to your pulmonologist about what you should do to get READ MORE
Of course! Just be sure you tell the anesthesiologist so that you will not be given irritating inhaled anesthetics. Talk to your pulmonologist about what you should do to get tuned up before surgery.

My left eye keeps watering. Is there any treatment apart from surgery?

If you have ever had Bell's palsy, the condition could be permanent. Have you seen an ophthamologist to be sure your tear duct isn't blocked? Does it occur only during eating? READ MORE
If you have ever had Bell's palsy, the condition could be permanent.

Have you seen an ophthamologist to be sure your tear duct isn't blocked?

Does it occur only during eating? (Bogorad's Syndrome) Have you ever had surgery behind your ear?

I have pain in the inguinal hernia surgery wound. Is re-surgery necessary?

That is actually not that uncommon, occurring in almost 10% of people. The nerve is probably entrapped in scar tissue. How long has it been? A neurectomy will leave you with READ MORE
That is actually not that uncommon, occurring in almost 10% of people. The nerve is probably entrapped in scar tissue. How long has it been?

A neurectomy will leave you with some numbness in the inguinal area and maybe even on your scrotum, but will usually get rid of pain. Wait for at least 6 months, but sometimes goes away after a year.

Can I have sex after 13 days of hernia surgery?

I have never forbidden it, but I would suggest you try the bottom and inform your partner to be gentle until you know what you can handle.

With respiratory problem, is it wise to plan gallbladder operation?

There are ways to optimize the treatment of your asthma ahead of time to make surgery and anesthesia safer.

Do I need surgery for gallstone removal?

No surgeon would remove the gallstone without removing the gallbladder because as a result of your genetic makeup, YOUR gallbladder is making stones. Ursodeoxycholic acid and READ MORE
No surgeon would remove the gallstone without removing the gallbladder because as a result of your genetic makeup, YOUR gallbladder is making stones.
Ursodeoxycholic acid and chenodexycholic acid can dissolve gallstones in a select patient population group (small and few stones made up of predominantly cholesterol). The medication is not without side effects and stones can come back.

Is surgery a must for my mother's severe shoulder pain?

That question is not possible to answer without knowing what the pain is from. Is it from a torn rotator cuff, severe arthritis, prior fracture or tendinitis?