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Dr. Leonard Metildi

General Surgery
Las Cruces, NM
46 years experience male

Locations

Vista Surgical Associates

Las Cruces, NM

Address

3900 East Lohman Avenue, Suite B, Las Cruces, NM
Directions

My office hours

Wednesday: 8:00am - 5:00pm
Show more

Fax

(575) 522-4932

Insurances accepted

Blue Cross Blue Shield Of Tennessee

Blue Cross Blue Shield of New Mexico

Tricare

UnitedHealthcare

Aetna

Cigna

Medicaid

Medicare

Presbyterian Health Plan

About

Bio

General surgery internship/residency at Balboa Naval Hospital, San Diego. Surgeon aboard the USS Constellation, CV64. 25 years solo practice in Fulton/Syracuse NY. Performing general surgery with the DaVinci Robot.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

General Surgery

Licenses

United States: New Mexico

Languages spoken

English

Doctor Q&A

124 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 22-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Umbilical hernia: Most likely cause of your symptoms is an umbilical hernia with fat caught in it. Do you notice a bulge in the umbilicus? A simple physical exam should... Read More
A 43-year-old male asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Maging studies: Liver function studies and history can give a strong indication that the pt has a common duct stone. At surgery for cholecystectomy, a cholangiogram c... Read More
A 36-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Yes,: Post cholecystectomy syndrome can be caused by retained common duct stone, cystic duct syndrome, formation of a neuroma or sphincter of odi spasm. You... Read More
A 46-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Not likely: The usual symptoms of gb disease are bloating, nausea, vomiting, epigastric or RUQ abdominal pain, with or without radiation around or into the back a... Read More
A 72-year-old male asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Anemia, hypothyroid: Common causes of such symptoms in a previously healthy individual are the development of an under active thyroid or the development of anemia, either ... Read More
A 66-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
There can be: I assume you are referring to the gall bladder. Avoiding fried/fatty foods, cabbage, cauliflower and broccoli, may decrease the force of gall bladder ... Read More
A 21-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Yes: Benign nipple discharge is usually milky or greenish in color. The greenish discharge associated with fibrocystic changes of the breast is due to dil... Read More
A 20-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Gastritis or ulcer: Gastric bleeding can be caused by a number of conditions and is very serious. The bleeding may be manifested by vomiting blood or by having black tarr... Read More
A 34-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
No: If you have an abscess, it needs to be drained. You need to see a surgeon.
A 20-year-old male asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Tif procedure: Acid reflux is a mechanical problem and requires a mechanical solution to fix it. Proton pump inhibitors like Protonix (pantoprazole) can relieve the ... Read More
A 42-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Yes: There is a difference between having a hh and having reflux esophagitis. What you eat will not affect the hernia, but can increase reflux. The four ma... Read More
A 35-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
2 to 4 weeks: It depends on how the appendectomy was performed. If it was done laparoscopically, i let my patients resume normal activity in 2 weeks. If done open t... Read More
A 41-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Yes: This was a more common occurrence before modern tangential fields that avoid the lung. However, if the lung receives significant radiation, then pulmo... Read More
A 31-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Scar tissue: Unless there are signs of infection, the most likely reason is the formation of scar tissue. Another possibility is a hernia. You should see your surg... Read More
A 39-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Possibly: If the appendix is pelvic in location and irritating the obturator nerve, then pain can be caused when the r leg is rotated laterally. This is not com... Read More
A 47-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Not really: A sliding type hiatal hernia is associated with reflux of gastric contents into the esophagus. The acid causes burning sensation described as "heart... Read More
A 41-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Many things: I assume you are referring to ulcerative colitis. The main concern about active ulcerative colitis is the development of colon cancer. If you have uc... Read More
A 34-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
They are associated.: I assume the contractions you are inquiring about are intestinal or colon cramps. Constipation is usually a functional problem caused by a lack of die... Read More
A 20-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Maybe: Anal fissures can be treated by a general surgeon, a proctologist or a colorectal surgeon. Your physician can make a referral to a surgeon.
A 33-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
No: A flexible sigmoidoscopy or colonoscopy needs to be performed before hemorrhoidectomy to rule out any other cause for your symptoms.
A 40-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Not directly: Hiatal hernia does not cause diarrhea. However, medicines used to treat the reflux associated with it can.You need to see your physician about this.
A 26-year-old male asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Yes: Any time surgery is done, there is a risk for infection and bleeding. I assume you have a recurrent hernia or pain that is necessitating reoperation. ... Read More
A 65-year-old male asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Gynecomastia: Gynecomastia is enlargement of the male breast gland. You should see your doctor who can refer you to a surgeon if necessary.
A 33-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Polyps are growths: Hemorrhoids are enlarged veins around the anus. Polyps are growths that originate in the inner lining of the colon - the mucosa.
A 48-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
6 weeks: Generally speaking, one would wait about 6 weeks before attempting another surgery. You need to discuss this thoroughly with your surgeon and find out... Read More
A 49-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Possibly: Pancreatic cancer is a possibility but so is gall bladder disease. Sometimes stones pass into the main bile duct and can cause similar symptoms. You ... Read More
A 19-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Unfortunately no.: No. However, the reason you are probably having diarrhea is bile is constantly being introduced into the small intestine and not being completely rea... Read More
A 48-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
The contents die: You are referring to a strangulated hernia. This is when the contents of the hernia lose their blood supply and become gangrenous.
A 39-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Yes: Any significant stress can interrupt the menstrual cycle. Surgery, including minimally invasive surgery can do this.
A 24-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Fiber: Most young people without any colon disease, such as inflammatory bowel disease, have irritable bowel disease or lactose intolerance. The treatment fo... Read More
A 47-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
3 doses a day: Though i think that a high fiber diet &/or metamucil prevents diverticulitis, it is not conclusively proven. Diverticulitis is a peridiverticular infe... Read More
A 36-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Big difference: Anterior and posterior anal fistula are almost always caused by trauma - forceful bm due to constipation. Lateral fissures are caused by crohn's disea... Read More
A 34-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
No: Anal sex period is not a good idea and certainly can aggravate existing hemorrhoids.
A 37-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
No: Diastasis recti is a condition where the rectus muscles gradually separate from the midline while the fascia remains intact. It is not a hernia. Umbil... Read More
A 25-year-old male asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Fiber supplement: Short of surgery, the best treatment for hemorrhoids is fiber supplementation, such as metamucil.
A 52-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
See your surgeon: You apparently have a post operative wound infection and need to see your surgeon.
A 42-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Yes, epigastric pain: The most common pain due to gallbladder disease is epigastric, usually associated also with RUQ pain. However, it can stand alone as the only symptom.... Read More
A 33-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Yes: Bleeding duodenal ulcers are caused by the ulcer eroding through the back wall into the gastroduodenal artery. Perforations in the front part of the ... Read More
A 27-year-old male asked:
Dr. Leonard Metildi
General Surgery 46 years experience
About 40 minutes: An UGI endoscopy usually takes 10 min while a colonoscopy wihtout polypectomy or other procedure, usually takes about 30 minutes.
A 20-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Yes: The gall bladder stores and concentrates bile. Without a gall bladder, the bile is continuously excreted into the intestine. This sometimes overloads... Read More
A 37-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
2 to 6 weeks.: It all depends on how the hernias are being repaired. If open with mesh, the standard time would be 6 weeks. If done laparoscopically, the 2 weeks mig... Read More
A 25-year-old male asked:
Dr. Leonard Metildi
General Surgery 46 years experience
High fiber: Generally speaking, you can't get rid of hemorrhoids without surgery. However, by increasing the fiber in your diet, you can greatly reduce the size a... Read More
A 41-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Yes: If your hernia does not protrude or cause pain when when you jog, then no harm should come. If it is getting bigger or causing discomfort, then it sho... Read More
A 23-year-old male asked:
Dr. Leonard Metildi
General Surgery 46 years experience
See your surgeon: Your surgeon needs to know about this and evaluate you to determine the cause and any remedy.
A 30-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Not likely: Alcoholism does damage the liver but does not have any direct effect on the gallbladder. Certainly alcoholics can develop gallbladder disease but it i... Read More
A 47-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
No: It won't hurt but will not help. Diverticulitis is an infection around a diverticula and needs to be treated with antibiotics. If they do not resolve ... Read More
A 44-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Possibly: Nausea after eating, especially fried or fatty foods, may be due to gall bladder disease. An ultrasound of the gall bladder should confirm or rule out... Read More
A 39-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Very: The different meshes available for hernia repair are safe. What type used, synthetic or biological, depends on the type of hernia and comorbidities. ... Read More
A 45-year-old female asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Depends: I assume you mean is not healing. What is the underlying reason why? Is there tunneling? Is there exposed synthetic mesh or sutures causing chronic lo... Read More
A 31-year-old member asked:
Dr. Leonard Metildi
General Surgery 46 years experience
Infection: Appendicitis is an infection caused by bacteria. Any bacterial infection will cause an elevated wbc, the body is organizing a response to the infectio... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
149
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Metildi is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Metildi is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! You are right, an ultrasound showed a gallbladder full of stones. Thank you again
HealthTap member
Thank you, your answer was very helpful! I see my surgeon tomorrow. Hopefully he'll give a glint of hope.
HealthTap member
Thanks for your quick reply! thanks nothing from.colonoscopy. and if its the other is.it serious

Education & Training

Medical/Graduate school

University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences, NY
Graduated 1976MD

Residency

Naval Regional Medical Center, San Diego

Awards

Top Doctor, Second Place, New Mexico - Summer
2013
Top General Surgeon , First Place, New Mexico - Summer
2013
HealthTap Founding Doctor

Affiliations

American College of Surgeons
Ameican Society of Beast Surgeons
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less