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In-Office Procedures

At Midland Surgical Associates, we are able to perform several basic, minimally invasive, outpatient procedures in the comfort of our office setting. Below are some of the procedures that we conduct for our patients:


After a cancerous tumor has been removed from the breast in a lumpectomy procedure, some patients may be candidates for this procedure, which reduces the length of radiation treatment to ensure that all cancerous tissue is gone.

In the procedure, a MammoSite balloon is attached to a catheter and placed inside the lumpectomy cavity through a small incision. The balloon is then filled with saline and remains inflated during a five-day treatment of radiation. The catheter is attached to a device, and a radiation oncologist distributes the radiation during each treatment. The catheter remains in place for the five days and is removed when the radiation regimen is complete.


A Mammotome is a device used to assist in a breast biopsy, an outpatient procedure done with a local anesthetic and the assistance of ultrasound. The incision is usually small and does not require stitches or a long recovery time. The procedure determines if cancer cells are present or if a mass in the breast is benign.

Other Skin Problems

Lumps and other types of benign skin tumors can often be removed through excision in our office. Wide excision and minimal excision are in-office procedures that are routinely performed by Midland Surgical Associates. They are simple and require a minimal dressing for about a week.

Hemorrhoid Reduction

Rubber Band Ligation

This in-office procedure treats second-degree internal hemorrhoids. A small band is placed on the base of the hemorrhoid to stop the blood supply, and the hemorrhoid shrinks over the next few days. Recovery time and post-procedure pain are less than with traditional surgery for this type of hemorrhoid.


Sclerotherapy is a cosmetic procedure for spider veins. The vein is injected with a sclerosing agent, which causes the vein to close. The patient then wears compression stockings or bandages for a few weeks, during which the spider veins gradually disappear.

Shaves and Biopsies

For some growths on the skin, “shaves” and “curettes” are used to aid in diagnosis and treatment. These tools are used for quick removal of the growths in the office. The shaves and curettage biopsies are sent to a pathologist to determine if any disease is present.

A superficial layer of skin is removed using a scalpel or a round blade called a “curette.” The wound results in a scab but heals on its own within one to two weeks.

Vein Procedures

Midland Surgical Associates uses the Dornier Medtech 940 Laser for the removal of spider veins. It is state-of-the-art technology for cosmetic vein removal. Dr. Don Crockett is trained in modern techniques to eliminate this venous disorder.


Wound Care

Debridement: This process involves the removal of damaged or infected tissue to help promote healing of the remaining healthy tissue surrounding the wound.

ACell: This is a type of medicine that helps develop and grow human tissue. When tissue is lost, this technology helps to regenerate skin and other tissues for better healing.


2405 W. Missouri Ave.
Midland, TX 79701



Open 8:30-5:30 daily