General Surgery & Surgical Gastroenterology

Ramkrishna CARE Hospitals launched the Institute of General Surgery and Surgical Gastroenterology to provide the highest level of healthcare in this specialty, while being affordable and accessible for the general population.

An expert team of surgeons with combined clinical experience of over fifty years offers the whole spectrum of treatment modalities — from the simplest procedures to the most complex advanced laparoscopic surgeries. The institute was one of the first few in the state to acquire laparoscopy instrumentation and offer “keyhole surgery” to its large patient base. Keeping pace with advances in the field of laparoscopic surgery we have added a high-definition endovision to our surgical armamentarium.

The continuing evolution of medical science in general and surgical specialties in particular is challenging and keeps the faculty on its toes to stay abreast with the best in the world. The faculty is active on the academic front, travelling all over the country as well as abroad to participate in conferences and surgical workshops, learning and mastering the recent trends in the world. Members of the faculty also speak on various topics related to surgery and surgical nutrition at national and international fora.

The Institute of General Surgery and Surgical Gastroenterology is a center of excellence, recognized by the patients and the medical fraternity.

Skin and Soft Tissues

• Incision & drainage
• Debridement
• Lymph node excision
• Excision of dermoid & sebaceous cysts, corn, lipomas, neurofibromas, ganglion
• Fasciotomy
• Amputation for dry and wet gangrene

Surgeries on Salivary Glands

• Superficial parotidectomy for Pleomorphic adenoma, Warthin’s tumor
• Total parotidectomy
• Excision of submandibular gland for tumor and calculi

Surgeries on Breast

• Incision & drainage of breast abscess
• Enucleation of fibroadenoma
• Microdochectomy/excision of multiple ducts for duct ectasia
• Simple mastectomy for Cystosarcoma Phyllodes
• Breast conservation surgery (BCS)
• Modified radical mastectomy (MRM)

Surgeries on Thyroid & Parathyroid

• Hemithyroidectomy
• Subtotal thyroidectomy
• Near total thyroidectomy
• Total thyroidectomy
• Parathyroidectomy

Surgeries of Abdominal Wall & Groin

• Open onlay/preperitoneal mesh repair for ventral hernias (epigastric, umbilical, paraumbilical, incisional, lumbar)
• Modified herniorraphy for inguinal hernias
• Lichtenstein’s mesh repair for inguinal hernias
• Open femoral hernia repair
• Laparoscopic transabdominal preperitoneal repair (TAPP)
• Totally extraperitoneal repair (TEP)
• Laparoscopic herniotomy

Surgeries of External Genitalia

• Dorsal slit
• Circumcision
• Vasectomy
• Orchidectomy
• Orchidopexy
• Epididymal cyst excision
• Open/laparoscopic varicocele excision
• Hydrocele surgery
• Penile amputation

Foregut Surgeries

• Open/laparoscopic anti-reflux surgeries – Nissen’s, Toupet, Dor Fundoplication
• Open/laparoscopic Heller’s cardiomyotomy
• Thoracoabdominal/thoracoscopic/transhiatal esophagectomy
• Esophageal conduits
• Vagotomy – truncal, selective & highly selective
• Gastrectomy – subtotal, distal, total – Billroth’s Type I, II & variants
• Gastric drainage procedures – Stamm’s, Witzel’s, gastrojejunostomy, pyloroplasty

Gall Bladder

• Cholecystectomy – open & laparoscopic
• Repair/reconstruction of biliary tract – hepaticojejunostomy, choledochoduodenostomy
• Radical cholecystectomy for gall bladder carcinoma

Surgeries on Pancreas, Spleen and Adrenals

• Whipple’s pancreaticoduodenectomy
• Pancreatectomy – Frey’s, Beger’s, Whipple’s & distal
• Lateral Pancreaticojejunostomy (LPJ)
• Pancreatic necrosectomy
• Laparoscopic/open pancreatic pseudocyst drainage –
• Cystogastrojejunostomy,Cystojejunostomy
• Open/laparoscopic splenectomy
• Adrenalectomy

Surgeries on Liver

• Liver abscess drainage
• Laparoscopic/open hydatid cyst drainage
• Portal hypertension surgeries – portocaval, splenorenal (central & distal), Mesocaval shunts
• Hepatectomy of different kinds

Midgut & Hindgut Surgeries

• Small bowel resections
• Mesenteric cyst excision
• Laparoscopic/open Meckel’s diverticulectomy
• Laparoscopic/open stomas – feeding jejunostomy, Ileostomy, colostomy
• Open/laparoscopic/hand-assisted right hemicolectomy
• Open/laparoscopic/hand-assisted left hemicolectomy
• Open/laparoscopic/hand-assisted transverse colectomy
• Open/laparoscopic/hand-assisted sigmoid colectomy
• Open/laparoscopic/hand-assisted total colectomy
• Open/laparoscopic/hand-assisted anterior resection
• Open/laparoscopic/hand-assisted abdominoperineal resection
• Open/ laparoscopic/hand-assisted total proctocolectomy with ileal pouch anal anastomosis
• Open/laparoscopic rectosigmoidopexy
• Rectovaginal/rectovesical repair for fistula

Surgeries on Anus and Perineum

• Stapled/minimally invasive procedure for haemorrhoids (MIPH)
• Sclerotherapy, banding
• Fissurectomy
• Open hemorrhoidectomy
• Lateral sphincterotomy (LIS)
• Perianal & ischiorectal abscess drainage
• Fistulectomy
• Pilonidal sinus surgery

Surgeries for Morbid Obesity

The epidemic of obesity has been increasing globally, with major public health and financial implications. Developed countries were initially more affected, but now developing countries are increasingly contributing to the epidemic.

Obesity is associated with increased risk of mortality due to problems related to the metabolic syndrome, as well as increased intra-abdominal pressure (IAP). The metabolic syndrome is associated with insulin resistance and type II Diabetes Mellitus, hyperlipidemia and systemic hypertension. Increased abdominal pressure is associated with obesity hypoventilation, gastroesophageal reflux disease, stress urinary incontinence, pseudotumorcerebri and venous insufficiency. Central obesity is responsible for sleep apnea and degenerative joint disease. In addition to this, cancers of the endometrium, colon, renal cell, breast and prostate are found to be more common in the obese.

Today more laparoscopic bariatric procedures are being performed than open procedures annually, worldwide. By reducing the size of the surgical incision and decreasing the operative trauma from abdominal wall retractors and mechanical retraction of the abdominal viscera, the surgical insult is less after laparoscopy, as compared to open surgery. Decreased post-operative pain, lower rate of wound related complications, reduced incidence of postoperative incisional hernia and faster recovery are the other advantages of the laparoscopic technique.

• Bariatric Surgical Options
• Malabsorptive procedures
• Jejunoileal bypass
• Combined Malabsorptive & Restrictive Procedures
• Biliopancreatic diversion
• BPD with duodenal switch
• Gastric bypass
• Purely Restrictive Procedures
• Gastroplasty
• Gastric band
• Sleeve gastrectomy