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General surgery is a surgical procedure  on  different abdominal contents including esophagus, stomach, small bowel, colon, liver, pancreas, gallbladder and bariatric surgery.Its also involve  these types of  skin, breast, soft tissue, trauma, peripheral vascular surgery and hernias.Our  Department of General & Laparoscopic Surgery has highly qualified surgeons trained in advanced Laparoscopic Procedures. Different types of Laparoscopic procedure like Laparoscopic Cholecystectomy, Appendectomy, Hernia Repair, Gastro Intestinal Surgeries, Splenectomy , Hiatus Hernia Repair, GI Cancer Surgeries and bariatric surgery are done. We are supported by an advanced Laparoscopic OT and Intensive Care Unit.

Conditions we Treat

Gall bladder stone surgery

Surgery to remove the gallbladder (cholecystectomy) is the only way to cure gallstones. This can be done by conventional (open) method or a well-established endoscopic (laparoscopic) method which is now the 'Gold Standard'. The surgery is called "Laparoscopic Cholecystectomy" (Lap. Chole). The surgeon makes few tiny punctures in the abdomen and inserts surgical instruments and a miniature telescope with amounted video camera into the abdomen. The camera sends a magnified image from inside the body to a video monitor, giving the surgeon a close-up view of the organs and tissues. While watching the monitor, the surgeon uses the instruments to carefully separate the gallbladder from the liver, ducts and vessels. The gallbladder is then removed through one of the small incisions. Recovery usually occurs within few hours in most of the cases in the hospital, followed by few days of rest at home. As there is no damage to the muscle (muscles are not cut) during laparoscopic surgery, patients have less pain and negligible wound complications.

If the surgeon finds any difficulty in the laparoscopic procedure, the operating team may decide to switch over to open surgery. It is called open surgery because the surgeon has to make a 5 to 8 inch incision in the abdomen to remove the gallbladder. Open surgery has faded into the background with the laparoscopic technique providing significant advantages and ease for the patient.

 

Hernia surgery

Surgery is the only way to cure a hernia. A hernia will not go away on its own but will increase in size if left untreated. An untreated hernia may also result in obstruction (intestinal blockage) and "strangulation," which requires immediate medical attention. Strangulation occurs when the blood supply to the herniated bowel is cut off or greatly reduced, causing the bowel tissue to die or rupture. The surgical results with smaller hernias are more satisfying as compared to large hernias. Surgery for hernia is:

Laparoscopic surgery: A laparoscopic hernia surgery is a minimally invasive approach that involves the use of laparoscope and allows a laparoscopic surgeon to repair the weakened area through several small incisions (about a half-centimetre), using a non-absorbable mesh to cover the weak area.

 

Laproscopic Appendectomy

Procedure

After administering anesthesia the abdomen is prepared with an antibacterial solution.

The peritoneal cavity is inflated with gas (usually carbon dioxide).

The surgery begins with a small abdominal incision below to the belly button in the skin crease, which allows the insertion of the laparoscope. Another two or three small incisions may be necessary to insert the laparoscopic instruments to dissect and remove the appendix.

Using the laparoscopic surgical tools, the tissues and vessels surrounding the appendix are cut and tied.

The appendix is put in a plastic bag before being removed through the small incision to prevent infection of wound.

The abdominal cuts are all closed with clips, which are likely to leave insignificant scars.

 

Bariatric Surgery

The digestion process begins in the mouth where food is chewed and mixed with saliva and other enzyme-containing secretions. The food then reaches the stomach where it is mixed with digestive juices and broken down so that nutrients and calories can be absorbed. Digestion then becomes faster as food moves into the duodenum (first part of the small intestine) where it is mixed with bile and pancreatic juice.

Bariatric surgery is designed to alter or interrupt this digestion process so that food is not broken down and absorbed in the usual way. A reduction in the amount of nutrients and calories absorbed enables patients to lose weight and decrease their risk for obesity-related health risks or disorders.

There are various types of bariatric surgeries that can be performed. Surgery may be performed using an “open” approach, which involves cutting open the abdomen or by means of laparoscopy, during which surgical instruments are guided into the abdomen through small half-inch incisions. Today, most bariatric surgery is laparoscopic because compared with open surgery, it requires less extensive cuts, causes relatively minimal tissue damage, leads to fewer post-operative complications and allows for earlier hospital discharge.