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Surgical Gastroenterology

Surgical Gastroenterology

Surgical Gastroenterology (SGE) also called as Gastrointestinal surgery (GI Surgery) is highly evolved and specialized area of surgery that deals with surgical problems of the digestive system and abdominal wall which includes organs like Esophagus, Stomach, Small intestine, Large intestine, Rectum, Anal canal, Liver, Pancreas, Gall bladder and Bile duct. The evolution of this department from the erstwhile General Surgery was an end result of an explosion of knowledge in the field of gastroenterology and enormous technical and technological advancements. This Specialty offers treatment with the latest techniques for better outcome for patients with complex GI surgical problems. The main domains of SGE are

  • Hepato-Pancreato-Biliary (HPB) surgery
  • Foregut or Upper GI Surgery
  • Colorectal surgery
  • Proctology
  • Abdominal wall reconstruction surgery or specialized hernia surgery.

Minimally invasive surgery is performed for all gastrointestinal problems including cancer and complex major surgeries. Advanced laparoscopic surgery is performed with expertise and latest technology including 4K and 3D laparoscopic technology ensuring high accuracy and best results.

Robotic surgery is performed with Davinci Robotic system which is the latest 4th generation and most advanced surgical Robotic surgical equipment and the first of its kind in Coimbatore. 3D vision, better magnification and high precision offered by the Robot ensures that the complex surgeries are performed with least pain, blood loss and best results ensuring the early return to work and best success rates in major surgeries including cancer surgeries.

Common Laparoscopic / Robotic surgery procedures performed in the department of Surgical gastroenterology are

Upper GI surgery and Thoroscopic surgery
  • Esophagectomy for cancers of esophagus
  • Fundoplication for Gastroesophageal reflux disease / Hiatus hernia
  • Hellers cardiomyotomy for Achalasia cardia
  • Thoracosopic diverticulectomy for esophageal diverticulum
  • Esophagectomy / esophageal by pass for corrosive esophageal strictures
  • Thymectomy
  • Gastrectomy for cancer of stomach
  • Surgery for GIST of stomach
  • Surgery for ulcer perforations and gastric outlet obstruction
Colorectal surgery
  • Appendectomy for appendicitis, appendicular mass / abscess
  • Colonic cancers : Right / left / total colectomy / total proctocolectomy with ileal pouch anal anastamosis
  • Surgery for colonic Diverticular disease
  • Rectal cancers: Anterior resection / Low anterior resection / Abdominoperineal resections / sphincter preserving surgeries including ultralow anterior resection / intersphincteric resections
  • Surgery for rectal prolapse: Mesh / suture rectopexy
  • Surgery for inflammatory bowel disease
  • Surgery for Obstructive defecation syndrome
  • Surgery for severe intractable constipation
  • Surgery for small bowel tumor / stricture / intestinal obstruction
Abdominal wall reconstruction and complex hernia surgery
  • Inguinal / Femoral / umbilical / epigastric hernia
  • Large / recurrent incisional hernia
  • E –TEP / TAR procedures for complex and large hernias
Hepato Biliary Pancreatic surgery
  • Cholecystectomy for gall stones / cholecystitis / Mirrizi syndrome
  • Surgery for biliary stricture / Choledochal cyst
  • Pancreaticoduodenectomy / Whipple’s surgery for pancreatic cancer
  • Pancreaticojejunosotmy / Frey procedure for Chronic calcific pancreatitis
  • Surgery for pseudocyst of pancreas ( Cystogastrostomy / Jejunosotomy)
  • Splenectomy

All of the above mentioned surgeries are performed by Laparoscopic surgery / Robotic surgery, offering the benefit of minimally invasive surgery for the patients.

Proctology and minimally invasive proctology
  • BOTOX INJECTION for fissure
  • LASER SURGERY for fissure / Fistula in ano / hemorrhoids
  • STAPLER SURGERY ( stapler hemorrhoidopexy) for hemorrhoids
  • Video assisted anal fistula treatment ( VAAFT)
  • Sphincter preserving fistula surgery : Laser / LIFT / VAAFT / primary sphincter repair after fistulectomy
  • Surgery for perianal abscess
  • Minimally invasive surgery for Pilonidal sinus ( LASER / Video assisted)

Minimally invasive proctology performed by our experts with the use of LASER/ Video scopes and STAPLERS ensures smaller wounds, less pain and early discharge for the common problems of piles/ Fistula and perianal abscess along with better cure rates. The fear of large wounds for the proctology problems can be easily avoided.

Robotic Surgery Highlights
  • Patients typically experience significantly less pain and blood loss than in conventional “open incision” procedures.
  • Patients also have quicker recovery times and return to normal everyday routine activities
  • Precision of Robotic technology, 3D vision, 10 X magnification and deeper reach and better access to difficult places makes Robotic surgery the bench mark of minimally invasive surgery

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