Surgical Gastroenterology

Department of surgical gastroenterology headed by highly qualified surgeon who is a gold medalist and All India topper in the field of Surgical gastroenterology(JIPMER 2018) and is equipped to handle the wide spectrum of
surgical disorders

 Best hospital for surgical gastro in Vijayawada. They have high end technology for every treatment. Also, Patients are handled by the best surgeons in Vijayawada and Andhra Pradesh. You will find the best gastroenterology services here. If you want to undergo a laparoscopic surgery for your gastroenterology related issues, Harini hospitals provides you the best surgeon for laparoscopic operation in Vijayawada. Also, this department handles gall bladder surgery, hernia surgery and many other gastro services.We have best gall bladder surgeon in vijayawada, Andhra Pradesh.

Department of surgical gastroenterology at Harini hospitals is equipped to handle the wide spectrum of surgical disorders. In close collaboration with allied departments of medical gastroenterology and critical care it provides a wholesome treatment approach for complex cases. Updated operation theatre and its world class equipment enable surgeons to perform surgeries in a precise and safe manner. Harini hospitals is one the first hospitals in Vijayawada to start the facilities of laparoscopic surgery. Emergency cases are handled round the clock through casualty.

Looking out for a best hospital in surgical gastro in Vijayawada andhra Pradesh? We will make it easy for you,  Harini Hospitals is one of the best hospital for surgical gastro enterology in Vijayawada andhra Pradesh. You can also get laproscopic surgeries here, they are well equipped and are known for their best laproscopic surgeons in Vijayawada Andhra Pradesh. You will find the best surgical gastro services here at harini hospitals. They treat problems related to hernia, gall bladder. They have got the best surgeons for laproscopic gall bladder operations  in Vijayawada, andhra Pradesh. They also got good staff for piles management. They are known for their overall, best and qualified surgeons who are best in their areas. Harini hospital is the best hospital for surgery in Vijayawada, Andhra Pradesh

Various services offered in the department of Surgical gastroenterology include

Esophageal and Gastric surgeries

1. Esophageal Cancer – After multidisciplinary tumor board discussion laparoscopic and open esophagectomies are performed based on the patient condition

2. Esophageal bypass – Esophageal bypass procedures are performed either via colon or gastric pull through for patients who had their esophagus damaged by either acid ingestion or alkali intake

3. Achalasia Cardia – Once esophageal manometry confirms this condition patient is taken for either POEM or Laparoscopic modified hellers myotomy at our institution

4. Gastro Esophageal Reflux Disease –Various forms of anti-reflux procedures like Nissen fundoplication are offered to these patients once the pathology is confirmed via Manometry and 24 ambulatory pH monitoring/ impedance monitoring. All these procedures are performed in minimally invasive manner with laparoscopic approach

5. Gastric Cancer – Gastrectomy of all types (Total gastrectomy, subtotal gastrectomy, distal gastrectomy)

6. Peptic Ulcer Disease – Truncal vagotomy, antrectomy, Gastrojejunostomy services are offered. Gastric perforation and duodenal perforation are dealt on emergency basis.

Surgeries for small intestine and large intestine

1. Cancers of intestine and rectum – Various surgeries like segmental resection of small intestine, Right hemicolectomy, left hemicolectomy, anterior resection, low anterior resections are performed

2. Surgeries for ulcerative colitis and Crohn’s disease – Various basic procedures like segmental resections or advanced procedures like total proctocolectomy along with restorative procedures like pouch reconstructions are done

3. Gastrointestinal bleed – If an operative procedure is required for a case of gastrointestinal bleed, it will be addressed appropriately.

Surgeries for Liver, pancreas and Gall bladder

1. Liver – Major and minor liver resections are undertaken for various liver pathologies like various tumors of liver, symptomatic hemangioma, certain liver cysts etc…

2. Acute and chronic pancreatitis – Life saving operations for acute pancreatitis like necrosectomy, drainage of abscess for cases of acute pancreatitis. In chronic pancreatitis resectional procedures like Frey’s procedure, whipples procedure are done.

3. Pancreatic cancer- Resectable pancreatic cancer patients are subjected to various pancreatic resections like pancreaticoduodenectomy, central pancreatectomy, distal pancreaticosplenectomy etc…

4. Gall bladder – Surgical treatment for gall bladder stones, infection of gall bladder (Empyema gall bladder), inflammation of gall bladder (Acute cholecystitis, chronic cholecystitis) which include removal of gall bladder (cholecystectomy) is offered. Most of the surgeries include are performed in minimally invasive manner (Laparoscopic cholecystectomy).

5. Bile duct and gall bladder cancer – Palliative and curative resections for biliary cancer are performed.

6. Surgeries for portal hypertension which include various shunt surgeries like proximal splenorenal shunt, gastroesophageal devascularization, splenectomy

Proctology

1. Anal fissure – surgeries for anal fissure like lateral internal sphincterotomy, fissurectomy are done

2. Hemorrhoids – various surgeries like hemorrhoidal artery ligation, hemorrhoidal band application, stapler hemorrhoidopexy, laser hemorrhoidopexy (LHP), excision of hemorrhoids are offered

3. Fistula-in-ano – surgeries like fistulotomy, fistulectomy, laser ablation of fistula tract (FiLaC), Ligation of intersphinteric fistula tract (LIFT) are performed.

4. Ishio-rectal abscess – Incision and drainage for abscess (I&D) is performed

Laparoscopic surgeries

Various surgeries are performed via laparoscopic route

® Laparoscopic cholecystectomy for gall bladder stones

® Lap common bile duct exploration for stone disease

® Laparoscopic appendicectomy

® Laparoscopic hernia repair

o Inguinal hernia repair

o Umbilical hernia repair

o Epigastric hernia repair

o Incisional hernia repair

o Femoral hernia repair

o Obturator hernia repair

o Hiatal hernia repair

® Laparoscopic myotomy for achalasia cardia

® Laparoscopic fundoplication for GERD/ reflux disease

® Diagnostic laparoscopy for the evaluation of various abdominal symptoms

® Laparoscopic assisted colorectal resections for cancer and other pathologies

® Laparoscopic liver surgeries for cystic diseases of the liver

® Laparoscopic assisted small bowel surgeries

® Laparoscopic splenectomy

® Laparoscopic cysto-gastrostomy

® Laparoscopic necrosectomy for severe acute pancreatitis

Stoma care

All kind of stoma care facilities are available under the care of trained gastroenterologists and experienced nursing team

® Ileostomy care

® Colostomy care

Trauma care

Abdominal trauma cases are taken care on 24*7 basis

® Liver trauma / liver injury

® Splenic trauma/ Splenic injury

® Pancreatic trauma/ Injury

® Intestinal trauma/ injury

Apart from the above-mentioned disorders, in-general any condition requiring surgical intervention for intra-abdominal are dealt with extreme care and diligence.

Dr Ram Prakash

M.S(Gold Medalist ), M.CH (JIPMER) Consultant Surgical Gastroenterologist