General Surgeries

    

General Surgeries

Surgical Facelities available

  • GI Surgery & Laparoscopic Surgery
  • Laparoscopic Appendectomy
  • Bariatric Surgery including Sleeve Gastrectomy
  • Gastric Bypass Surgery
  • Diagnostic Laparoscopy
  • General Surgery including cyst removals, incision & drainage of abscesses and other minor day care procedures
  • All Abdominal Surgeries
  • Advanced Haemorrhoidal Surgery
  • Advanced Hernia Repair & Hydrocele Surgery (adult and paediatric)
  • Laparoscopic Gallbladder and hepatibilliary surgeries.
  • Laproscopic hysterectomu, Ovarian cyst/ Tumoursand other uterine lesions.
  • Radical Neck dissections and surgries for Oral cancers.
  • Reconstruction surgeries including skin grafting and flapcovers.
  • Advance Burn management.
  • Breast and endocrine surgery
  • Pancreatic and colorectal surgery
  • Abdominal and chest trauma management
  • Thoracoscopic management of chest lesions and pathologies

The general surgery department often collaborates with other departments to do surgeries that need more than one kind of specialists.

Laparoscopy nowadays has become a gold standard for treating multiple abdominal problems.

Laparoscopic surgical techniques performed routinely

  • Laparoscopy for a Hiatus hernia.
  • Laparoscopy for the Pseudo pancreatic cyst.
  • Laparoscopy in the condition of Liver Cysts
  • Common bile duct stones (laparoscopic and endoscopic)
  • Laparoscopy for Achalasia Cardia
  • Laparoscopy for Gastric Malignancy(cancer)
  • Laparoscopy for Rectal Cancers.
  • Laparoscopy for malignant and benign conditions small & large intestines.
  • Laparoscopy for Rectal Prolapse

The laparoscopic procedures have many benefits such as

  • Smaller incisions
  • Less post-operative discomfort
  • Quicker recovery
  • Shorter hospital stay
  • Less blood loss
  • Minimal scars.
  • Real time diagnostics
  • Reduced exposure of internal organs to possible external contaminants thereby reduced risk of acquiring infections.

ADDITIONAL READING

Laparoscopy is performed under general anaesthetic, so you'll be unconscious during the procedure and have no memory of it. You can often go home on the same day.

sample47

Preparation

Depending on the type of laparoscopic procedure being performed, you'll usually be asked not to eat or drink anything for 6 to 12 hours beforehand.

If you're taking blood-thinning medication (anticoagulants), such as aspirin or warfarin, you may be asked to stop taking it a few days beforehand. This is to prevent excessive bleeding during the operation.

If you smoke, you may be advised to stop during the lead-up to the operation. This is because smoking can delay healing after surgery and increase the risk of complications such as infection.

Most people can leave hospital either on the day of the procedure or the following day. Before the procedure, you'll need to arrange for someone to drive you home because you'll be advised not to drive for at least 24 hours afterwards.

Recovery times

The time it takes to recover from laparoscopy is different for everybody. It depends on factors such as the reason the procedure was carried out (whether it was used to diagnose or treat a condition), your general health and if any complications develop.

If you've had laparoscopy to diagnose a condition, you'll probably be able to resume your normal activities within 5 days.

The recovery period after laparoscopy to treat a condition depends on the type of treatment. After minor surgery, such as appendix removal, you may be able to resume normal activities within 3 weeks. Following major surgery, such as removal of your ovaries or kidney because of cancer, the recovery time may be as long as 12 weeks.

The Procedure

During laparoscopy, the surgeon makes a small cut (incision) of around 1 to 1.5cm (0.4 to 0.6 inches), usually near your belly button.

A tube is inserted through the incision, and carbon dioxide gas is pumped through the tube to inflate your tummy (abdomen). Inflating your abdomen allows the surgeon to see your organs more clearly and gives them more room to work. A laparoscope is then inserted through this tube. The laparoscope relays images to a television monitor in the operating theatre, giving the surgeon a clear view of the whole area.

If the laparoscopy is used to carry out a surgical treatment, such as removing your appendix, further incisions will be made in your abdomen. Small, surgical instruments can be inserted through these incisions, and the surgeon can guide them to the right place using the view from the laparoscope. Once in place, the instruments can be used to carry out the required treatment.

After the procedure, the carbon dioxide is let out of your abdomen, the incisions are closed using stitches or clips and a dressing is applied.

When laparoscopy is used to diagnose a condition, the procedure usually takes 30-60 minutes. It will take longer if the surgeon is treating a condition, depending on the type of surgery being carried out.

sample47

Recovery

After laparoscopy, you may feel groggy and disorientated as you recover from the effects of the anaesthetic. Some people feel sick or vomit. These are common side effects of the anaesthetic and should pass quickly.

You'll be monitored by a nurse for a few hours until you're fully awake and able to eat, drink and pass urine.

Before you leave hospital, you'll be told how to keep your wounds clean and when to return for a follow-up appointment or have your stitches removed (although dissolvable stitches are often used).

For a few days after the procedure, you're likely to feel some pain and discomfort where the incisions were made, and you may also have a sore throat if a breathing tube was used. You'll be given painkilling medication to help ease the pain.

Some of the gas used to inflate your abdomen can remain inside your abdomen after the procedure, which can cause:

  • bloating
  • cramps
  • shoulder pain, as the gas can irritate your diaphragm (the muscle you use to breathe), which in turn can irritate nerve endings in your shoulder

These symptoms are nothing to worry about and should pass after a day or so, once your body has absorbed the remaining gas.

In the days or weeks after the procedure, you'll probably feel more tired than usual, as your body is using a lot of energy to heal itself. Taking regular naps may help.