Gastrointestinal Surgery
Surgery & medical treatment for diseases of esophagus, stomach, duodenum, small intestines, appendix, colon, rectum and anal canal. Ours is a high burden unit for Gastrointestinal and Cancer surgery. A wide range of elective and emergency abdominal surgeries are regularly performed. We are performing most of the esophageal, gastric, intestinal, hepatobiliary, pancreatic, colorectal and anal surgeries. A large number of operations are done laparoscopically offering the advantage of minimal incisions and early recovery.
Gastrointestinal Surgery
Esophagus Esophagus Cancer: Transhiatal esophagectomy, McKeown esophagectomy
Stomach: Peptic ulcers: Perforation repair, Truncal Vagotomy & Pyloroplasty, Proximal Vagotomy, Partial Gastrectomy, Antrectomy, gastrojejunostomy.
Cancer Stomach: D-2 Gastrectomy, Gastrojejunostomy, Palliative Gastrectomy
Trichobeazors: Removal
Corrosive injuries: Feeding jejunostomies, Gastrojejunostomy, Gastrectomy, esophagogastrectomy with colonic conduit.
Emergencies: Gastric/ Duodenal Perforation repair, Surgery for bleeding peptic ulcers
Palliative Distal Gastrectomy for Cancer of Stomach in a 55 yrs, male patient.
Stomach mobilized with greater omentum.
Duodenum:Complicated Peptic ulcers[Bleeding peptic ulcer, Gastric outlet obstruction, perforation of peptic ulcer]: Truncal vagotomy with Gastrojejunostomy, Antrectomy, partial gastrectomy, perforation repairs, ligation of gastroduodenal artery with pyloroplasty.
Duodenal Diverticulae: dudenojejunostomy
Duodenal injury: Duodenal repair, Vaughan’s pyloric exclusion with gastrojejunostomy.
Small intestine surgeries:
Enteric perforations[ Typhoid perforation, Tubercular ileal perforation]: perforation repairs, ileostomy
Intestinal obstruction[tuberculosis, crohn's disease, adenocarcinoma, lymphoma, intussusception, volvulus, bands & adhesions, obstructed hernias, mesenteric vascular ischaemia]: Adhenolysis, intestinal resections with anastomosis, stricturoplasty, Meckel’s diverticulectomy, Right hemicolectomy for tuberculosis & malignancy, radical resection for small intestine cancers.
Malrotation of midgut loop/ Non rotation of midgut/ midgut volvulus: Ladd procedure, division of band of ladd with placing of small intestine on right side and colon on left side, appendicectomy.
Vermiform appendix: Laparoscopic Appendicectomy
Ceacum/Appendix on left with narrow dudenocolic isthmus
![Nonrotation of midgut loop in an adult. [Published:Internet Jour. of Surgery. 2010 Vol 26 No 1]](https://lh6.googleusercontent.com/31f1WdHJeTnyA2-N87JRzHLlcel-dalJpwY2XAex_6TKO3Qgvd37T367wuaizUqViVjBXeO2TKuM_nxuqyDqTLoAsKVsga9_HfFdtFzc7EA=w1280)
Band of ladd was divided placing small intestine on right side and colon on left side. Appendectomy was done.
Duodenal and jejunal diverticulae: Dudenal resection, jejunal resection with anastomosis.
Vermiform Appendix: Appendicitis: Diagnostic Laparoscopy, Laparoscopic appendicectomy/ open appendicectomy.
Duodenum transected and stump closed.
Clamp applied on greater curve in preparation for transection of proximal stomach.
Specimen removed and Roux en Y Gastrojejunostomy performed.