General Surgery - Ernakulam

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Overview

 

The General Surgery department has been functional in the hospital since its inception in the year 1985 and handles a wide spectrum of elective and emergency surgical procedures.  A highly specialized paediatric surgery unit provides expert diagnosis and treatment of congenital birth defects or other surgical disorders for children of all ages.

 

The department provides comprehensive service in the areas of diagnosis and management of pre-operative, operative and post-operative care to patients who have to be treated for surgical conditions related to the following:

 

  • Alimentary tract
  • Abdomen and its contents
  • Breast, skin, and soft tissue
  • Head and neck, including trauma, vascular, endocrine, congenital and oncologic disorders
  • Tumors of the skin, salivary glands, thyroid, parathyroid, and the oral cavity
  • Vascular system, excluding the intracranial vessels and heart
  • Endocrine system, including thyroid, parathyroid, adrenal, and endocrine pancreas
  • Comprehensive management of trauma, including musculoskeletal, hand, and head injuries. The responsibility for all phases of care of the injured patient is an essential component of general surgery.
  • Complete care of critically ill patients with underlying surgical conditions, in the emergency room, intensive care unit, and trauma/burn units

 

All surgical procedures are carried out using the latest minimally invasive (laparoscopic) techniques or traditional open operative methods.  The state-of-the-art facilities available in the department is complemented by a dedicated team of highly qualified and experienced surgeons and other support staff to provide the best surgical care to our patients. Our surgeons focus on treating the whole patient and not the individual disease. Close coordination is maintained with the referring or specialty consultants of the hospital in the pre-operative evaluation and post-operative management of the patient.

 

The General surgery department, with the support from other specialty departments such as Neurosurgery, Plastic surgery, Orthopaedics surgery, Anaesthesiology and the Accident & Emergency, ensure that the hospital provides excellent response to surgical emergencies round the clock.

 

Facilities available

 

The department comprising of two separate units has six state of the art operation theatres fully equipped with sophisticated instruments to handle any surgical emergencies. Two Recovery Intensive Care Units with a capacity of 12 beds provide post-surgical care to patients round the clock.

 

 

Services offered

 

The General Surgery department of the hospital provides the following services to the patients:

 

  • Outpatient consultation providing the diagnosis of various types of conditions and advising treatment options including recommendation of the best surgical options, if necessary.
  • Cross consultation from other speciality departments in the hospital.
  • Treatment for various types of wounds.
  • Minor surgical procedures that does not require hospital stay.
  • Other major surgeries as required (Laparoscopic as well as open surgeries).

 

 

Surgeries we perform at EMC

 

As one of the oldest departments in the hospital, our surgeons have a proven track record of successfully performing a wide range of surgical procedures using the time tested open techniques to the latest laparoscopic ones.

 

Some of the specialized services routinely provided by the department include:

 

Upper Gastro Intestinal (UGI) surgeries

 

 

Lower Gastro Intestinal surgeries

 

 

Pancreatic – Billiary surgeries

 

Acute Care and Emergency General Surgery

 

            • Appendicetomy:
            • Intestinal perforation

 

Other surgeries    

                                                           

            • Hernia Surgery
            • Hydrocele repair (Adult & Paediatric)
            • Circumcision (Adult & Paediatric)
            • Thyroidectomy
            • Mastectomy
            • Surgeries for varicose veins
            • Mesenteric cysts

 

 

Laparoscopic and Endoscopic surgeries

 

Laparoscopic surgery, also called minimally invasive surgery or keyhole surgery is a modern surgical technique in which operations are performed far from their location through small incisions elsewhere in the body. Compared to the more common open surgeries, laparoscopic surgery has several advantages to the patient such as reduced pain and hemorrhage due to smaller incisions. The recovery time from the surgery is also shorter allowing the patient to resume normal routine faster than the traditional open surgery.

Some of the common laparoscopic surgeries performed in the department include:

 

                • Diagnostic laparoscopy
                • Cholecystectomy
                • Appendicectomy
                • Hernia repair – umbilical, incisional, epigastric, diaphragmatic and other rare hernias
                • Unilateral/Bilateral TEP/TAPP mesh hernioplasty
                • Rectal prolapse repair
                • Bariatric surgery for obesity
                • Nephrectomy
                • Orchidopexy
                • Pyeloplasty
                • Hemicolectomy – right and left
                • Sigmoidectomy
                • Anterior resection for rectal tumors
                • Laparoscopic removal of stomach tumors, cysts
                • Laparoscopic varicolcele repair

 

Please consult our specialist laparoscopic surgeon for advice and more information on other laparoscopic procedures carried out by the department.

 

 

Paediatric surgeries      

                                                 

Paediatric surgery is a subspecialty of general surgery, focused on the treatment of infants, children and adolescents. Therefore, if your child has an illness or complaint that requires surgery, the service of a paediatric surgeon is essential. Unlike adults, children cannot always say what is bothering them nor can often provide reliable answers to medical questions. It is also difficult to medically examine an infant or a child as they tend to be restive and probably non co-operative during the process. A paediatric surgeon, using specialized equipment and facilities specially designed for children can provide the best care for your child.

 

The Paediatric Surgery team at Ernakulam Medical centre, comprising of highly qualified paediatric surgeons and paediatric urologists, with decades of experience, efficiently manage all forms of complicated neonatal/paediatric surgical cases. Working in tandem with one of the best referral Neonatal & Paediatric tertiary care centre in the region, the unit provides an unmatched paediatric surgical treatment for your child.

 

Some of the common paediatric surgeries carried out in the hospital include:

 

Congenital malformations

 

Also known as birth defects, these are problems that happen while the baby is still in the womb. There are many types of congenital malformations, some of which are mild and easily curable, while some others can be life threatening. They can affect the normal working of the body organs like heart, lungs, brain or parts such as face, hands or feet. Therefore it is critical that any such conditions are diagnosed by an experienced consultant at an early stage and corrective action taken. Some of the commonly found congenital malformations include :

 

                • Ano-rectal malformations
                • Biliary atresia
                • Choledochal cyst
                • Congenital diaphragmatic hernia
                • Duodenal, Jejunal, and Oesophageal atresia
                • Cleft lip and palate
                • Cystadenoid malformation of lung
                • Excision of congenital lobar emphysema
                • Hirschsprung’s disease
                • Spina bifida
                • Myelomenigocele
                • Malrotation

 

Other Paediatric surgeries

 

The Paediatrics surgery unit of the hospital also performs various other surgeries on children from the newborn stage through late adolescence. Some of the common procedures are:

 

                • Hepatoblastoma
                • Hypospadias repair
                • Neuroblastoma
                • Open Orchidopexy
                • Posterior urethral valves
                • Sacrococcygeal Teratoma
                • Thoracotomy for repair of eventration of diaphragm
                • Tracheo-oesophageal fistula
                • Uretero-neocystostomy
                • Wilm’s Tumour

 

Piles Clinic

The General Surgery department runs a successful Piles Clinic for providing effective treatment for diseases related to the rectum and anus such as piles, fissure and fistula. While many people may find it embarrassing to talk about their anal and rectal troubles, consulting your doctor about the problems is important because most of these conditions can be treated if diagnosed properly at an early stage.

 

The consultation in the Piles Clinic runs on all Wednesdays from 10:00AM to 12:noon and 5:00PM to 7:00PM

 

Operative procedures are done on Tuesdays & Thursdays from 9:00AM to 6:00PM.

 

Procedures in the Clinic include

 

                • Diagnostic procedures
                • Rectal examination
                • Proctosigmoidoscopy
                • Injections / sclerotherapy
                • Rubber band ligation
                • Infra red coagulation

 

For answers to some of your medical queries and more information on the above, click on these links:

 

Piles FAQ              Fissure FAQ               Fistula FAQ

 

Meet Our Specialists
Dr. CGR

Dr. C.G.Raghu , MS FRCS Ed, FRCS(Glasg) DMIRCS Ed
Senior Consultant General / GI surgeon

Trained in India & UK with 35 years experience. Joined EMC – 1994

Special interests : Luminal GI surgery, Laparoscopic surgery, Colon and Anorectal surgery

Consultation Timings : 10:00AM to 12:00 noon and 6:00PM to 7:00PM on Monday, Wednesday, Friday

Saturdays 10:00AM to 12:00 noon

 

Dr. P S Binu

Dr. P S Binu , FRCS (Lond), FRCSEd, DCH (Lond)
Senior Consultant General / Paediatric surgeon

Trained in India & UK with 41 years experience

Special interests : Paediatric surgery, Adult thyroid, Breast, Parotid and Endocrine surgery 

Consultation Timings : 9:30AM to 10:30AM and 6:00PM to 7:30PM Monday through Friday.  Saturdays 9:30AM to 10:30AM 

 

Dr. Joby

Dr. Jobi Abraham , MS, FNB
Consultant Minimal Access surgeon

Special interest : Laparoscopic surgery, Cholecystectomy, Different types of hernia, Bariatric surgery, Colorectal minimal access procedures 

Consultation Timings: 9:00AM to 12:30PM and 6:00PM to 7:00PM Monday through Friday.  Saturdays 9:00AM to 12:30PM

 

 Dr. M G Joy

Dr. M G Joy , MS, MCh (Paed.)
Consultant General / Paediatric surgeon

Special interest : Neonatal surgery, Paediatric Urology, Laparoscopic and Thoracoscopic procedures  

Consultation Timings : By prior appointment

 

 

How to book an appointment