Super Speciality Departments   

  PVS Institute Of Gastrointestinal Surgery

The Department of Gastrointestinal Surgery is a tertiary referral centre attracting patients from all over India and Gulf countries. This highly specialised unit is committed to focussed care on Gastro-Intestinal diseases and is well equipped to perform all major GI surgeries like liver resections, pancreatic resections and all advanced GI Laparoscopic surgeries.

 The main objective of the department is to serve as an apex institution providing state-of-the art medical facilities though highly sophisticated equipment and highly skilled personnel and to serve as a training institution on the subject.

The department has state-of-the-art equipments like Harmonic Scalpel, vessel sealing system, Intra-operative ultrasound, High Definition 3-Chip laparoscopic systems of Karl-Storz, Stryker and has facilities like Intra-operative Endoscopy. The department has a centrally air-conditioned Surgical Intensive Care Unit (SICU) equipped with the most sophisticated equipments, monitors and centralized suction and oxygen distribution facilities. 

This hospital has been bench-marked with Mayo Clinic of USA by the Business World Magazine. The centre has been recognized as an approved institution for imparting training for FRCS by the Royal College of Surgeons of Edinburgh.
 This Unit is a recognised training centre for DNB in GI Surgery approved by the National Board of Examinations. This unit attracts surgeons from all over country and abroad for Laparoscopic Training in Colorectal Surgery for the PACE program of Covidien and by the Ethicon Endosurgery.

The procedures commonly undertaken by GI Surgery Department are:
     

Bariatric Surgery: Today, with sedentary lifestyle and bad food habits, obesity is a problem faced by many across age groups. The modern urban Indian is affected the most. Even young kids fall into this bracket. Obesity leads to various health problems from lifestyle diseases like Diabetes, Blood Pressure and Cholestereol to more serious ailments like heart trouble, renal failure, infertility and so on. Exercise and Diet can make a difference. But it takes time and diligence for positive results.

Bariatric surgery is an absolute safe and secure method that gives quick results. This type of surgery actually minimizes the size of the stomach so that intake is lessened as one gets the filled feeling with just a little. The operation involves making a new, smaller stomacch and bypassing the first of your small intestine. After the surgery the food will go into the new stomach and will then pass into the new route bypassing the rest of the stomach.

Hepatic resection: Hepatic/liver resections are done commonly for liver tumours. It requires good preoperative planning, meticulous surgery and intensive postoperative care for good results following hepatectomy. The following procedures are done regularly in my department. 

  •  Right and left hepatectomy
  •  Parenchyma –conserving liver resection 
  •  Surgery for Kalatskin tumour
  •  Radical cholecystectomy for carcinoma gall bladder
    Surgery for choledochal cyst (often done laparoscopically)
     

    Pancreatic surgery: Pancreatic surgery also requires through planning and execution of surgery and meticulous postoperative care.
    Whipples pancreaticoduodenectomy for carcinoma pancreas and periampullary carcinoma 

    •  Lateral Pancreatojejunostomy, Head-Coring with LPJ for chronic pancreatitis
    •  Distal pancreatectomy (often done laparoscopically)
    •  Median pancreatectomy
    •  Pancreatic necrosectomy and surgery for pseudocyst (often done laparoscopically) 

    Luminal GI Surgery: These procedures are done for lesions of esophagus, stomach, small intestine and colon. Most of these procedures are done laparoscopically. They include

    • Thoraco-laparoscopic minimally invasive esophagectomy
    •  Laparoscopic Surgery for Achalasia Cardia
    •  Laparoscopic fundoplication for Hiatus Hernia or GERD
    •  Radical Gastrectomy
    •  Small Bowel resections/Strictureplasty
    •  Laparoscopic Colonic resections, Anterior Resections, APER etc.
    •  Lap. Restorative proctocolectomy with Ileal Pouch Anal Anastomosis (IPAA) 

    Advanced GI Laparoscopy:
    This unit is a specialised centre for all GI laparoscopic procedures. This unit has performed maximum number of colonic & rectal resection for benign lesions and for cancer. Unit is equipped with High Definition 3-Chip Camera system from Karl-Storz and Stryker, Harmonic scalpel, thermosuflator, vessel sealing system etc. Commonly performed laparoscopic surgeries are 

    •  Laparoscopic Anterior resection for carcinoma rectum.
    •  Laparoscopic APER for anal canal tumours
    •  Laparoscopic colonic resection (Hemicolectomy, Segmental Colectomy etc) for benign and malignant lesions
    •  Laparoscopic restorative proctocolectomy with IPAA for polyposis coli.
    •  Thoraco-Laparoscopic surgery for Esophageal cancer
    •  Lap surgery for Achalasia Cardia (cardiomyotomy)
    •  Laparoscopic Fundoplication Gastroesophageal Reflux Disease (GERD)
    •  Laparoscopic surgery for inguinal hernia (Lap TEP & TAPP repair)
    •  Laparoscopic mesh repair for Incisional & Umbilical Hernia
    •  Laparoscopic cholecystectomy
    •  Lap CBD exploration for CBD stone
    •  Laparoscopic surgery for choledochal cyst
    •  Laparoscopic Gastrectomy
    •  Laparoscopic resection for liver lesions
    •  Diagnostic laparoscopy
    •  Laparoscopic adhesiolysis
    •  Lap Appendicectomy
    •  Laparoscopic Bariatric/Obesity surgery
    •  Laparoscopic splenectomy
    •  Laparoscopic pancreatectomy
    •  Laparoscopic pancreatic necrosectomy

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Achievements of the Department:

 ·         Track record of more than 12000 successful open GI surgery procedures

 ·         Successfully completed more than 4500 GI Laparoscopy procedures

 ·         Highest number of Laparoscopic Colorectal Surgeries in Kerala

 ·         First Single Incision Laparoscopic Surgery  (SILS) Cholecystectomy in Kerala

 ·         Second laparoscopic Whipple’s resection for pancreatic tumour in Kerala.

 ·         Maximum number of laparoscopic liver surgery in the state.

 ·         Second centre for DNB GI Surgery in Kerala.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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