Surgical Gastroenterology
 

Surgical Gastroenterology is one of the recent sub specialties in the field of surgical practice. A full-fledged department of Surgical Gastroenterology along with the laparoscopic surgical facilities has been functioning since 1990 at Apollo Hospitals, Jubilee Hills, Hyderabad, which is first of its kind in Andhra Pradesh and South India. The department deals with all the diseases of the entire digestive tract, which include Oesophagus, stomach, small intestine, large intestine, rectum, anal canal besides Liver, Gall bladder, and the Pancreas.

The department is recognized by Royal College of Surgeons of Edinburgh for surgical training leading to AFRCS. The department is known all over the country for its expertise in imparting training in Laparoscopic surgery, it is equipped with a full-fledged animal laboratory and infrastructure to train budding Laparoscopic Surgeons. A considerable number of surgeons from all over the country have already had the benefit of acquiring superior skills in minimally invasive surgery.

The department is keeping pace with all the current trends in the diagnosis and treatment of all surgical problems related to digestive tract. The department has quite an active academic program viz.; seminars, guest lectures and presentations. 
 
A brief history of the department when it was founded, its growth, key milestones etc

  • The department was Founded in 1988 – Apollo Hospitals was the first hospital then, to start a Dept of Surgical Gastroenterology. 

  • The department was also first to begin Laparoscopic Surgery work in 1990.

  • Largest number of LAP surgical procedures in this part of the country with 99.5 % success rate.

  • First to do lap PDA ligation in south India in the year 1995-96 

  • First to start a Hand Assisted Lap Procedure (HALS) for solid organs Ex.Spleenectomy

  • First to start animal lab for training Surgeons in Laproscopic Surgeries.

  • All the major surgeries (Advanced lap surgeries) for liver / stomach / colon / Hepato Biliary and Pancreatic Surgeries etc.,

  • One of the first to acquire harmonic scalpel for blood less surgery, in the state.

  • Also perform Surgery for morbid obesity

Key specialties
 
Routine Laparoscopic procedures, Major surgeries for Liver / stomach / Colon / GI, etc., using laparoscopic technique.

  • International expertise & exposure of the doctors

  • All medical specialities are available under one roof

  • Excellent diagnostic and support service

  • High standards of treatment and care

  • Proven track record

Sub department or specialized clinics for particular age group or disease 

  • Piles clinic / Hernia clinic / Obesity clinic

  • Cases handled (challenging, cannot be solved anywhere else, high risk, cutting edge innovative etc.)

As a tertiary referral centre most of the patients coming to this hospital are in the end stage of their ailment which is very complex in nature and hence becomes a high risk case. In addition most of them are associated with illness like Hypertension, / Diabetes / Cardiac etc, Almost 60 % of the cases operated upon are either high risk or challenging in nature. 
 
Support services for patients, their family members 

Pre-operative and post operative counseling for patient and attendants, Details on treatment plan and time, Rehabilitation & Diet counseling for patient.

The post operative initiatives taken by this department for Poly trauma & perennial surgeries is physiotherapy & endocrinology (Diabetic) advice coupled with Dietician and Psychiatry (Psychology) advice.

Research and training initiatives undertaken by the department

  • Proposing for DNB in Surgical Gastroenterology 

  • Already imparting Academic & Practical training to post graduates in AFRCS.

  • Animal Lab for lap surgery training 

Diagnostic facilities offered by the department 

  • Diagnostic laparoscopy for penetrating and blunt injury abdomen

  • Diagnostic Laparoscopy and Biopsy 
    - For Abdomen TB
    - Tuberculosis
    - Lymph node biopsy in lymphoma / malignancy / Tumor staging 

The equipment and facilities offered by the department
Diagnostic Laparoscope, Microscope

The surgical treatments offered by the department

  • Laproscopy in Hepatobiliary Surgery

  • Lap Chole

  • LAP CBD Exploration

  • Lap for Hydatid Cyst Liver

  • Simple Cyst Liver

  • Liver Biospy 

Laparoscopy on Oesophagus and stomatch 

  • Hellers’s Myotomy for Achalasia Cardia

  • Nissen fundoplication for GORD

  • LAP G J + Vagotomy

  • Lap Gastric anding for Obesity surgery

  • Lap Duodenal Ulcer perforation closure

Pancreas

  • Lap Cystogastrostomy 

Laparoscopy Adhesiolysis
Laparoscopy Hernioplasty
Laparoscopy Appendicectomy
Hand Assisted laparoscopic Surgery for Solid organs

  • Spleenectomy

  • Colectomy

  • Gastrectomy

  • Hemicolectomy

Laparocopic drainage of Pelvic and Liver Abscess 
Stapler Haemorroidectomy

Case studies of challenging cases, international patients handled by the department

  • Treated an international patient with Hippo Bite from Tanzania –injuring the 
    perineum- a reconstructive procedure

  • Treated Bullet injury cases in which the liver was partially damaged.

  • Road traffic accidents involving major organs

  • Poly-trauma.
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