SURGERY

General Surgery


Surgery




The Department is a major provider of acute surgical care and tertiary surgical services in Hyderabad. We provide comprehensive surgical services in general and surgical subspecialties including endovascular surgery, surgical oncology, minimally invasive surgery, surgical endoscopy, trauma and liver transplant.


Minimally Invasive Surgery



  • Management of gallstone disease

  • Laparoscopic Bariatric Surgery for obesity

  • Management of gastroesophageal reflux disease requiring fundoplication, paraoesophageal hernias, achalasia, gastric tumours, groin hernias, hyperhidrosis, enlarged spleen where minimal access surgery may be useful

  • Diagnostic and staging laparoscopy for evaluation of tumours


Upper Gastrointestinal Surgery & Endoscopy Service



  • Comprehensive management of oesophagus, stomach and other upper GI cancers

  • Management of obesity

  • Management of upper GI motility disorders

  • Fiberoptic endoscopic service provides screening, diagnosis of upper gastrointestinal tract disease (peptic ulcer disease, gastric and oesophageal cancer, etc)

  • Therapeutic endoscopy in the treatment of bile duct stones, achalasia, stricture, advanced gastrointestinal cancers and intragastric balloon for obesity.


Hepatobiliary and Pancreatic Surgery



  • Management of problems of stones disease of the gallbladder and biliary tree (including recurrent pyogenic cholangitis)

  • Management of benign conditions of the liver (including benign tumours, abscesses, cysts)

  • Management of benign conditions of the bile duct (including benign tumours, choledochal cysts, injuries, stricutre)

  • Management of benign conditions of the pancreas (including stones, pancreatitis)

  • Management of malignant tumours of the liver (including HCC, cholangiocarcinoma and liver metastases), gallbladder and bile duct cancers, and pancreatic tumours (including adenocarcinoma and cystic tumours)

  • Functional evaluation of liver reserve


Trauma Surgery



  • Trauma Service

  • Integrating multi-disciplinary care of the multiple injured patient

  • Trauma Registry

  • Quality Assurance activities

  • Educational lectures for doctors and nurses


Head and Neck Service



  • Head and Neck Oncology, eg. cancers of the oral cavity, hypopharynx, cervical, oesophagus etc

  • Thyroid nodule evaluation and treatment of thyroid malignancies and associated disease

  • Salivary gland disease especially malignancies

  • Multi-disciplinary participation from Oral Surgery, Neurosurgery, Plastic & Reconstructive Surgery and Radiotherapy


Vascular Surgery



  • Chronic leg ischemia-claudication, rest pain, gangrene and ulcers

  • Acute leg ishcemia-sudden pain, coldness, numbness

  • Vascular shunts for renal dialysis

  • Periotoneal dialysis procedures

  • Vericose veins, venous ulcers, spider veins

  • Swollen legs

  • Abdominal and peripheral aneurysm

  • Visceral ischemia – pain on eating

  • Ischemic hands – cold, blue, painful, numb hands

  • Vascular trauma

  • Renal artery disease – hypertension, renal salvage

  • Carotid artery disease – transient ischemic attacks

  • Endovascular procedures – aneurysm stents

  • Vascular malformations – hemangiomas

  • Vascular ultrasound/Duplex

  • Carotid/Vertebral artery assessment

  • Abdominal aorta (Endograft)/Renal artery/Mesenteric artery assessment

  • Arterial system of the upper and lower limbs

  • Vascular graft surveillance/AV Fistulae

  • Venous scan to assess venous thrombosis and venous insufficiency

  • Ultrasound guide compression maneurver as an alternative treatment for pseudoaneurysm

  • Non-invasive vascular assessment

  • ABPI/Toe (Finger) pressure/Walk Test

  • Laser doppler flowmetry


Nutritional Support Services



  • Dedicated Surgeons, Physicians, Nursing Officers, Dieticians and Pharmacists provide multi-disciplinary Nutritional Support Service for patients requiring enteral or parenteral nutritional support


Colorectal Surgery


At PACE Hospitals, our dedicated team of Colorectal surgeons offer comprehensive consultations on all colorectal services. This includes pelvic floor disorders, benign bowel and perianal conditions, as well as risk counselling for suspected hereditary colorectal cancers and syndromes.


We provide a wide range of services, ranging from diagnostic and therapeutic endoscopic procedures, anorectal physiology and ultrasound, as well as biofeedback for problems such as faecal incontinence and constipation. We are also the leading Centre in the Hyderabad region performing advanced laparoscopic and single-port laparoscopy colorectal surgery for colorectal malignancies and benign bowel disorders. In addition, we are developing a cutting edge robotic surgery, treatment of advanced recurrent cancers requiring pelvic exenterations, as well as new perianal fistula and haemorrhoidal procedures which improve outcomes and recovery. We have recently established the pelvic disorder service and the genetic counselling service to provide patient centric streamlined management.


Day Surgery


Our department performs a range of minor operations in our Ambulatory Surgery Centre. These surgeries are mainly for minor anal and peri-anal conditions for which the patient can be discharged on the same day as the surgery. This allows our patients to return to the comfort of their own homes and resume their daily activities with as little inconvenience as possible.


Hemorrhoidectomy


The most common surgery done in our day surgery is surgery for piles, also known as hemorrhoidectomy. Surgery is performed for symptomatic hemorrhoids (a.k.a piles) which are not relieved by other non-surgical methods.


We offer the following methods of hemorrhoidectomy:



  • Conventional hemorrhoidectomy

  • Stapled hemorrhoidectomy

  • Transanal hemorrhoidal dearterialisation

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