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Nature of Business
Nursing Homes / Clinics / HospitalsSurgical Gastroenterology
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Surgical Gastroenterology has made phenomenal advances and has created a niche for itself, to keep in step with advances in medical Gastroenterology.
At Nidhi Hospital, we have a multispeciality Department of Surgical Gastroenterology providing exclusive and comprehensive services to patients with complicated diseases of pancreas, biliary tract, gastrointestinal tract, liver and spleen.
This specialty deals with diseases arising from esophagus, stomach, intestines, liver, gall bladder, bile duct and pancreas.
Procedures
- Gastroscopy , Colonoscopy & ERCP
- Stopping bloody vomiting / bleeding from back passage
- Removal of a swallowed foreign body
- Dilation of narrowed esophagus or intestine
- Removal of polyp or early cancer from esophagus / stomach / intestines
- Endoscopic examination and biopsy of small intestine (Terminal Ileoscopy)
Special Features
- Liver Clinic: a comprehensive clinic for patients with various liver diseases. People are screened who are at high risk for developing liver disease (diabetic and obese, regular alcohol consumers, sufferers of hepatitis-B & C and those with family history of liver diseases).
- We provide preventive diagnostic endoscopy services to patients who are at high risk of developing gastro-intestinal cancers for various reasons like chronic tobco chewing, smoking or chronic alcohol consumption and people with strong family history of gastro-intestinal cancers.
- Comprehensive care is provided to patients who are suffering form intestinal tuberculosis, chronic diarrhoea, Ulcerative Colitis, Crohn’s Disease, colon cancer, bleeding from back passage, chronic constipation and ano-rectal problems etc.
- Laproscopic surgery for various gastro-intestinal or Hepato – Pancreatic - Biliary
Gall Bladder Surgery
Stones in the gall bladder can cause recurrent pain, belching after food, back pain or even shoulder pain. If left untreated, it can cause Jaundice or Pancreatitis, both very serious illnesses. Long standing gall stones can cause cancer of the gall bladder. Gall bladder removal (Cholecystectomy) is the only treatment. Laparoscopic removal of gall bladder gives rapid recovery.
Bile Duct Surgery
Jaundice is usually caused by viruses. However, if jaundice is due to blockage of the bite duct; either by stone, tumor or injury; Endoscopy or surgery can relieve it effectively with long lasting effects.
Pancreatic Surgery
Pancreas is an organ that secretes insulin. It can get affected by a disease called Pancreatitis, which is caused by alcohol, gall bladder stones, trauma, drugs, lipid problems etc. It can either develop stones in the duct or calcification in the parenchyma. It causes persistent pain or diarrhoea. Surgery can relieve this. Cancers of the pancreas can also be surgically treated with good results.
Liver Surgery
Liver is a unique organ with amazing power of regeneration. Upto 70% of liver can be removed to treat cancers of liver.
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General Surgery
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General Surgery involves round the clock presence of surgeons in hospitals in case of emergency surgeries. Apollo's general surgeons are experienced, highly qualified surgeons who are well supported by resident doctors. The general surgery department is well equipped to take charge of all surgical emergencies and problems. Abdominal traumas and other acute emergency cases are efficiently handled by the caring doctors and staff of the hospital.
Emergency surgeries and Elective Surgeries are performed regularly.
Emergency Surgeries
Emergency surgeries include all abdominal trauma cases which need immediate attention and surgery.
- Perforation of the gastrointestinal tract • Intestinal obstruction is the failure of the intestine to pass contents a due to partial or complete blockage of the bowel.
- Obstructed abdominal hernias can advance towards strangulation since it is a medical disorder in which bowel is trapped and blocked but feasible.
- Acute abdominal cases like acute appendicitis, acute cholecystitis, etc.
- Acute abdominal pain due to sudden swelling of the gallbladder caused by gallstones causes acute cholecystitis.
- Acute appendicitis medically known as epityphlitis is swelling of the appendix which requires removal through surgery.
Elective Surgeries
Thyroid surgeries like hemithyroidectomy, total thyroidectomy, etc.
Hemithyroidectomy is the surgery of either of the lobes of the thyroid gland suspected of being cancerous. If on removal of the nodule and further pathological investigation it proves to be cancerous there is a complete thyroidectomy which is a separate operation.
- All breast cases like breast lumps, radical mastectomy, etc.
Breasts lumps are tissues that develop when the changes occur in breasts due to hormonal variations. Mostly they are not cancerous but removal of lumps is always safe.
Radical mastectomy is the removal of the breast to combat breast cancer - Colorectal surgery
Inflammation of the colon and rectal which can lead to cancer. - Semi and total colectomies, fissure, fistula in ano and haemorroidectomy using the latest laser techniques Haemorroidectomy, known as piles are small blood swellings located inside the anus but protrudes out.
- All hernias like hydrocele, etc.
It is a collection of watery fluid around the testicles. Generally found in new born babies. Surgery needed when it stays in 12 to 18month babies too. - G.I. Surgery
- Diabetic foot surgery using the latest techniques
Specialist Care
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Spine Surgery
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Intervertebral Discs are composed of the relatively soft, gelatinous cushions (nucleus pulposus) which are surrounded by a thick fibrous cover (annulus fibrosus). The disc functions as a shock absorber between the hard, bony vertebrae. A herniated disc is a protrusion of the nucleus through the annulus which in turn presses against a nerve traveling through the spinal canal.
Discs herniate most commonly in the lower back, also occur frequently in the lower neck and more uncommonly may occur anywhere.
Why does it happen?A disc may herniate because of sudden bending forward or lifting heavy weight, sudden trauma, lifting the bag in the wrong way. It can happen because of the cumulative long term effects of poor body mechanics - a lifetime of too much bending and twisting, too many awkward positions. Herniation in the lumbar and cervical spine usually occurs with increased frequency in middle aged patients (30-50 years old). This is because the relatively flexibility & reparative ability of youth is slowly replaced with the stiffness & disc degeneration of progressive age.
How does it manifest?Depending on the site of herniation, and the amount of pressure on the spine roots or spine itself, a wide range of symptoms are possible. In addition to pain around the site of the herniation i.e. low back pain, many disc patients also experience significant pain somewhere in buttock, thigh, calf or even entire leg. This is because when discsooze and bulge, they ooze and bulge into spaces occupied by nerves. Because these nerves are carrying impulses from brain to different parts of his body, the pain is experienced in those parts of body where the compressed nerve is taking the impulses.
DiagnosisSeveral kinds of imaging tests, including x-rays, CT scans and MRI scan are available to confirm the clinical impression of a physical examination. In general, x-rays and CT scans are more informative of bony structures while MRI scan is more helpful for disc pathology and nerve root compression. Herniated disc are rarely a diagnostic mystery.
TreatmentThere are different types of treatment options available. At times, doctors often disagree about the treatment of disc disease. The fact is, different patients sometimes respond to the same treatment in very different ways.
At least initially the conservative treatment is best, unless there is clear evidence of severe nerve involvement, significant loss of sensation, partial paralysis, or bowel or bladder dysfunction. By conservative therapy, it means bedrest, mild stretching exercises, heat or ice, massage, braces, and drugs to reduce pain, relax muscles and reduce inflammation. Cervical (neck) or pelvic (lower back) traction, ultrasound therapy and electronic nerve stimulation are also options. When patient doesn’t respond to this, doctor may prescribe epidural injection, that is injecting local steroid directly in to spinal space to reduce nerve inflammation and there y pain of herniated disc.
When conservative therapy failsFor discs that do not respond to conservative treatment, the last option is of course, surgery. It means surgical removal of offending portion of a herniated disc. While surgeries may not help in repairing the the disc itself, it can remove the prolapsed portion of the disc (nucleus pulposus), thereby reducing pressure on the nerves and therefore pain.
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