Gastrointestinal Surgery & Liver Transplantation
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The Department of Gastrointestinal Surgery & Liver Transplantation at VPS Lakeshore Hospital is one of the largest in the country in terms of strength, skills and experience. The Department is authorized by the National Board of Examination to train qualified General Surgeons for the sub specialty of GI surgery. It is also recognized for training surgeons for the Fellowship examinations of the Royal College of Surgeons of Edinburgh. The department is also a recognized center for the HPB Fellowship of the International Hepato-Pancreato-Biliary Association. The unit attracts a large number of patients from the rest of the country and also from abroad. The department has an integration of all support specialities like Radiology, Oncology, Radiation Oncology and Medical Gastroenterology which ensures that patients suffering for diseases of the GI system get comprehensive treatment under one roof. The department has round the clock availability of senior experts thus ensuring timely intervention when it is required. The Liver Transplant facilities at VPS Lakeshore are state-of-the-art and at par with the best in the world. There exists cutting edge operation theatres and world class transplant ICU's which are manned by expert physicians who have been trained at some of the best centres across the world. The high success rate, excellent infrastructure,pioneering technology at affordable costs makes Lakeshore hospital one of the most sought after centres for Liver Transplantation in the country.
The department has several firsts to its credit:
- It performed the first Living Related Liver Transplantation in Kerala in an 11 year old boy.
- It has performed the largest number of Pancreatic Surgeries in the country.
- It has pioneered in Advanced Laparoscopic Surgery in the region.
The following divisions exist in this department
Hepato Biliary & Pancreatic Surgery
The center performs a large volume of major liver resections for cancer, bile duct cancer, and repair of biliary strictures as well as shunt surgery for portal hypertension. Multimodality treatment for liver cancer including the use of key-hole surgery for guiding tumour ablation is also performed. Pancreatic resections for cancer, as well as drainage operations including Frey Procedure are performed regularly. The center has the largest experience for surgery for chronic pancreatitis.
Surgery for diseases of the esophagus and stomach including cancers, and swallowing disorders, and reflux symptoms. Many of these operations require procedures in the thorax (chest) and neck, and many are performed laparoscopically (key-hole surgery).
The Unit has pioneered the development of Laparoscopic surgery in the region. All forms of basic and advanced laparoscopic surgery are performed using state-of-the-art equipment. Diseases such as gall stones, appendicitis hernias of the abdominal wall, and diaphragmatic hernia, splenic disease and adrenal tumours, intestinal obstruction, liver cysts, some pancreatic diseases, gastroesophageal reflux disease, achalasia, rectal prolapse, GI cancers, and emergencies such as duodenal perforation, intestinal obstruction, and many other conditions are treated surgically.
All colorectal surgeries including pouch procedures for ulcerative colitis, surgery for Crohn’s disease, and sphincter saving resections for rectal cancer (avoid colostomy). The Unit has a very large experience with the treatment of anal fistula especially high, recurrent fistulae.
A specialized proctology clinic deals with diseases of the anus and rectum. Out -patient clinics are run daily, and out-patient treatment of common anal conditions is carried out. The Unit is one of the largest centers for the treatment of hemorrhoids (piles), and stapler surgery is also carried out.
A specially trained enterostomal therapist (ET) oversees management of patients with artificial stomas (colostomy and ileostomy) and also in managing the skin during treatment of Gastrointestinal fistulas. She is able to provide training to ostomates to help rehabilitate them to normal life. Services in this division are provided free of charge, and membership forms of Ostomates India (a nationwide society of ostomates) is available. Membership provides the opportunity for receiving information, technical advice and material such as colostomy pouches and ileostomy bags at a very subsidized price.
In combination with the Departments of Medical Gastroenterology, Hepatology, Radiology, Pathology and other laboratory services, this provides a comprehensive Digestive Diseases Center which is one of the premier services in the country. The Unit is equipped with state-of-the-art infrastructure in the Operation Theaters and the Intensive Care Units.