Institute of General and Minimal Access Surgery

Overview

The Institute of General and Minimal Access Surgery at the Sir H. N. Reliance Foundation Hospital offers conventional, laparoscopic, and robotic surgical treatments for various medical conditions. Our department provides world-class surgical services in routine and complex cases supported by surgical expertise and advanced technology. We also serve as a referral centre for the management of various surgical complications.

The department has 12 spacious operation theatres and the latest and most sophisticated equipment for both endoscopic advanced laparoscopic and robotic surgeries. We have a dedicated minor operation theatre exclusively for day-care surgeries, ensuring maximum patient comfort and rapid recovery.

We also provide 24×7 support owing to a state-of-the-art trauma theatre within the emergency department. Our integrated setup minimises excessive patient movement and facilitates life-saving surgeries within the golden hour.

This department aims to perform most surgeries through small incisions, minimising pain, reducing the risk of infections, and facilitating early recovery. Our advanced equipment and internationally renowned surgeons underscore our unwavering dedication to patient care and well-being.

Location: Level 2, Heritage Building

Timings: 8:00 am to 8:00 pm

Our Services
Technology & Infrastructure
Conditions We Treat

The department hosts a range of sub-units catering to various sub-specialities in the field of general and minimal access surgery.

Metabolic and bariatric surgeries: We perform state-of-the-art laparoscopic and robotic procedures, ensuring precision, safety, and optimal outcomes:
- Laparoscopic/Robotic Sleeve Gastrectomy: Removal of a portion of the stomach for limiting food consumption.
- Laparoscopic/Robotic Gastric Bypass: Creation of a small stomach pouch and connecting it directly to the small intestine, limiting food consumption and nutrient intake. The bypass surgeries we offer include the following: Roux-en-Y Gastric Bypass, One Anastomosis Gastric Bypass, Sleeve-Duodeno-Jejunal Bypass, Single Anastomosis Duodeno-Ileostomy, Duodenal Switch, and Sleeve with Proximal Jejunal Bypass.
  - Laparoscopic/Robotic Revisional Bariatric Surgeries: To correct or improve outcomes from a previous weight loss surgery.
  - Endoscopic Sleeve Gastroplasty: Reduction of stomach size endoscopically through insertion of a specialised endoscope into the stomach, followed by the stitching of the stomach walls together, creating a smaller, tube-like reservoir.

Hernia repair surgeries: We offer advanced laparoscopic and robotic techniques for repairing hernias, i.e., the protrusion of an organ/tissue through a weakened area in the muscle or tissue within which it is normally held in place. The hernia repair surgeries we offer include Trans-Abdominal Pre-Peritoneal (TAPP) Hernia Repair, Total Extraperitoneal (TEP) Hernia Repair, Open Intraperitoneal Onlay Mesh (IPOM) Plus Hernia Repair, Extended Totally Extraperitoneal (eTEP) Hernia Repair, Extended Totally Extraperitoneal (eTEP) Hernia Repair with Unilateral or Bilateral Transversus Abdominus Release (TAR), and Subcutaneous Onlay Laparoscopic Approach (SCOLA).

Gastrointestinal surgeries: Our department offers advanced laparoscopic treatments for a wide range of benign and malignant conditions, ensuring precise and minimally invasive care.
- Surgeries for benign conditions:
  - Cholecystectomy: Gall bladder removal.
  - Appendectomy: Appendix removal.
  - Splenectomy: Spleen removal.
  - Puestow’s Procedure for Chronic Pancreatitis: Opening the main pancreatic duct and connecting it to a loop of the small intestine (jejunum) to create a new pathway for pancreatic secretions to drain, relieve pain, and improve pancreatic function. 
  - Cardiomyotomy: Cutting the muscle at the lower end of the oesophagus to allow food and liquids to pass more easily into the stomach.
  - Fundoplication: Wrapping the fundus (top part of the stomach) around the lower end of the oesophagus to prevent the contents of the stomach from flowing back into the oesophagus.
  - Surgery for correcting intestinal obstructions
  - Rectopexy: Reattaching the rectum to its proper position, often using sutures or meshes.
  - Total Procto-Colectomy with an Ileal Pouch: Removal of the entire colon and rectum and the creation of a pouch from the ileum (small intestine) for normal bowel function.
  - Sigmoid Colectomy: Removal of the sigmoid colon, which connects the large intestine to the rectum.
- Surgeries for malignant conditions:
  - Subtotal/Total Gastrectomy: Partial (subtotal) or complete (total) removal of the stomach.
  - Small Intestine Resection: Removal of a portion of the small intestine.
  - Whipple Procedure: Removal of the pancreas, duodenum, and bile duct when they are affected by cancer or other conditions.
  - Esophagectomy (For Cancers of the Food Pipe): Complete or partial removal of the oesophagus.
  - Abdominoperineal Resection (APR): Removal of the anus, rectum, and part of the sigmoid colon when they are affected by cancer.

General surgery: We have expertise in several types of general surgeries, such as cyst excision, lipoma removal, fluid drainage, pilonidal sinus surgery, diabetic foot surgery, haemorrhoidectomy, which is the removal of haemorrhoids, fissurectomy, which refers to the removal of anal fissures, fistula repair surgeries, which are surgical procedures to repair fistulae, and incision and drainage of abscesses.

Pre- and post-surgery consultation: We also offer educational sessions with our experienced surgeons to ascertain whether minimally invasive surgery is the right option for you and for pre- and post-surgery care.

The Department of General and Minimal Access Surgery is equipped with state-of-the-art infrastructure to facilitate minimally invasive surgeries for managing a wide range of medical conditions, ranging from common issues to complex conditions, such as cancer.

Twelve spacious operation theatres equipped with sophisticated equipment for both endoscopic advanced laparoscopic and robotic surgeries.

Our surgeons are proficient in performing laparoscopic, endoscopic, and keyhole surgeries using advanced tools and technologies. The department provides 24×7 support through a state-of-the-art trauma theatre within the emergency department, equipped with advanced CT and MRI equipment.

We also possess state-of-the-art equipment that help enhance the surgeon’s vision, precision, and control by providing magnified 3D views of the surgical site helping us perform advanced procedures, such as Da Vinci robotic surgery and image-guided surgery.

Our clinic is dedicated towards the treatment of a plethora of malignant and benign conditions:

Malignant conditions
- Oesophageal cancer
- Stomach cancers
- Intestinal cancers
- Pancreatic cancer
- Anal/rectal cancer
Benign conditions
- Hydrocoele: Fluid collection within the scrotum, i.e., the sac containing the testicles.
- Lipomas: Benign tumours composed of fat cells.
- Sebaceous Cysts: Benign bumps formed after the clogging of the sebaceous glands, which secrete sebum, an oily substance that keeps the skin lubricated.
- Pilonidal Sinus: Formation of a cyst/abscess in the cleft at the top of the buttocks.
- Diabetic Foot: A collection of conditions affecting the feet in diabetes patients, including nerve damage, poor circulation, and increased susceptibility to injuries, infections, and ulcers.
- Obesity/overweight
- Achalasia: A rare disorder in which the nerves in the oesophagus are damaged, affecting its ability to squeeze food and liquids into the stomach.
- Hernias
- Cystic echinococcosis: Formation of sacs filled with fluid and tapeworm larvae after infections caused by the parasitic tapeworm Echinococcus granulosus.
- Intestinal obstructions
- Pelvic organ prolapse: Descent of one or more pelvic organs from the normal position due to ligamental/muscular weakness.
- Stones in the gall bladder/pancreas/kidneys
- Ulcerative colitis: A chronic inflammatory condition associated with ulcer formation in the large intestine (colon).
- Diverticulitis: Inflammation of infection of bulges (diverticula) that are formed in the colon.
- Anorectal Conditions: Haemorrhoids, fissures, fistulas, and abscesses, which are pus-filled pockets near the anus/rectum.