General Surgery

The department of general surgery has now become a Secondary & Tertiary referral center. An increasing number of patients with complex ailments and patients treated or operated at other centers are referred to Arihant Hospital for state-of-the-art modern management (in operation theatres, surgical intensive care unit, & wards) Apart from those requiring routine operations, quite a number of patients with Acute Severe Pancreatitis, Septic Abdomen, Complex thyroid diseases & parathyroid problems, are treated In the intensive care unit, in addition surgical and medical intensive care, the patients are administered advanced parenteral nutrition via sophisticated types of tubes inserted into major blood vessels by special techniques. When required even intestinal nutrition is delivered by special tubes inserted into appropriate part of the intestines. The complex nutrition is administered with monitoring of various pertinent parameters. constant.

Routine Out-door Indoor and emergency services including:

• Conventional (open) as well as laparoscopic surgery for gall bladder, hiatus hernia, spleen, appendix, hernias etc.
• Major surgery for pancreas, hepatobiliary system, breast, thyroid and other endocrine glands, cranioplasties, abdominal trauma, fistula, chest and esophagus surgery, all types of cancer surgeries for mouth, lungs, intestine, thyroid and other parts of the body.
• Emergency surgery for injuries, gastrointestinal bleeding, perforation, peritonititis, appendicitis, intestinal obstructions etc.

Patients with critical illness such as acute pancreatitis and enterocutaneous fistula as well as gastrointestinal bleeding, perforative peritonititis. Those undergoing supra-major operations are managed by a modern surgical intensive care unit manned by well-trained intensivists.

Equipment

• Facilities for intra operatives x-rays (with C arm x ray machines) and intra operative luminal endoscopies as well as equipment like LASERS, CuSa, ultrasonic scalpel etc are also available.

What are Gallstones ?

Gallstones are small, pebble – like substances that develop in the gallbladder. The gallbladder is a small, pear – shaped sac located below your liver in the right upper abdomen. Gallstones form when liquid stored in the gallbladder hardens into pieces of stone-like material. The liquid – called bile – helps the body digest fats.

Why do gallstones form ?

Gallstones form when chemical imbalances cause the cholesterol in the bile to become less soluble and to crystallize. These chemical imbalances could be due to a poor diet, an unhealthy liver, excessive drugs and ingested chemicals, stagnant bile, or simply the individual’s natural tendency.

How do I know if I have Gallstones ?

Ultrasound scanning is the most common method used to detect gallstones. Gallstones are often discovered unintentionally during scans or X-rays for other concerns. They may exist for many years without notice if they remain in the gallbladder. Gallstones can occasionaly cause severe upper abdominal pain ,this pain can radiate to the back, the shoulders and even the back of the neck. When they block the ?ow of bile, the bile and its toxins back up into the liver and seeps into the bloodstream, causing jaundice.

Can I have gallstones even if the X-ray or ultrasound is negative ?

Yes. The major component of most gallstones is cholesterol which is not radio-opaque. This explains why many gallstones do not show up on a plain X-ray; only stones with high calcium content are radio-opaque and visible. Ultrasound scans have a better chance of detecting gallstones, but may still miss stones in the bile ducts and stones in the liver. Do people need their Gallbladder ? Fortunately, the gallbladder is an organ people can live Without. Your liver produces enough bile to digest a normal diet. Once the gallbladder is removed, bile ?ows out of the liver through the hepatic ducts into the common bile duct and directly into the small intestine, instead of being stored in the gallbladder. Because now the bile ?ows into the small intestine more often, softer and more frequent stools can occur in about l percent of people. These changes are usually temporary, but talk with your health care provider if they persist.

How are gallstones treated ?

Laparoscopic Cholecystectomy (“Keyhole” Gallbladder Surgery) In “keyhole” surgery to remove the gallbladder, four small incisions are made around the abdomen, including one in the navel through which a tube with a tiny video camera is inserted. Guided by the camera images on a video screen, other tiny instruments are inserted through the other incisions and diseased gall bladder is removed. “Keyhole” surgery has replaced traditional open surgery as the preferred method to remove the gallbladder, thanks to shorter surgery time, a shorter hospital stay, and a shorter recovery period. Among all the invasive methods of treatment, it offers the fastest relief from gallstone colic If. you have been diagnosed with gallstones but feel no pain, do not wait until the symptoms develop , consult your doctor for advise.