GI Oncology
Surgical management of major gastro intestinal malignancies namely Radical esophago gastrectomy for carcinoma esophagus, D2 gastrectomy for carcinoma stomach, Whipple’s pancreatico duodenectomy for carcinoma head of pancreas, Radical cholecystectomies for Gall bladder malignancies and Low and ultra low anterior resections for rectal malignancies are done here. This is backed up by the department of Oncology.
Pancreatico biliary diseases
Chronic calcific pancreatitis (CCP) is an endemic disease in Kanyakumari district.. It is a heavy socioeconomic burden as the disease affects predominantly young males who are breadwinners of their family. These patients present with severe abdominal pain. They get very good pain relief and quality of life by surgeries like Frey’s head coring procedure and Pusteow’s drainage procedure.
Biliary diseases like Recurrent pyogenic cholangitis (RPC) are quite common here due to prevalence of biliary ascariasis. Effective drainage of the biliary system can be achieved by hepatico jejunostomy. When one lobe of the liver becomes severely atrophic with abscess formation, the patient may benefit from hepatectomy.
Advanced laparoscopy
Advanced laparoscopic works which includes laparoscopic Heller’s Cardiomyotomy for Achalasia cardia, Fundoplications for GERD, Distal pancreatico splenectomy and Laparoscopic Rectopexy for rectal prolapse are routinely performed in our centre.
Laparoscopic oncological procedures including hemicolectomies , Anterior and Abdomino perineal resections for colorectal malignancies and Thoracoscopic esophagectomies for esophageal malignancies are also performed.
Endoscopic procedures
Diagnostic endoscopies (both Upper and lower GI) are done thrice a week on elective basis by well experienced gastroenterologist.
Upper and lower GI bleeds constitutes one of the most common emergencies in this centre. Therapeutic scopies are offered round the clock in the form of sclerotherapy and variceal ligation for esophageal varices and glue injection for gastric fundal varices. Peptic ulcer bleeds are also managed efficiently by endotherapy using injections or clips. Endoscopic dilatation of corrosive strictures are also routinely done.
Abdominal emergencies
Major abdominal trauma due to road traffic accidents are very common emergencies. Major hepatobiliary, pancreatic and vascular trauma are efficiently managed by a team of surgeons and intensivists with the support of allied specialities like Blood bank, Radiology and Interventional angiography which are available round the clock.
Revascularisation
both surgical and angiographic) procedures for acute mesenteric ischemia are done here.
Enterostoma therapy
The centre offers excellent care of colostomies and ileostomies. Specialised wound care is given for enterocutaneous fistulae by means of wound manager appliances. PEG application is available.
