The Department of Medical Gastroenterology of VMCH offers comprehensive health care for diseases of the Liver, Pancreas, Stomach, Intestines, Esophagus and Gallbladder. The department was established with outpatient department, endoscopy and colonoscopy units. The department had rapid growth in the successive years with establishment of therapeutic endoscopy unit, ERCP and Endoscopic Ultrasound unit. Currently the department has 5 dynamic consultants, one senior resident, one junior resident and six endoscopy technicians. Emergency services are provided round the clock. The surgical gastroenterology department in Velammal hospital is one of the earliest centers in South Tamil Nadu to prove laparoscopic cancer surgery was as effective as open surgery for Cancer Care. Further, it showed laparoscopic cancer surgery is much superior to open surgery in terms of patient comfort.
Today with the incomparable efforts of our expert team and their innovations all kinds of gastrointestinal cancers like the esophagus, cancer stomach, liver, pancreas, intestines, and uterus are efficiently managed. With the state of the art technologies in surgery and imaging like 3D laparoscopy, the magnification and visualization are now 10 times better than the human eye, making these surgeries translating to better outcomes.
SURGERIES :
- Laparoscopic Radical D2 gastrectomy for stomach cancer
- Laparoscopic Ivor-Lewis oesophagectomy for oesophageal cancer (adenocarcinoma)
- Thoracolaparoscopic subtotal oesophagectomy for oesophageal cancer(Squamous cell carcinoma)
- Laparoscopic hepatectomy for liver secondaries/primary tumors
- Laparoscopic Whipple’s operation for periampullary cancer/cancer head of the pancreas
- Laparoscopic distal pancreatectomy for tumors at the tail of the pancreas
- Laparoscopic splenectomy for splenic pathologies
- Laparoscopic Right hemicolectomy for distal ileum, caecum, ascending colon tumors
- The laparoscopic right extended hemicolectomy for hepatic flexure tumors
- Laparoscopic left hemicolectomy for left colonic tumors
- Laparoscopic subtotal colectomy for synchronous tumors in the colon.
- Laparoscopic Anterior/Abdominoperineal resection for rectal cancers
- Laparoscopic Wertheim’s radical hysterectomy for uterine cancers
- Laparoscopic wedge resections of the stomach for GIST
- Laparoscopic sphincter-saving resections of the rectum for lower rectal tumors.
HERNIA SURGERY:
Hernia repairs (inguinal and Incisional) are so common to have been under-rated as simple procedures that lack specialization. But the first time is the best time for a successful hernia outcome, both in the short term and in the long term.
Hernias when complicated can even be life-threatening. Repair of large and complex hernias requires special expertise and understanding of the principles. Hence, at Velammal Hospital we have a dedicated team for laparoscopic hernia surgeries and all laparoscopic hernia surgeries are being performed at the institute. The department performs complex procedures like anterior /posterior component separation, retro-rectus approach for incisional hernias, Venetian blinds technique for divarication of recti, concomitant ventral hernia repair with bariatric surgery, etc, Velammal Hospital have reported the lowest possible recurrence rate in the South Tamil Nadu. With the introduction of 4K laparoscopy, 3D imaging module and the da Vinci Robotic system results are very positive.
BARIATRIC SURGERY:
Velammal Hospital offers an array of Bariatric surgery (weight-loss surgery) solutions to control obesity. The perfect possible physique is achieved by reducing the size of the stomach with an implanted medical device (gastric banding) or through the removal of a portion of the stomach (sleeve gastrectomy) or by removing and re-routing the small intestines to a small stomach pouch (gastric bypass surgery). Velammal Hospital is the most sought after place for bariatric surgery that takes control of weight reduction and achieves good physique, besides it increases life by controlling DIABETES, HYPERTENSION and HIGH CHOLESTEROL.
UPPER GI SURGERY (Stomach and Esophagus):
The Velammal Medical College Hospital is one of the most advanced Centers for Upper GI diseases, Gastro-Intestinal Surgery and Minimal Access Surgery in South Tamilnadu. The Centre carries out all major Upper GI procedures by Laparoscopic and Open methods. Our hospital has performed more than 500 esophagus and stomach cancer surgeries successfully.
OUR DEPARTMENT IS:
- Centre of excellence for Reflux Disease Management (GERD)
- Centre of excellence for esophageal cancer management
- Centre of excellence for stomach cancer management
DISEASES TREATED :
- Esophageal diverticula
- Esophageal motility disorders
- Achalasia cardia
- Leiomyomas
- Barrett’s esophagus
- Peptic stricture
Malignant Esophageal diseases:
Esophageal carcinoma
Benign stomach disorders:
- Acid peptic disease
- GERD and Hiatus hernia
- Gastric volvulus
- Gastric perforation
- Gastric outlet obstruction
- Diaphragmatic hernia
Malignant stomach disorders:
Carcinoma stomach
TREATMENTS PROVIDED:
- Laparoscopic Fundoplication for Gastroesophageal reflux disease.
- Laparoscopic Nissen’s fundoplication
- Laparoscopic Heller’s cardiomyotomy for Achalasia cardia.
- Laparoscopic Esophagectomy for Sigmoid Esophagus in End-stage Achalasia Cardia.
- Laparoscopic Esophagectomy for corrosive and peptic strictures
- Laparoscopic Esophagectomy and gastric or colonic pull through
- Laparoscopic Management of Paraesophageal Hernia.
- Laparoscopic transhiatal Esophagectomy.
- Laparoscopic Excision Of benign Esophageal lesions like leiomyomas, GIST.
- Laparoscopic Truncal Vagotomy with Gastrojejunostomy for Benign GOO.
- Laparoscopic Highly selective vagotomy for refractory peptic ulcer disease.
- Laparoscopic Antrectomy/Billroth 1 for complicated peptic ulcer disease
- Laparoscopic transgastric surgery for benign lesions of the stomach.
- Laparoscopic wedge resection of the stomach.
- Laparoscopic Surgery for gastric volvulus.
- Laparoscopic Excision Of GIST Of Stomach
- Laparoscopic Distal Gastrectomy
- Laparoscopic Total Gastrectomy for Carcinoma Stomach.
- Endoscopic Palliative stenting for malignant GOO.
- Laparoscopic segmental resection of duodenum.
- Laparoscopic Feeding Jejunostomy
COLORECTAL SURGERY:
The division of colorectal surgery is aiming to offer comprehensive surgical care to patients with benign and malignant diseases of the Colon, Rectum and Anal canal. Emergency and Elective procedures about the Colon, Rectum, and Anus are performed by a dedicated team of Gastroenterologists specially trained and experienced in Colorectal Surgery. Using Laparoscopy and skill the team has successfully been able to avoid colostomy/ileostomy with sphincter preservation for hundreds of patients who otherwise might have needed a colostomy.
DISEASES TREATED :
Out-patient procedures –
Self-illuminating Proctoscope is used for the detailed assessment of anal canal problems such as anal fistula, hemorrhoids, and anal fissures. For patients with first and second-degree hemorrhoids with bleeding, rubber band ligation of hemorrhoids is performed. Banding of hemorrhoids is a well-tolerated procedure and the patient can return home within a few hours. Sigmoidoscopy is performed in the outpatient clinic for selected patients and it offers the option of performing a biopsy as well if necessary.
Diagnostic services:
An enema is given to the patient following which sigmoidoscopy is performed. For the patient with chronic altered bowels and anemia Colonoscopy is offered. We can perform a colonoscopy on the same day for patients presenting to outpatients before 9.00 am. They are admitted to a room for bowel preparation following which colonoscopy is performed under sedation. We have a vastly experienced Radiology team helping us with Ultrasonography and CT scan.
Therapeutic services:
Patients with colonic and rectal polyps are offered colonoscopy and polypectomy as a day case procedure. For selected patients presenting with obstructed colonic cancer, the same day stenting service is provided.
TREATMENTS PROVIDED :
Cancer Colon:
- Laparoscopic Right Hemicolectomy
- Laparoscopic Extended Radical Right Hemicolectomy
- Laparoscopic Subtotal colectomy for Transverse colon
- Malignancy Laparoscopic Left colon resection
- Single Incision Colonic resections
Cancer Rectum:
- Laparoscopic Anterior Resection
- Laparoscopic Low Anterior Resection
- Laparoscopic Ultra-low Anterior Resection
- Laparoscopic Colo anal Anastomosis
Anal canal Malignancy:
Laparoscopic Abdominoperineal resection (APR)
Familial Adenomatous polyposis/Inflammatory bowel disease:
- Laparoscopic Total Proctocolectomy with ileal pouch-anal anastomosis
- Laparoscopic Total Proctocolectomy with a permanent ileostomy
Perineal procedures:
- Harmonic and Ligasure Haemorrhoidectomy
- Lateral Sphincterotomy
- Stapler Haemorhoidopexy Video-Assisted
- Anal Fistula Treatment – VAAFT for Fistula in Ano
- Ligation of intersphincteric Fistulous Tract – LIFT for Fistula in Ano
HEPATO PANCREATO BILIARY SURGERY:
This department provides comprehensive treatment for diseases related to the liver, pancreas and biliary system. It is an exclusive department in south Tamil Nadu to provide Laparoscopic surgeries to various diseases like Gall stones, Bile duct stones, Choledochalcyst, Hydatid cyst, Acute & Chronic pancreatitis, Pseudocyst including cancers of liver, pancreas and gall bladder.
This center has the distinction of being the first in the south Tamil Nadu to perform laparoscopic Whipple’s operation, also called pancreaticoduodenectomy for pancreatic cancer.
DISEASES TREATED :
Liver:
- Liver cancer
- Alcoholic Liver Disease
- Portal Hypertension
- Hydatid Cyst Liver
- Simple Liver Cyst
- Cirrhosis of Liver
- Hepatitis B & C
- Liver Abscess
- Fatty Liver
- Liver Trauma
Biliary System (Gall Bladder & Bile Duct)
- Gall bladder Stones
- Cancer of Gall Bladder and bile duct
- Cholecystitis (Infection of Gall’s bladder)
- Bile duct stone
- Cancers of bile duct
- Choledochal cyst
- Pancreas
- Acute and Chronic Pancreatitis
- Pancreatic cancer
- Pseudocyst Pancreas
- Necrosectomy
- Pancreatic divisum
- Annular pancreas
- Pancreatic trauma
TREATMENTS PROVIDED:
- 4Centre for comprehensive management of all Liver disorders by the Laparoscopic approach.
- 4Multimodality approach for the treatment of liver cancer including surgery, transplantation, TACE (Transarterial chemoembolization), Radiotherapy and Chemotherapy
- 4Laparoscopic Cholecystectomy (Gall Stone Disease)
- 4Bile Duct Stone management
- 4Bile Duct injury management
- 4Radical Cholecystectomy for Gall bladder Malignancy
- 4Hydatid Cyst liver Excision
- 4Choledochal Cyst Excision
- 4Liver resection for liver cancer
TREATMENTS PROVIDED:
- Laparoscopic donor hepatectomy
- Liver transplantation ( Cadaveric / Living)
- Radiofrequency ablation for liver cancer
- Liver abscess drainage
- Liver Trauma Management
- Cystogastrostomy and Cystojejunostomy
- Distal Pancreatectomy
- Whipple’s Operation (Pancreaticoduodenectomy)
- Surgery for Chronic Pancreatitis
- Spleen surgery
Outpatient services and Endoscopy are available on all days [except Sundays] from 8 am to 7 pm. Emergency services are provided on all days [24 x 7].
We are conducting CME every year in the name of VIEWS. The department is all set to conduct ISA Sponsorship in 2020