Gastro Intestinal Surgery

Gastro Intestinal Surgery

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World Leader Hospitals for Gastro Intestinal Surgeries

Some of the finest doctors for Gastro Intestinal Surgeries with best in class Surgical Outcomes

Highly skilled teams of Gastro Intestinal Surgeons mostly educated or trained abroad at leading hospitals and have accumulated valuable knowledge, skills and experience to deliver clinical outcomes at par with global standards.

NABH and JCI accredited world class hospitals having state of the art facilities.

Dedicated Gastro Surgery OT & ICU

Dedicated Gastro Intestinal Surgery Operation Theatres & ICU’s to provide the highest level of care and ensure a quick and a safe recovery post the surgery. H&H associated hospitals boast of a patient – nurse ratio of 1:3; one of the best in the world

State of the art Laboratory services

The laboratory is equipped with ultra modern machines and all investigations are performed at the center itself providing faster results. The backup of such a lab comes handy in managing the most complex of cases

Highly Experienced Medical Staff

Specialists at our associated Gastro Intestinal unit are trained in the pioneer centers across the world and carry huge experience. They are compassionate and understand that these complex procedures require guidance of a good specialist to understand better.

Endoscopy & Colonoscopy Suite

Our dedicated Endoscopy & Colonoscopy Suites are fully equipped with the latest technology of top of the line endoscopy and colonoscopy scopes that help the doctors provide more superior and accurate results.

Gastro Intestinal Surgeries in India

Gastro Intestinal Surgeries in India

Gastro intestinal system refers to the organs which are responsible to carry the food from mouth to getting expelled through anus as waste. Gatsro intestinal surgery is required for diseases of these organs once all other forms of non-invasive treatments have been tried. The procedures could be for non life threatening disorders such as Hernias, Acid Reflux, hemorrhoids,  etc to surgery for Cancers, Appendicitis, etc which can be fatal if left untreated. The common procedures that we do are as follows :-

Hernia Repairs– 
Hernia refers to the bulging of tissues or organs from the wall that hold it down. Hernia can occur in many organs like groin, diaphragm and abdomen. It may also occur at the site of a previous operation. There are different kinds of hernias such as umbilical, femoral and inguinal hernia.

Cholecystectomy/Appendectomy- For treating gallstones or gall bladder conditions, the surgical removal of gall bladder is done. This is known as cholecystectomy which can be either laparoscopic or open. The conditions for this procedure can be inflammation, biliary colic and gall bladder cancer. When the appendix swells and becomes infected, it is known as appendicitis. This puts the whole abdomen at risk for which appendectomy is performed. The appendix is surgically removed as a treatment.

Haemorhoidectomy for Piles-
Piles can be painful and they can occur with other problems such as bleeding, discharge and infection. Haemorhoidectomy is done to relieve the patient from the pain. In this procedure, the patient is given anesthesia after which an incision is made to cut away the hemorrhoids.

Whipples Procedure for Cancer – Also known as pancreaticoduodenectomy, the Whipple procedure involves removal of the “head” (wide part) of the pancreas next to the first part of the small intestine (duodenum). It also involves removal of the duodenum, a portion of the common bile duct,gall bladder, and sometimes part of the stomach. Afterward, surgeons reconnect the remaining intestine, bile duct, and pancreas.

The above are just the common GI surgery procedures that we do at our partner hospitals. Write to us to know about any other GI related ailments/procedures that you want to know about.

COMPREHENSIVE RANGE OF ADVANCED SERVICES OFFERED BY HEALTH & HOLIDAYS

Our staff is sensitive to the needs of the patients and stand with you every step of the way.  They are capable to deliver assistance 24*7 in case of emergencies.

  • Pre-arrival, no-obligation free quote for your medical condition along with consultations and selection of best doctor/hospital

  • At H&H, all our assistance services are complimentary and you are not charged extra at the hospital if you go through us or go directly. Rather we have the capability of getting you the best prices.

  • Dedicated case manager as one-point contact for all your needs while you are here with us,also responsible to help you get the best price for your procedure

  • Complimentary Airport Pick-up/Drop, Translation,Interpretation services and assistance in choosing the best accommodation.

  • Complete assistance in making the right decisions when choosing the best procedure and full support during your stay at the hospital

Pre –Surgery

A thorough and outright check-up of the patient is necessary before the surgery. It helps the doctor to determine the surgical success rate before the surgery. Also, all the medicines being taken by the patient are recorded in a list and assessed. Post the assessment by the surgeon the case is discussed with the anesthetist and the surgery is planned and communicated to the patient.

Post-Surgery

Post Operative the patient is monitored closely in the ICU for a few hours before shifting him/her to his room. This is done until the anesthesia wears off. Required attention is different in each case. It depends on a lot of factors including overall health. The patient is not given anything to eat just after the surgery and is allowed to get out of bed the next day. Recovery is gradual, and sometimes may take a few weeks.

Gallbladder Stone Removal

What are gallbladder stones? 
Stones cause pain in the upper abdomen which may shift to the right shoulder blade. Gallbladder stones are formed when chemicals in the bile of the gallbladder form crystals that are sandy or gravel-like particles. Vomiting and Nausea are also experienced by patients suffering from gallbladder stones.

The available options for treating gallbladder stones:-

 Surgery 
Surgery is a good option for removing stones from the gallbladder, if the patient is fit for surgery. There are two types of surgery:

  • Laparoscopic Surgery 
    This surgery is performed using a laparoscope, which is an endoscopic device with a video camera attached to it. A laparoscope along with several other surgical instruments is inserted through several small incisions in the abdomen, in this surgery. The cystic artery is divided, after which the gallbladder is dissected from the liver. Then the gallbladder is removed.
  • Open Surgery 
    The surgery is performed through an incision in the abdomen, generally in the upper midline or below the rib on the right side of the abdomen. An open surgery is performed if the gallbladder is infected, inflamed or if the gallstones are very large.
  • Shock Wave Therapy 
    This treatment is known as extracorporeal shock wave lithotripsy. Repeated shock wave treatments are required to remove the gallbladder stones completely. The shock waves break up the gallbladder stones.
  • Contact Dissolution 
    Contact dissolution is a method that is used to dissolve gallstones. A catheter is inserted through the abdomen. in This treatment chemical solvents are injected directly into the gallbladder, through the catheter.

Duration of surgery / procedure: Two hours or less
Contact dissolution of gallstone removal: 5 to 12 hours.

Days admitted: 1 or 2 days for a Laparoscopic Surgery.2 to 4 or more days for an open surgery.

Anesthesia: Open or Laparoscopic surgery will require general anesthesia.

Recovery: Some symptoms experienced after surgery include:
– Muscle pains due to anesthesia
– abdominal pain caused due to the gas that inflates the abdomen during surgery and 24 to 72 hours of shoulder.

– Nausea and appetite loss
– Minor inflammation of surgical wounds

For a laparoscopic surgery:

– The patient can drink liquids, and later resume eating normal food, 4 hours after the operation.
– The patient’s full recovery can be expected in 2 to 3 weeks after being discharged from the hospital.
– Normal activities can be resumed in 7 to 10 days.

Risks: Risks associated with gallbladder stones removal are low.
The possible complications during surgery include:
– Infection
– Injury to the other organs
– Internal bleeding
– Leakage of bile into the abdominal cavity
– Injury to the hepatic artery (rare)
– Gallstone pushed to the common bile duct
– Risks of general anesthesia

For shock wave therapy, the risks are:
– Inflammation of the pancreas
– Acute cholecystitis

Side effects of the contact dissolution treatment are:
– Foul-smelling breath
– Difficulty in breathing
– Vomiting
– Drowsiness

After care:– Follow the doctor’s instructions carefully after getting discharged from the hospital.
– Take caution while doing activities
– Take care of the surgical wounds
– Keep the dressing area dry and do not take a shower, during that time. Do not remove the dressing on the incision for 2 days.
– Do not apply new bandage to the wounds unless advised by the doctor.

 

Polypectomy

What is Polypectomy?
This is a procedure for the removal of a polyp. A polyp is an unnatural mass of tissue that has grown inside a mucous membrane in the body. It most often develops in the colon and stomach. It also develops in the urinary bladder, uterus and nasal cavities. Some kinds of polyps may be cancerous. In rare cases a polyp may be too large to remove it endoscopically. Gastrointestinal polypectomy is mostly conducted endoscopically by doing a colonoscopy or a gastroscopy. Therefore in such a scenario, the polyp is removed surgically.

How is a colonic polypectomy performed?
A colonic polypectomy is usually done during colonoscopy. During this procedure a polyp that has developed in the lining of the colon and large intestine is removed. The removal of a polyp will relieve symptoms such as rectal bleeding, abdominal pain and bowel irregularities.

How are different types of polyps removed during a colonoscopy?
The different methods used to do a polypectomy during a colonoscopy depend on the polyp’s shape, size and histological type.

  • Removal of Small Polyps
    Small polyps can be removed by hot and cold biopsy.

    • Hot biopsy is used to remove small polyps. In this procedure, the polyp is closed by biopsy forceps and electric current is passed to supply electrocautery. Chances of bleeding from the base of the polyp is reduced by this, and most often the polyp is removed completely as the tissue at the polyp base is destroyed.
    • Cold biopsy is used to remove very small polyps that are up to 3mm. In this procedure the polyp is removed by biopsy forceps without providing electrocautery. The risk of colonic perforation is removed in this procedure. May cause the polyp to be removed incompletely.
  • Removal of Larger Polyps that are Sessile
    It is difficult to remove larger sessile polyps endoscopically, and there is a high chance of complication. The polyps that are larger than 10mm need to be removed gradually by snare polypectomy. Snare polypectomy is used to remove sessile polyps that are up to 10mm. Electrocautery over a big region may case perforation of the colon. Therefore, sterile fluids may be injected at the polyp base to lift it from the colon’s muscular layers.
  • Removal of Larger Polyps that are Pedunculated
    The snare’s loop is tightened around the polyp stalk and pulled away from the colon wall. These polyps are taken out by snare polypectomy which is passed around the polyp stalk. Then, an electric current is passed through the loop of the snare that cuts the stalk of the polyp. The polyp is then removed.

How to prepare for a colonic polypectomy?

  • Before the polypectomy, the doctor may be required to do some tests on you which include:
    • Physical checkup and examination of medical history
    • Examination of the medicines you may be taking
    • Stool test
    • X-ray and barium enema
    • Endoscopic examination of the intestine
  • Your colon is thoroughly cleans The cleansing methods may include:
    • Enemas: This is a fluid that is put into the rectum for the stimulation of bowel movement.
    • Laxatives: These are medicines that enable soft bowel movements
    • Following a clear-liquid diet
    • Drinking fluids for stimulation of bowel movements

Duration of procedure/surgery: 30 to 60 minutes

Days admitted: None. Polypectomy is usually done on an outpatient basis.

Anesthesia: Local anesthesia

Recovery:– After the procedure, you may experience some bloating and cramping. This is due to the air that is filled in the colon. Passing of gas will ease this discomfort.
– If required, pain medicine may be prescribed.
– Within two weeks, you will completely recover from the polypectomy.
– The polyps are sent for lab analysis to confirm or decline the presence of cancerous or precancerous cells
– After the results, if the polyp is tested malignant, follow-up diagnostic tests are scheduled at regular intervals.

Risks: The risks that are involved are rare. They occur due the factors like the location, size, and type of the polyp. Risks also depend upon the medical conditions of the patients such as diabetes, obesity, and other diseases and disorders. These complications include:
– Perforation of the colon wall
– Infection
– Bleeding
– Reactions to sedative

After care:– Patients should not drive, operate machines, or consume alcohol for 24 hours after the procedure.
– Follow the doctor’s instructions carefully.
– Resume normal diet after the procedure.
– Avoid consuming tea, coffee, soft drinks, alcohol and spicy food for 2 to 3 days after the procedure.
– Resume normal activities. However, ask the doctor when you can take part in rigorous exercise.

 

Sphincterotomy

What is a Sphincterotomy?
This is a type of procedure in which anal fissures are treated. A tear in the rectal lining which most often results from hard bowel movement is called an anal fissure. Due to muscle spasms and continuous bowel movements, the healing of the anal fissures is prevented. They become very severe and cause great pain and discomfort. However, severe and reoccurring fissures need to be treated by sphincterotomy. Medication to encourage healing and stool softeners can also be used to heal the anal fissures. The outermost portion of the anal sphincter is cut during a sphincterotomy, which loosens the muscles and stops the muscle spasms from occurring.

How is a sphincterotomy performed?
The patient needs to lie down on the operating table and is positioned in a way to expose the anus and the rectal area. Once the anesthesia is given, an antiseptic solution is used to clean the area. Then, fissures are removed and an incision is made on the anal sphincter. This enables the sphincter to relax and stretch. This causes less strain on the fissure. Stitches are given and the patient is sent into recovery.

How to prepare for a sphincterotomy?

  • A few days prior to the sphincterotomy, the doctor may be required to do some tests on you which include:
    • Urine tests
    • Chest x-ray
    • Electrocardiography
    • Other tests depending on the patient’s health
  • You may be required to stop certain medication for several days before the procedure if it is advised by your doctor.
  • You will have an interview with an anesthesiologist to determine which anesthesia you need to be provided.
  • The doctor may impose dietary restrictions before the procedure.

Duration of procedure/surgery :20 to 30 minutes

Days admitted :None. This is done on an outpatient basis.

Anesthesia : Local anesthesia is usually administered for a sphincterotomy. However, counselling with the anesthesiologist before the sphincterotomy will determine if you need general or any other anesthesia.

Recovery :– After the procedure, the patient is monitored in a recovery unit. Clear fluids are given until the patient recovers from anesthesia.

– Depending on the complexity of the procedure, the duration of the patient’s stay in the hospital is determined. Most often patients are sent home without much delay.

– To recover from a sphincterotomy and resume normal activities, approximately 2 weeks is required for a patient.

– A complete recovery may take approximately 2 months.

Risks: The possible complications during a sphincterotomy include the following:

– Infection of the surgical area

– Fever

– Severe discomfort

– Abnormal discharges

– Incontinence

– Abscess

– Uncontrolled flatulence

After care :

– You will experience soreness and bleeding around the anus. A bland diet that is high in fiber and fluids may be recommended by the doctor to avoid soreness around the surgical area.

– The dressing on the operated site should be kept for many hours after your discharge.

– You may take sitz baths twice a day to keep the operated region clean, and to lessen the pain.

– Pain gradually lessens within a few days.

– You should maintain scrupulous hygiene during your recovery period to avoid infection.

– Inform the doctor if you experience bleeding, fever, soreness around the incision, and drainage from the incision

 

Appendicectomy

What is an Appendicectomy?
Appendicectomy is the type of surgical removal of the appendix when it becomes infected or inflamed. The appendix is an organ that is finger-shaped and extends from the initial portion of the large intestine. It may produce symptoms like abdominal pain located around the navel and lower right region of the abdomen. You may also experience symptoms like fever, nausea, vomiting, and loss of appetite if you have appendicitis.An infected life-threatening appendix may  perforate which will cause it to leak and infect the whole abdomen.

Appendicitis is difficult to diagnose among children, elderly patients and women. Some tests are conducted by the doctor to confirm if the symptoms are caused due to appendicitis. This is normally done as an emergency surgery if the patient has acute appendicitis.

How is Appendicectomy performed?
There are 2 methods used to perform Appendicectomy:

  • Laparoscopic Appendicectomy
    This method is commonly used to do an Appendicectomy. A laparoscope is used in this method of surgery. A laparoscope is a thin flexible endoscopic tube with a camera attached to it. Small incisions are made in the abdomen through which a laparoscope and other instruments are inserted to perform the surgery. It produces a quicker recovery and less post-operative pain.
  • Open Appendicectomy
    In this method, an incision of 2 or 3 inches is made on the lower right region of the abdomen. If there are any additional problems, the surgeon examines the area to see, after which the appendix is removed. To remove the appendix, the appendix is first freed from its connection to the abdomen and colon. Then the appendix is cut and the surgeon stitches over the hole that is left in the colon. The abdomen is washed out completely during the surgery If the appendix is perforated and an abscess is formed. To drain out the liquid and pus, a small rubber tube is used, which goes out from the abscess through the skin. In the abdomen the incision is then closed and stitched.

What are the preoperative preparations for an Appendicectomy?

  • Before an Appendicectomy is performed, there are some preoperative preparations which include:
  • Before the surgery, intravenous fluids are given to keep you hydrated.
  • Your stomach needs to be empty before the surgery to avoid complications during the surgery.
    • Blood tests
    • Ultrasound and CT scan (If the diagnosis is not clear)
    • White blood cells count

Duration of procedure/surgery:

Laparoscopic Appendicectomy: Approximately 90 minutes Open Appendicectomy: Approximately 60 minutes

Days admitted: 3 to 4 days. The duration of stay in the hospital is prolonged to 4 to 7 days if the patient’s appendix is perforated.

Anesthesia: General anesthesia

Recovery:

– After the surgery the patient is put in the post-anesthesia care unit (PACU) for the anesthesia to wear out.

– The patient’s temperature, breathing intervals, and heart rate are checked.

– If there is formation of abscess, recovery is slower than normal.

– The patient is transferred to the hospital room after the anesthesia wears off.

– Patients can generally resume normal activities within 1 to 3 weeks after being discharged from the hospital

Risks: The complications that are involved in an Appendicectomy are:

– Infection

– Bleeding

– Abscess

– Intestine obstruction

– Breathing problems

– Adverse effects of medication

After care :

– Liquid diet is given to the patient in the morning after the surgery. If the body tolerates these well, solid diet can be started.

– The doctor should be informed if the patient has fever and pain, and also if the wounds start bleeding or if pus is formed.

– Intravenous supply is removed after the patient starts eating and drinking.

– Pain medication to relieve the surgical pain is provided.

– After the patient is discharged from the hospital, care should be taken to keep the incision area dry and covered.

 

 

Cost Estimate

The cost for few of the popular procedures is as below :-

 

Hernia Repairs – US$ 2500 – US $ 7000 depending on the size of the mesh implant required to perform the repair. 2-3days stay inside the hospital is part of this cost.

 

Cholecystectomy/Appendectomy – US $ 3000 with 1-2 days stay inside the hospital.

 

Haemorhoidectomy for Piles – US$ 2500 – 5000 depending on the size and no. with 1 day stay inside the hospital.

 

Whipples procedure – US $ 8500-9000 with 6-7 days stay inside the hospital.

BENIFITS

The above estimate includes surgeon Fee, transplant Fee, drugs, fixed quantity off drugs and consumables, staff fee, food for patient and companion during hospital stay. Airport Pick-up & drop and services of our dedicated team of international patient service professionals.

write to us

Email your Medical Reports to us. Our experts will review your case and then will arrange opinions and affordable treatment cost estimates from top doctors at 2 or 3 leading hospitals in India .

our Partners

Medanta – The Medicity BLK Super Speciality Hospital Bourn Hall Clinic Sharp Sight Center Center for Sight Global Hostpitals HCG Oncology Jaypee Hospitals MS Ramaiah Rockland Hospitals Columbia Asia Manipal Hospitals Artemis Health Sciences Primus Super Speciality Hospital Apollo hospital max healthcare Fortis Healthcare Medanta – The Medicity BLK Super Speciality Hospital Bourn Hall Clinic Sharp Sight Center Center for Sight Global Hostpitals HCG Oncology Jaypee Hospitals MS Ramaiah Rockland Hospitals Columbia Asia Manipal Hospitals Artemis Health Sciences Primus Super Speciality Hospital Apollo hospital max healthcare Fortis Healthcare
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