Major Procedures

Major surgeries are usually more complex and carry a greater risk compared to minor surgeries. They often involve deeper tissue penetration or organ manipulation levels and may require general or prolonged regional anaesthesia. Major procedures require hospital admission and a longer recovery period.

Diagnostic Laparoscopy

This is a minimally invasive procedure to examine the organs and diagnose any diseases in the abdomen. It is a well-known and favoured diagnostic tool because of its precision, reduced recovery times, and minimised post-operative scars compared to traditional open surgeries.

An instrument called a laparoscope, a long, thin tube with a high-intensity light and a high-resolution camera in front, is used to examine the intra-abdominal organs. During a diagnostic laparoscopy, we make one or more small incisions in the abdominal area to insert the laparoscope. This allows us to view images of the abdominal organs on a video screen.

Diagnostic laparoscopy can determine the source of abdominal pain or pelvic pain, as well as examining organs, taking biopsies, and looking for any abnormalities, such as:

• Tumors, cysts, or fibroids
• Infections or inflammation
• Adhesions or scar tissue
• Endometriosis
• Liver disease
• Injuries

As a minimally invasive procedure, diagnostic laparoscopy offers several benefits over traditional surgery, such as:

• Less pain post-operatively
• Faster recovery
• Reduced risk of infection
• Smaller scars

After the examination, the laparoscope and other instruments are removed, and the incisions are closed. Most patients can go home the same day, but they may need someone to drive them due to the effects of anaesthesia.

Laparotomy for Abdominal Trauma

Laparotomy is a traditional open-surgical approach where a large incision is made in the abdominal wall to access the abdominal cavity. This allows for a more hands-on examination and intervention of the organs.

It is used for patients with signs of significant intra-abdominal injury, especially when hemodynamically unstable. It's a more definitive approach to managing severe injuries. However, the larger incision means a longer recovery time and a greater risk of complications such as wound infections or hernias. There is also greater post-operative pain.

Amputations

Amputations are surgical procedures that remove a limb or extremity, either due to medical conditions like peripheral arterial disease, diabetes-related complications, or trauma. While the decision to amputate is never taken lightly, it often becomes necessary to prevent the spread of disease, alleviate unmanageable pain, or save a patient's life.

Modern surgical techniques combined with advanced rehabilitation practices and prosthetics aim to provide amputees with the best quality of life post-surgery. Driven by patient well-being, our team offers comprehensive care, ensuring you receive personalised treatment, support, and post-surgical guidance.

Appendectomy — Open

Open Appendectomy is a traditional surgical procedure for removing the appendix, often due to acute appendicitis. In this approach, a single incision is made in the lower right side of the abdomen to access and remove the inflamed appendix. While minimally invasive techniques are gaining popularity, open surgery remains a trusted and effective method, especially in complicated cases.

Our surgical team combines expertise with patient-centered care, ensuring each individual undergoes a seamless procedure and recovery. With safety and recovery as top priorities, we provide thorough post-operative guidance, ensuring patients return to normalcy swiftly and confidently.

Laparoscopic Appendectomy

Laparoscopic appendectomy uses several small incisions, specialized instruments, and a camera to guide the removal of the inflamed appendix. This method often results in reduced post-operative pain, minimal scarring, and a faster recovery.

While open appendectomy is a traditional and more effective method, it might have a longer recovery period compared to the laparoscopic approach. Our surgical team is proficient in both techniques, ensuring personalized and optimal care for each patient's unique situation.

Breast Surgery

Breast surgeries aren’t always about treating cancerous growths. At times, non-cancerous or benign lumps might need surgical intervention for various reasons such as discomfort, growth rate, or diagnostic confirmation.

The removal of such benign lumps requires a specialized procedure where we create a precise incision to remove the lump while ensuring minimal scarring and preserving the natural aesthetics of the breast.

Our dedicated team emphasizes meticulous care and precision in these procedures, ensuring you are comfortable, informed, and confident in your decision. We prioritize your health, well-being, and satisfaction from the initial consultation to the post-operative recovery.

Breast Cancer Surgery

Breast cancer surgery is integral to oncologic treatment, specifically targeting the removal of cancerous growths. The primary procedures are breast-conserving surgery (lumpectomy) and mastectomy. Breast-conserving surgery seeks to preserve the maximum amount of healthy breast tissue, focusing on removing only the cancerous tumor and a margin of surrounding tissue.

On the other hand, mastectomy entails the comprehensive removal of breast tissue, with variations ranging from simple to radical mastectomy, depending on the extent of cancer spread. The choice between surgeries depends on cancer type, stage, and patient preferences.

Another crucial aspect of breast cancer surgery is axilla management, which involves assessing and potentially treating lymph nodes to prevent the cancer’s spread.

Laparoscopic Cholecystectomy

Laparoscopic cholecystectomy is a minimally invasive surgical procedure focused on removing the gallbladder. Specialized instruments, including a laparoscope with a camera, are used through several small incisions in the abdomen. The camera provides a magnified view, enabling us to detach the gallbladder from its attachments and extract it delicately. This approach offers numerous advantages: reduced post-operative discomfort, minimal scarring, and a speedier return to daily activities.

Laparoscopic Adrenalectomy

Laparoscopic adrenalectomy is a minimally-invasive procedure designed to remove one or both adrenal glands. These glands, positioned above each kidney, may sometimes develop benign or malignant growths necessitating removal.

During the procedure, small incisions are made in the abdomen to introduce specialized instruments and a camera-equipped laparoscope. This allows us to precisely visualize, dissect, and remove the affected adrenal gland. The laparoscopic approach reduces post-operative pain, leaves minimal scarring, and facilitates a swifter recovery.

Colostomy Surgery

Colostomy surgery is a life-changing procedure that creates an alternative pathway for faecal waste elimination when the lower bowel is compromised. During the surgery, a portion of the colon or large intestine is brought through an incision in the abdominal wall, creating an opening called a stoma. Waste is then diverted to an external pouch attached to the stoma. Depending on the underlying medical condition, this procedure can be temporary or permanent.

Colon Cancer Resection Surgery

This surgery is vital to removing cancerous growths from the large intestine. During the procedure, the affected segment of the colon containing the tumor is removed. Adjacent healthy tissue and regional lymph nodes may also be removed to ensure complete cancer eradication. The healthy ends of the colon that are remaining are reconnected.

This procedure is pivotal in preventing the spread of cancer and offering patients a chance at long-term remission. Our expert surgical team combines precision with compassionate care, ensuring you receive comprehensive support from diagnosis through recovery, optimizing health outcomes every step of the way.

Stomach Cancer Resection Surgery

Stomach Cancer Resection Surgery is a critical intervention to remove cancerous lesions from the stomach. During this operation, the cancerous portion of the stomach, and sometimes the entire stomach, is removed. Depending on the extent of the disease, surrounding lymph nodes and tissues may also be excised to prevent cancer's spread. The remaining stomach, or a segment of the small intestine, is then restructured to maintain digestive functionality.

Complicated Peptic Ulcer Disease Surgery

Here, we address severe cases where ulcers, typically found in the stomach or duodenum, lead to complications like perforation, bleeding, or obstruction. The ulcer may be directly sutured during the surgery, or a more complex procedure may be required, such as a partial gastrectomy (removal of part of the stomach). In cases of bleeding, vessels are ligated to stop the haemorrhage. When obstruction is present, bypass procedures may be performed.

Splenectomy

A Splenectomy is a surgical procedure designed to remove the spleen, an organ situated beneath the ribcage on the left side. The spleen plays a role in filtering blood and aiding the immune system, but certain conditions or injuries may necessitate its removal.

During the surgery, an incision is made in the abdomen, the spleen's ligaments are detached, and the organ is carefully removed. This can be achieved through traditional open surgery or a minimally invasive laparoscopic approach.

Benign Lump Excision

Benign Lump Excision is a surgical procedure tailored to remove non-cancerous growths or masses from various parts of the body. Whether it's a cyst, lipoma, or fibroma, the aim is to excise these lumps that may cause discomfort, aesthetic concerns, or potential complications. During the surgery, an incision is made over the lump, the growth is carefully isolated, and then completely removed. The incision is subsequently sutured closed, leaving minimal scarring.

Skin Cancer Treatment

Skin cancer treatment involves a range of methods tailored to the type, stage, and location of the cancer. Common treatments include:

• Surgical Excision: Direct removal of the cancerous lesion along with a margin of healthy tissue.
• Mohs Surgery: A precision technique where thin layers of cancer-containing skin are gradually removed and examined until only cancer-free tissue remains.
• Cryosurgery: Utilizes extreme cold to freeze and kill cancerous cells.
• Electrodesiccation and Curettage: Involves scraping away the cancer and using electric currents to destroy any remaining cells.
• Topical Treatments: Creams or gels that target and kill cancer cells.
• Radiation Therapy: Uses high-powered energy beams to target and destroy cancer cells.
• Targeted Therapy and Immunotherapy: Advanced treatments that target specific mutations in cancer cells or boost the body's immune system to fight cancer.

Soft Tissue Tumour Excision

Soft Tissue Tumour Excision focuses on surgically removing tumours from the body's connective tissues, such as fat, muscle, or tendons. These tumours can be benign or malignant in nature. During the procedure, an incision is made over the tumour site. The growth is then meticulously isolated and excised, ensuring complete removal while preserving the surrounding healthy tissue. After removal, the incision is sutured, or the residual area is skin grafted for optimal healing and minimal scarring.

Intra-Abdominal Tumour Excision

This surgical intervention focuses on removing tumours within the abdominal cavity. These tumours can arise from various organs or tissues inside the abdomen. An incision is made on the abdominal wall to access the cavity during the procedure. The tumour is then carefully isolated, preserving vital structures and completely excising. Once removed, the incision is closed with sutures.

Hernia Repairs

Commonly occurring in the abdomen or groin area, hernias can cause discomfort and potential complications. Hernia Repairs address the protrusion of an organ or tissue through a weak spot in the surrounding muscle or connective tissue. During the repair procedure, an incision is made near the hernia site. The protruding tissue is repositioned back into its proper place, and the weakened area is strengthened, often using mesh to reinforce the site and prevent recurrence.

Parathyroid Gland Excision

Parathyroid gland excision, or parathyroidectomy, is a surgical procedure aimed at removing one or more of the parathyroid glands, which are small endocrine glands located behind the thyroid. This surgery is often necessary due to the overactivity of these glands, leading to elevated calcium levels in the blood. During the procedure, an incision is made in the neck to access the parathyroid glands. The hyperactive gland or glands are then identified and removed.

Thyroid Surgery

Thyroid Surgery, often termed thyroidectomy, involves the partial or total removal of the thyroid gland, a butterfly-shaped organ at the base of the neck responsible for hormone production. This procedure is indicated for conditions such as goitres, thyroid nodules, or thyroid cancer. During the operation, an incision is made in the front of the neck to access the thyroid. Depending on the underlying issue, either a portion or the entire gland is excised. We prioritize optimal hormone balance and patient well-being from pre-operative guidance to post-operative recovery.

Thyroglossal Duct Cyst Excision

Thyroglossal Duct Cyst Excision addresses a cystic formation arising from remnants of the thyroglossal duct, a structure present during embryonic development. These cysts are typically located near the midline of the neck. During the procedure, an incision is made over the cyst's location. The cyst, often extending to the base of the tongue, is meticulously traced and removed along with a central portion of the hyoid bone, ensuring complete excision and reducing recurrence risk.

Salivary Gland Tumour Excision

Salivary Gland Tumour Excision is a surgical procedure targeting abnormal growths within the salivary glands, which produce saliva. These tumours can arise from any of the major salivary glands, including the parotid, submandibular, or sublingual glands. During the surgery, an incision is made near the affected gland, and the tumour is carefully isolated and then completely removed, ensuring the preservation of vital structures, such as nerves, in the facial region.

Haemorrhoids — Open

Haemorrhoids, usually known as piles, are swollen blood vessels in or around the anus and rectum. Open Haemorrhoidectomy is a surgical procedure specifically designed to treat severe or recurring haemorrhoids. During an open haemorrhoidectomy, an incision is made around the haemorrhoid, the offending vessel is ligated, and the protruding haemorrhoid is then removed. The surgical site is usually left open to heal naturally or sutured, depending on the specific circumstances and the surgeon's preference.

Haemorrhoids — Hemorrhoidal Artery Ligation (HAL Procedure)

The HAL method is suitable for treating low to medium-grade haemorrhoids and is extremely effective in addressing the symptoms of haemorrhoidal disease. The ligations serve to reduce the arterial blood supply, causing the haemorrhoidal cushions to shrink back to normal size. This method can be carried out with ease using a transanal Doppler ultrasound.

How It Works

1. The handle is introduced into the rectum and then rotated slowly to search for arteries. The loudest Doppler signal indicates the centre of the artery.
2. Once the first artery has been found, it is ligated using a suture.
3. The handle is then turned again to locate further arteries. Once found, each artery is ligated as described above.

Perianal Fissure & Fistula Surgery

Perianal Fissure & Fistula Surgery addresses painful conditions affecting the tissue surrounding the anus. A fissure is a small tear or cut, while a fistula is an abnormal tunnel connecting the anal canal to the skin's surface. During surgery for fissures, the sphincter muscle may be partially cut to promote healing and relieve spasm-induced pain. The tract is identified, opened, and cleared of infected material for fistulas. In certain cases, a seton (thread or cord) is placed to aid healing. Our experienced surgical team prioritises gentle and effective treatment, guiding patients from diagnosis through recovery, ensuring optimal healing and alleviation of discomfort.

Burn Wound Management Sloughectomy & Skin Grafts

This is a specialised procedure for treating severe burns. Sloughectomy refers to the removal of dead, damaged, or infected tissue to promote healing. After this debridement, skin grafts may be necessary to cover and protect the wound. Grafts are typically harvested from a donor site on the patient's body and transplanted onto the cleaned burn area. Our expert surgical team is committed to providing comprehensive burn care. From initial assessment to grafting and post-operative recovery, we prioritise patient comfort, optimal healing, and restoring function and appearance, ensuring each individual receives the best possible care and outcomes.

Tracheostomy

Tracheostomy is a surgical procedure that establishes an airway by creating an opening (stoma) in the trachea or windpipe. This is achieved by making an incision on the neck's front and inserting a tube to assist with breathing. It's often performed when there's an obstruction in the upper airway or when long-term ventilation is needed, such as in intensive care settings.