Laproscopic & General Surgery

The Department of General Surgery at Preethi Hospital is one of the busiest General surgery units performing all types of Major and Minor surgeries, Daycare Surgeries, Emergency and Trauma surgeries. All Elective and Emergency surgeries are performed around the clock. With the presence and support of multi multi-disciplinary team of specialists, careful pre-operative preparation and careful post-operative care, along with strict adherence to WHO-recommended surgical safety guidelines, we can achieve the best results with the least Morbidity & Mortality. We have daily outpatient clinics and specialized clinics for Diabetic foot care and upper and lower GI endoscopies.

We have round-the-clock availability of a dedicated Operation theatre and Endoscopy Suite for Emergency Procedures. The theatre is equipped with advanced Laparoscopic instruments. The Department has the support of a consultant-led multi-disciplinary Surgical ICU for managing Critical post-operative patients.

Challenges and Sucesses

Ruptured Hemorrhagic Liver Cyst in a Patient with Polytrauma

A 60-year-old male was admitted with a history of polytrauma in the emergency room of our hospital with an injury to the head, abdomen, both hands and face. The patient was haemodynamically unstable at the initial and resuscitation was initiated with ionotropic supports and intubated. CT chest shows multiple rib fractures with right Tension pneumothorax, and CECT abdomen shows a ruptured liver cyst with hemoperitoneum. After initial stabilisation with CTVS opinion, ICD placement, and Neurosurgery opinion for conservative management, the Patient underwent emergency laparotomy and repair/excision of the liver cyst, Patient became hemodynamically stable on the next day. Postoperative care was uneventful, the patient was symptomatically better and discharged in good condition.

An Enigma in Diagnosis of Huge Abdomino-Pelvic Masses Introperative Surpirse!!

A 23-year-old unmarried female was brought to the surgical OPD with complaints of gradually increasing abdominal distension over 2-3 years. Per abdomen, examination revealed a palpable mass occupying almost the entire abdomen except for a few centimetres below bilateral subcostal margins and a small part of the epigastrium, in a thin-built patient, not associated with tenderness. MRI abdomen revealed a large walled cystic lesion of size around 19.3*17*6.7cm, with the possibility of mesenteric cyst /both ovaries normal with no signiﬁcant lymphadenopathy. The patient was taken up for diagnostic laparoscopy and proceeded given the size of the lesion and the doubtful origin of the same. Around 2.5 litres of clear ﬂuid was suctioned from the huge lesion. Post decompression, the origin was found to be right adnexa. And not the mesentery as per preop imaging studies. Right, para-ovarian cystectomy was done. Specimen delivered through 10mm epigastric port. Postoperative care was uneventful, the patient was symptomatically better and discharged in good condition.

Laparoscopic Repair of Traumatic Diaphragmatic Rupture-A Case Report

A 41-year-old male presented to the ER following a road traï¬ƒc accident. Physical examination revealed decreased breath sounds on the left hemithorax, an open wound over the right iliac fossa region(exposing the iliac crest) and degloving injury of the right lower limb. Chest X-ray revealed bowel gas shadows on the left side of the chest. CT thorax with abdomen showed traumatic left hemidiaphragmatic rent of size 6*6 cm with migration of abdominal contents into thoracic cavity/atelectasis of left lung. On the Laparoscopic approach, Around 7* 6 cm left hemidiaphragmatic rent was noted and the same was repaired with interrupted nonabsorbable sutures. The rest of the abdominal viscera were found to be normal. The postoperative course was uneventful except for a minimal air leak that settled with aggressive chest physiotherapy.

Polycystic Liver Disease - Rare Genetic Disorder

45-year-old male with no other comorbidities was diagnosed with polycystic liver disease, incidentally identiﬁed when he underwent imaging studies in 2019 for evaluation of abdominal distension and pain. In June 2022 he developed abdominal pain and was found to have a ruptured liver cyst and treated with antibiotics and other supportive medications and advised for a Liver transplant as a permanent cure. He completed a pre-transplant workup outside and is awaiting for transplant. The patient underwent DECEASED DONOR LIVER TRANSPLANTATION, surgical procedure was uneventful. He was hemodynamically stable and maintained good oxygenation and urine output. He received prophylactic antibiotics, analgesia and DVT prophylaxis. Postoperatively, the patient was hemodynamically stable and hence, being discharged in good condition.