Gastrointestinal Surgery

Fundoplication for Hiatus GerniaAnd Gastroesophageal Reflux Disease

Fundoplication is a surgical procedure commonly used to treat gastroesophageal reflux disease (GERD) and hiatus hernia. GERD is a condition where the stomach acid and contents backflow into the esophagus causing discomfort, heartburn and regurgitation. A hiatus hernia occurs when part of the stomach moves up into the chest through the opening in the diaphragm, leading to similar symptoms as GERD.

During the procedure, the surgeon wraps the upper portion of the stomach (fundus) around the lower end of the esophagus and tightens it, creating a valve-like mechanism to prevent the backflow of stomach contents into the esophagus. The procedure can be done using open surgery or minimally invasive techniques such as laparoscopy. The type of fundoplication will depend on the severity of the GERD or hiatus hernia.

Recovery time can vary depending on the extent of the surgery, but most patients can expect to spend several days in the hospital and several weeks at home before returning to normal activities. Fundoplication can be an effective treatment for GERD and hiatus hernia and can significantly improve a patient’s quality of life, reducing the symptoms of heartburn and regurgitation. However, as with any surgical procedure, there are risks and potential complications associated with fundoplication. Patients should discuss all treatment options and risks with their doctor before undergoing any surgical procedure.

Vagotomy for Acid Peptic Disease

Vagotomy is a surgical procedure that involves cutting the vagus nerve to reduce the production of stomach acid in patients with acid peptic disease, a condition that causes stomach acid and digestive juices to back up into the esophagus, causing heartburn, chest pain, and other symptoms. The procedure can be done using open surgery or minimally invasive techniques such as laparoscopy.

During the procedure, the surgeon cuts the branches of the vagus nerve that control the production of stomach acid, which reduces the amount of acid produced by the stomach. This can help to alleviate symptoms of acid peptic disease, but may also lead to some side effects such as bloating, diarrhea, and nausea.

Recovery time can vary depending on the extent of the surgery, but most patients can expect to spend several days in the hospital and several weeks at home before returning to normal activities. Vagotomy can be an effective treatment for acid peptic disease, but it is not a cure, and some patients may require additional treatment to manage their symptoms. As with any surgical procedure, there are risks and potential complications associated with vagotomy, and patients should discuss all treatment options and risks with their doctor before undergoing any surgical procedure.

Surgery for Corrosive Stricture of Esophagus and Stomach

Corrosive stricture of the esophagus and stomach is a condition that occurs as a result of the ingestion of caustic substances such as strong acids or alkalis. These substances can cause severe damage to the lining of the esophagus and stomach, leading to inflammation and scarring. Over time, this scarring can cause narrowing of the esophagus and stomach, making it difficult to swallow or digest food.

Treatment for corrosive strictures of the esophagus and stomach typically involves a combination of medical and surgical interventions. In some cases, endoscopic procedures may be used to stretch or dilate the strictures, which can help to alleviate symptoms and improve swallowing function. In more severe cases, surgical interventions such as esophagectomy or gastrectomy may be necessary to remove the damaged tissue and rebuild the digestive tract.

Recovery time can vary depending on the extent of the surgery and the severity of the strictures, but most patients can expect to spend several days in the hospital and several weeks at home before returning to normal activities. It is important for patients with corrosive strictures of the esophagus and stomach to work closely with their healthcare providers to manage their condition and minimize the risk of complications. This may involve making dietary changes, taking medications to reduce inflammation and pain, and undergoing regular follow-up exams to monitor the condition.

Gastric trichobezoar Surgery

Gastric trichobezoar is a rare condition that occurs when hair accumulates in the stomach, forming a ball or mass that can obstruct the digestive tract. This condition is most commonly seen in young women with trichotillomania, a condition where people compulsively pull out their own hair.

Surgical intervention is often required to remove gastric trichobezoars. The surgery can be done using open surgery or minimally invasive techniques such as laparoscopy. During the procedure, the surgeon carefully removes the mass from the stomach, being careful to avoid damaging the digestive tract. In some cases, a portion of the stomach may need to be removed if the mass has caused significant damage to the surrounding tissue.

Recovery time can vary depending on the extent of the surgery and the severity of the condition, but most patients can expect to spend several days in the hospital and several weeks at home before returning to normal activities. It is important for patients with gastric trichobezoars to work closely with their healthcare providers to manage their condition and minimize the risk of recurrence. This may involve behavioural therapy to treat trichotillomania, dietary changes to reduce the risk of complications, and regular follow-up exams to monitor the condition.

Annular pancreas Surgery

Annular pancreas Surgery is a rare condition that occurs when a ring of pancreatic tissue forms around the duodenum, the first part of the small intestine. This can cause a narrowing of the duodenum, which can lead to digestive problems and other complications.

Surgical intervention is often required to treat annular pancreas. The surgery can be done using open surgery or minimally invasive techniques such as laparoscopy. During the procedure, the surgeon carefully removes the ring of pancreatic tissue from around the duodenum, being careful to avoid damaging the surrounding tissue.

Recovery time can vary depending on the extent of the surgery and the severity of the condition, but most patients can expect to spend several days in the hospital and several weeks at home before returning to normal activities. It is important for patients with annular pancreas to work closely with their healthcare providers to manage their condition and minimize the risk of complications. This may involve dietary changes to reduce the risk of recurrence, and regular follow-up exams to monitor the condition. In some cases, additional surgeries or procedures may be necessary to manage complications or address other related conditions.

Necrosectomy for Acute Pancreatitis Procedure

Acute pancreatitis is a condition that occurs when the pancreas becomes inflamed, often as a result of gallstones, alcohol use, or other factors. In severe cases of acute pancreatitis, the tissue of the pancreas may become necrotic, or die, which can lead to further complications such as infection, abscesses, or sepsis.

Necrosectomy is a surgical intervention that is sometimes used to treat severe cases of acute pancreatitis. During the procedure, the surgeon removes the necrotic tissue from the pancreas, often using minimally invasive techniques such as laparoscopy. This can help to prevent further damage to the pancreas and other organs, and reduce the risk of complications.

Recovery time can vary depending on the extent of the surgery and the severity of the condition, but most patients can expect to spend several days in the hospital and several weeks at home before returning to normal activities. It is important for patients with acute pancreatitis to work closely with their healthcare providers to manage their condition and minimize the risk of complications. This may involve dietary changes to reduce the risk of recurrence, and regular follow-up exams to monitor the condition. In some cases, additional surgeries or procedures may be necessary to manage complications or address other related conditions.

Enucleation of Pancreatic Tumours

Enucleation is a surgical intervention that is sometimes used to remove small pancreatic tumours that are located near the surface of the pancreas. During the procedure, the surgeon carefully removes the tumour, being careful to avoid damaging the surrounding tissue. This approach can help to preserve the function of the pancreas and reduce the risk of complications.

Enucleation is typically used to treat benign tumours or low-grade malignant tumours that are less than 2-3 cm in size. Larger tumours or those that are located deep within the pancreas may require more extensive surgery, such as a partial or total pancreatectomy.

Recovery time can vary depending on the extent of the surgery and the severity of the condition, but most patients can expect to spend several days in the hospital and several weeks at home before returning to normal activities. It is important for patients with pancreatic tumors to work closely with their healthcare providers to manage their condition and minimize the risk of recurrence. This may involve dietary changes to reduce the risk of complications, and regular follow-up exams to monitor the condition. In some cases, additional surgeries or procedures may be necessary to manage complications or address other related conditions.

Anal Fissure surgery

Surgical intervention for anal fissures is typically only recommended if other treatments have not been effective or if the fissure is severe or recurrent. The most common surgical procedure for anal fissures is a lateral internal sphincterotomy. This procedure involves making a small incision in the internal anal sphincter muscle to relieve pressure on the fissure and promote healing. The incision is typically only a few mm in size and is made in a way that minimizes the risk of damage to other tissues.

The procedure is typically performed under general anesthesia, and patients can usually return home the same day. Recovery time varies but can take several weeks. During this time, patients may need to avoid certain activities, such as heavy lifting, and follow specific post-operative care instructions, such as taking stool softeners and avoiding constipation.

While a lateral internal sphincterotomy can be highly effective at treating anal fissures, it is not without risks, such as incontinence or decreased anal sphincter control. However, these risks are relatively rare and typically resolve over time with proper care and follow-up with a healthcare provider. It is important for patients to discuss the potential risks and benefits of surgical intervention with their healthcare provider and make an informed decision based on their individual needs and circumstances.

Diverticulitis surgery

Diverticulitis surgery may be necessary for individuals who experience chronic or severe diverticulitis or who have complications such as bowel obstruction, perforation, or abscess. The most common surgical intervention for diverticulitis is a procedure called a colon resection, which involves removing the affected portion of the colon and re-joining the remaining segments.

The procedure is typically performed under general anesthesia, and patients may spend several days in the hospital following the surgery. Recovery time can vary but may take several weeks or longer, depending on the extent of the surgery and the individual’s overall health.

While colon resection is typically effective at treating diverticulitis and reducing the risk of complications, it is not without risks, such as bleeding, infection, and bowel obstruction. Additionally, the procedure may lead to changes in bowel habits or other digestive issues. However, these risks are relatively rare, and most individuals are able to resume normal activities and experience improved quality of life following surgery.

It is important for individuals with diverticulitis to work closely with their healthcare provider to manage their condition and reduce the risk of complications. This may involve dietary changes, such as increasing fiber intake and drinking more fluids, and taking medication to manage symptoms. In some cases, surgery may be necessary to manage the condition and prevent further complications.

Pilonidal SinusSurgery

Pilonidal sinus is a condition in which a small hole or tunnel develops in the skin near the tailbone. This can lead to pain, inflammation, and the formation of a cyst or abscess. While some cases of pilonidal sinus can be managed with conservative measures such as pain management, antibiotics, and regular cleaning, surgical intervention may be necessary for more severe or recurrent cases.

The most common surgical procedure for pilonidal sinus is called an excision and closure. This involves making an incision in the skin over the sinus and removing the affected tissue. The wound is then closed with stitches or left to heal on its own with dressing changes. Another surgical option is the use of a flap or graft to close the wound.

The procedure is typically performed under general anesthesia, and patients can usually return home the same day. Recovery time varies but may take several weeks or longer, depending on the extent of the surgery and the individual’s overall health. During this time, patients may need to avoid certain activities, such as sitting for prolonged periods or engaging in strenuous exercise.

While surgical intervention for pilonidal sinus can be highly effective at treating the condition, it is not without risks, such as infection, bleeding, and delayed wound healing. Additionally, some individuals may experience recurrent pilonidal sinus following surgery. However, most individuals are able to resume normal activities and experience improved quality of life following surgery. It is important for patients to work closely with their healthcare provider to manage their condition and reduce the risk of complications.

Pouch surgery for Ulcerative Colitis

Pouch surgery, also known as ileal pouch-anal anastomosis (IPAA) or J-pouch surgery, is a surgical treatment option for individuals with ulcerative colitis who have failed to respond to medical therapy or who have complications such as colon cancer. The procedure involves removing the affected portion of the colon and rectum and creating a new pouch from the end of the small intestine. The pouch is then connected to the anus, allowing the individual to pass stool in a relatively normal manner.

The procedure is typically performed in two or three stages, allowing the individual time to adjust to the new pouch and ensuring that the pouch is functioning properly. The first stage involves removing the affected portion of the colon and creating the pouch. The second stage involves connecting the pouch to the anus and allowing the individual to pass stool through the new pouch. In some cases, a third stage may be necessary to remove a temporary ileostomy, which is a surgical opening in the abdominal wall that allows waste to be collected in a bag outside the body.

Pouch surgery is highly effective at treating ulcerative colitis and reducing the risk of complications such as colon cancer. However, it is not without risks, such as infection, bleeding, and complications related to the new pouch, such as pouchitis or incontinence. Additionally, some individuals may experience long-term digestive issues, such as diarrhea or abdominal discomfort, following surgery.

It is important for individuals with ulcerative colitis to work closely with their healthcare provider to manage their condition and determine the best treatment option for their individual needs. While surgery may be necessary in some cases, many individuals are able to manage their symptoms with medication, dietary changes, and other conservative measures.