Department Of Colorectal Surgery

First & Only Speciality Center for Piles / Fistula treatment.

Department Of Colorectal Surgery

The division od 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 pertaining to the Colon, Rectum and Anus are performed by a dedicated team of Gastroenterologists specially trained and experienced in Colorectal Surgery. If one would want to name one surgery thats made open surgery go down the gutter, its laparoscopic resections of the colon and rectum for tumours, inflammatory bowel diseases, tuberculosis etc.

With more advanced imaging and technologies like the the da Vinci Robotic surgery platform, 4K laparoscopic suite and 3D imaging in laparoscopy, it has only become better for the patient in terms of outcomes and recovery and to the surgeon in terms of ease and comfort. Using these technology and expertise the team have successfully been able to avoid colostomy / ileostomy with sphincter preservation for hundreds of patients who otherwise might have needed a colostomy.

Out-patient clinics
The colorectal team runs the outpatient clinics on all Tuesdays and Fridays. The clinics can be attended by both appointments as well as open access for walk in patients. Complete workup and investigations are offered to the patients based on the presentation. Patients with diagnosis of cancer are discussed in the Tumour Board meeting at 4.00pm.

Tumour Board Service
The Tumour Board is formed by the team of Consultant Colorectal surgeons, Oncologist (Dr. Akila), Radiologist (Dr. Srikanth), Pathologist (Dr. Aravind) and Specialist nurses. The meeting happens everyday at 4.00pm in the auditorium. Detailed discussion of the patient status, histopathology and imaging is done so that optimal management plans are made to suit the individual patients. Management plans are made in accordance with the NCCN American guidelines.

Out-patient procedures
Self illuminating Proctoscope is used for the detailed assessment of anal canal problems such as anal fistula, haemorrhoids and anal fissures. For patients with first and second degree haemorrhoids with bleeding rubber band ligation of haemorrhoids is performed. Banding of haemorrhoids is a well tolerated procedure and the patient can return home within a few hours. Rigid sigmoidoscopy is performed in the outpatient clinic for selected patients and it offers the option of performing a biopsy as well if necessary.

Anal physiology services
Patients suffering from faecal evacuation problems and incontinence are evaluated with Anal manometry. Based on the manometry findings patients are carefully selected who may benefit from Biofeedback therapy. Trans-anal Ultrasonography is a particularly useful investigation for patients with anal fistula, anal pain and faecal incontinence.

Diagnostic services
Proctoscopy and Rigid Sigmoidoscopy are performed in the outpatient clinic as above. Flexible Sigmoidoscopy is offered to patients with anorectal symptoms. An enema is given to the patient following which sigmoidoscopy is performed. For patient with chronic altered bowels and anaemia Colonoscopy is offered. We are able to perform colonoscopy on the same day for patients presenting to outpatients before 9.00am. 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.

Anal physiology services
Patients suffering from faecal evacuation problems and incontinence are evaluated with Anal manometry. Based on the manometry findings patients are carefully selected who may benefit from Biofeedback therapy. Trans-anal Ultrasonography is a particularly useful investigation for patients with anal fistula, anal pain and faecal incontinence.

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, a same day stenting service is provided.

Chemotherapy services
A dedicated chemotherapy ward with well trained staff nurses look after the patients undergoing chemotherapy. Pre-printed protocols are used with individualised treatment offered to patients. All chemotherapy administration is closely monitored by Consultant Oncologist and Consultant Surgeons.

Dr Rajapandiyan

MS., FRCS(Ed)., DNB(GI Surg)., Phd (MAS)., FMAS., FAIS

Dr sathiyamoorthy

MBBS, MS(General Surgery), FACS

Dr. Senthil Ganapathy

MS(General Surgery), MRCSEd, MD(Research, University of London), FRCS(Exit)

Dr. Harish Kakkilaya

MBBS.,MS.,FMAS.,FICRS

Dr. Samrat Jankar

MS(General Surgery), DNB(GI surgery)

  • 1500 Lap Anterior Resections
  • 3500 Colectomies
  • 150 Lap TPC + IPAA
  • 150Lap Rectopexy
  • 75 Hartmann’s Reversal
  • 75 Parastomal Hernia
  • 30 Lap Recto Vaginal Fistula
  • 25 Lap Colo Vaginal Fistula
  • First prize in ACRSICON2018 for experience of 1000 cases of laparoscopic anterior resection at GEM Hospital
  • The 40th National Conference of the Association of Colon and Rectal Surgeons of India organised by GEM Hospital
  • International Live Workshop and Conference on Minimally Invasive Colorectal Surgery – COLOREC2013, organised by GEM Hospital
  • Inauguration of GEM Cancer & Research Centre by Dr. APJ. Abdul Kalam. Colon and rectal cancer operations have been performed more than any other cancers at GEM Hospital
  • The National Conference on Colorectal Surgery ACRSI 2001, organised by GEM Hospital
  • Multiple camps organised by the colorectal surgery department for both colorectal diseases and other surgical diseases

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 Abdomino-perineal resection (APR)

 

Familial Adenomatous polyposis/Inflammatory bowel disease

  • Laparoscopic Total Procto colectomy with ileal pouch anal anastomosis
  • Laparoscopic Total Procto colectomy with permanent ileostomy

 

Perineal procedures

  • Harmonic and Ligasure Haemorrhoidectomy
  • Lateral Sphnicterotomy
  • Stapler Haemorhoidopexy Video Assisted
  • Anal Fistula Treatment – VAAFT for Fistula in Ano
  • Ligation of Intersphincteric Fistulous Tract – LIFT for Fistula in Ano

 

TEM / TAMIS

  • Transanal ESD
  • Transanal Resection of Rectum and TME