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The highly skilled team of General surgery department in Chettinad hospital is headed by Prof Dr P Raghumani , senior surgeon with a teaching experience of more than 30 years. They have the pertinent surgical knowledge and skills appropriate to their level of experience and they are committed towards the patients, students, profession and community through ethical practice.

The Department of surgery provides outpatient services from 08:30 AM to 04:00 PM on all days. On holidays the services are restricted from 8:30 AM to 02:00 PM.

Inpatient care is facilitated by means ofeight medical units providing utmost care to the sick patients. Patients can choose between general wards, semiprivate rooms and private rooms.

In addition, the department has provided unique health care services to the poor and downtrodden at their door steps by conducting rural health camps. For minor ailments drugs
are provided free of cost at the camp site.

Patients requiring further evaluation and surgical intervention will be referred to the hospital for further work up.
In addition to the above services specialist consultation is being provided in peripheral centers,
such as our Urban health centre at Karapakkam, Government Primary health center Kelambakkam and Rural health centre Poonjeri.

Patient Care services to are provided through collaborative teamwork, responding to the health requirements of the community.
New methods of surgical care are also being integrated into the routine practice to provide the best outpatient and inpatient surgical care for the patients in need.
Regular followup is being done through tele consultation services and they are periodically reviewed and counselling done.
We are available 24×7 for 365 days in the hospital and at any point of time, we have one senior surgeon, post graduates and interns.

Another prime focus of the Department of General Surgery is medical education which involves imparting knowledge to the Undergraduate (MBBS and AHS) and Postgraduate (MS) Medical students.

To provide an intellectually stimulating environment to motivate and inspire students in their quest for knowledge. The department handles medical undergraduate (MBBS) and postgraduate students (MS) and undergraduate and postgraduate AHS students. The postgraduate course offered is MS General Surgery and the other PG programs handled include MS OBG, MS Ortho, MS ENT and MDS.

The teaching learning methods for the MBBS students includes theory classes, Outpatient clinic, Bedside clinical teaching, Clinical Tutorials,Vertical integration programs, monthly CPC, Skills lab training, BLS training, weekly seminars and symposium, CME programs, conferences and workshops. Methodology adopted for slow learners is organizing special bedside clinical classes by thesenior faculty, mentor mentee meetings and weekly clinical orientated theory tests.A continuous formative assessment of the students is done weeklyand at the end of postings by theory, clinical tests and viva voice. The graduates are trained for competitive exams for postgraduate courses with tests in the MCQ pattern.

Undergraduate students undergo teaching learning methods through theory classes which include extensive informative lectures prepared by the faculties and clinical classes teaching the students meticulous history taking, diagnosis and assessment of various diseases. During COVID-19 pandemic, the classes for MBBS undergraduates were conducted periodically in the same way as before the pandemic through various Online platforms like ZOOM, MICROSOFT.

For AHS students, theory classes and bedside teaching is carried out.

The teaching methodology adopted for the Post graduate students includes Outpatient clinic, bedside clinical teaching, lectures in basic sciences, diagnostic challenges, approach to common surgical emergencies, update on surgical innovations, journal clubs, interdepartmental discussions, CME, Workshops and conferences. Online clinical discussion by distinguished faculty has also been introduced.

Knowledge is imparted by using conventional and innovative teaching learning methods. Weekly Skills lab training on suturing techniques and bed side procedures is imparted to interns and post graduates, in addition to these Post graduates also get good training in skill lab through Laparoscopy simulators, hands on training under supervision of Experienced Surgeons.

Postgraduates acquires more skills and knowledge by getting more experience in Laparoscopy cases under DR. C. PALANIVELU, Pioneer in laparoscopic surgery in the world who was first to introduce laparoscopic surgery in south india. Postgraduates get trained in GEM hospital by entering into Memorandum Of Understanding (MOU).

Postgraduates are getting updated to the new technology like Robotic surgery through CURIE Hospital periphery postings and gaining more exposure through MOU.

Post graduate teaching occurs 6 days a week and comprises of case presentations, subject seminars, journal clubs, group discussions, CPCs and e-guest lectures which are attended by the postgraduates and faculties and discuss about the updates andrecent advances in surgery pertaining to the topic and is discussed in detail.

Postgraduates attend various specialities in Chettinad hospital,

1. ICU- postgraduates learn about critical care and management of patients.
2. Orthopaedics- postgraduates are trained in treating trauma patients.
3. Radiology- postgraduates are trained in using various diagnostic modalities.
4. Anaesthesia- postgraduates learn about preoperative assessments, intraoperative management and postoperative management of patients

Postgraduates are also posted in super specialties like

1. Neurosurgery
2. Plastic surgery
3. Urology
4. CTVS

Postgraduates attend various super specialities in Chettinad hospital thus get more exposure and can choose the branch of choice later on.

These postings help our postgraduates experience the various choices in their hands and decide on their future specialities.

Services offered include consultation and surgical management of conditions such as inguinal hernia, hydrocele, phimosis, skin grafting, excision of lump, cyst, appendicitis, intestinal obstruction and intestinal perforations, abscesses, surgical management of malignancies of the breast, gastrointestinal tract, care of diabetic foot ulcers, burns wounds and trauma care.

The Department of surgery provides outpatient services from 08:30 AM to 04:00 PM on all days. On holidays the services are restricted from 8:30 AM to 02:00 PM.

Outpatient department functions at OP No 5 at A Block, Ground floor and is fully equipped with consultation rooms, dressing rooms, minor procedure room,
clinical demonstration room and faculty lounge with conference room. In addition, a fully equipped endoscopy suite is available for Upper and Lower GI Endoscopy.
All the patients will be addressed in the opd, counselled about the condition and male them clear the doubts and the required treatment for the need and follow
up is maintained through teleconsultation.

Speciality clinics: The Department of Surgery has dedicated specialty clinics conducted once in a week as per schedulewith concerned super specialists. Currently the following specialty clinics are functioning

We have a total of 240 beds and 8 wards in general surgery for both male and female patients. Inpatient care is provided to the patients admitted in the ward as well as in the surgical intensive care ward. Patients can choose admission to general wards or Special wards or rooms according to their preference. Post-operative care is given to the patients in Surgical Intensive care units.

Inpatient care is facilitated by means of 8 surgical units providing utmost care to the sick patients. In addition to general surgical wards the patients are also provided surgical care in special wards with all basic amenities based on their option.

Round the clock inpatient care is ensured by one senior faculty of the department in rotation, postgraduates and Interns.

The department has provided unique services to the poor and downtrodden at their door steps by conducting rural health camps. For minor surgical ailments drugs are provided and dressing done free of cost at the camp site.Patients requiring further evaluation and surgical intervention will be referred to the hospital for further work up. In addition to the above services specialist consultation is provided to peripheral centres such as our urban health centre at Karapakkam, Government Primary health centre Kelambakkam and rural health centre Poonjeri.

Periodic camps are conducted in villages of chengelpet and Kancheepuram districtslike kelambakkam,Semmancheri, Thiruporur, Pudupakkam, Thoraipakkam, Kannaginagar for screening general population for communicable and non-communicable diseases. The surgical patients diagnosed in the camps are referred to chettinad hospital for further management.Faculty and postgraduates of general surgery department participate in awareness programs ,industrial camps,school health camps and NGO camps.

We conduct outreach awareness camps in Karapakkam, poonjeri and various places, to create awareness about common surgical problems in community and their treatment in peripheral centres.

A HUGE RETROSTERNAL MASS IN MEDIASTINUM

A 40 year old female presented to the department of General Surgery, Chettinad Hospital and research institute, with complaints of swelling in the neck since 2 months associated with breathlessness, difficulty in swallowing to both solids and liquids, palpitations for the past 2 months. On evaluation, CT NECK showed- large mass behind the sternum in the region of mediastinum of size 49*68*85 mm arising from the left lobe of thyroid causing significant tracheal shift and luminal narrowing and displacing the major blood vessels from the heart, to the right side. The surgical team comprising of Dr. Sanjay Theodore, Department of Cardiothoracic and vascular surgery, with Dr. Ananthramakrishnan and Dr. Senthil Kumar from the Department of General Surgery, and Anaesthesia team comprising of Dr. Ravindran, Dr. Balamurugan and Dr. Merlin, Chettinad Hospital and Research Institute, operated on the patient on 9/3/2021. Sternotomy was done, and a huge vascular mass was found in the superior mediastinum attached to the left lobe of thyroid. The mediastinal mass was successfully removed along with the thyroid gland. Patient recovered symptomatically and her breathing difficulty as well as swallowing difficulty improved drastically after the surgery. Patient is recuperating well in the ward at present. CARE congratulates the team of surgeons and anaesthetists for operating on this challenging and rare case.

WORKSHOP ON SUTURING TECHNIQUES AND KNOTTING SKILLS

DEPARTMENT OF GENERAL SURGERY, CHETTINAD HOSPITAL AND RESEARCH INSTITUTE

DATE: 23-03-2021

TIME: 9.30 AM – 3.00 PM

VENUE:

1. DEMO HALL, GENERAL SURGERY OPD NO. 05
2. WARD NO. 05, SECOND FLOOR, CARE A BLOCK (WORKSTATION)

ORGANISERS: GENERAL SURGERY UNIT – III

PROF. DR. ANANTHARAMAKRISHNAN
PROF. DR. VARADARAJU. P

PARTICIPANTS: POST-GRADUATE STUDENTS OF VARIOUS SURGICAL DEPARTMENTS, CHRI, INCLUDING DEPARTMENTS OF GENERAL SURGERY, OBSTETRICS AND GYNAECOLOGY, ORTHOPAEDICS, OPHTHALMOLOGY, OTORHINOLARYNGOLOGY AND OMFS.

OBJECTIVE: To train the first year post-graduate students of various surgical departments in Chettinad Hospital and Research Institute in basic suturing skills and hand-knotting techniques by a hands-on one-day workshop, conducted by Department of General Surgery.

ACTIVITIES:

The programme began at 9.30 am at General surgery Demo hall with Welcome address by Professor and H.O.D., Prof. Dr. Ragumani. P. The event was graced by renowned Dr. Winston Noronha, Professor of Surgery and Medical Superintendent at Meenakshi Hospital. Dr. Winston Noronha delivered a lecture on basics of suturing and imparted knowledge to the student community. It was followed by Felicitation of our Chief guest by the organizing unit Chiefs, Prof. Dr. Anantharamakrishnan and Prof. Dr. Varadaraju. P. Vote of thanks was delivered by Prof. Dr. Anantharamakrishnan.

An informative video series on suturing techniques and hand-knotting skills was then screened. The faculties clarified doubts raised by the post-graduate students. Students were then asked to proceed to the workstation at Ward no. 05, Second floor, A Block at 11.00 AM.

Hands-on workshop was conducted with the suture training kits and suture materials. Demonstration of various methods of suturing and hand-knotting skills were done by the faculty (Professors, Associate Professors, Assistant Professors and Senior Residents) of Department of General Surgery along with continuous screening of videos of the techniques.

A well-participated Quiz contest on suturing techniques and hand-knotting skills was conducted after lunch.

Participants and organizing members were awarded with certificates.

CONCLUSION:

The workshop was conducted successfully as planned with full support and participation from the Faculty and Students of Chettinad Hospital and Research Institute. We hope the knowledge and suturing skills will be applied by the students and enhance their operating techniques.

First session of One-day Workshop at Demo hall, General Surgery OPD