General Surgery
General Surgery

Department of General Surgery was established in 2005 and is one of the largest departments of the General Hospital comprising of a team of highly dedicated, experienced and skilled surgeons.The Departmentis a center for undergraduate & postgraduate teaching,patient care and research at Chettinad Hospital and Research institute and is committed to providing the highest quality of medical care to patients, world class education for students and continuing innovative
basic science and clinical research

The highly skilled team of surgeons at Chettinad is headed by Prof Dr P Raghumani, a
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.

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

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 and undergraduate and postgraduate AHS students.The undergraduate courses handled include MBBS, BDS, BSc AHS OT and Surgical Technology and BS AHS Emergency and Trauma care. The postgraduate course offered is MS General Surgery and the other PG programs handled include MS OBG, MS Ortho, MS ENT and MDS

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.

The department focuses on Multi disciplinary collaborative research and both the faculty and post graduates are encouraged to involve in research and to publish many research papers.

KUGELSREPAIR:A new open suprainguinal pre peritoneal approach to hernia repair proposed by our department Head, Prof Dr. RAGUMANI.P. This technique has been established and is being performed

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.

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. The Department Library is equipped with numerous text books and reference books to quench the thirst for knowledge of the budding medical professional.

Super speciality Clinics
Surgical oncology & Plastic Surgery Monday
Cardio Thoracic & vascular Surgery Tuesday
Neuro Surgery Wednesday
Paediatric Surgery Thursday
Urology Friday
Surgical Gastro enterology Saturday

Special clinics function twice a week and include the following

  • Surgical Diabetic foot (Mondays and Thursdays)
  • Thyroid and Endocrine (Tuesdays and Fridays)
  • Breast (Wednesdays and Saturdays
  • Dyspepsia
  • Piles

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. A Zero delay ward is functioning 365*24*7 for emergency conditions where they get immediate attention without any delay.Post-operative care is given to the patients in Surgical Intensive care units.

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

Periodic camps are conducted in rural areas like Semmancheri, Thiruporur, Pudupakkam, Thoraipakkam-Kannaginagar for screening general population for communicable and non-communicable diseases. In addition to the above services specialist consultation is provided to peripheral centers such as our urban health center at Karapakkam, rural health center at Poonjeri and Government Primary health center, Kelambakkam.

Case no1: an interesting case of ileal rupture due to gastrointestinal stomal tumour.

Mr SS, age: 28 years

092926829

Procedure done: laparotomy and proceed:

Resection anastomosis of short segment ileum

Case no2: An interesting case of ileocecalmass with secondary serosal deposits with occult primary

Mr R, age: 53 years 092476514

Procedure done: Resection

Anastomosis of terminal ileum

Up to proximal part of ascending colon.

Case no3:

MR.K (092438384) 62 year old male presented with subacute small bowel obstruction due to suspected abdominal Tuberculosis, operative procedure- diagnostic laparoscopy was done, resection and anastomosis of jejunum was done. HPE of the resected segment- well differentiated adenocarcinoma with epithelioid granulomatous inflammation suggestive oftuberculosis

Case no4:

Mr. P k (092492355)- 30-year-old male, a case of Actinomycosis over back of neck.
Operative procedure- excision and biopsy done, HPE– pilonidal sinus over back ofneck

Case no5:

Mr.K 39 year old male 092458150 a case of descending colon perforation, operative procedure- Hartmann’s proceduredone. HPE- descending colon perforation due to diverticulitis.

Case no6:

Mrs. R,32 year old female,acase of recurrent subacuteintestinalobstructiondueto? Adhesive colic. OPERATIVE PROCEDURE- diagnostic laparoscopy was done, multiple jejunalandileal strictures were present,resection and anastomosis of jejunum done.

HPEofresectedsegment showed-ChronicXanthogranulomatousin flammation with diffuselyinfiltratingsingle cells with signetring morphology and mild atypiain the submucosaandserosa of jejunumandmesentericnodules.Possibility of signetring cell/ adenocarcinomatous deposits.


Department of General Surgery

About the Department

Department of General Surgery was established in 2005 and is one of the largest departments of the General Hospital comprising of a team of highly dedicated, experienced and skilled surgeons.The Departmentis a center for undergraduate & postgraduate teaching,patient care and research at Chettinad Hospital and Research institute and is committed to providing the highest quality of medical care to patients, world class education for students and continuing innovative
basic science and clinical research

The Team

The highly skilled team of surgeons at Chettinad is headed by Prof Dr P Raghumani, a
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.

Patient Care

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

Teaching

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 and undergraduate and postgraduate AHS students.The undergraduate courses handled include MBBS, BDS, BSc AHS OT and Surgical Technology and BS AHS Emergency and Trauma care. The postgraduate course offered is MS General Surgery and the other PG programs handled include MS OBG, MS Ortho, MS ENT and MDS

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.

Research

The department focuses on Multi disciplinary collaborative research and both the faculty and post graduates are encouraged to involve in research and to publish many research papers.

KUGELSREPAIR:A new open suprainguinal pre peritoneal approach to hernia repair proposed by our department Head, Prof Dr. RAGUMANI.P. This technique has been established and is being performed

Services offered

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.

Outpatient Services

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. The Department Library is equipped with numerous text books and reference books to quench the thirst for knowledge of the budding medical professional.

Super speciality Clinics
Surgical oncology & Plastic Surgery Monday
Cardio Thoracic & vascular Surgery Tuesday
Neuro Surgery Wednesday
Paediatric Surgery Thursday
Urology Friday
Surgical Gastro enterology Saturday

Special clinics function twice a week and include the following

  • Surgical Diabetic foot (Mondays and Thursdays)
  • Thyroid and Endocrine (Tuesdays and Fridays)
  • Breast (Wednesdays and Saturdays
  • Dyspepsia
  • Piles

Inpatient Servicies

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. A Zero delay ward is functioning 365*24*7 for emergency conditions where they get immediate attention without any delay.Post-operative care is given to the patients in Surgical Intensive care units.

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

Outreach Activities

Periodic camps are conducted in rural areas like Semmancheri, Thiruporur, Pudupakkam, Thoraipakkam-Kannaginagar for screening general population for communicable and non-communicable diseases. In addition to the above services specialist consultation is provided to peripheral centers such as our urban health center at Karapakkam, rural health center at Poonjeri and Government Primary health center, Kelambakkam.

Interesting Cases

Case no1: an interesting case of ileal rupture due to gastrointestinal stomal tumour.

Mr SS, age: 28 years

092926829

Procedure done: laparotomy and proceed:

Resection anastomosis of short segment ileum

Case no2: An interesting case of ileocecalmass with secondary serosal deposits with occult primary

Mr R, age: 53 years 092476514

Procedure done: Resection

Anastomosis of terminal ileum

Up to proximal part of ascending colon.

Case no3:

MR.K (092438384) 62 year old male presented with subacute small bowel obstruction due to suspected abdominal Tuberculosis, operative procedure- diagnostic laparoscopy was done, resection and anastomosis of jejunum was done. HPE of the resected segment- well differentiated adenocarcinoma with epithelioid granulomatous inflammation suggestive oftuberculosis

Case no4:

Mr. P k (092492355)- 30-year-old male, a case of Actinomycosis over back of neck.
Operative procedure- excision and biopsy done, HPE– pilonidal sinus over back ofneck

Case no5:

Mr.K 39 year old male 092458150 a case of descending colon perforation, operative procedure- Hartmann’s proceduredone. HPE- descending colon perforation due to diverticulitis.

Case no6:

Mrs. R,32 year old female,acase of recurrent subacuteintestinalobstructiondueto? Adhesive colic. OPERATIVE PROCEDURE- diagnostic laparoscopy was done, multiple jejunalandileal strictures were present,resection and anastomosis of jejunum done.

HPEofresectedsegment showed-ChronicXanthogranulomatousin flammation with diffuselyinfiltratingsingle cells with signetring morphology and mild atypiain the submucosaandserosa of jejunumandmesentericnodules.Possibility of signetring cell/ adenocarcinomatous deposits.

Conferences Organized

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