Home/Departments/SURGICAL GASTROENTEROLOGY , GI ONCOLOGY, HPB SURGERY AND LIVER TRANSPLANTATION

DEPARTMENT OF MINIMALLY INVASIVE AND ADVANCED LAPAROSCOPIC SURGERY

The department of Surgical Gastroenterology, GI Oncology, HPB Surgery and Liver Transplantation at Vadamalayan Hospital specializes in comprehensive evaluation and treatment of the diseases of gastrointestinal tract and the liver pancreas and biliary tract and in Liver Transplantation. The department is under the guidance of Dr.N.Prithiviraj MS,Mch(SGE),DNB(SGE), Fellow in Liver Transplantation and Dr.V.Pavan Kumar MS, Mch(SGE). The department has a dedicated and comprehensive setup comprising of an ultramodern and fully equipped operation theaters with dedicated preoperative and postoperative facilities. The nurses and staff members are trained in managing the surgical patient undergoing complex and major digestive surgical procedures.

ESOPHAGUS AND STOMACH SURGERY ( UPPER GI SURGERY)

(A) Esophagus :

 

Tables overlap in sides :

Diseases Treatment provided Common problems Expert Solutions
Gastroesophageal reflex disease (GERD) Laparoscopic fundoplication Regurgitation, Belching
Dysphagia – stricture
Dysphagia – Malignancy
Refractory GERD
Achalasia Laparoscopic HellersCardiomyotomy
Paraesophageal hernia Laparoscopic hernia repair
Diverticula Laparoscopic diverticulectomy
Corrosive Strictures Gastric pull up/colon pull up
Carcinoma esophagus Minimally invasive esophagectomy/ VATS/ Transthoracic Esophagectomy/ Transhiatalesophagectomy
Barrett espohagus ThoracoLaparoscopicesophagectomy
Trauma Esophageal exclusion/ Replacement

(B) Stomach :

Diseases Treatment provided Common problems Expert Solutions
Gastric Ulcer Truncalvagotomy + Gastrojejunostomy /
Laparoscopic Highly Selective Vagotomy. 		Gastric Ulcer
Dyspepsia
Pain after food intake
Pain on fasting
Carcinoma stomach
Gastric ulcer perforation Omental Patch closure
Carcinoma stomach Laparoscopic D2 Gastrectomy
Foreign Body Laparoscopic Removal
Gastric Volvulus Gastrectomy / Laparoscopic Gastropexy
COLORECTAL , HEMORRHOIDS AND FISTULA SURGERY (LOWER GI SURGERY)

Diseases Treatment provided Common problems Expert Solutions
Hemorrhoids LigasureHemorrhoidectomy,
Suturelesshemorrhoidectomy
Laser Treatment 		Bleeding PR
Painful defecation/ Motion
Mass in anal region
Itching in anus
Constipation
Incontinence
Diarrhoea
Fistula in Ano LIFT, Fistulectomy, Seton
Fissure in Ano Lateral internal sphincterotomy
Rectal Prolapse Laparoscopic Rectopexy, Altemierprocedure
Appendicitis Laparoscopic Appendectomy
Carcinoma colon, rectum Laparoscopic colectomy, Laparoscopic LAR/APR
Ulcerative Colitis Lap Total Proctocolectomy with Pouch (IPAA)
Rectovaginal Fistula Transvaginal Advancement Flap
Sigmoid volvulus Sigmoid Colectomy
Diverticular disease Laparoscopic colectomy
Small bowel disease Diagnostic laparoscopy/ Resection
HEPATOBILIARY AND PANCREATIC SURGERY(HPB SURGERY) AND LIVER TRANSPLANTATION

Gallbladder :

Diseases Treatment provided Common problems Expert Solutions
Gallstone Disease Laparoscopic cholecystectomy Gallstones
Jaundice
Bile duct stones
CBD stones Laparoscopic / Open CBD Exploration, Choledocodudenostomy
Bile Duct Injuries and Strictures Hepaticojejunostomy
Choledochal Cyst Excision of Choledochal Cyst with Hepaticojejunostomy
Gall Bladder Cancer Radical Cholecystectomy
Bile Duct cancer Extended Right/ Left hepatectomy with Caudate Lobe Resection
Biliary Atresia Kasai procedure

Liver :

Diseases Treatment provided Common problems Expert Solutions
Hepatocellular carcinoma Resection- open/Laparoscopic
RFA/TACE		 Liver cancer
Alcoholic Liver disease
Ascites
Hydatid Disease Laparoscopic Drainage / Cystopericystectomy
Liver tumours/ Metastasis Resection- open/Laparoscopic
Liver abscess Pigtail /Laparoscopic drainage
Hepatolithiasis/ Recurrent Pyogenic cholangitis Resection/ Drainage procedure(HJ)
Liver Trauma Angio/ Conservative
EHPVO/ NCPF Proximal Splenorenal Shunt
Budd Chiari syndrome Meso Atrial, Portocaval shunts

Pancreas :

Diseases Treatment provided Common problems Expert Solutions
Acute Pancreatitis-Pseudocyst Pancreas Lap Cystogastrostomy, Cystojejunostomy Pain after Alcohol intake
Pain radiating to Back
Injury to pancreas
Acute Pancreatitis- Infected Lap Retroperitoneal
Pancreatic Necrosis Necrosectomy, Open Necrosectomy, Pigtail Drainage
Chronic Pancreatitis Frey Procedure / LPJ
Pancreatic Trauma Distal/ Central Pancreatectomy/ Whipples Procedure
Pancreatic Cystic Tumours Eunucleation, Whipples Procedure, Distal Pancreatectomy
Pancreatic cancer Whipples Procedure Lap/Open, Palliative Triple Bypass, Celiac Plexus Block

Liver Transplantation

A liver transplant is a life- saving operation that replaces a diseased and poorly functioning liver with either a whole or portion of a healthy donated liver. Liver transplantation has become a well-recognized treatment option for people with organ failure.
We are a multi-disciplinary group offering comprehensive evaluation and multi-modality treatment of liver transplantation offering living donor Liver transplantation , Cadaveric/ Deceased Donor Liver transplantation and multi-organ transplantation.

a. Live Related Liver Transplantation :

Replacement of a diseased liver due to chronic liver failure, acute liver failure or tumors within the liver. The diseased liver is replaced with a segment of liver from a healthy human donor (usually a relative or close friend).

b. Deceased Donor Liver Transplantation :

Replacement of a diseased liver due to chronic liver failure, acute liver failure or tumors within the liver. The diseased liver is replaced with a healthy liver from a “brain dead”human donor

GASTRO- INTESTINAL ONCOLOGY

Can cancers be get operated by laparoscopy? – YES with equal oncological results similar to open surgery with very less pain and minimal scar

Gastro-intestinal Oncology is a subspecialty of gastrointestinal surgery, which deals with the management of cancer of esophagus, stomach, small bowel, colon, rectum, anal canal, gall bladder & biliary tract, pancreas and liver. With the extensive knowledge of gastrointestinal anatomy and expertise in GI surgery, the department is dedicated in providing comprehensive treatment to every patient based on tumour board clinical meeting and evidence based medicine. Our advanced laparoscopic surgical team offers laparoscopic surgery for various GI tumours at par excellence with national and international standards.

ADVANCED LAPAROSCOPIC ONCOLOGIC SURGERIES

  • Minimally invasive esophagectomy/ VATS oesophagectomy for oesophageal cancer
  • Laparoscopic Radical D2 gastrectomy for stomach cancer
  • Laparoscopic wedge resections of stomach for GIST
  • Laparoscopic Right hemicolectomy, Laparoscopic right extended hemicolectomy, Laparoscopic left hemicolectomy for colon tumours.
  • Laparoscopic Anterior/Abdominoperineal resection for rectal cancers
  • Laparoscopic sphincter saving resections of the rectum for lower rectal tumours
  • Laparoscopic Radical Cholecystectomy for Carcinoma Gallbladder
  • Laparoscopic segmentectomy / hepatectomy for liver secondaries/primary tumours
  • Laparoscopic whipples operation for periampullary cancer/cancer head of pancreas
  • Laparoscopic distal pancreatectomy for tumours at the tail of pancreas
  • Laparoscopic splenectomyfo splenic tumours
MINIMALLY INVASIVE& ADVANCED LAPAROSCOPIC SURGERY

Minimally invasive/Laparoscopic Surgery is a surgical technique which involves small incisions (Keyhole). The entire procedure is completed with the use of 3-4 ports (holes) with help of a camera to visualise the internal organs. The procedure is similar to open surgery except for small incisions. This minimal access surgery helps in early recovery of patients as they are usually walking around in a few hours after the surgery and can resume their daily activities in no time. Laparoscopic surgery causes minimal pain, quicker recovery time, smaller incisions, less discomfort, shorter hospital stay and has excellent cosmetic results when compared to traditional open surgery.

  • Hernia Surgeries- Inguinal and Ventral Hernias
  • Advanced Laparoscopic Gastrointestinal surgeries
  • Advanced Laparoscopic HPB surgery
  • Laparoscopic Oncological surgery
  • Surgery for Morbid Obesity
    • Restrictive Procedures: Lap Sleeve Gastrectomy
    • Malabsorptive Procedures: Roux En Y Gastric Bypass

Demo Title

PERSONAL DETAILS

NAME:  Dr.N. PRITHIVIRAJ

QUALIFICATION: MBBS,MS, Mch( SGE), DNB (SGE), FACS , FMAS, FALS Oncology, Fellow in Liver surgery and transplantation (Paul Brousse, France)

Current Position: (August 2017 to present)

Consultant Incharge GI and HPB surgeon,
Department of GI and HPB surgery and Minimally invasive surgery,
Vadamalayan Hospitals,
Chokkikulam,
Madurai- 625002.

Educational Qualification: (August 2017 to present)

Undergraduate education
2002-2007    MBBS – Madurai medical college /Govt. Rajaji hospital-Madurai

2007- 2008    Internship – Govt Rajaji hospital , Madurai
Post graduate education
2009 – 2012    MS General surgery, PGIMER,Chandigarh

Senior Residency
2012 – 2014    Senior Resident in Department of general surgery under UNIT III- Vascular and liver transplant unit, PGIMER, Chandigarh

Super speciality education
2014 – 2017    MCh Surgical Gastroenterology in GB Pant Institute of Post graduate Medical Education and Research, Newdelhi, India.

2017    DNB Surgical Gastroenterology, NBE Board, New Delhi
Liver surgery and Liver transplantation
2017    Surgical trainee in Paul Brousse Hospital, Paris France under Prof Bismuth, Prof Rene Adams, Prof Daniel Cherqui, Prof Eric Vibert.

Additional Qualification:

  • FMAS – Fellowship in Minimal Access Surgery
  • FALS- Fellowship in Advanced Laparoscopic Oncology

Membership:

  • ASI Life member FL-51943
  • IHPBA (Indian chapter) Life member L789
  • IAGES Life member 7781
  • IASG Life member N-41
  • ACRSI Indian chapter life member – 1836
  • Asia Pacific Hernia society and Hernia society of India Life member – 1010

Awards:

  • First order medal in MS general surgery passing exam May 2012.
  • Best Orator award in national level debate in GI surgery- Torrentz young scholar 2016.
  • Best outgoing student in Mch GI surgery exit exam 2017.
  • Vocational excellence award by Rotary west, RI district 3000 club for work in the field of Gastroenterology and organ donation awareness 2020.
  • Best E-poster in E- Poster presentation in IASG Virtual Annual Conference AIIMS, Bhubaneshwar.
  • Radiation Induced Liver Injury mimicking Metastasis- Malignant Masquerade.

Training:

  • Senior residency in Vascular surgery and liver transplant unit in PGIMER July 2012 – Feb 2014.
  • Certificate course in Research methodology and statistics in 2011 , Experimental medicine, PGIMER, Chandigarh.
  • International minimal access surgery workshop training by international college of laparoscopic surgeons in AIIMS hospital. Newdelhi, 2012.
  • Training in basic endoscopy in Endoscopy course in January 2013 , PGI-AIIMS-SGPGI endoscopy course, Chandigarh.
  • IHPBA certificate course held in PGIMER Chandigarh held in 2013.
  • Fellowship in Minimal Access Surgery in Delhi, RML hospital.(AMASI)
  • Liver surgery, Liver and Pancreatic transplant – Paul Brousse hospital, Paris , France.
  • Fellowship in Advanced Laparoscopic GI oncology from IAGES (FALS)

Interest and Expertise:

  • Over 12 years of experience in surgical field.
  • 9 years experience in the best academic centers in India and Abroad.
  • Surgeries performed - more than 2000 surgeries and counting.
  • Vast experience in Gastro and Liver Cancer surgeries.
  • Performed all major cancer surgeries by Advanced Laparoscopic Techniques.
  • Conducted the first Liver Transplanatation in Vadamalayan Hospital.

Dissertation for MS degree:

Sensitivity and specificity of FDG PET-CT scan in detecting lymph node metastasis in operable periampullary tumours in correlation with the final histopathology after curative surgery

Publications:

Orcid ID - https://orcid.org/0000-0002-1118-8454

  • Raj P, Kaman L, Singh R, Dahyia D, Bhattacharya A, Bal A. Sensitivity and specificity of FDG PET-CT scan in detecting lymph node metastasis in operable periampullary tumours in correlation with the final histopathology after curative surgery. Updates in surgery.2013:65;103-7. http://dx.doi.org/10.1007/s13304-013-0205-4

  • Anirudh Srinivas , Lileswar Kaman, Prithivi Raj, Vikas Gautam, Divya Dahiya, Gurpreet Singh, Rajinder Singh,Bikash Medhi. Comparison of the efficacy of chlorhexidine gluconate versus povidone iodine as preoperative skin preparation for the prevention of surgical site infections in clean-contaminated upper abdominal surgeries. Surgery today 2015: 45; 1378-1384 http://dx.doi.org/10.1007/s00595-014-1078-y

  • Vijay Richard, Divya Dahiya, Lileswar Kaman, Prithvi raj, Arunanshu Behera. Effect of perioperative glutamine administration on C-reactive protein and liver function tests in patients undergoing hepatic resection. Polish journal of surgery.2014:86;11-14. http://dx.doi.org/10.2478/pjs-2014-0003

  • Divya Dahiya, Prithviraj, Lileswar Kaman, Arunanshu Behera. Epidermoid cyst of the spleen: A rare case report with review of the literature. Journal, Indian Academy of Clinical Medicine.2014:15;249-51.

  • Satyajit Ashok Godhi, Prithivi Raj Nabi, Sundeep Saluja, Pramod Mishra. Minimally Invasive Versus Open Pancreaticoduodenectomy for Cancer: Practice Patterns and Short-term Outcomes Among 7061 Patients. Annals of surgery 2015 Epub Jun23.(Letter to editor)

  • Mishra PK, Saluja SS, Prithiviraj N, Varshney V, Goel N, Patil N. Predictors of curative resection and long term survival of gallbladder cancer – A retrospective analysis. Am J Surg. 2017 Aug;214(2):278-286. http://dx.doi.org/10.1016/j.amjsurg.2017.02.006

  • Nabi, P., Mishra, S. & Nag, H.H. An Experience of Radical Gastrectomy in Indian Patients with Gastric Carcinoma. Indian J Surg 80, 452–456 (2018). http://dx.doi.org/10.1007/s12262-017-1629-8

  • Nag HH, Raj P, Sisodia K. The technique of laparoscopic hepatic bisegmentectomy with regional lymphadenectomy for gallbladder cancer. J Minim Access Surg. 2017 Sep 20. DOI : 10.4103/jmas.JMAS_181_16

  • Gupta RK, Saran RK, Nabi P, Nag HH, Srivastava S. Importance of cytohistological correlation and diagnostic utility of endoscopic ultrasound in gastric glomus tumor: A case report. Indian J Med Paediatr Oncol 2018;XX:XX-XX. http://dx.doi.org/10.4103/ijmpo.ijmpo_61_18

  • Nag HH, Nekarakanti PK, Sachan A, Nabi P, Tyagi S. Bi-segmentectomy versus wedge hepatic resection in extended cholecystectomy for T2 and T3 gallbladder cancer: A matched case-control study. Ann Hepatobiliary Pancreat Surg 2021;25:485- 491.

https://doi.org/10.14701/ahbps.2021.25.4.485

Poster and Video Presentation:

  • Sensitivity and specificity of FDG PET-CT scan in detecting lymph node metastasis in operable periampullary tumours in IASO national conference 2013.

  • Effect of glutamine in Perioperative C-Reactive protein in hepatic resection in Haryana chapter of ASICON in 2013.

  • Poster presentations in 12th world congress IHPBA 2016, Brazil

    • Laparoscopic liver surgery program: an early experience from an indian centre”

    • Proximal splenoadrenorenal shunt: a safe and effective alternative in non cirrhotic portal hypertension”.

    • Well differentiated lymphnodal neuroendocrine tumour: can they be primary?”

    • Extra hepatic portal venous obstruction [ehpvo] with or without portal biliopathy - intra operative portal pressure measurements: a comparative study.

  • Video presentation in 12 th world congress IHPBA 2016, Brazil - Technique of laparoscopic radical cholecystectomy with hepatic bisegmentectomy(s4b,s5) for gallbladder cancer.

  • Poster in IASG 2019. Peritoneal Tuberculosis- Ascites Forming Type. Role of laparoscopic biopsy with Gene Xpert plus analysis.. Prithiviraj Nabi Ms Mch ; Sowmiya Sampathrajan Md ; Narendran Md; Arunkumar Md. Department Of Gasteroenterology & Liver Transplantation , Vadamalayan Hospital , Madurai.

  • E- Poster presentation in IASG Virtual Annual Conference AIIMS, Bhubaneshwar. Radiation Induced Liver Injury mimicking Metastasis- Malignant Masquerade.

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PERSONAL DETAILS

NAME:  DR.PAVAN KUMAR.V