Dindigul Hospital
For Emergency: Madurai: 0452 2501033, Dindigul: 0451 2444444
Surgical gastroenterology, GI oncology, HPB surgery and liver transplantation

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 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:

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.
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,
Laser Treatment
Bleeding PR
Painful defecation/ Motion
Mass in anal region
Itching in anus
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

a. Gallbladder

Diseases Treatment provided Common problems Expert Solutions
Gallstone Disease Laparoscopic cholecystectomy Gallstones
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


b. Liver

Diseases Treatment provided Common problems Expert Solutions
Hepatocellular carcinoma Resection- open/Laparoscopic
Liver cancer
Alcoholic Liver disease
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


c. 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

Our Doctors (Madurai)

  • Dr.Venkatesh N.R MS, Mch (SGE)

    Consultant GI and HPB surgeon Department of Surgical gastroenterology and minimally invasive surgery


Our Doctors (Dindigul)

  • Dr.Suresh Radhakrishnan MBBS.,MS (Gen.Surg).,DNB (Surgical Gastroenterology)

    Surgical Gastroenterology