GENERAL SURGERY – R L Jalappa Hospital and Research Center

OVERVIEW

Surgery is one of the noblest of professions. Here is how Webster’s defines the word noble: indicating superiority or commanding excellence of mind, character, or high ideals or morals. Over years, this surgical department has set the standards of ethical and humane practice. The Surgeons have made magnificent contributions in education, clinical care, and science. Their landmark accomplishments in surgical science and innovations in operative technique have revolutionized surgical care, saved countless lives, and significantly improved longevity and the quality of human life.

Vision

“To evolve as a benchmark in quality healthcare available to one and all”

MISSION

“To cultivate an environment of trust, honesty, mutual respect, equality, and ethics”

Why RLJH?

RLJH is the only peripheral tertiary care center with state of art OT complex and ICU. The department of General Surgery consists of a dynamic and diverse team of faculty and residents in both teaching and learning activities, with a keen interest in research activities. We undertake a variety of surgical procedures ranging from simple to advanced surgeries including minimal access procedures.

TREATMENT & PROCEDURES

Endoscopy

Upper and Lower GI endoscopy are the diagnostic procedures, wherein endoscopic tube is inserted and biopsy is taken as and when necessary.

Laparoscopic procedures:

It is a minimally invasive surgical technique where patients undergo surgery with button hole incision, minimal pain, early recovery and discharge.

Outpatient Inpatient

Outpatient Inpatient and Emergency services
The outpatient department is soul of the department where variety of cases are examined and admitted to surgical wards. The cases range from trauma to cancers.

JOINT CLINIC (TUMOR BOARD)

The faculty is involved in weekly joint clinic in association with experienced surgical, medical and radiation oncologists (Dr K S Gopinath and Dr Sampath Kumar) for the management of cancer patients.

FACILITIES AND SERVICE

RLJH’s Department of General Surgery is supported by a well equipped pathology lab, blood bank and radiology department.

The department offers subspeciality clinic like Breast clinic, Diabetic foot clinic and GI endoscopy service. The department also offers patient services in close collaboration with Super specialities like Surgical oncology, Urology, Plastic surgery, Neurosurgery and Paediatric surgery.

Services

USG guided biopsy
Mammography
Laparoscopic Surgeries
USG guided Procedures
Upper GI and Lower GI Endoscopies

Illnesses commonly diagnosed and treated in the hospital

Acute abdomen
Deep vein thrombosis
Breast Cancer
Diabetic foot
Peripheral vascular disease
Polytrauma
Piles and Fistula

Unit 1

Sl No	Name	Designation	OPD Days
1.	DR. P N Sreeramulu	Professor and Head of the Unit	Monday
2.	Dr. Srinivasan D	Associate professor	Monday
3.	Dr. Kashif Imran	Assistant Professor	Monday
4.	Dr. Raadhika Raja	Senior Resident	Monday

Unit 2

Sl No	Name	Designation	OPD Days
1.	Dr. Mohan Kumar K	Professor and Head of the Unit	Tuesday
2.	Dr. Suhas B S	Assistant Professor	Tuesday
3.	Dr. Tejaswini M Pawar	Senior Resident	Tuesday

Unit 3

Sl No	Name	Designation	OPD Days
1.	Dr. K Krishna Prasad	Professor and Head of the Department	Wednesday
2.	Dr. Ravikiran H R	Assistant Professor	Wednesday
3.	Dr. Naveen N	Assistant Professor	Wednesday
4.	Dr Sharath Kumar S	Senior Resident	Wednesday

Unit 4

Sl No	Name	Designation	OPD Days
1.	Dr. Shashirekha CA	Professor and Head of the Unit	Thursday
2.	Dr. Varsha A	Senior Resident	Thursday
3.	Dr. Vijaykumar S	Senior Resident	Thursday

Unit 5

Sl No	Name	Designation	OPD Days
1.	Dr. Prakash Dave	Professor and Head of the Unit	Friday
2.	Dr. Dharmendra Kumar	Senior Resident	Friday

EXPLORE STORIES

Case 1

I am so happy to share my appreciation and success of Chest wall reconstruction by the Department of General Surgery

It was in November 2020 that I went to the Dept. of General Surgery with a swelling over the chest wall.I was previously diagnosed to have Carcinoma Breast and had undergone surgery and chemotherapy 2 years back. With the recurrence, my primary concern was, “will I able to survive this again?” I was in severe depression and agony with my diagnosis. I had spoken to a lot of Breast cancer survivors and had received a lot of positive reviews about the Department.

The day in walked into the outpatient dept., I saw a ray of hope. I was explained about the surgery and its complexity and the process was made extremely smooth from the time of admission to surgery. Surgery and post-surgery was a cake walk. The day of my discharge came earlier than I expected. Even though the fight is still on, I am glad I was given a second chance.

I would like to thank the doctors for treating me with utmost care and patience.

Case 2

I have immense pleasure in appending my beautiful experience as a patient at your esteemed institution under the doctors of the Department of General Surgery. The utmost care I have received from their hands enabled me to refer many more patients to your hospital for treatment. I thought it is important to pen it down to express my appreciation and gratitude.

I was suffering from chronic pain abdomen since 12 years and had visited multiple hospitals with the same complaint. i was diagnosed with chronic pancreatitis and was treated symptomatically for years but the pain was unbearable one day and I was diagnosed with Pseudocyst of the Pancreas. The cyst had grown to a size that was encroaching upon my left kidney and spleen. It was something that the doctors too were in awe-off. The surgery went smoothly and I was very comfortable postoperatively. I was relieved of my chronic pain and I was extremely grateful to the doctors for it. Their supporting nature during my hospitalization was of immense help .It was a beautiful experience to avail this major operation and fast recovery under their able care and guidance

FAQ’S

What are the advantages of laparoscopic surgery over conventional surgery?

Laparoscopic surgery causes much less pain and patients are mobile within hours after surgery. They are also allowed to resume all activities much earlier and can go back to work within 5-7 days. The cosmetic results are excellent

What are gallstones?

Gallstones are pieces of solid material that form in the gallbladder. These stones develop because cholesterol and pigments in bile sometimes form hard particles.

What is the treatment for gallstones or cholecystitis?

The symptomatic stones and diseased gallbladder should be removed by a surgical procedure called Cholecystectomy.

What is hernia?

A Hernia occurs when the contents of a body cavity protrude out of the membrane in which they are normally contained through a weak spot in a surrounding muscle or connective tissue. Hernias by themselves may or may not produce symptoms as they are asymptomatic and can cause slight to severe pain.

Do Hernias always require surgery?

Surgery is the only way to cure a hernia. A hernia will not go away on its own. Now days, many types of surgical hernia repairs are available.

What is an anal fistula?

An anal fistula is a small channel that can develop between the end of the rectum/anal canal and the skin near the anus. An anal fistula can cause bleeding and discharge when passing stools and can be painful.

What are haemorrhoids?

Hemorrhoids are masses, clumps, cushions of tissue in the anal canal – they are full of blood vessels, support tissue, muscle and elastic fibers. Haemorrhoids are classified into two general categories: internal and external.

The treatment options available are as follows:

Depending on the diagnosis, the doctor advises if home treatment is all you need or further intervention is required. Lifestyle and dietary modifications such as regular physical exercise, plenty of fluids and a high fibre diet provide symptomatic relief.

Surgery: Surgery is used for particularly large piles. Generally, surgery is used when conservative treatment/management is not effective. Sometimes surgery is done on an outpatient basis – the patient goes home after the procedure

What are the treatment options available for appendicitis?

The treatment options are:

Open appendectomy: The appendix is removed through an incision in the lower right abdomen.
Laparoscopic appendectomy: The appendix is removed with instruments placed into small abdominal incisions.

What is endoscopy and how is it done?

Endoscopy is done by inserting a thin line instrument (endoscope), in the patients’ body to view the internal blood vessels. It does not require the surgeon to make incisions and despite that view the problems.

Is endoscopy a painful procedure?

Endoscopy is not a painful procedure but most people may experience a mild discomfort. In case the patient is still not comfortable, then the doctor gives a local anesthesia to numb the particular area or a sedative to help you relax more.