It is a medical discipline that demands the general surgeons to be familiar with treating several diseases that may require surgical treatment. It focuses primarily on dealing with abdominal organs like stomach, colon, gall bladder, esophagus, liver, bile ducts, pancreas etc. General surgery can also treat diseases that involve breast, skin, hernias, trauma and vascular pathologies. Most importantly, a general surgeon should have experience and specialised knowledge about pre-operative, operative and post-operative management as well as the ability to deal with any surgical emergency. Today, with the advent of medical sciences- hernia, gastric bypass surgery and many abdominal surgeries can be done with the aid of robotics also.
What is General Surgery?
A surgical speciality, general surgery focuses on abdominal organs such as pancreas, gallbladder, esophagus, stomach, appendix, bile ducts, liver, colon and small bowel etc. A general surgeon also deals with conditions involving peripheral vascular surgery, hernias, skin and breast. They also perform various endoscopic procedures including colonoscopy and gastroscopy.
Esophageal diseases including achalasia, hiatus hernia and strictures Diseases of the liver and Biliary tract, including liver cysts, abscesses, portal hypertension, gallstones, cholecystitis and postcholecystectomy complications, cholangitis, Biliary tract strictures, choledochal cysts, all forms of surgical jaundice and hepatobiliary cancers. Complications of diseases of the pancreas including pancreatic necrosis, pancreatic fistulas, pseudocysts, sphincteroplasty, surgery for chronic pancreatitis.
Diseases of the stomach and alimentary canal including ulcers, bleeds, tuberculosis, intestinal obstruction, fecal fistulas, sphincter-preserving surgery for ulcerative colitis. Modern management of cancers such as R-2 resections for stomach cancer, sphincter preserving surgery for rectal cancer, surgery for esophageal, colonic, hepatobiliary and pancreatic cancers.
A special focus area of the unit is surgery in patients with cirrhosis and portal hypertension. Even routine surgeries for diseases such as hernia (inguinal, umbilical), bleeding piles, gall bladder stones are refused to these patients by most other centers. At the Metro Center for Liver and Digestive Diseases these surgeries are being routinely done.