General Surgery

Operation Theater [O.T.] Layout:

Nirmal Hospital Pvt. Ltd. performs numerous general and specialty surgeries every day. Keeping in mind the requirements of the surgical fraternity the Institute has provided three state of the art operating rooms designed to perform all types of major and supra major surgeries. The operating rooms are equipped with sophisticated equipment like C-Arm with Image Intensifier and Operating Microscope. Development of a separate O.T. wing has recently been completed The hospital has also introduced Computer Assisted Surgery (CAS), a unique feature in South Gujarat.

Special precautions have been taken to provide highest level of sterility inside the O.T. All types of major and supra major Neuro, Orthopedic, Plastic, Pediatric, ENT and General Surgeries are performed on a regular basis.

General Surgery
General Surgery
General Surgery

SICU Layout:

  • A seven bed state of the art Surgical Intensive Care Unit
  • Equipped with state of the art Ventilators and Cardiac Monitors.
  • The department goes a long way in providing quality Post Operative Care to the patients. Services of trained Intensivist is available.

Benefits of Service:

There are a number of factors to consider when deciding on a medical facility to perform your surgical procedure. A few of the competitive advantages Nirmal Hospital Pvt. Ltd. offers over stand-alone surgical centers and other competition include:

  • Patient centered care

  • Dedicated physician anesthesiologists

  • State-of-the-art equipment

  • On-site preadmission clinic

  • Highly skilled surgical specialists

  • On-site subspecialty support

  • Patient centered care

Type of Surgery

What is surgical diagnosis?

Unless it is an emergency, you and your physician may discuss surgery as a way to correct your condition upon diagnosis. This decision is based on careful evaluation of your personal medical history and subsequent medical tests, such as blood tests, X-rays, MRI, CT scan, electrocardiogram, or other laboratory work performed to determine the exact diagnosis.

WHAT ARE THE DIFFERENT KINDS OF SURGERY?

Depending on the diagnosis, a patient has several surgery options:

  • Optional or elective surgery:

    A procedure you choose to have, which may not necessarily be essential to continue a good quality of life. An example would be to have an unsightly mole or wart removed.

  • Urgent or emergency surgery:

    This type of surgery is done in reaction to an urgent medical condition, such as acute appendicitis.

  • Required surgery:

    A procedure which needs to be done to ensure quality of life in the future. An example would be having kidney stones removed if other forms of medication and treatments are not working. Required surgery, unlike emergency surgery, does not necessarily have to be done immediately.

WHAT ARE THE DIFFERENT TYPES OF SURGERY?

In the past, surgery may have meant a lengthy hospital stay to recover. With modern medical advances, the patient now has several options, depending on the diagnosis:

Inpatient surgery:

Some of the more intensive surgeries still require patients to stay overnight or longer in a hospital setting. This allows clinical staff to monitor the patient's recovery and ensures immediate medical attention in case of complications.

Outpatient surgery:

Because of advances in surgical procedures and anesthesia, many surgeries performed today allow the patient to recover and go home on the same day. Outpatient surgery, when appropriate, has proven to reduce costs, reduce stress for the patient, speed up the process of healing and reduce the time lost from work and family life. Outpatient surgery may also be called same-day surgery, in-and-out surgery, and ambulatory surgery. Nirmal Hospital Pvt. Ltd. performs outpatient surgery at the main hospital.

WHAT IS THE PURPOSE OF SURGERY?

Surgery, whether elective or required, is done for a multitude of reasons. A patient may have surgery to:

  • Further explore the condition for the purpose of diagnosis
  • Take a biopsy of a suspicious lump
  • Remove diseased tissues or organs
  • Reposition structures to their normal position
  • Redirect channels
  • Transplant tissue or whole organs
  • Implant mechanical or electronic devices
  • Improve physical appearance
  • Remove an obstruction

WHAT ARE THE DIFFERENT METHODS OF SURGERY?

With technical advances today, surgery does not necessarily mean large incisions, as in the past. Depending on the type of surgery, there are several surgery methods that may be performed:

Open surgery

An "open" surgery means the cutting of skin and tissues so that the surgeon has a full view of the structures or organs involved.

Minimally invasive surgery

Minimally invasive surgery is any technique involved in surgery that does not require a large incision. This relatively new approach allows the patient to recuperate faster with less pain. Not all conditions are suitable for minimally invasive surgery. Many surgery techniques now fall under minimally invasive surgery

Laparoscopy

A test that uses a tube with a light and a camera lens at the end (laparoscope) to examine organs and check for abnormalities. Laparoscopy is often used during surgery to look inside the body and avoid making large incisions. Tissue samples may also be taken for examination and testing.

Arthroscopy

With the use of an endoscope, surgeons can look at the interior of a joint. This technique is most often used to inspect the inside of the knee joint.

Cystoscopy

Inserting a viewing tube up the urethra to examine the urethra and bladder cavity.

Hysteroscopy

A visual inspection of the cervical canal and uterine cavity with an endoscope.

Sigmoidoscopy

Examination of the rectum and sigmoid colon with a viewing tube.

Bronchoscopy

The examination of the bronchi (the main airways of the lungs) using a flexible tube (bronchoscope). Bronchoscopy helps to evaluate and diagnose lung problems, assess blockages, obtain samples of tissue and/or fluid, and/or to help remove a foreign body.

Endoscopy

A test that uses a small, flexible tube with a light and a camera lens at the end (endoscope) to examine the inside of the hollow organs of the digestive tract. Tissue samples from inside the digestive tract may also be taken for examination and testing.

Gastroscopy

Examining the lining of the esophagus, stomach, and the first part of the small intestine with a long viewing tube.

Laryngoscopy

Inspecting the larynx (voice box) with a mirror or viewing tube.

Day of Surgery

Reminder:

If your surgical plan is to go home the day of the surgery, please make arrangements for someone to drive you home and to stay with you after surgery. You must not eat or drink per your instructions. Leave all valuables at home and remove all body piercing or jewelry before coming to the facility. You may bathe or shower preoperatively. If you use an inhaler or a machine for sleep apnea, please bring it with you the day of surgery.

Preoperative Area:

You will be admitted to the Surgical Admission Unit (SAU) and asked to change into a gown, removing all clothing including underwear. A nurse will ask questions and listen to your heart and lungs. He or she will also start the IV (Intra Venous). The purpose of the IV is to give medications and fluid. The nurse will answer any questions and give any instructions you need. You may be asked to empty your bladder before your surgery. The anesthesiologist and a surgery nurse will visit with you before surgery. You may be asked the same questions by a number of people because your safety is very important to us. You may or may not see your surgeon before your surgery but he or she will visit with your family after the surgery. Sometimes an unavoidable delay occurs due to an emergency or a previous surgery taking longer than expected. The same careful attention will be paid to you during your surgery. Your understanding is appreciated.

Operating Room:

When it is time for your surgery, you will be transported on a carrier to the OR. You will see several members of the operating team and a lot of equipment and bright lights. Once moved to the operating table, you will be provided with warm blankets. The anesthesiologist may give you medication through your IV line to relax you and make you sleepy. He or she will remain at the head of the table, stay with you the entire time in the operating room and transport you to the post anesthesia care unit (recovery room). Once the surgery is completed, the surgeon will talk with your family. The time you are in the operating room will vary from person to person; one family member should remain in the surgery waiting room at all times. Remember, any time frame you are given for any portion of your time with us is an approximate time.

List of General Surgery

LIST OF GENERAL SURGERY

Nirmal Hospital Pvt. Ltd. performs numerous general and specialty surgeries every day. This site provides a detailed alphabetical list and descriptions of some of the most common general surgical procedures performed at Nirmal Hospital Pvt. Ltd. by our surgeons. If you are looking for information on a procedure that is not listed below, please check with hyper link for more details.

LIST OF GENERAL SURGERY:

  • Amputation

    Acquired condition that results in the loss of a limb

  • Appendectomy

    Removal of the appendix

  • Arthroscopy

    Procedure for diagnosis and treatment of conditions affecting joints

  • Blepharoplasty

    Procedure to remove puffiness under the eyes or correct droopy eyelids

  • Carpal Tunnel Release

    Treat painful condition in the wrist or hand

  • Cholecystectomy

    Removal of the gallbladder

  • Colectomy

    Laparoscopic removal of all or part of the colon

  • Cystoscopy

    Examination of the bladder and urethra

  • Dilation and Curettage

    Procedure to remove abnormal tissue in the uterus

  • Hemorrhoidectomy

    Removal of hemorrhoids

  • Hysterectomy

    Complete removal of the uterus

  • Hysteroscopy

    Visual examination of the canal of the cervix and the interior of the uterus

  • Ileostomy

    Opening into a part of the small intestine

  • Inguinal Hernia

    Repair of a hernia in the groin

  • Laminectomy

    Surgical treatment for back pain

  • Laparoscopy

    Procedure to examine organs of the abdominal cavity

  • Lobectomy

    Procedure to remove one of the lobes of the lungs

  • Lumbar Fusion

    Removal and replacement of diseased spinal discs

  • Mastectomy

    Removal of all or a portion of the breast

  • Mediastinoscopy

    Procedure to examine space behind the sternum

  • Myringotomy Tubesa

    Insertion of small tubes in child's eardrum

  • Septoplasty

    Reconstructive plastic surgery to correct an improperly formed nasal septum

  • Strabismus

    Surgery to straighten the eyes

  • Thoracoscopy

    Examination of the inside of the chest

  • Thyroidectomy

    Remove all or part of the thyroid

  • Tracheostomy

    Surgery to cut a hole in the wind pipe

  • Tonsillectomy and Adenoidectomy

    Removal of tonsils and adenoids

  • Umbilical Hernia

    Repair of a hernia in the belly button area

Before Your Surgery

PRE-REGISTRATION:

Pre-Admission Testing:

Nirmal Hospital Pvt. Ltd. is ready to serve your surgical needs. Our goal is to make your surgical experience as pleasant as possible.

We prefer to see all of our surgical patients 3-5 days prior to the day of surgery. If you are scheduled for a surgical procedure, please assist us by calling (0261)- 4089999 to set an appointment for your pre-admission testing.

Please bring a complete list of all of your medications including over-the-counter and herbal medications. We will need a list of all past surgeries and the approximate dates.

We ask that you please check in with the Patient Registration department.

Your pre-surgical visit will last approximately 30-45 minutes, possibly longer if more tests are required. This visit is very important and AIDS in early detection of any problems that might cause a delay or cancellation of your surgery.

PRE-OPERATIVE INFORMATION:

You may be asked to come to the hospital before your surgery for testing and to obtain medical information. Please bring a list of all the medications you are taking including over-the-counter and herbal medications. Our goal is for your health to be at its best before surgery. You will be instructed about taking your regular medications before surgery. At the end of this appointment, you will know how to prepare for the day of surgery and have an understanding of the entire process. You should report any illness you experience between this time and the day of surgery.

Be sure to arrange all insurance coverage prior to surgery, as many insurance carriers do not cover many types of plastic surgery procedures (particularly cosmetic procedures).

Discuss what type of anesthesia will be administered and what recovery time is expected.

Inform your doctor of any medications (over-the-counter or prescription) you are currently taking, as well as any prior procedures, history of chronic illnesses, and/or allergies you may have.

Be sure to stop drinking and eating for the recommended time period before and/or after surgery.

Be sure to follow any specific preoperative bathing, shaving, or cleaning instructions.

Be sure to discuss any postoperative instructions that need to be followed (for example, changing dressings, post-op medications, follow-up appointments).

Ask the surgeon to explain the benefits, risks, and expectations of the procedure.

Do not wear makeup the day of surgery, including nail polish.

Do not wear eye contacts the day of surgery.

Leave valuables and jewelry at home.

After Your Surgery

Post-Operative Steps:

RECOVERY ROOM:

You will wake up in the recovery room. Your memory of the time there will probably be fuzzy. As you wake up, the nurse will ask you to take deep breaths and will ask if you are hurting. The amount of time you spend in this area will be determined by many factors. A nurse will monitor you constantly and will provide pain control. Once you meet certain standards, you will be taken to your hospital room or to the post recovery area.

POST RECOVERY:

Once in this area, your vital signs will be taken and you will be given something to drink and some crackers. Your family will be called back to be with you. Most patients go home approximately one to two hours after they reach this area. Criteria must be met according to your physician’s orders. You may be asked to empty your bladder before discharge. Your nurse will assist with managing your discomfort. Your home care instructions along with any prescriptions will also be given at this point. Your caregiver will be asked to sign the instructions acknowledging that they were given. While in this area, we expect you to relax with your family and take your time recovering. Once you feel prepared and discharge criteria have been met, you will be discharged to go home.

HOME CARE:

Before your discharge, you will be given verbal and written instructions for your care at home. You will be instructed on activity, diet and wound care. The discharge goal is to send you home within a reasonable time when you are fairly comfortable. You may experience more discomfort when moving around and possibly some nausea after the drive home. This is to be expected. You will go home to continue your recuperation and follow your doctor's orders

PAIN MANAGEMENT:

While you are recovering from your surgery, you may experience pain. Your health care team will ask you about your pain throughout your stay. Helping keep your pain under control is an important key to a fast recovery. Everyone has a different perception of pain and many things can affect it and your reaction to it. To help you, the staff will ask you to rate your pain. The scale we use is a scale that rates pain from zero to 10. Zero means you are currently experiencing no pain, 1-3 is mild pain, 4-6 is moderate pain, and 7-10 is severe pain. Sometimes getting your pain level to zero can be difficult but with medications, we can hopefully make your pain level tolerable. As your body begins to heal, your pain level will decrease and your need for pain medication will also decrease.

PAIN ASSESSMENT SCORE CARD

Gastroentrology and Minimal Invasive Surgery

INTRODUCTION:

A healthy stomach and an efficient digestive system is the key to happy and active life. With latest techniques and best equipments, the GI and Laparoscopic Surgery Department provides excellent surgical services.

FACILITIES LAYOUT:

  • Full-fledged department of G.I. and Minimally Invasive Surgery
  • Experienced G.I. and Laparoscopic surgeons
  • Harmonic Scalpel for precise advanced laparoscopic surgery with minimal blood loss and tissue trauma, the latest laparoscopic image system Image 1 HD.
  • Round-the-clock availability of experienced surgeons to manage abdominal emergencies such as acute abdominal pain, G.I. bleeding or trauma
  • Reliable back-up of good surgical ICU facilities
  • 24X7 availability of medical officers and efficient nursing staff to help patients recover better and faster
  • Ligature force trial

SERVICES PROVIDED:

Treatment of all kinds abdominal and G I surgical problems Major GI Surgeries such as Oesophagectomy, Gastrectomy, total proctocolectomy, Ileal Pouch Anal Anastomosis for Ulcerative Colities, Pancreatic (Major & Minor liver resection) Resection Surgery for acute and chronic pancreatitis and small cancer of pancreas. In the field of Laparoscopic Surgery, this department offers Lap. Appendicectomy, Lap. Cholecystectomy, Lap. CBD Exploration, Lap. Antireflux Surgery for hiatus Hernia, Lap. Ashesialysis, Lap. Inguinal Hernia Repair, Lap. Incisional Hernia Repair, Lap. Diaphragmatic Hernia Repair, Lap. Assisted Colectomy, Laparoscopy Assisted Total Enteroscopy in addition to routine Diagnostic Laparoscopy and Biopsy.