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The Lifeline Hospital

Department of General Surgery, Minimal Access and Bariatric Surgery

Lifeline’s Department of General Surgery was established in 2010  and has been actively involved in the administration of all general surgical issues, including emergency services. Over the past few years, the department has expanded significantly. The department has developed and kept up with the needs of society as it has changed over time. The Department carries out cutting-edge specialty clinical work in the fields of oesophagogastric, colorectal, breast, endocrine, head and neck limited access surgery, and so on.

Three high-definition laparoscopic surgical units, including a 3D laparoscopic unit from Karl Storz in Germany, two harmonic scalpels from Johnson & Johnson in the United States, and two laminar operating rooms specifically for laparoscopic procedures are among the cutting-edge tools that are available. The critical care of critically sick surgical patients is managed in a surgical ICU with 30 beds by skilled and committed nursing staff. Pulse oximeters, monitors, surgical ventilators, and skilled, committed nursing staff are all available in this ICU for surgery.

Doctors are on duty around-the-clock in the surgical ICU. These patients’ surgical treatment has attained new heights of excellence thanks to the dedicated surgical ICU, component blood bank, and active anesthetic staff that are always on hand. As a technologically advanced hospital, we have a capable medical and paramedical team to manage and assist with the surgeries.

Dr.Mathews

Department of General Surgery

  • Bariatric Surgery for Weight loss.
  • Thyroid Surgery
  • Gallbladder stone
  • Hernia Surgery
  • Hiatus hernia
  • Varicose vein surgery
  • Small Intestine and Colorectal Surgery
  • Appendix Surgery
  • Surgery for Benign and Malignant breast disease
  • Surgery for Anal Disorders

Bariatric Surgery for Weight loss

If you have severe obesity and have tried various weight loss procedures without success or if you have substantial obesity-related health issues, bariatric surgery may be a possibility for you. Gastric bypass, sleeve gastrectomy, gastric band, and duodenal switch are among the bariatric surgery methods. These procedures are effective in treating class III obesity. Your metabolism, including your blood sugar, blood pressure, and cholesterol also help you to get back to normal. Bariatric surgery, often known as weight loss surgery, is a class of medical procedures designed to assist obese patients in losing weight. When all other weight loss options have failed and it appears that obesity poses a greater risk to your health than surgery, healthcare professionals may advise bariatric surgery.

Major Bariatric Surgeries

  • Laparoscopic Sleeve Gastrectomy

    In the Laparoscopic Sleeve Gastrectomy, sometimes known as the “sleeve,” about 80% of the stomach is removed. The remaining stomach resembles a banana in both size and form.

    To limit food intake, the stomach’s outside edge is excised, leaving a stomach sleeve that is roughly the size and shape of a banana. The sole purpose of a sleeve gastrectomy is restriction. By shrinking the stomach, the patient can eat less and consume fewer calories while still feeling satisfied. During surgery, the part of the stomach that can make a patient feel hungry and create a hormone is removed.

  • Laparoscopic adjustable gastric banding

    A silicone band called the Adjustable Gastric Band is wrapped over the top of the stomach to reduce how much food a person can eat.  The surgeon places the band around the upper part of your stomach to create a small pouch to hold food. Compared to other operations, there is less of an effect on diseases linked to obesity and long-term weight loss. As a result, its use has decreased over the previous ten years.


  • Laparoscopic Mini Gastric Bypass(MGB)


    A small gastric bypass converts the stomach’s right side into a long, narrow tube (the lesser curvature). At around 180 cm from the beginning of the intestine, a loop of the small gut is brought up and connected to this tube.

    With this kind of weight-loss surgery, a small pouch is made from the stomach and attached directly to the small intestine. Following a gastric bypass, eaten food will travel through this little pouch of the stomach and into the small intestine, skipping most of the stomach and the first part of the small intestine in the process.

Major Bariatric Cosmetic Surgeries

  • Liposuction
    Liposuction is a suction method for removing fat from particular body parts, such as the arms, neck, hips, thighs, buttocks, and belly. Additionally, liposuction contours (shapes) these areas.


  • Abdominoplasty
    Abdominoplasty flattens your abdomen by removing excess skin and fat and tightening the muscles in your abdominal wall.

What are the benefits of bariatric surgery?


Having bariatric surgery can help you reduce weight and solve several obesity-related health issues. Type 2 diabetes, high blood pressure, unfavorable cholesterol levels, sleep apnea, urine incontinence, bodily soreness, and knee and hip pain are some of these health issues. After surgery, you might be more mobile and able to engage in physical activity. You might also feel more upbeat and notice an improvement in your mood.

Thyroid Surgery

Surgery to remove all or a portion of the thyroid gland, which is situated in the front of the neck, is known as a thyroidectomy. The thyroid gland releases thyroid hormone, which regulates several vital bodily processes.
Thyroidectomy is used to treat thyroid disorders, such as cancer, a noncancerous enlargement of the thyroid (goiter), and overactive thyroid (hyperthyroidism).

People with a thyroid tumor, thyroid nodules, or hyperthyroidism, where their thyroid gland produces too much thyroid hormone, may benefit from a thyroidectomy. Hyperthyroidism can be the result of an autoimmune problem, too much iodine in the diet, a benign tumor in the pituitary gland, too much thyroid medication, swelling (goiter) in the thyroid gland, or an inflammatory process.

  • Open Surgery (Traditional Surgery)
    The usual, open surgical technique used for thyroid surgery often calls for an incision that is four to five inches long. The patient’s lower neck develops a detectable, and occasionally prominent, lifelong scar as a result.
    The majority of thyroidectomies are carried out while you are asleep and pain-free thanks to a general anesthetic.


  • Endoscopic Thyroidectomy Surgery (No scar in the neck)
    Endoscopic Thyroidectomy is a minimally Invasive Video-Assisted Thyroidectomy for thyroid removal. Through a little skin incision, the surgeon can now operate on the thyroid. Very small incisions are created in the axilla during endoscopic thyroidectomy. A video camera aids in enabling the magnified vision of the structures and convenient dissection. This axillary approach helps execute complete thyroidectomy and even helps remove big thyroid nodules. This incision line sometimes may develop into dark scars, hypertrophic scars, or keloids and may lead to paresthesia and hyperesthesia.

    Surgery on the thyroid and parathyroid has been attempted utilizing an endoscopic approach following technological advancements in laparoscopic and endoscopic surgery. A more popular substitute for the traditional thyroidectomy in terms of aesthetics is the scarless endoscopic thyroidectomy. Endoscopic surgery leaves no visible scar on the neck. After around six months, the procedure’s aftereffects are almost undetectable.

Gallbladder stone – Laparoscopic cholecystectomy

The gallbladder can be removed with a minimally invasive procedure called laparoscopic cholecystectomy. When gallstones create an infection, pain, or inflammation, it helps patients. Most patients go home the same day from the procedure, which only requires a few tiny incisions, and quickly resumes their regular activities. In case you experience any issues following surgery, contact your healthcare practitioner.

Advantages of Gallbladder stone laparoscopic cholecystectomy

  • Smaller incision – 4 small incisions, each 5 mm long, instead of a 5- to 7-inch incision for open surgery.
  • Less pain than after open surgery.
  • Quicker recovery than open surgery – You might go home the next day you have your surgery. You can also go back to regular activities more quickly.

Hernia Surgery

A hernia is a weakening or rupture in the muscle wall of the abdomen, which typically holds the internal organs and stomach lining in place. A pouch-like protrusion of the inner lining is made possible by the weakness or tear. A hernia can only be treated surgically.

Open Hernia Surgery:

The area with the hernia is cut with a single, lengthy incision. When a hernia protrudes through the abdominal wall, the protrusion is pulled back into position. When a hernia descends into the inguinal canal, the hernia sac is either pushed back or tied off before being cut out and removed. The surgical wound in the skin is closed with sutures or staples, depending on whether mesh or sutures are used.

Laparoscopic hernia surgery:

Just like any other laparoscopic surgery, through a tiny incision, a laparoscope—a narrow, illuminated scope—is inserted. Other little incisions in the lower belly are used to implant the surgical tools to correct the hernia. After that, the mesh is applied over the flaw to strengthen the abdominal wall.

Advantages:
  • Reduced postoperative pain
  • Diminished requirement for narcotics
  • Earlier return to work

We are able to do the following Hernia Surgeries depends on the surgeon’s decision
  • Inguinal Hernia
  • Umbilical Hernia
  • Incisional Hernia
  • Ventral Hernia
  • Hiatus hernia

Hiatus Hernia causing Gastroesophageal reflux disorder (GERD)

When a portion of the stomach rises into the chest, it develops into a hiatus hernia. Hiatus hernia surgery might be necessary if the hernia produces severe symptoms or is likely to create problems. – The Nissen fundoplication Surgery- In order to prevent your stomach from protruding through the gap in the muscular wall, your diaphragm aperture must be stitched shut. Some doctors insert a portion of me.

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Varicose Vein Surgery

Varicose veins can be surgically removed or by minimally invasive methods. This will not harm the blood supply in the legs, because the blood will re-direct into other healthy veins.
Normally followed procedures:

  • Open Vein stripping
  • RFA ( Radio frequent ablation) – minimally invasive
  • Incisional Hernia
  • Laser – minimally invasive

Appendix Surgery – Laparoscopic Appendectomy

One out of every 2,000 people has an appendectomy sometime during their lifetime. Treatment requires an operation to remove the infected appendix. Traditionally, the appendix is removed through an incision in the right lower abdominal wall.

But we practice Laparoscopic Appendectomy through 3 small incisions (5mm) or single incision laparoscopy (11mm) at the umbilicus. Hence there will not be any visible scar.

Advantages:
  • Less postoperative pain
  • May shorten hospital stay
  • May result in a quicker return to bowel function
  • Quicker return to normal activity
  • Better cosmetic results

Small Intestine and Colorectal Surgery

The department carries out a variety of procedures and treats conditions including:

  • Colorectal Malignancy – Colectomies, Low anterior resections and stapled pouch anastomosis
  • Polyposis Syndrome
  • Inflammatory Bowel Diseases
  • Abdominal Tuberculosis
  • Rectal Prolapse – Laparoscopic Rectopexy

Surgery for Benign and Malignant breast disease

  • Ultrasound guided FNAC and Mammogram
  • Excision Biopsy for benign tumour
  • Wide local excision with axillary clearance for low grade malignancy
  • Modified radicle mastectomy for CA Breast (MRM)

Surgery for Anal Disorders

a. Haemorrhoids/Piles
Haemorrhoids are defined as an abnormally enlarged vein, mainly due to persistent increase in venous pressure, occurring within or just outside the anal sphincter of the rectum, and that is affected in the anal canal
  • Open Surgery
  • Stapled haemorrhoidectomy (minimally Invasive – Painless)
    Reduced postoperative pain
    Earlier recovery time and
    Early return to work
  • Laser Surgery
b. Anal fissure
An anal fissure is a small tear in the thin, moist tissue (mucosa) that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement.
  • Fissurectomy
  • Anal dilatation
c. Anal Fistula
An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus.
  • Lay-open of fistula-in-ano
  • Cutting seton
  • Fibrin glue injection
  • Endorectal advancement flap
  • VAAFT (Video-assisted anal fistula treatment)

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Our Doctors

Dr. Mathews John

General & Laparoscopic Surgeon (Medical Director)

9 am – 5 pm on Monday to Saturday

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Dr. Mathews John

General Surgery, Minimal Access and Bariatric Surgery

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