Surgery

OPD and Indoor Patient Statistics for Department of Surgery

Operation Statistics of the Department of Surgery

The Department of Surgery is:

• An Apex Department of state of Gujarat
• Receives referrals from medical college hospitals and other hospitals  all over Gujarat
• Also receives referrals from the states of Rajasthan and Madhya Pradesh.

THE MISSION AND THE MESSAGE

1. “The Aim of surgery department is to provide state of the art surgical care, free of cost to the community, with compassion, dedication and empathy.
2. “We are at your service 24x7 to save the lives and treat the agony of patients”.
3. The departments ensure and provide best academic training to the undergraduate students to produce competent medical graduate.
4. The department ensures and provides the best academic and practical training to the postgraduate students to produce competent surgeons, equipped with knowledge and skill, to serve the community, with dedication, compassion, and ethics”.

Surgical Scope:

1. 24   × 7  ×  365 : TRAUMA CARE
2. 24   × 7  ×  365 : Emergency Services
3. OPD services : Approx. >300 days
4. Indoor Services: 365 days
5. All kinds of Gen Surg. Operations
6. Laparoscopic Operations
7. ERCP
8. Endoscopy : Upper/Lower GI
9. NSV

• OPD Service:
  • Examination
  • Investigations
  • Treatment and follow up
• Indoor (IPD) Service:
  • Examination
  • Investigations
  • Pre op preparation
  • Operative Treatment
  • Post op care and follow up

Teaching Schedule:

UG:

• UG (250 MBBS admissions per year)
  • Teaching
  • Theory lectures
  • Clinics : Five surgical postings
  • Internal exam : two exams
    • First at the end of Sem-3
    • Second (Preliminary) at the end of Sem-5
• Internship Training (One Year)
  • Almost 500 per year
  • Case presentations
  • Seminars
  • Teaching
  • Skill development programs
  • Log book & Completion Certificate
    • PG (28 post graduate MS admissions per year)
      • Case based teaching
      • Bedside Clinics
      • Seminars, Symposia,
      • CMEs
      • Master classes
      • Small group discussions
      • Debates
      • Operative skill development trainings
      • Audit: Mortality and Morbidity
      • Journal Readings
      • Dissertation/Short Study
      • Preliminary Exams
    • CME: Twice in a year
    • State training center for NSV
    • Organized live workshops and CME’s:
    • Hospital Acquired Infection/judicious use Antibiotics
    • Open surgery workshop in ASICON 1998.
    • Live Operative Workshops:
      • Laparoscopic surgery; Bariatric surgery; Laser varicose surgery; Inguinal and ventral hernias
    • CMEs :
      • Wound care; Peri anal surgery; Lymphoedema; Breast diseases; Peripheral Vascular Diseases; Chronic Pancreatitis; GI bleeding.
    • The department is a Centre for DNB Exams
    • A Comparative Study Of Early Versus Interval Cholecystectomy In A Case Of Acute Cholecystitis ( Dr Nakul R4)
    • A Comparative Study Of Early Versus Interval Cholecystectomy In A Case Of Acute Cholecystitis ( Dr Hemal R4)
    • A Case Report On Giant CondylomaAccuminata Of Perianal Region ( Dr Ram Pass Out )
    • Study Of ( Single Incision Laparoscopic Surgery ) SILS And Other Modifications Of LaparoscopicAppendicectomy ( Dr Ram Pass Out )
    • A Comparative Study Of Early Versus Interval Cholecystectomy In Case Of Acute Cholecystitis ( Dr Ram Pass Out )
    • Etiology Of Peritonitis And Factors Predicting The Mortality In Peritonitis (Author:Jeetendar J Paryani, Vikas Patel, GunvantRathod)
    • Choledochal Cyst – A Case Report (JeetendarParyani, Gunvant H. Rathod, Rakesh A. Makwana, Ravi P. Gadani, Rajesh K. Patel)

1. Unusual Occurrence Of Inguinal Hernia In Raw Area Post Debridement For Fournier Gangrene Paryani J, Rathod G, Makwana R, Gadani R, Patel R[Year:2014] [Month:January-April] [Volume:3 ] [Number:1]
2. Study Of Epidemiology Of Surgical Site Infection ( SSI ) In Public Hospital Setting ( Paryani Jeetendra1*, Rathod Gunvant2, Makwana Rakesh3, Gadani Ravi3, Patel Rajesh3)
3. Role Of Antibiotics Inpostoperative Period In Planned Surgeries.(Paryani Jeetendra1*,Rathod Gunvant2, Makwana Rakesh3, Gadani Ravi3, Patel Rajesh3)
4. Routine Day care surgery in case of unilateral inguinal hernia in public hospital setting  (ParyaniJeetendarInternational Journal of Surgical Research2013;  2(4): 37-41  doi:10.5923/j.surgery.20130204.03)

Paper presentation :

1. Different Aspects In Management Of Liver Trauma ( Dr Nakul R4 )
2. Bleeding Duodenal Varix As A Cause Of Obscure G.I. Bleed ( Dr Hardik R3 )
3. An Experience With Special Design Multi Tail Polyethylene Mesh ( Octamesh ) To Standardize And Simplify Open Ventral Hernia Repair ( Dr Dimple R3 )
4. A Rare Case Of  Post Traumatic Right Renal Artery Pseudoaneurism ( Dr Chintan R3)

Poster presentation :

1. Modalities In Management Of Pilonidal Sinus ( Dr Nakul R4 )
2. A Case Report On Giant CondylomaAccuminata Of Perianal Region ( Dr Ram Parmar )
3. Review Of Different Modalities Of Hemorrhoid Management ( Dr Hemal R4 )
4. Component Separation Technique ( Dr Hardik R3 )
5. SMA Syndrome ( Dr Dimple R3 )
6. An Experience With Special Design Multi Tail Polyethylene Mesh ( Octamesh ) To Standardize And Simplify Open Ventral Hernia Repair ( Dr Dimple R3 )
7. Rectal Tuberculosis Mimicking Malignancy And Presenting As Rectal Prolapsed ( Dr Chintan R3 )
8.  Spontaneous rupture of incisional hernia : a case report ( Dr keval r3  )
9. Sigmoid perforation by migrating IUD (intra uterine contraceptive device ) : a case report ( drkeval r3 )

Dissertations:

1. A Comparative Study Of Early Versus Interval Cholecystectomy In A Case Of Acute Cholecystitis ( Dr Nakul R4)
2.  A Study Of Laparoscopic TEP Hernioplasty In Case Of Inguinal Hernia ( Dr Hemal R4 )
3. A Study Of ( Single Incision Laparoscopic Surgery ) SILS And Other Modifications Of LaproscopicAppendicectomy ( Dr Ram R4 )
4. A Study Of Penetrating Thoracic And Abdominal Injuries ( Dr Hardik R3 )
5. Pre Operative Factors Affecting Outcome In Cases Of Peptic Perforation ( Dr Dimple R3 )
6. Management And Evaluation Of Symptomatic Breast Lumps In 40-50 Yr Old Females ( Dr Chintan R3 )
7. Evaluation of gallbladder content spillage in laparoscopic cholecystectomy ( drkeval r3)
8. Management Of Postoperative Complication Of Varicose Vein Surgery ( Dr Hardik R2 )
9. ComparisionBetween Octamesh ( Sutureless Mesh ) And Other Mesh Technique In Pre Peritoneal Hernioplasty In Cases Of Ventral Hernia ( Dr Neel R2 )
10. A Comparative Study Of Abdominal Wound Closure With Continuous Non Absorbable Vs Inturuppted Non Absorbable Suture In Case Of Emergency Exploratory Laparotomy ( Dr Amit R2 )
11. Study of post ERCP laparoscopic cholecystectomy in case of cholelithiasis and choledocholithiasis (dr jay r2 )
12. Study Of Reduced Port Laparoscopic Cholecystectomy ( Dr Birju R1 )
13. Study Of Laparoscopic Repair Of Umbilical And Para Umbilical Hernia ( Dr Kiran R1 )
14. Intestinal Tuberculosis : Study Of Surgical Manifestation And Its Management (Dr Mithun R1 )
15. Role Of Modified Alvarado Score In Acute Appendicitis ( Dr   Kamal R1 )

Surgical site infection audit - H O D SURGERY Dr.G.H.Rathod

Dr.PNKantharia Unit

Publications:

1. Effect of Intraoperative bupevacaine infiltration on postoperative pain relief in open inguinal hernia repair by Dr. T. N. Shah

2.Study of management of solitarythyroid nodule by Dr. NileshKharadi

Poster presentation

Revision hepatico-jejunostomy by dr. Nilesh kharadi  (r4 )

Hyperbaric oxygen therapy in case of diabetic foot by dr. Ankur patel ( r3 )

A case of sigmoid volvulus by dr. Ankit bagdai

An isolated pancreatic injury in a case of blunt abdominal  trauma by dr. Amit v. Bhuva

Penetrating chest trauma by dr. Chirag doshi

Paper presentation

Conservative VS Operative management of EDH by Dr. R. D. Patel (AP)

Recurrent irreducible sliding inguinal hernia containing urinary bladder by Dr. NileshKharadi

A Study of 200 cases of assessment of screening method for pre-op prediction of difficult laparscopic cholecystectomy by Dr. Ankur Patel

Paper on sigmoid volvulus by Dr. AnkitBagdai

An isolated pancreatic injury in a case of blunt abdominal trauma by Dr. Amit V. Bhuva

Penetrating chest trauma by Dr. ChiragDoshi

Dissertation topics

• A comparative study of subtotal vs total thyroidectomy in multinodular goiter by dr nilesh kharadi ( r4 )
• A comparative study of laparoscopic transabdominal pre-paritoneal vs trans-extra paritoneal hernia repair in case of inguinal hernia by dr. Ankur patel ( r 3)
• A study of conservative management of extra-dural hemorrhage by dr ankit bagdai ( r3)
• A comparative study of infection rate after extraction of gall bladder in laparoscopic cholecystectomy with or withour help of indigenous sterile material by dr amit bhuva (r2)
• Effect of injection bupivacaine instilation in gall bladder fossa for post operative pain in laparoscopic cholecystectomy by dr. Chirag doshi ( r2)
• A study of open pre-periteoneal vs laparoscopic intraperitoneal meshplasty in case of incisional hernia by dr kashinath thakare ( r2)
•  a study on cases of conservative management of blunt trauma over abdomen and injury over abdominal  organs like liver, spleen, kidney, pancrease by dr vikas makvana ( r2)
• A comparative study of x suture and conventional method of closure in cases of exploratory laparatomy & burst abdomen by dr rohan sharma (r1)
• A comparative study of open hemorrhoidectomy vs hemorrhoidectomy by vessel sealer by dr. Abdulaziz khatri ( r1)
• A study of role of her2/neu receptor in prognosis of carcinoma of breast  by dr sourabh shrivastava ( r1 )
• A role of diagnostic laparoscopy in outcome of patients of chronic abdominal  pain by dr bhavsinh mori (r1)

Dr. AAGhasura unit

Publications:

GASTRODUODENAL ARTERY PSEUDOANEURYSM DUE TO PANCREATITIS. Auther: Dr. A AGhasura, Dr. K H Patel, Dr. B BPrajapati, Dr. VikramadityaOza, Dr. Raj Agarbattiwala

A CASE REPORT: PANCREATIC NEUROENDOCRINE TUMOR. Auther: Dr. A AGhasura, Dr. K H Patel, Dr. B BPrajapati, Dr. Hitesh Mahida, Dr. ManthanMerja

EMERGENCY PANCREATICO-DUODENECTOMY (WHIPPLE PROCEDURE) FOR BLUNT ABDOMINAL INJURY HAVING COMPLETE TRANSECTION OF 1 AND 3 PART OF DUODENUM AND NECK OF PANCREAS. Auther: Dr. OzaVikramaditya, Dr. Krishnakant H Patel, Dr. A AGhasura

CLASSICAL SMA SYNDROME WITH SPLENIC VEIN THROMBOSIS. Auther: Dr. A AGhasura, Dr. K H Patel, Dr. HiralChauhan, Dr. Bharat Prajapati

MEN-1 SYNDROME. Auther: Dr. A AGhasura, Dr. K H Patel, Dr. B BPrajapati, Dr. VikramadityaOza, Dr. Hitesh Bariya

IVC TEAR DUE TO BLUNT ABDOMEN TRAUMA by Dr. Raj Agarbattiwala

HYPERBARIC OXYGEN THERAPY AS NEW MODALITY IN WOUND MANAGEMENT by Dr. Hitesh Bariya

CASE REPORT OF SPONTANEOUS RUPTURE OF LIVER HEMANGIOMA by Dr. Hitesh Mahida

CASE REPORT OF PANCREATIC NEUROENDOCRINE TUMOR by Dr. Hitesh Mahida

Poster presentation

GASTRODUODENAL ARTERY PSEUDOANEURYSM DUE TO PANCREATITIS by Dr. Raj Agarbattiwala

PANCREATIC NEUROENDOCRINE TUMOR by Dr. ManthanMerja

EMERGENCY PANCREATICO-DUODENECTOMY (WHIPPLE PROCEDURE) FOR BLUNT ABDOMINAL INJURY HAVING COMPLETE TRANSECTION OF 1 AND 3 PART OF DUODENUM AND NECK OF PANCREAS by Dr. Hitesh Bariya

Dissertation topics

1. Study of cases of diagnostic laparoscopy in Acute Abdomen by Dr. Hitesh Mahida (R4)
2. Study of 50 cases of causes and management of post-operative hemorrhage by Dr. Hitesh Bariya (R4)
3. Comparative study between operative verses conservative management of Pancreatic Pseudocyst by Dr. Raj Agarbattiwala (R3)
4. Comparative study of wound complications in laparotomy wound closed with and without tension suture by Dr. ManthanMerja (R3)
5. Study of effects of mechanical pressure off-loading in case of diabetic foot by Dr. PrafulGamit (R2)
6. Comparative study between laparoscopic anterior fundoplication verses posterior fundoplication in case of achalasia cardia with hiatus hernia by Dr. Yash Patel (R2)
7. The study of advantage and disadvantage of early cholecystectomy in post ERCP cases of obstructive calculouscholecystitis by Dr. Sidhdharth Kumar (R1)
8. Case study of 20 cases of laparoscopic verses open surgery of recurrent inguinal hernia by Dr. BhaumikBarad (R1)
9. Comparative study of early verses late enteral feeding in case of Acute Pancreatitis by Dr. KamleshGohil (R1)

Dr PRModi Unit

Poster presentation

Primary tuberculosis of thyroid –Dr HimanshuKoyani

MOTT in breast abscess-Dr NakulPahwa

Inguinal hernia in a hemophilia (a) patient- Dr AishwaryaKaur

ASICON 2013 presided by Dr P.R Modi

CME ON MANAGEMENT OF LYMPHEDEMA conducted by Dr P.R Modi & Dr M.B Mehta

Dissertation topics

Role of subcutaneous drain in class 3 and 4 laparotomy wounds - Dr HimanshuKoyani

Role of total gut irrigation in fecal fistulas- Dr SrijanShukla

MOTT in post laparotomy wounds – Dr NakulPahwa

Exclusive use of delayed absorbable suture in hernioplasty -Dr AishwaryaKaur

Surgical management of Chronicenterocutaneous fistula-Dr Vishal Vora

DR RRPatel Unit

Publications

1.effect of intra operative bupivacaine infiltration in post op pain relief after open inguinal hernia repair; by dr Nikhil

2.current trends in diagnosis and management of post hernioplasty chronic groin pain;bydrbhaumik

3.a study of 50 cases of acute pancreatitis and its managment; by dr. krunal

Poster presentation

1. Maggots debridement therapy;bydr Nikhil
2. Morgagni’s hernia; by drbhaumik

Dissertation topics

1. Compative study of various methods of closure of peptic perforation; by dr. nikhil
2. A study of visceral injury in case of blint abdominal trauma and its management;bydrbhaumik
3. Comparative study of continuous versus interrupted closure in case of middline acute peritonitis;bydrkrunal
4. Newer modalities in management of chronic non healing ulcer;bydrdarshil
5. Evaluation of newer modalities in temporary stoma care;bydrashish
6. A comparission of prognostic scoring in acute pancreatitis and development of new score for the severity of acute pancreatitis;bydrkush
7. Effect of cilastozole in case of claudication ; by drpranjal

Dr.NMShah Unit

• POSTERS:

1)POST ANAL DERMOID- A CASE REPORT-VISHAL SHAH (R3)

2)ANTERIOR ABDOMINAL WALL ABSCESS DUE TO

a)FOREIGN BODY

b)SPILLED GALL STONE-PARTHRAJ JADEJA

3)A CASE OF CARCINOMA BREAST IN YOUNG PREGNANT  FEMALE

• PAPERS:

1)A STUDY OF 25 CASES OF PENETRATING ABDOMINAL TRAUMA-VISHAL SHAH(R3)

• PUBLICATIONS:

1)PSEUDOANEURYSM OF EXTERNAL JUGULAR VEIN-A CASE REPORT-VISHAL SHAH(R3)

• DISSERTATIONS:

1)A STUDY REGARDING INCIDENTAL APPENDICECTOMY DURING DIAGNOSTIC LAPAROSCOPY IN PATIENTS OF CHRONIC ABDOMINAL PAIN-VISHAL SHAH(R3)

2)A COMPARATIVE STUDY OF COMPLICATIONS OF VARIOUS CLOSURE METHODS OF PEPTIC PERFORATION-PARTHRAJ JADEJA(R2)

3)A COMPARATIVE STUDY BETWEEN ENDOSCOPIC Vs. SURGICAL MANAGEMENT OF CBD STONE

4)A STUDY REGARDING FACTORS INFLUENCING CARCINOMA BREAST IN CONTEXT TO DIFFERENT AGE GROUPS

DR AGShah Unit

Publications:

Cetrimide induces metabolic acidosis a rare intra operative complication in a case of hydatid disease of liver by drvinitChauhan

Rectal tuberculosis mimicking ca rectum by dr Nikhil

Rectal tuberculosis mimicking ca rectum by drmangal

Giant neurofibroma solitary neck mass by dr Nikhil

A rare case of hepatictberculosis by drmangal

Giant peptic perforation ;by drabhinav

Post traumatic diaphragmatic hernia; by drabhinav

Ileo sigmoid knotting ; by drkumar

A case of multiple recurrent bilateral inguinal hernia with incisional hernia managed by stoppas repair by dravadh

A rare case of cetrimide induced metabolic acidosis in a case of hydatid cyst of liver; by drketul

A case of mucocele of appendix with meckel’s diverticulum band as a cause of intestinal obstruction

DISSERTATION TOPICS

1. Study of postoperative pain  after inguinal hernia surgery by dr Nikhil
2. Various modalities of management of hemerrhoides by drmangal
3. Management modalities of benign breast disease by drabhinav
4. Study of different modalities in treatment of lovwer limb varicose vein by drkumar
5. A comparative study between lichenstein tension free repair and laproscopic TEP in case of bilateral inguinal hernia by drketul
6. Study of 25 case of upper limb ischemia by drnishit

Dr.NMParmar Unit

Publications:

1.Study of cases of complication of port site; by Dr Deepak Sharma

1.Video presentation on combined upper and lower abdominal surgery in a case of splenic cyst and right sided ectopic pregnancy:”  Dr Negi Shubham S.

Poster presentation

1.Effect of pre operative embolization in management of renal angiomayolipoma; by Dr Deepak Sharma

2.Use of sclerotherapy in hemorrhoides: by Dr. Dhruvit K Soni

3.Fistula lesser assisted closure: by Dr. Chetan Savani

4.Perianal tuberculosis  and role of empirical AKT in it by. Dr. Nirav Patel

Dissertation topics

1. A study of relationship  between effect of CD4 count and outcome of surgery in HIV seropositive individual; by Deepak sharma
2. a study of use of polidocanol in management of hemorrhoides; by drDhruvit k soni
3. a study of case presentation and management of choledochal cyst; by dr. Nirav B Patel
4. role of vaccum assisted dressing in case of raw area and ulcer; by. Dr Chetan M Savani
5. Study on  comparission of different surgical modalities for management of hepatic hydatid cyst; by drNirmaldesai
6. a role of MR fistulogram in high complex peri anal fistula; by Dr. AnkitChaudhary
7. evaluation of repair of primary midline hernia with or without placement of drain,Dr. Adarsh Patel
8. a study of  factors for abdominal re exploration; by Dr. Bhuwanesh Sharma

DR JVParikh Unit

Poster presentation

1.recent advances in perianal fistula by dr.atul

Paper presentation

1.rare case of SMA syndrome; by Dr shreyash

Dissertation topics

      1.A role of diagnostic laparoscopy in sub acute intestinal obstruction; by Dr shreyashchaudhary

      2.Role of total count and CRP in preop diagnosis of acute appendicitis by DR. Atulsingal

      3.role of ultrasonography in management of acute appendicitis by dr.prakash. rathod

      4. comparision study between onlay and inlay meshplasty in management of incisional hernia by drabhishek . katyal

      5.clinicopathological correlation between breast lump and fnac and or trucut biopsy by dr.parthmodi

      6.study of incidence of burst abdomen in emergency and elective laprotomy by dr. chiragsangada

Dr.PVMehta Unit

Publications

Post traumatic right diaphragmatic hernia by dr.harshil

Poster presentation

Modern perspective in treatment of perianal fistula by dr. harshil

Dressing material by drchirag

Dissertation topics

1.a comparative study in between cricothyroidectomy with tracheostomy in trauma cases.dr.harshil shah

2.comparision of single layer with double layer technique in case of ileocolic anastomosis by dr.chiragagarwal

3.a study of pilonidal sinuses by dr. mukeshkumar

4.a comparative study between modified seton placement with simple seton placement in case of high (complex)anal fistula by dr.akash shah

5.comparative study between handsewen and stapleredgastrojejunostomy by dr.jatinmavani.

Awards and Recognitions:

• DR.G.H. RATHOD: FIAGES 2012
• DR.P.R.MODI : FIAGES 2012, ORG. CHAIRMAN, ASICON 2013
• DR.RAJNISH PATEL: ‘BEST TEACHER AWARD’ IN 2014
• DR.NITIN M.PARMAR : FMAS(2014),;  FIAGES(2012)
• DR.MAULIK MEHTA: FIAGES 2012
• DR.SHUBHAM S. NEGI: FMAS(2013)
• DR.HITENDRA K. DESAI : FAIGES(2014)
• DR.VINEET CHAUHAN : FIAGES 2012
• DR.RAJESH K. PATEL: FMAS 2013
• DR.ALPESH AMIN : FIAGES 2012
• DR.PARTH DALAL : FIAGES 2012
• DR.NINA M SHAH : FIAGES 2012
• DR.A.G.SHAH : FIAGES 2012
• DR.TANAY SHAH : FMAS 2012
• DR.VIKRAM MEHTA: FMAS 2013

• DR.G.H.RATHOD: Delivered lecture as National Faculty ASICON 2013, on PVD
• Dr.G.H.RATHOD: Delivered lecture as National faculty at ASICON 2014, on TPN
• Dr.G.H.RATHOD: Elected as President of Association of Ahmedabad Surgeons (AAS) 2015
• Dr.G.H.RATHOD: Elected as Governing Council Member of Association of Surgeons of India 2016-18
• Dr.G.H.RATHOD: Felicitated by Guj.Uni.for Outstanding Contribution as Medical Teacher 2015.
• Dr.H.K.DESAI: Felicitated by Guj.Uni.for Outstanding Contribution in GMTA as Medical Teacher 2015
• DR.G.H.RATHOD: Invited National faculty at ASICON 2015, on Fluid & Electrolytes
• DR.R.P.GADANI: Invited National faculty at ASICON 2015, on Documentation in Surgery.
• DR.G.H.RATHOD: Invited National faculty at ASICON 2016, on Peripheral Arterial Disease
• DR.G.H.RATHOD: Invited National faculty at ASICON 2017, Jaipur on Diabetec Foot Lesion