Precision Surgery Trusted Outcomes
At Vadamalayan Hospitals, our Surgical Gastroenterology, GI Oncology, HPB Surgery, and Liver Transplantation department offers comprehensive care for complex gastrointestinal and hepatobiliary conditions. Our expert team specializes in advanced minimally invasive surgeries for cancers of the digestive tract, liver, pancreas, and bile ducts.
Department of minimally invasive and advanced laparoscopic surgery
The department of Surgical Gastroenterology, GI Oncology, HPB Surgery and Liver Transplantation at Vadamalayan Hospital specializes in comprehensive evaluation and treatment of the diseases of gastrointestinal tract and the liver pancreas and biliary tract and in Liver Transplantation.
The department has a dedicated and comprehensive setup consisting of an ultramodern and fully equipped operation theaters with dedicated preoperative and postoperative facilities. The nurses and staff members are trained in managing the surgical patient undergoing complex and major digestive surgical procedures.
Esophagus and stomach surgery ( upper GI surgery)
a. Esophagus:
| Diseases | Treatment Provided | Common Problems / Expert Solutions |
|---|---|---|
| Gastroesophageal Reflux Disease (GERD) | Laparoscopic fundoplication | Regurgitation, Belching, Dysphagia – stricture, Dysphagia – Malignancy, Refractory GERD |
| Achalasia | Laparoscopic Heller’s Cardiomyotomy | Swallowing difficulty, chest pain |
| Paraesophageal Hernia | Laparoscopic hernia repair | Reflux, gastric volvulus, epigastric pain |
| Diverticula | Laparoscopic diverticulectomy | Dysphagia, regurgitation of undigested food |
| Corrosive Strictures | Gastric pull up / Colon pull up | Severe dysphagia, esophageal narrowing |
| Carcinoma Esophagus | Minimally invasive esophagectomy / VATS / Transthoracic Esophagectomy / Transhiatal Esophagectomy | Dysphagia, weight loss, chest pain |
| Barrett Esophagus | Thoraco-Laparoscopic Esophagectomy | Pre-cancerous esophageal changes |
| Trauma | Esophageal exclusion / Replacement | Esophageal rupture, severe injury |
b. Stomach
| Diseases | Treatment Provided | Common Problems / Expert Solutions |
|---|---|---|
| Gastric Ulcer | Truncal vagotomy + Gastrojejunostomy / Laparoscopic Highly Selective Vagotomy | Dyspepsia, Pain after food intake, Pain on fasting |
| Carcinoma Stomach | Laparoscopic D2 Gastrectomy | Weight loss, vomiting, early satiety |
| Gastric Ulcer Perforation | Omental Patch Closure | Acute abdomen, severe pain |
| Foreign Body | Laparoscopic Removal | Obstruction, discomfort |
| Gastric Volvulus | Gastrectomy / Laparoscopic Gastropexy | Severe epigastric pain, vomiting |
Colorectal , hemorrhoids and fistula surgery (lower GI surgery)
a. Esophagus:
| Diseases | Treatment Provided | Common Problems / Expert Solutions |
|---|---|---|
| Hemorrhoids | Ligasure Hemorrhoidectomy, Sutureless Hemorrhoidectomy, Laser Treatment | Bleeding PR, Painful defecation, Mass in anal region, Itching in anus, Constipation, Incontinence, Diarrhoea |
| Fistula in Ano | LIFT, Fistulectomy, Seton | Persistent discharge, pain, perianal swelling |
| Fissure in Ano | Lateral Internal Sphincterotomy | Sharp anal pain during and after defecation |
| Rectal Prolapse | Laparoscopic Rectopexy, Altemeier Procedure | Protruding rectum, fecal incontinence |
| Appendicitis | Laparoscopic Appendectomy | Right lower abdominal pain, vomiting, fever |
| Carcinoma Colon/Rectum | Laparoscopic Colectomy, Laparoscopic LAR/APR | Change in bowel habits, rectal bleeding, weight loss |
| Ulcerative Colitis | Lap Total Proctocolectomy with Pouch (IPAA) | Chronic diarrhea, bloody stools, abdominal cramps |
| Rectovaginal Fistula | Transvaginal Advancement Flap | Passage of stool/gas through the vagina |
| Sigmoid Volvulus | Sigmoid Colectomy | Abdominal distension, constipation, pain |
| Diverticular Disease | Laparoscopic Colectomy | Cramping, bloating, lower abdominal pain |
| Small Bowel Disease | Diagnostic Laparoscopy / Resection | Obstruction, malabsorption, pain |
Hepatobiliary and pancreatic surgery(HPB surgery) and liver transplantation
a. Gallbladder
| Diseases | Treatment Provided | Common Problems / Expert Solutions |
|---|---|---|
| Gallstone Disease | Laparoscopic Cholecystectomy | Gallstones, Jaundice, Bile duct stones |
| CBD Stones | Laparoscopic / Open CBD Exploration, Choledochoduodenostomy | Obstructive jaundice, pain, infection |
| Bile Duct Injuries and Strictures | Hepaticojejunostomy | Biliary leak, jaundice, cholangitis |
| Choledochal Cyst | Excision of Choledochal Cyst with Hepaticojejunostomy | Abdominal pain, jaundice, cholangitis |
| Gall Bladder Cancer | Radical Cholecystectomy | Upper abdominal mass, jaundice, weight loss |
| Bile Duct Cancer | Extended Right/Left Hepatectomy with Caudate Lobe Resection | Obstructive jaundice, pruritus, weight loss |
| Biliary Atresia | Kasai Procedure | Persistent jaundice in newborn, pale stools, dark urine |
b. Liver
| Diseases | Treatment Provided | Common Problems / Expert Solutions |
|---|---|---|
| Hepatocellular Carcinoma | Resection - Open / Laparoscopic, RFA / TACE | Liver cancer, Alcoholic Liver Disease, Ascites |
| Hydatid Disease | Laparoscopic Drainage / Cystopericystectomy | Abdominal pain, liver cysts, infection |
| Liver Tumours / Metastasis | Resection - Open / Laparoscopic | Secondary liver cancer, weight loss, fatigue |
| Liver Abscess | Pigtail / Laparoscopic Drainage | Fever, abdominal pain, liver enlargement |
| Hepatolithiasis / Recurrent Pyogenic Cholangitis | Resection / Drainage Procedure (HJ) | Bile duct stones, cholangitis, fever |
| Liver Trauma | Angio / Conservative | Injury, internal bleeding, abdominal pain |
| EHPVO / NCPF | Proximal Splenorenal Shunt | Portal hypertension, variceal bleeding, splenomegaly |
| Budd Chiari Syndrome | Meso Atrial, Portocaval Shunts | Abdominal pain, ascites, liver failure |
C. Pancreas
| Diseases | Treatment Provided | Common Problems / Expert Solutions |
|---|---|---|
| Acute Pancreatitis - Pseudocyst Pancreas | Lap Cystogastrostomy, Cystojejunostomy | Pain after alcohol intake, pain radiating to back, injury to pancreas |
| Acute Pancreatitis - Infected Pancreatic Necrosis | Lap Retroperitoneal Necrosectomy, Open Necrosectomy, Pigtail Drainage | Severe abdominal pain, sepsis, pancreatic infection |
| Chronic Pancreatitis | Frey Procedure / LPJ | Chronic pain, pancreatic duct obstruction, digestive issues |
| Pancreatic Trauma | Distal / Central Pancreatectomy, Whipple’s Procedure | Abdominal injury, internal bleeding, pancreatic rupture |
| Pancreatic Cystic Tumours | Enucleation, Whipple’s Procedure, Distal Pancreatectomy | Incidental cysts, risk of malignancy, compression symptoms |
| Pancreatic Cancer | Whipple’s Procedure Lap/Open, Palliative Triple Bypass, Celiac Plexus Block | Obstructive jaundice, weight loss, intractable pain |
Liver Transplantation
A liver transplant is a life- saving operation that replaces a diseased and poorly functioning liver with either a whole or portion of a healthy donated liver. Liver transplantation has become a well-recognized treatment option for people with organ failure.
We are a multi-disciplinary group offering comprehensive evaluation and multi-modality treatment of liver transplantation offering living donor Liver transplantation , Cadaveric/ Deceased Donor Liver transplantation and multi-organ transplantation.
a. Live Related Liver Transplantation:
Replacement of a diseased liver due to chronic liver failure, acute liver failure or tumors within the liver. The diseased liver is replaced with a segment of liver from a healthy human donor (usually a relative or close friend).b. Deceased Donor Liver Transplantation :
Replacement of a diseased liver due to chronic liver failure, acute liver failure or tumors within the liver. The diseased liver is replaced with a healthy liver from a “brain dead”human donor
Gastro- intestinal oncology
Can cancers be get operated by laparoscopy?
YES – with equal oncological results similar to open surgery, with very less pain and minimal scar.
Gastro-intestinal Oncology is a subspecialty of gastrointestinal surgery, which deals with the management of cancer of esophagus, stomach, small bowel, colon, rectum, anal canal, gall bladder & biliary tract, pancreas and liver. With the extensive knowledge of gastrointestinal anatomy and expertise in GI surgery, the department is dedicated in providing comprehensive treatment to every patient based on tumour board clinical meeting and evidence-based medicine. Our advanced laparoscopic surgical team offers laparoscopic surgery for various GI tumours at par excellence with national and international standards.
Advanced laparoscopic oncologic surgeries
- Minimally invasive esophagectomy / VATS oesophagectomy for oesophageal cancer
- Laparoscopic Radical D2 gastrectomy for stomach cancer
- Laparoscopic wedge resections of stomach for GIST
- Laparoscopic Right hemicolectomy, Right extended hemicolectomy, Left hemicolectomy for colon tumours
- Laparoscopic Anterior / Abdominoperineal resection for rectal cancers
- Laparoscopic sphincter-saving resections of the rectum for lower rectal tumours
- Laparoscopic Radical Cholecystectomy for Carcinoma Gallbladder
- Laparoscopic segmentectomy / hepatectomy for liver secondaries / primary tumours
- Laparoscopic Whipple’s operation for periampullary cancer / cancer head of pancreas
- Laparoscopic distal pancreatectomy for tumours at the tail of pancreas
- Laparoscopic splenectomy for splenic tumours
Minimally invasive& advanced laparoscopic surgery
Minimally Invasive / Laparoscopic Surgery
Minimally invasive or laparoscopic surgery is a surgical technique that involves small incisions (keyholes) and the use of 3–4 ports through which a camera and instruments are inserted. The entire procedure is performed with visual guidance on a monitor, mirroring traditional open surgery but with significantly less trauma to the body. This technique allows for faster recovery, minimal pain, less discomfort, smaller scars, shorter hospital stays, and quicker return to daily activities, offering outstanding cosmetic and functional results.Types of Laparoscopic Surgeries Offered
- Hernia Surgeries – Inguinal and Ventral Hernias
- Advanced Laparoscopic Gastrointestinal Surgeries
- Advanced Laparoscopic Hepato-Pancreato-Biliary (HPB) Surgery
- Laparoscopic Oncological Surgery
- Surgery for Morbid Obesity
- Restrictive Procedures: Laparoscopic Sleeve Gastrectomy
- Malabsorptive Procedures: Roux-en-Y Gastric Bypass
Our Doctors (Madurai)
Our Doctors (Dindigul)
If you have questions, feel free to reach out
We treat a wide range of conditions including gastrointestinal cancers, liver tumors, pancreatic diseases, bile duct disorders, inflammatory bowel disease, and complex hernias. Our team specializes in minimally invasive and laparoscopic procedures for better recovery and outcomes.
Yes, Vadamalayan Hospitals offers advanced liver transplantation services. We perform both living donor and cadaveric transplants, supported by a skilled transplant team and comprehensive pre- and post-operative care.
Our GI oncology services follow a multidisciplinary approach involving surgical oncologists, medical oncologists, radiologists, and nutritionists. We provide personalized cancer treatment plans, including surgery, chemotherapy, and follow-up support, ensuring the best possible outcomes.
