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Endocrine Surgery

Overview

Endocrine surgery is a nascent sub specialization of Surgery dealing with endocrine diseases which can be cured /controlled by surgery. The importance of this subspeciality comes from the fact that the diseases affecting the patients suffering from such diseases have their entire physiology altered due to excess hormone secretion exerting their action much away from the site of origin. The problem is compounded by a fairly large number of patients having these tumours associated with familial syndromes where there can be multiple tumours affecting one organ or a combination of multiple tumours affecting different organ systems, Eg: Multiple Endocrine Neoplasia – Type 1. Thyroid gland is an important Endocrine organ with one of the highest rates of tumour formation ; which does not need surgery most of the times and needs appropriate evaluation and follow up. It needs special expertise to interpret clinically and correlate various investigations to optimize and reduce the need for surgery.

In patients requiring surgery for thyroid disorders it is imperative that additional experience and skill is required to perform safe thyroid surgery as thyroid is related to 2 nerves connected with the voice on each side and calcium controlling parathyroid glands which lies in close apposition to thyroid gland each fed by vessels running on surface of thyroid gland and many at time hair thin in nature. In the division of endocrine surgery we focus on thyroid surgeries with advanced equipment to reduce the patient complications and reduced hospital stay.

Parathyroid surgeries require a different approach which is complicated by the variability of positions, supernumerary presentation and associated genetic disorders wherein surgery has to be meticulously tailored to the clinical situation. We do Image guided focussed surgeries for optimized outcome.

Adrenal glands develop tumours which can present with life threatening complications which need appropriate preparation and surgical approach without which the surgical outcomes may be undesirable. we do provide open and laparoscopic surgeries for the same

We undertake surgeries for pancreatic neuroendocrine tumours which can be complex and needs extreme surgical expertise for quality outcome.

Facilities

  • State of art Operation theatres
  • Dedicated laparoscopy unit
  • Intra operative USG
  • Intraoperative PTH monitoring
  • ICG florescence
  • State of art vessel sealing systems
  • Image guided tissue diagnostics
  • Neuromonitoring system( coming soon)
  • Interventional radiology
  • Nuclear medicine imaging and therapy

Services

Total Thyroidectomy, Hemithyroidectomy, Neck Dissections, Retrosternal goitre surgeries, Thyroid cancer surgeries, Image guided surgeries for small tumours, Suture less surgeries

Classical exploration, Focussed minimally invasive, Subtotal parathyroidectomies, Total parathyroidectomy with forearm transplantation

Adrenocortical cancer surgeries, Laparoscopic / open surgeries for, Pheochromocytomas, Cushing’s Adenomas, Conn’s adenomas

Intraoperative USG guided enucleations, Subtotal pancreatectomy, Whipples surgery

Faculties