Gastroenterology & Surgery

Equipped with latest technology & trends like harmonic scalpel, vessel sealing devices, various stapling devices and video assisted procedures PRIMUS MEDICARE provides whole gamut of surgical procedures on GI tract from oesophagus to anal canal & abdominal wall hernias. All major resections for malignancies are performed on regular basis. Surgeries for benign diseases of oesophagus, stomach, hepatic & pancreatic disease, gall stone, CBD stone and related problems and surgeries for bowel obstructions, strictures & perforations are performed routinely. Surgeries for portal hypertension – devascularization & shunts are performed on selected cases. All advance procedures for haemorrhoids (piles), fissure and fistulas like – MIPH, lateral internal sphincterotomy and video assisted fistula surgery (VAFT) are offered. All kinds of external (inguinal & incisional) & internal hernias and recurrences of hernias are operated.

Post operative complications of other centres can be referred to Primus with assurance and confidentially. An experience of over 25 years of Prof. Lav K. Kacker in dealing with GI problems helps in salvaging the problems.

Summary of all open procedures performed is listed below : –

• Oesophageal resections
• Surgeries for achalasia cardia
• Acid peptic disease surgeries
• Gastrectomies & bypasses
• Cholecystectomies & CBD exploration
• Radical cholecystectomies for CA gall bladder
• Choledochal cyst
• Biliary stricture surgery
  
• Splenic surgery for trauma, ITP & hypersplenism/li>
• Liver resections
• Surgery for hernias with or without mesh repair
• Diaphragmatic and hiatus hernias
  
• Pancreatic pseudocyst
• Pancreatic resections

• Whipples resections
• Pancreatic necrosectomies for acute pancreatitis
• Hepatic – pancreatic – biliary & duodenal trauma
• Surgery for PHT – shunts & devascularization
• Surgery for bowel obstruction – strictures & perforations
• Colectomies
• Tubercular abdomen
• Surgery for ulcerative colitis –ileal pouches
• Crohns disease surgery
• Haemorrhoidal surgery
  
• Fistula in ano surgeries
• Fissure in ano
• Low anterior resections (LAR)
• Abdomino – perineal resections (APR)

Endoscopic Services

Equipped with latest scopes of Fujinon & Olympus, diagnostic upper GI endoscopies & lower GI endoscopies are routine. Therapeutic endoscopic procedures for upper GI, lower GI, biliary & pancreatic systems are offered with or without help of anaesthesia.

Various endoscopic procedures performed are : –

Upper GI –

• Foreign body extraction
• Endoscopic variceal ligation (EVL)
• Endoscopic sclerotherapy (EST)
• Endoscopic sclerotherapy (EST)
• Oesophageal – stenting (SEMS)
• Fundal varices glue injection

• Polypectomy
• Duodnel stenting for obstructions
• PEG
• Endoscopic pseudocysts drainage
• Bleeding ulcer treatment with hemoclip & injection

Lower GI –

• Haemorrhoidal injection & banding
• Mucosal resection of tumors
• Stricture dilatation

• Polypectomies
• Stenting for malignancies
• Colonic bleeding management

Cholangio – Pancreatography

• Diagnostic ERCP
• Endoscopic sphincterotomy
• Bile duct stone extraction – ballon/ dormia
• Bile duct stone lithotripsy
• Endoscopic stricture dilatation for benign & malignant strictures & stenting – metallic & plastic
• Endoscopic stenting for CBD injuries

• Pancreatic duct stone retrieval
• Pancreatic duct stricture dilatation
• Pancreatic duct stenting
• Percutaneous biliary drainage
• Percutaneous pseudocysts drainage

Peroperative Endoscopy & Capsule Endoscopy

Primus is only centre to provide peroperative endoscopy, choledochoscopy and peroperative ERCP if needed during Open/ Lap Surgeries. Capsule endoscopy can be availed at PRIMUS at convenience & in cost effective manner.

Laparoscopic Surgeries

Prof. Lav K. Kacker was associated with 1st Lap surgery performed in U.P by Prof. Tempton Udwadia. He is pioneer in Laparoscopic Surgeries with an experience of around 25 years. Nearly all surgeries, common, uncommon & complex are performed Laparoscopically or are assisted Laparoscopically.

• Lap assisted oesophagectomies
• Lap heller's cardiomyotomy
• Fundoplication for hiatus hernia
• Lap gastrectomies & reconstruction
• Lap gastrojejunostomy & vagotomy
• Hydatid cyst surgery
• Lap cystogastrostomy
• Lap cholecystectomy & CBD exploration
• Lap choledochal cyst excision & Roux-en-Y hepaticojejunostomy
• Pancreatic resections
• Spleenectomy

• Bowel resections
• Hemicolectomies & total colectomy
• Lap surgery for prolapse rectum
• Lap assisted LAR & APR
• Lap appendectomy
• Lap incisional, umbilical & inguinal hernia repair
• Lap surgery for acute abdomen – perforations, adhesinolysis etc.
• Diag laparoscopy
• Retroperitoneal LN biopries
• Gyane related lap surgery

Bariatric Surgeries

Recently rechristened as Metabolic surgery, because of its impact on diabetes and metabolic syndrome component like hypertension, hypertriglyceridemia etc, it is need of hour. Prof. Lav K. Kacker started Bariatric surgery nearly 5 years ago in U.P, again a first. All obesity related problems can be resolved at PRIMUS.

Various procedures offered are :

• Endoscopic intragastric ballon placement
• Sleeve gastrectomy
• Mini gastric bypass
• Mini gastric bypass

• Liposuction
• Abdominoplasty & tummy Tuck
• Body contouring