The Department of General Surgery at Kasturba Medical College, Manipal caters to the surgical needs of the local population by providing state-of-the-art facilities in addition to imparting core training to Undergraduate and Postgraduate trainees.

The Department of General Surgery has gained a reputation as one of the leading surgery programs in South India that was started as a part of Kasturba Medical College in 1953. Post-Graduation Residency Programme in General Surgery was established in 1972. Over the years the department has evolved with changing times and needs of society.

The department has been committed to providing outstanding patient care to the population of South Karnataka since the past 50 years. We have approximately 8000 admissions and 15000 operative procedures each year including a high volume of complex operative cases.

The department is also known to host an annual CME since 1983 (Manipal Clinifest) providing an opportunity to hone skills, gain competence and grow professionally. It is usually held in the 3^rd week of September and is attended by post graduates from all over South India as well as National/International faculty.

The department started laparoscopic surgery in 1996 and is now routinely performing basic and advanced laparoscopic procedures. We have a well-equipped Endoscopy Suite with diagnostic facilities for Upper GI and Lower GI diseases.

The department also boasts of a fully online logbook since 2019 which caters to the academic and clinical activities of the department in addition to serving as our online surgical case registry.

The department is equipped with an excellent endotrainer lab with 6 laparoscopy consoles for skill enhancement of budding surgeons.

We also have a rigorous post graduate training programme which is committed to producing well rounded surgeons with potential to become the next generation of leaders in surgery. We are currently eligible to admit 21 surgical residents each year exclusively through the NEET PG exam and counselling.

The department comprises of well-trained faculty, post graduate students and interns aiming to provide the best possible care for the thousands of patients visiting us every year. We have 8 independent surgical units comprising of a total of 32 teaching faculty to ensure the effective functioning of the daily clinical and academic duties. The department also has 2 administrative staff attached who serve as point of contact for all faculty and students as well as providing administrative support for various departmental activities.

Dr. Shashank Subhaschandra Shah is a Laparoscopic and Bariatric Surgeon based in Pune and is actively involved in the academic programme of the department.

The department prides itself on the success of its alumni, many of whom are current department heads and renowned surgeons throughout the country.

·        Upper GI Endoscopy

·        Lower GI Endoscopy – Sigmoidoscopy/Colonoscopy

·        Diagnostic Laparoscopy

·        Hernia Surgery (Groin/Ventral/Incisional) – Open and Laparoscopic

·        Varicose Veins – Open and Minimally Invasive Surgery (Radio Frequency Ablation)

·        Excision of superficial swellings – Lipoma, Sebaceous Cyst, Dermoid Cyst

·        Lymphnode Biopsy and Lymphnode Dissections

·        Drainage of Abscess

·        Surgery for Pilonidal Sinus

·        Hydrcoele Surgery

·        Surgery for Varicocoele

·        Circumcision

·        Penile Amputations

·        Orchidectomy

Emergency Surgery:

·        Trauma Care Surgery – Exploratory Laparotomy

·        Surgery for Intestinal Obstruction

·        Surgery for Gastro Intestinal perforation

·        Amputations for limbs and digits

·        Surgery for Necrotizing Fasciitis

Endocrine Surgery:

·        Thyroidectomy – Hemithyroidectomy and Total Thyroidectomy

·        Parathyroid Surgery

·        Surgery for Pheochromocytoma

Breast Surgery:

·        Breast Abscess Drainage

·        Lumpectomy

·        Breast Conservation Surgery, Mastectomy and Oncoplastic Breast Surgery

Gastro Intestinal Surgeries:

·        Esophagectomy

·        Hiatus Hernia Repair- Laparoscopic

·        Surgery for Achalasia Cardia

·        Stomach – Gastrectomy (Partial and Total), Gastric Bypass, Vagotomy

·        Ileostomy

·        Appendectomy – Open and Laparoscopic

Hepato-Pancreatico-Biliary Surgery:

·        Gall Bladder Surgery: Cholecystectomy – Open and Laparoscopic including Radical Cholecystectomy

·        Laparosocpic CBD Exploration

·        Liver- Hepatectomy, Wedge Resections, Hydatid cyst surgery

·        Pancreas- Whipples Procedure, Distal Pancreatectomy, Cystogastrostomy, Longitudinal PancreaticoJejunostomy

·        Splenectomy

Colo-Rectal Surgery:

·        Colectomy – Open and Laparoscopic

·        Colostomy

·        Low Anterior Resection and Ultra Low Anterior Resection

·        Abdomino Perineal Resection

·        Rectal Prolapse Surgery – Open and Laparoscopic

·        Haemorroidectomy – Harmonic and Stapled Haemorrhoidopexy1

·        Surgery for Fistula in Ano – Fistulectomy, Fistulotomy and Seton Insertion

·        Surgery for Fissure in Ano – Lateral Anal Sphincterotomy

The department actively encourages students in basic research activities (Independent and ICMR STS Projects) providing guidance and support to interested students including presentation in CMEs/Conferences. There are limitless opportunities for postgraduate trainees and faculty to pursue research projects in the areas of their interest. All research projects require approval from the Department Research Coordination Committee and Institutional Ethics Committee.

Ongoing Studies:

·        Outcomes of elective cancer surgery during COVID-19 pandemic crisis: an international, multicentre, observational cohort study (CovidSurg-Cancer)

·        The EAGLE Trial - An International cluster randomised - sequence study of a "Safe-anastomosis" Quality Improvement intervention to reduce anastomotic leak following right colectomy & Ileocaecal resection

·        Timing of surgery following SARS‐CoV‐2 infection: an international prospective cohort study

·        Elective Surgical Cancellations on the day of surgery: A cross-sectional study - IndSurg II through World health Organisation Collaboration Centre (WHOCC) centre

·        The CHEETAH Trial - Cluster randomised trial of sterile glove and instrument change at the time of wound closure to reduce surgical site infection. A trial in low and middle income countries (LMICs)

Grants:

·        Kumar, A. S., Lakshminarayana, B., & Lingadakai, R. (2020). Evaluation of the role of morphological features of pancreas in postoperative pancreatic fistula formation after whipples pancreaticoduodenectomy. Surgical Chronicles, 25(2), 119-121.

·        Jnana A, Muthuraman V, Varghese VK, et al. Microbial community distribution and core microbiome in successive wound grades of individuals with diabetic foot ulcers. Appl Env Microbiol. 2020; 86:e02608-19.

·        Devaraja, K., Pujary, K., Ramaswamy, B. et al. Role of Total Laryngopharyngoesophagectomy with Gastric Pull Up in the Management of Locally Advanced Hypopharyngeal Cancers. Indian J Otolaryngol Head Neck Surg (2020). https://doi.org/10.1007/s12070-020-01806-z

·        Jose A, Shenoy GG, Sunil Rodrigues G, Kumar NAN, Munisamy M, Thomas L, Kolesar J, Rai G, Rao PPN, Rao M. Histone Demethylase KDM5B as a Therapeutic Target for Cancer Therapy. Cancers (Basel). 2020 Jul 31;12(8):2121. doi: 10.3390/cancers12082121. PMID: 32751840; PMCID: PMC7465382.

·        Yalla, P., Bhagat, S., Badareesh, L., & Mathew, M. (2020). A Fatal Presentation of Primary Cutaneous Mucormycosis in an Immunocompetent Adult. Asian Journal of Case Reports in Surgery, 3(3), 10-14.

·        Sravya, I., Lakshminarayana, B., Ramachandra, L., Singaraddi, R., Hegde, K., & Yalla, P. (Accepted/In press). Hernia Through the Foramen of Winslow: a Rare Form of Internal Hernia and a Diagnostic Dilemma. Indian Journal of Surgery. https://doi.org/10.1007/s12262-020-02101-5

·        Panchagnula K, Yalla P, Lakshminarayana B, Hegde K, Singaraddi R. Anterior Abdominal Wall Abscess: An unusual presentation of Carcinoma of the Colon. Arch Surg Clin Res. 2019; 3: 070-071.

·        Khan A, Gowda C, Vasudevan G, Rodrigues G. Giant folliculosebaceous cystic hamartoma of the vulva: A rare occurrence. Int J Gynaecol Obstet. 2020 Sep;150(3):423-424. doi: 10.1002/ijgo.13286. Epub 2020 Jul 20. PMID: 32599673.

·        Marcos, S. R., Singh, B. P., Ballal, D. S., Alaswad, F., Akhtar, S., & Rodrigues, G. (2020). A surprise visitor at cesarean section: Gastrointestinal stromal tumor of the uterus. Middle East Journal of Cancer, 11(1), 105-108. https://doi.org/10.30476/mejc.2019.78675.0

·        Menon, A., Joseph, J., Narasimhan, R., Kumar, S., & Rodrigues, G. (2020). Basal cell carcinoma uncovered: A report of 2 cases of unusual location. Surgical Chronicles, 25(2), 166-168.

·        Rajpoot A, Gowda C, Monappa V, Rodrigues G. Rectal actinomycosis mimicking malignancy. Acta Chir Belg. 2021 Feb;121(1):74-75. doi: 10.1080/00015458.2020.1841487. Epub 2021 Jan 19. PMID: 33461413.

·        Soni, L. P., Gowda, C., Varma, S., & Rodrigues, G. (2020). Suture versus staple closure of abdominal incisions in clean abdominal surgeries: A prospective comparative observational study. Surgical Chronicles, 25(3), 207-209.

·        Velumurugan K, Veerabharappa B, Khan A, Rodrigues GS. Pulsatile Bony Secondaries from a GI Malignancy: an Unknown Entity! J Gastrointest Cancer. 2020 Mar;51(1):317-318. doi: 10.1007/s12029-019-00257-2. PMID: 31124040.

https://eprints.manipal.edu/view/subjects/SUR.html

·        KSC ASICON 2014 – The department successfully held the 32nd annual conference of Association of Surgeons of India, Karnataka state chapter over three days in February 2014 which included live operative workshops, orations, symposia, papers and posters.

·        State of the art Endotrainer Lab for enhancement of Basic Suturing and Laparoscopy Skills set up in 2019

·        One of the first surgical departments in the country to have a comprehensive online logbook since 2019.

·        The Basic Surgical Skills Course by Royal College of Surgeons of Edinburgh - Two-day program for surgical residents with hands on training from the faculty of Royal College of Surgeons, Edinburgh. Scheduled to be held in July 2021 but deferred due to Covid 19 pandemic.

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Google Map: https://goo.gl/maps/n4Uy7PSX1rJpyJyv6

Email: surgery.kmc@manipal.edu

General Surgery Office: 0820-2922724

Surgery OPD: 0820-2922213, 0820-2923091