• Surgical intensive care unit - Separate in Causality also.
• Varicose vein clinic and treatment including laser treatment
• Round-the-clock ICU coverage and Management
• Repair of all Abdominal Hernias including Abdominoplasty.
• Painless surgical procedure for piles, fistulas, fissure and prolapse, including Stapler Haemorrhoidectomy and Banding
• Breast clinic with ultrasound and mammogram facilities to detect early breast cancer and surgery including breast conservation and reconstruction

• All routine general surgical emergency cases and poly trauma patient care
• Most modern surgical theatre working round the clock and fully equipped Post Anesthesia care Unit and supported by well equipped imagery and invasive & therapeutic angiogram
• Peripheral Vascular disease including Diabetic foot infections managed by Doppler, Angioplasty and conservative surgery avoiding major Amputation
• All types of GI Surgery, Hepatobiliary & Endocrine using staplers, lasers and harmonic scalpels for minimal blood loss and tissue damage during surgeries

• All head and neck surgeries particularly cancers of thyroid and parotid
• Trauma: Alert and well trained emergency and rescue team experts in emergency resuscitation and an excellent ICU with life support systems to facilitate all major trauma surgeries.
• Laparoscopic surgeries (key hole surgery) for
  -All Abdominal wall & groin hernias
  -Gall bladder & Appendix surgeries
  -Anti Reflux surgery for hiatus hernia & GERD
  -Gastric banding for obesity
  -Advanced intestinal surgeries including cancers

• Appendix Removal
• Spleenectomy
• Hernia Repair
• GI Surgeries
• Gastric resctions
• Pancreatic Surgery
• Liver resection
• Circurnscision

• Whipple Surgery
• Fundoplication
• A V Fistula
• Aneurysm Surgery
• Cholesystectomy (Gall Bladder)
• Repair
• Thyroid Surgery
• Oesophageal surgery

• Wipple's Operation
• Colo rectal surgery
• Mastectomy (Breast Removal)
• Lumbar Sympathectomy
• Adrenalectomy
• Varicose Vein
• Diabetic Foot Surgery

The Surgical Intensive Care Unit at Padiyath Medicity - Hopital Du Cinquantenaire cares for critically ill general surgery and trauma patients who have undergone complex surgical procedures.

The SICU specializes in patient recovery of post-operative procedures including transplants; aneurysm repairs; resections; vascular endarterectomies; amputations and many other surgical procedures. We also accommodate patients from other surgical units. The multidisciplinary team consists of staff physicians, nurses and nursing assistants, social workers, registered dieticians, physical therapists, respiratory therapists and pharmacists.

The SICU provides care for patients suffering from:

• Respiratory failure
• Multi-system trauma

• Post-organ transplantation care
• Sepsis

• Peri-operative complications

Our SICU provides a full range of intensive care services, using advanced monitoring techniques and equipment. These monitors and therapies include:

• ulmonary artery catheters
• Intracranial pressure monitoring and CSF drainage
• Continuous infusion of vasoactive medications
• Care for micro-vascular reconstruction

• Left ventricular assist devices (LVAD)
• Nitric oxide
• Arterial lines
• Ventilatory support

• Pain management
• Intra-aortic balloon pumps
• Renal replacement therapies (CVVH)
• Organ transplants

The Center for Surgical Sciences & Bariatric Surgery at Padiyath Medicity - Hopital Du Cinquantenaire is a full-fledged healthcare facility providing complete evaluation, diagnosis, and surgical treatment for a wide variety of disorders. The goal is to extend best patient care both on outpatient and inpatient basis including round the clock emergency services.

Obesity , a condition of being overweight, should be taken care very seriously as this condition can lead to various other diseases like Type 2 diabetes, high blood pressure, Osteoarthritis, Infertility etc. and can be life threatening.

Over the last decade, weight loss or Bariatric surgery has been continually refined to improve results and minimize risks. The Department of Bariatric surgery at Padiyath Medicity - Hopital Du Cinquantenaire performs different kinds of weight loss surgeries tailored to meet individual patient needs. The team which includes bariatric surgeons, endocrinologist, cardiologist, bariatric nutritionist, psychologist and physiotherapist provide comprehensive care from evaluation to post surgery support and follow up. The center is equipped with advanced technology and facilities that are specially made for the comfort and safety of obese patients who seek the treatment. The focus of the hospital is to take care of all patients in a caring, comfortable and safe environment, while maintaining the much needed privacy.

Keyhole or laparoscopic bariatric surgeries are performed regularly with successful outcomes. The patients, who enroll for the bariatric surgery program, undergo a thorough evaluation of the medical condition and a trial of medical management before surgery is advised.

The actual weight a patient will lose after the operation depends upon several factors. These include:

• Patient's Age
• Overall Condition of Patient's Health
• Ability to Exercise

• Motivation of Patient and Cooperation of Family, Friends and Associates
• Weight Before Surgery

• Commitment to Maintaining Dietary Guidelines and other Follow-up Care
• Surgical Procedure

Treatments and Procedures:

1. Laparoscopic Adjustable Gastric Banding:

• An Inflatable Gastric Band is used, thus creating an Hourglass structure to the Stomach.
• This procedure needs a high level of compliance from patient regards lifestyle and diet post surgery.

• There is always a risk of the Band eroding into the stomach, slipping out of place, and can also produce vomiting, development of GERD or sometimes the device can also fail to function.

• This procedure may lead to about 39% of the excess weight being reduced within 18 months after the surgery.

2. Laparoscopic Sleeve Gastrectomy:

• In this procedure, 80% of the stomach is stapled and removed which induces weight loss by restriction in food intake and early satiety, due to loss of hunger producing hormones.

• Laparoscopic Sleeve Gastrectomy is safer than other procedures.
• Digestion and absorption is normal.

• By eating less the body draws the required energy from its own fat stores and thus you lose weight.

3. The R oux-en-y Gastric Bypass – The Gold Standard procedure:

• In this procedure, a small, 15 to 20 cc, pouch is created at the top of the stomach.
• The bilio-pancreatic limb preserves the action of the digestive tract.

• The small bowel is divided. The bilio-pancreatic limb is reattached to the small bowel and the other end is connected to the pouch, creating the Roux limb.

• The small pouch releases food slowly, causing a sensation of fullness with very little food intake.

4. Bilio-pancreatic Diversion with Duodenal Switch:

• In this procedure, greater weight loss can happen with less dietary compliance from the patient.

• Constant follow-up is needed for this procedure in order to monitor for complications.

• There may be an increased risk of malnutrition and vitamin deficiency and intermittent diarrhea can also occur.

Surgical management is the answer for morbid obesity. There are surgical procedures, coupled with behavioural modification, that facilitate long –term weight loss and offer a permanent solution. Laparoscopic Bariatric surgery is one of the procedures that help in getting rid of obesity. Department employs latest technology in treating patients with Obesity.