🏥 Primax Hospital Sonipat – Leading Gastrointestinal Surgery Center in North India
Welcome to the GI Surgery Department at Primax Hospital Sonipat, where precision meets compassion in digestive healthcare. Our world-class gastrointestinal surgery team combines cutting-edge surgical techniques with personalized patient care to deliver exceptional outcomes for complex digestive tract disorders.
As the premier GI surgery center in Haryana, we specialize in both routine and highly complex surgical procedures involving the entire digestive system – from esophagus to rectum. Our commitment to minimally invasive surgical excellence ensures faster recovery, minimal discomfort, and superior long-term results.
🌟 Why Choose Primax Hospital for GI Surgery?
Comprehensive GI Surgical Expertise
- Expert GI Surgeons with 15+ years of specialized experience
- Advanced Laparoscopic Surgery capabilities with 3D visualization
- Robotic-Assisted Surgery for ultimate precision
- Emergency Surgery services available 24/7
State-of-the-Art GI Surgical Infrastructure
- Modular Operation Theatres with laminar air flow
- Advanced Surgical Instruments and imaging systems
- Dedicated ICU for post-operative care
- Blood Bank and emergency support systems
Minimally Invasive GI Surgeries
- Faster Recovery Times – Most patients go home within 2-3 days
- Minimal Scarring – Small keyhole incisions
- Reduced Pain and post-operative discomfort
- Earlier Return to normal activities
Our Specialized GI Surgery Services
- Gall bladder
- Obesity treatment
- Colon
- Esophageal Surgery
- Rectum
- Liver
Gallbladder Surgery – Primax Gastro Institute & Superspeciality Hospital, Sonipat
The gallbladder is a small, pear-shaped organ located just below the liver in the right upper abdomen. Its primary functions include:
- Bile Storage: Acts as a reservoir for bile produced by the liver
- Bile Concentration: Concentrates bile by removing water
- Digestive Support: Releases concentrated bile to aid in fat digestion
| Aspect | Details |
|---|---|
| Right upper abdomen, just below the liver | |
| Small, pear-shaped organ | |
| Store and concentrate bile from liver | |
| Releases bile to help digest fats | |
| Approximately 7-10 cm long when healthy |
REGIONAL HEALTH ALERT: North India faces a gallbladder disease epidemic with 4% prevalence rate, one of the highest globally. At Primax Gastro Institute hospital, we specialize in comprehensive gallbladder care tailored to our region’s unique challenges.
Gallstone Disease: Types of Gallstones We Treat (We Treat All)
| Stone Type | Characteristics | Risk Factors |
|---|---|---|
| Yellow-green, multiple stones, formed from excess cholesterol | Female gender, obesity, age >40 | |
| Dark colored, from red blood cell breakdown | Blood disorders, chronic infections |
Why are Gall Stones Formed?
There are many reasons for gall bladder stones to form.
- Gall bladder fails to contract leading to a concentration of bile inside the gall bladder.
- Excess concentration of cholesterol in the bile.
- Pregnancy
- Blood disorders like sickle cell anemia
- Sudden weight loss
- Post bariatric surgery
Risk Factors for Developing Gallstones
Gallstones are more likely to occur in:
- Females, particularly those who are pregnant or using OCPs
- Individuals with obesity or those who have experienced rapid weight loss
- Anyone over the age of 40
- People with diabetes
- Individuals with blood disorders like sickle cell anemia
- Some regions, such as North Indian females, are at much higher risk
Symptom Recognition Guide
| Symptom Category | Description | Action Required |
|---|---|---|
| Mild upper abdominal discomfort after fatty meals | Schedule consultation | |
| Severe waxing-waning pain, 1-4 hours duration | Same-day consultation | |
| Persistent pain + fever + nausea | Emergency visit | |
| Jaundice + fever + severe pain | IMMEDIATE EMERGENCY |
Gallbladder Cancer – Advanced Oncological Care
Gallbladder cancer (GBC) is a malignant condition affecting the gallbladder, a small digestive organ located in the right upper abdomen. Despite being relatively uncommon globally, GBC represents a significant health concern in certain geographic regions, particularly North India, which is considered an endemic zone.
Signs and symptoms
- Early Stage: Most patients are asymptomatic (no visible symptoms)
- Most common: Pain in the upper abdomen
- Late Presentations: Jaundice, Abdominal fullness (ascites), Lack of appetite, Weight loss
Risk Factors:
- Geographic: Living in North India as it is considered to be an endemic zone.
- Gender & Age: Women above 40 years
- Family History: If a family member has suffered from GBC
Diagnosis:
Step 1: Initial Screening
- Ultrasound of abdomen → Sufficient in 90% of cases
Any suspicion requires immediate consultation with gastrosurgeon
Step 2: Confirmatory Tests (if suspicion raised)
- CECT scan (Contrast-Enhanced CT) of the abdomen
- Whole body PET scan
Red Flag:
- Gallbladder polyp detected → Immediate doctor consultation
- May be pre-cancerous in some cases
- Requires expert management
Why We Are The Best Gallbladder Cancer Treatment Hospital in Sonipat:
Expert Hepatobiliary Surgeons – Specialized in complex liver & gallbladder surgeries
Advanced Diagnostic Facilities – High-resolution ultrasound, CT, MRI, PET-CT
Comprehensive Cancer Care – Surgery + Chemotherapy + Radiation coordination
Minimally Invasive Options – Laparoscopic surgery when appropriate
Endemic Zone Expertise – Extensive experience with North Indian GBC cases
Multidisciplinary Tumor Board – Collaborative treatment planning
Early Detection Programs – Gallbladder polyp screening & management
Complete Oncological Support – Nutritional care, pain management, palliative services
Best Weight Loss Surgery Hospital in Sonipat | Advanced Metabolic Surgery Center
Obesity is a growing health crisis affecting millions globally, and India is no exception. At our state-of-the-art Bariatric Surgery Center in Sonipat, we offer comprehensive weight loss solutions through advanced laparoscopic bariatric surgery (also called metabolic surgery or weight loss surgery).
Our center combines cutting-edge surgical techniques, expert bariatric surgeons, and holistic patient care to help you achieve sustainable weight loss and reverse obesity-related diseases like Type 2 Diabetes, Hypertension, Sleep Apnea, PCOD, and many more.
What is Obesity and Its Classification
Obesity is a chronic medical condition characterized by excessive accumulation of body fat that adversely affects health. It is both a lifestyle disorder and can have a genetic predisposition.
BMI Classification for Indian Population:
| Category | BMI (kg/m²) | Classification |
|---|---|---|
| Normal | 18.0 – 23.0 | Healthy weight |
| Overweight | 23.1 – 27.5 | Pre-obesity |
| Obese | 27.6 – 32.5 | Obesity |
| Severely Obese | 32.6 – 37.5 | Severe obesity |
| Morbidly Obese | > 37.5 | Morbid obesity |
Calculate Your Body Mass Index (BMI:
BMI = Weight (kg) ÷ [Height (m)]²
Example: Weight = 100 kg, Height = 1.65 mBMI = 100 ÷ (1.65 × 1.65) = 36.7 kg/m² (Severely Obese)
Important FACT: People with obesity (BMI > 37.5) have 50-100% higher mortality rates compared to normal-weight individuals.
Metabolic Syndrome of Obesity- THE HIDDEN DANGERS
What is Metabolic Syndrome? Obesity doesn’t just affect your appearance—it creates a constellation of serious medical conditions that impact every organ system in your body.
Obesity-Related Diseases & Complications:
| System | Associated Conditions | Impact |
|---|---|---|
| Endocrine | • Type 2 Diabetes Mellitus (DM) • Insulin Resistance • Metabolic Syndrome |
Life-threatening complications |
| Cardiovascular | • Hypertension (HT) • Heart Disease • Stroke Risk • Hyperlipidemia (HPL) |
Major cause of death |
| Respiratory | • Obstructive Sleep Apnea (OSA) • Asthma • Breathlessness |
Poor quality of life |
| Musculoskeletal | • Degenerative Joint Disease • Osteoarthritis • Back Pain • Limited Mobility |
Chronic pain & disability |
| Reproductive | • Polycystic Ovarian Disease (PCOD) • Infertility • Irregular Periods |
Family planning issues |
| Hepatic | • Fatty Liver Disease • Non-Alcoholic Steatohepatitis (NASH) |
Liver failure risk |
| Metabolic | • Hyperuricemia (Gout) • High Cholesterol |
Joint pain & complications |
| Psychological | • Depression • Anxiety • Low Self-Esteem • Eating Disorders |
Mental health crisis |
Impact on Life:
- MORTALITY: 50-100% increased death rate
- QUALITY OF LIFE: Severely compromised
- SOCIAL IMPACT: Discrimination and neglect
- ECONOMIC BURDEN: High medical costs
- EMOTIONAL TOLL: Depression and isolation
What is Bariatric (Weight Loss) Surgery?
Bariatric Surgery (also called Weight Loss Surgery or Metabolic Surgery) is a life-changing surgical procedure that:
Reduces weight through anatomical changes
Controls/cures obesity-related diseases through hormonal effects
Modifies lifestyle permanently
Improves quality of life dramatically
How Does It Work?
Bariatric surgery works through THREE MECHANISMS:
| Mechanism | How It Works | Result |
|---|---|---|
| 1. Restriction | Reduces stomach size → Less food intake | Weight loss |
| 2. Malabsorption | Bypasses intestine → Reduced calorie absorption | Enhanced weight loss |
| 3. Hormonal Changes | Alters gut hormones (Ghrelin, GLP-1, PYY) | • Reduced hunger • Better insulin sensitivity • Disease control |
The “Metabolic Effect” – Why Surgery is Different:
Unlike dieting or exercise alone, bariatric surgery produces dramatic hormonal changes that:
Suppress appetite (reduced Ghrelin)
Increase satiety (increased GLP-1 and PYY)
Improve insulin sensitivity (incretin effect)
Control diabetes BEFORE significant weight loss
Reduce insulin resistance
STRIKING FACT: Diabetes control is seen within days after surgery, even BEFORE significant weight loss occurs!
Who Needs Bariatric Surgery?
You are a candidate if:
| Criterion | Details |
|---|---|
| BMI Requirements | • BMI > 37.5 kg/m² (Morbidly Obese) OR • BMI > 32.5 kg/m² (Severely Obese) WITH obesity-related diseases |
| Age | 18 to 65 years |
| Previous Attempts | Failed weight loss with: • Diet programs • Exercise regimens • Behavior modification • Medical management |
| Commitment | Willing to commit to: • Lifelong dietary changes • Regular follow-ups • Vitamin supplementation • Healthy lifestyle |
| Medical Fitness | Able to tolerate surgery and anesthesia |
Surgery Is ESPECIALLY Beneficial If You Have:
- Type 2 Diabetes Mellitus (T2DM)
- Hypertension (High Blood Pressure)
- Obstructive Sleep Apnea (OSA)
- Polycystic Ovarian Disease (PCOD) / Infertility
- Fatty Liver Disease
- Degenerative Joint Disease
- Hyperlipidemia (High Cholesterol)
- Hyperuricemia (Gout)
- Depression related to obesity
Surgery May NOT Be Suitable If:
- Active substance abuse
- Uncontrolled psychiatric disorder
- Unable to commit to lifestyle changes
- Certain medical contraindications
Types of Bariatric Surgery
At our Best Bariatric Surgery Center in Sonipat, we offer THREE ADVANCED LAPAROSCOPIC PROCEDURES:
1. Laparoscopic Sleeve Gastrectomy (LSG): Most Popular Procedure (60-70% of all bariatric surgeries)
Advantages:
- Simpler procedure
- Shorter operative time (60-90 minutes)
- Excellent weight loss (60-70% excess weight loss)
Expected Outcomes:
- Weight Loss: 60-70% of excess body weight in 12-18 months
- Diabetes Resolution: 70-80% patients
- Hypertension Control: 60-70% patients
- Sleep Apnea Resolution: 80-90% patients
2. Laparoscopic ROUX-EN-Y Gastric Bypass (LRYGB): Gold Standard Procedure – Maximum Metabolic Effect
Advantages:
- Best for Type 2 Diabetes (80-90% resolution)
- Maximum weight loss (70-80% excess weight)
- Best for severe GERD/reflux
Expected Outcomes:
- Weight Loss: 70-80% of excess body weight
- Diabetes Resolution: 80-90% patients
- Hypertension Control: 70-80% patients
- Best long-term results
3. Laparoscopic Mini Gastric Bypass (LMGB): Simplified Bypass – Fewer Complications
Advantages:
- Simpler than RYGB (fewer connections)
- Shorter operative time (70-100 minutes)
- Similar weight loss to RYGB
- Easier to reverse if needed
Expected Outcomes:
- Weight Loss: 65-75% of excess body weight
- Diabetes Resolution: 75-85% patients
- Lower complication rates than RYGB
- Excellent alternative to traditional bypass
Procedure Comparison: LSG Vs LRYGB Vs LMGB
| Aspect | Sleeve Gastrectomy | Roux-en-Y Bypass | Mini Gastric Bypass |
|---|---|---|---|
| Complexity | Simple | Complex | Moderate |
| Duration | 60-90 min | 90-120 min | 70-100 min |
| Mechanism | Restriction + Hormonal | Restriction + Malabsorption + Hormonal | Restriction + Malabsorption + Hormonal |
| Weight Loss | 60-70% | 70-80% | 65-75% |
| Diabetes Resolution | 70-80% | 80-90% | 75-85% |
| Vitamin Needs | Moderate | High | Moderate-High |
| Complications | Low | Moderate | Low |
| Reversibility | Irreversible | Difficult | Easier |
| Best For | Primary choice | Diabetes + GERD | Simpler bypass option |
Post-Surgery Recovery Schedule:
| Timeline | Milestones | Activities |
|---|---|---|
| Day 0 | Surgery day | Rest, monitored in recovery |
| Day 1-2 | Hospital stay | Walk, sips of water, breathing exercises |
| Day 2-3 | Discharge | Go home with instructions |
| Week 1 | Early recovery | Light activities, liquid diet |
| Week 2 | Return to routine work | Office/desk work permitted |
| Week 6 | Full recovery | Strenuous activities allowed |
| Month 3 | Significant progress | Noticeable weight loss |
| Month 6 | Major milestone | 50% excess weight loss |
| Month 12-18 | Target achieved | Maximum weight loss reached |
Why We Are The Best Bariatric Surgery Hospital in Sonipat:
Advanced Laparoscopic Techniques – Minimally invasive surgery
Multiple Surgery Options – Sleeve Gastrectomy, Gastric Bypass, Mini Gastric Bypass
Expert Bariatric Surgeons – Extensive experience in metabolic surgery
Comprehensive Care – Pre-op counseling to post-op nutritional support
Quick Recovery – Home in 2-3 days, return to work in 1 week
Life-Changing Results – 95% improvement in quality of life
Disease Resolution – Diabetes control within days, not months
Transform Your Life: Bariatric surgery is not just about weight loss—it’s about gaining health, confidence, and adding healthy years to your life! Contact Us Now!
Colon Cancer Treatment at Primax Hospital
Colorectal diseases, including colon cancer and inflammatory bowel disease (IBD) like ulcerative colitis, require specialized expertise and comprehensive care. At our state-of-the-art Colorectal Surgery Center in Sonipat, we provide advanced diagnostic and therapeutic solutions for all colon and rectal disorders.
Our center combines cutting-edge technology, expert gastro-surgeons, advanced laparoscopic techniques, and personalized treatment protocols to deliver exceptional outcomes for patients suffering from colon cancer, ulcerative colitis, and other colorectal conditions.
🏆 Why We Are The Best Colorectal Treatment Hospital in Sonipat:
- ✅ Comprehensive Colorectal Care – Cancer to IBD management
- ✅ Advanced Screening Programs – Early detection colonoscopy services
- ✅ Expert Colorectal Surgeons – Specialized in complex colon surgeries
- ✅ Minimally Invasive Surgery – Laparoscopic & robotic-assisted techniques
- ✅ Multidisciplinary Approach – Surgery + Chemotherapy + Radiation coordination
- ✅ Complete Diagnostic Facilities – Colonoscopy, CT colonography, advanced imaging
- ✅ IBD Specialized Clinic – Dedicated ulcerative colitis management program
- ✅ Patient Support Services – Nutritional counseling, ostomy care, psychological support
Expert Care Close to Home: We bring world-class colorectal treatment to Sonipat, eliminating the need to travel to distant metros for specialized care.
🎗️ Part 1: Colon Cancer (Colorectal Cancer)
What is Colon Cancer? Colon cancer (also called colorectal cancer) is a malignant tumor that develops in the large intestine (colon) or rectum. It is one of the most common cancers worldwide but also one of the most preventable and treatable when detected early.
Anatomy Overview:
|
Part
|
Function
|
Cancer Risk
|
|---|---|---|
|
Colon
|
Water absorption, stool formation
|
Common cancer site
|
|
Rectum
|
Final 15 cm of large intestine
|
High-risk area
|
|
Sigmoid Colon
|
S-shaped portion before rectum
|
Frequent cancer location
|
|
Cecum
|
Beginning of colon
|
Less common site
|
How Does Colon Cancer Develop?
THE ADENOMA-CARCINOMA SEQUENCE:
NORMAL COLON LINING
↓ (5-10 years)
SMALL POLYP (Adenoma)
↓ (5-10 years)
LARGE POLYP (Advanced Adenoma)
↓ (2-5 years)
EARLY CANCER (Stage I)
↓
ADVANCED CANCER (Stages II-IV)
⏰ CRITICAL FACT: The transformation from polyp to cancer takes 10-15 years, providing a wide window for prevention through screening!
Research Data:
|
Factor
|
Statistics
|
|---|---|
|
Global Ranking
|
3rd most common cancer
|
|
Age Group
|
Primarily affects 50+ years
|
|
Gender
|
Slightly more common in men
|
|
Survival Rate
|
90% if detected early (Stage I)
|
|
Prevention
|
60-90% preventable with screening
|
Signs & Primary Symptoms of Colon Cancer:
|
Symptom Category
|
Specific Signs
|
Clinical Significance
|
|---|---|---|
|
🩸 Rectal Bleeding
|
• Blood in stool (bright red or dark)
• Black, tarry stools (melena) • Blood mixed with stool |
Most common presenting symptom
|
|
💩 Bowel Changes
|
• Change in bowel habits >6 weeks
• Persistent diarrhea • Persistent constipation • Narrow/ribbon-like stools • Feeling of incomplete evacuation |
Indicates obstruction or mass
|
|
🤕 Abdominal Symptoms
|
• Persistent cramping
• Gas and bloating • Abdominal pain • Feeling of fullness |
Tumor causing obstruction
|
|
⚖️ Systemic Signs
|
• Unexplained weight loss >5 kg
• Chronic fatigue • Weakness • Loss of appetite |
Advanced disease indicators
|
|
🩺 Severe Presentations
|
• Intestinal obstruction
• Severe anemia • Abdominal mass (palpable) • Perforation (rare) |
Emergency situations
|
⚠️ RED FLAGS – Seek Immediate Medical Attention:
- Blood in stool (more than a week of any amount)
- Persistent change in bowel habits (>4 weeks)
- Unexplained weight loss >5 kg
- Severe abdominal pain
- Signs of intestinal obstruction
- Progressive anemia symptoms
🎯 Symptom Patterns by Location:
|
Cancer Location
|
Typical Symptoms
|
|---|---|
|
Right Colon
|
Anemia, fatigue, occult bleeding, weight loss
|
|
Left Colon
|
Change in bowel habits, visible blood, obstruction
|
|
Rectum
|
Rectal bleeding, tenesmus, narrow stools
|
|
Sigmoid
|
Alternating constipation/diarrhea, cramping
|
Risk Factor: Who is at Higher Risk?
|
Category
|
Specific Risk Factors
|
Relative Risk
|
|---|---|---|
|
🎂 Age
|
• Age >50 years
• 90% occur after age 50 |
HIGH
|
|
👨👩👧👦 Family History
|
• First-degree relative with CRC
• Multiple affected relatives • Young age at diagnosis in family • Hereditary syndromes (Lynch, FAP) |
VERY HIGH
|
|
🏥 Medical History
|
• Personal history of colorectal polyps
• Previous colorectal cancer • Inflammatory bowel disease (UC, Crohn’s) • Type 2 diabetes |
HIGH
|
|
🥩 Diet
|
• High red meat consumption
• High processed meat intake • Low fiber diet • Low fruit/vegetable intake |
MODERATE
|
|
🚬 Lifestyle
|
• Smoking (1.5x risk)
• Heavy alcohol use • Obesity (especially visceral) • Sedentary lifestyle |
MODERATE-HIGH
|
|
🧬 Genetic
|
• Lynch syndrome (HNPCC)
• Familial adenomatous polyposis (FAP) • MUTYH-associated polyposis • Peutz-Jeghers syndrome |
VERY HIGH
|
Diagnostic Approach:
STEP 1: Clinical Assessment
- Detailed history taking
- Physical examination including digital rectal exam (DRE)
- Risk factor evaluation
STEP 2: Screening & Primary Detection
|
Screening Method
|
Description
|
Frequency
|
Sensitivity
|
|---|---|---|---|
|
🥇 COLONOSCOPY
|
Gold standard – entire colon visualization
|
Every 10 years
|
95%+
|
|
Flexible Sigmoidoscopy
|
Examines lower colon/rectum
|
Every 5 years
|
70-80%
|
|
Stool Tests
|
• FOBT (Fecal Occult Blood Test)
• FIT (Fecal Immunochemical Test) • Stool DNA test |
Annually (FOBT/FIT)
|
70-80%
|
|
CT Colonography
|
Virtual colonoscopy
|
Every 5 years
|
85-90%
|
|
Blood Tests
|
CEA (Carcinoembryonic Antigen)
|
Monitoring only
|
Not for screening
|
STEP 3: Diagnostic Colonoscopy (If Abnormality Found)
🔹 What Happens During a Colonoscopy:
PREPARATION: • Bowel cleansing (day before) • Sedation/anesthesia • Empty stomach
PROCEDURE: • Flexible scope inserted through rectum • Entire colon examined • Polyps removed (polypectomy) • Tissue samples taken (biopsy) •
Duration: 20-30 minutesRECOVERY: • Rest 30-60 minutes • Home same day • Results available in days
STEP 4: Staging Investigations (If Cancer Confirmed)
|
Investigation
|
Purpose
|
Information Provided
|
|---|---|---|
|
CECT Chest, Abdomen, Pelvis
|
Staging workup
|
Tumor extent, lymph nodes, metastases
|
|
MRI Pelvis
|
Rectal cancer staging
|
Local invasion depth, anal sphincter involvement
|
|
PET-CT Scan
|
Whole body staging
|
Distant metastases, treatment planning
|
|
CEA Levels
|
Baseline tumor marker
|
Monitoring response, detecting recurrence
|
|
Liver Function Tests
|
Liver involvement
|
Metastatic spread assessment
|
|
Complete Blood Count
|
Anemia assessment
|
Bleeding severity
|
🏥 Our Diagnostic Excellence in Sonipat:
- ✅ Advanced Colonoscopy Suite – HD imaging, narrow-band imaging (NBI)
- ✅ Same-Day Polypectomy – Remove polyps during screening
- ✅ Expert Endoscopists – High polyp detection rates
- ✅ Sedation Services – Comfortable, pain-free procedures
- ✅ Complete Staging Facilities – CT, MRI, PET-CT available
- ✅ Rapid Biopsy Reporting – Histopathology results in 3-5 days
- ✅ Genetic Counseling – For hereditary cancer syndromes
Treatment Options
At our Best Colon Cancer Hospital in Sonipat, we follow a multidisciplinary tumor board approach: SURGERY + CHEMOTHERAPY + RADIATION
Multidisciplinary Team Includes:
- Colorectal Surgeons
- Medical Oncologists
- Radiation Oncologists
- Radiologists
- Pathologists
- Nutritionists
- Oncology Nurses
Types of Colon Cancer Surgery and Approaches:
|
Approach
|
Features
|
Advantages
|
Recovery
|
|---|---|---|---|
|
Laparoscopic
|
3-5 small incisions
|
• Minimal scarring
• Less pain • Faster recovery • Shorter hospital stay |
3-5 days hospital
2-3 weeks full recovery |
|
Robotic-Assisted
|
Enhanced precision
|
• Better visualization
• Nerve-sparing • Ideal for rectal cancer |
3-5 days hospital
2-3 weeks full recovery |
|
Open Surgery
|
Traditional large incision
|
• Better for advanced/emergency cases
• Complete access |
5-7 days hospital
|
🎯Surgical Excellence with Primax Gastro Hospital:
- ✅ Minimally Invasive First Approach
- ✅ Advanced Laparoscopic Equipment
- ✅ Nerve-Sparing Techniques (for rectal cancer)
- ✅ Sphincter-Preserving Surgery (when possible)
- ✅ Expert Stoma Care & Management
- ✅ Enhanced Recovery After Surgery (ERAS) Protocols
- ✅ Low Complication Rates
- ✅ Excellent Oncological Outcomes
🫁 Esophageal Surgery – Best Esophageal Surgery Hospital in Sonipat
Esophageal surgery addresses complex disorders of the esophagus (food pipe), a vital organ connecting the mouth to the stomach. At our state-of-the-art facility in Sonipat, we specialize in advanced esophageal treatments, including minimally invasive keyhole surgery for esophageal cancer, hiatus hernia, and other food pipe disorders.
What is Esophagus? The esophagus, commonly known as the “food pipe,” is a muscular tube that transports food and liquids from the mouth to the stomach. It is approximately 25-30 cm long and plays a crucial role in the digestive system.
- Location: Extends from throat through chest cavity into upper abdomen
- Function: Acts as a carrier and conduit for food passage
Esophageal Cancer
Esophageal cancer arises from the inner lining of the food pipe. In India, it predominantly affects middle-aged to old-age males (40-60 years), though women can also be affected.
|
Factor
|
Details
|
|---|---|
|
Age Group
|
40-60 years (most common)
|
|
Gender
|
Men > Women
|
|
Origin
|
Inner lining of esophagus
|
|
Behavior
|
Aggressive disease requiring prompt treatment
|
🚨 Sign & Primary Symptoms:
|
Symptom
|
Clinical Description
|
|---|---|
|
Dysphagia
|
Difficulty swallowing; sensation of food stuck in chest
|
|
Hematemesis
|
Blood in vomiting
|
|
Weight Loss
|
Despite good appetite
|
|
Chest Pain
|
Pain behind breastbone (midline) or heartburn
|
|
Cough
|
Especially after liquid intake
|
|
Odynophagia
|
Pain while swallowing
|
|
Voice Changes
|
Hoarseness of voice
|
|
Neck Mass
|
Palpable lump in neck region
|
|
Chest-to-Back Pain
|
Radiating pain pattern
|
⚠️ Red Flags – Seek Immediate Medical Attention:
- Progressive difficulty in swallowing
- Unintentional weight loss >5 kg
- Blood in vomit
- Persistent chest pain
Who Is At Higher Risk?
(a) High Risk: • Smoking (tobacco use) • Tobacco chewing • Chronic alcohol consumption • Age above 45 years • Male gender • Gastroesophageal reflux disease (GERD) • Obesity (BMI >30)
(b) Moderate Risk: • Diet low in fruits and vegetables • HPV infection • Barrett’s esophagus • Previous radiation therapy
Diagnostic Approach At Primax Hospital
STEP 1: Clinical Assessment
- Detailed history taking
- Physical examination
- Symptom evaluation
STEP 2: Primary Investigation
- Upper GI Endoscopy (Gold Standard)
- OPD procedure
- Camera insertion to visualize the esophageal lining
- Identification of ulcers/growths
- Biopsy sampling for histopathological examination
STEP 3: Advanced Diagnostic Tests
|
Investigation
|
Purpose
|
When Performed
|
|---|---|---|
|
PET-CT Scan
|
Whole body staging
|
After cancer confirmation
|
|
CECT Chest & Abdomen
|
Disease extent mapping
|
Staging workup
|
|
Endoscopic Ultrasound
|
Depth of invasion assessment
|
Pre-treatment planning
|
|
Bronchoscopy
|
Airway involvement check
|
Selected cases
|
|
24-hour pH Monitoring
|
GERD assessment
|
Hiatus hernia cases
|
|
Barium Studies
|
Swallowing study
|
When CT unavailable
|
🏥 Our Diagnostic Facilities in Sonipat:
- ✅ Advanced endoscopy suite with HD imaging
- ✅ In-house PET-CT scan facility
- ✅ Endoscopic ultrasound (EUS) capabilities
- ✅ Expert pathology services
- ✅ Same-day biopsy reporting available
Treatment Options:
At our Best Esophageal Surgery Hospital in Sonipat, we follow a multidisciplinary approach combining:
SURGERY + CHEMOTHERAPY + RADIOTHERAPY = OPTIMAL OUTCOMES
1. Surgical Treatment- Our Specialty
|
Surgery Type
|
Features
|
Benefits
|
|---|---|---|
|
3D Laparoscopic Surgery
|
Advanced keyhole technique
|
• Minimal scarring
• Reduced pain • Faster recovery • 1-2 days hospital stay |
|
Conventional Keyhole Surgery
|
Minimally invasive
|
• Less tissue trauma
• Early mobilization • Lower infection risk |
|
Open Surgery
|
Traditional approach
|
• For complex cases
• Extensive resection possible |
🏆 Our Surgical Excellence:
- ✅ 100+ esophageal cancer surgeries successfully performed
- ✅ Minimal postoperative complications
- ✅ Excellent recovery rates
- ✅ Expert surgical team with specialized training
2. Chemotherapy
- Neoadjuvant (before surgery)
- Adjuvant (after surgery)
- Palliative (advanced cases)
3. Radiotherapy
- External beam radiation
- Combined with chemotherapy (Chemoradiation)
4. Palliative Interventions
For advanced stages, we offer:
- Esophageal stenting – to maintain food passage
- APC (Argon Plasma Coagulation) – for bleeding tumors
- Nutritional support – feeding tubes (nasogastric/jejunostomy)
📋 Treatment Decision Matrix:
|
Stage
|
Primary Treatment
|
Additional Treatment
|
|---|---|---|
|
Early Stage
|
Surgery alone
|
May add chemotherapy
|
|
Locally Advanced
|
Neoadjuvant chemo + Surgery
|
Post-op chemotherapy
|
|
Advanced
|
Chemotherapy + Radiation
|
Stenting if needed
|
|
Metastatic
|
Palliative chemotherapy
|
Symptomatic management
|
📞 WHEN TO CONTACT US – DON’T DELAY!
Immediate Consultation Required If:
- Difficulty swallowing lasting >2 weeks
- Unintentional weight loss
- Blood in vomit
- Persistent chest pain or heartburn
- Food regurgitation
- Chronic cough with eating/drinking
⚠️ IMPORTANT MESSAGE: Esophageal cancer is aggressive but treatable with early detection. Don’t lose hope! Contact our expert team at the Best Esophageal Surgery Hospital in Sonipat for comprehensive evaluation and treatment.
Best Rectal Prolapse Surgery Hospital in Sonipat | Advanced Laparoscopic Colorectal Surgery
Rectal prolapse is a distressing condition that significantly affects quality of life, causing physical discomfort, emotional distress, and social embarrassment. At our state-of-the-art Colorectal Surgery Center in Sonipat, we provide comprehensive, compassionate care for patients suffering from rectal prolapse using advanced minimally invasive techniques.
Our center combines expert colorectal surgeons, cutting-edge laparoscopic technology, and personalized treatment protocols to restore normal bowel function and improve quality of life with minimal surgical trauma and rapid recovery.
What is Rectal Prolapse?
Rectal prolapse (also called procidentia) is a condition where the rectum (last part of the large intestine) loses its normal attachments inside the pelvis, causing it to protrude or slide out through the anal opening.
Key Characteristics:
| Feature | Description |
|---|---|
| What Happens | Part or all of the rectum slides out of the anus |
| Appearance | Red, moist, tubular mass protruding from anus |
| Behavior | May retract spontaneously or require manual repositioning |
| Size | Can range from 2-3 cm to 10-15 cm |
| Sensation | Feeling of incomplete evacuation, pressure |
Who Gets Rectal Prolapse?
| Demographics | Statistics |
|---|---|
| Primary Group | Middle-aged women (40-60 years) |
| Secondary Group | Elderly women (70+ years) |
| Gender Ratio | Female : Male = 6:1 |
| Children | Can occur but rare |
| Overall Incidence | 2.5 per 100,000 population |
IMPORTANT: While rectal prolapse primarily affects middle-aged and elderly women, men and younger individuals can also develop this condition, especially with certain risk factors.
Types of Rectal Prolapse
| Type | Description | Frequency |
|---|---|---|
| All layers of rectal wall protrude | Most common (85-90%) | |
| Only inner lining protrudes | Less common (10-15%) | |
| Rectum folds on itself inside | Detected on special tests |
Major Risk Factors:
| Category | Specific Risk Factors | Risk Level |
|---|---|---|
| • Long history of straining • Hard stools • Prolonged toilet sitting • Laxative dependency |
VERY HIGH | |
| • COPD • Chronic bronchitis • Asthma • Smoking-related cough |
HIGH | |
| • Inflammatory bowel disease • Chronic infections • Irritable bowel syndrome |
MODERATE-HIGH | |
| • Multiple sclerosis • Spinal cord injury • Back trauma • Cauda equina syndrome • Parkinson’s disease |
HIGH | |
| • Multiple pregnancies • Difficult deliveries • Forceps delivery • Prolonged labor • Large babies |
MODERATE | |
| • Elderly women (70+ years) • Muscle weakening • Hormone changes (menopause) • Loss of tissue elasticity |
HIGH | |
| • Heavy lifting • Chronic straining • Obesity • Previous pelvic surgery • Hemorrhoid surgery |
MODERATE |
Treatment Approach
1. Pre-Treatment Management: Managing chronic constipation, diarrhea, or pelvic floor weakness
2. Conservative (Non-Surgical) Management: Using Dietary and lifestyle changes, pessary devices, and manual reduction of prolapse.
3. Surgical Treatment: Through the abdomen (Laparoscopic), and through the anus/perineum.
Why is Laparoscopy the gold standard?
At our Best Rectal Prolapse Hospital in Sonipat, we primarily use advanced laparoscopic (keyhole) surgery for rectal prolapse, offering patients the best combination of cure rates and rapid recovery.
Advantages of Laparoscopic Surgery:
| Benefit | Laparoscopic | Open Surgery |
|---|---|---|
| Incisions | 3-5 tiny (5-10 mm) | One large (15-20 cm) |
| Pain | Minimal | Significant |
| Hospital Stay | 1-2 days | 5-7 days |
| Recovery Time | 1 week to normal activity | 4-6 weeks |
| Cosmetic Result | Excellent (tiny scars) | Large scar |
| Complication Rate | Lower | Higher |
| Success Rate | 90-95% | 90-95% (similar) |
| Return to Work | 7-10 days | 4-6 weeks |
Recovery Timeline After Laparoscopic Surgery:
| Timeline | Milestones | Activities |
|---|---|---|
| Day 0 (Surgery) | Procedure completed | Rest, monitored |
| Day 1 | Walking, minimal pain | Walking in room, bathroom |
| Day 1-2 | DISCHARGE | Light activities at home |
| Day 3-7 | Continued improvement | Normal daily activities |
| Week 1 | Resume normal lifestyle | Most activities, light work |
| Week 2-4 | Full recovery | All activities including exercise |
| Month 3 | Complete healing | No limitations |
Why We Are The Best Rectal Prolapse Treatment Hospital in Haryana:
Expert Colorectal Surgeons – Specialized in pelvic floor disorders
Advanced Laparoscopic Surgery – Keyhole surgery with minimal trauma
Comprehensive Diagnostic Facilities – Defecography, manometry, ultrasound
Multiple Surgical Options – Tailored to each patient’s needs
Rapid Recovery – Home next day, back to normal in one week
Excellent Outcomes – High success rates, low recurrence
Compassionate Care – Understanding the sensitive nature of this condition
Complete Pelvic Floor Program – Address underlying causes
Restore Your Confidence: We understand the embarrassment and distress rectal prolapse causes. Our expert team provides discreet, effective treatment to help you return to normal life.
Best Liver Disease Hospital in Sonipat | Advanced Laparoscopic Hepatobiliary Surgery
Liver diseases are complex conditions that significantly impact quality of life and can be life-threatening if left untreated. At our state-of-the-art Hepatobiliary Surgery Center in Sonipat, we provide comprehensive, expert care for patients suffering from liver cancer, hydatid disease, and other hepatic conditions using advanced minimally invasive techniques.
Our center combines expert hepatobiliary surgeons, cutting-edge laparoscopic technology, and personalized treatment protocols to restore normal liver function and improve outcomes with minimal surgical trauma and rapid recovery.
Major Liver Diseases We Treat
| Disease | Type | Treatment Approach |
|---|---|---|
| HYDATID DISEASE | Parasitic infection | Medical + Surgical |
| LIVER CANCER | Malignant tumor | Surgery, Transplant, Ablation |
| METASTATIC TUMORS | Secondary cancer | Resection, Chemotherapy |
| LIVER CYSTS | Benign fluid collections | Observation, Surgery if large |
| HEMANGIOMAS | Blood vessel tumors | Usually observation |
Risk Factor For Liver Disease and Cancer
| Category | Specific Risk Factors | Risk Level |
|---|---|---|
| • Chronic alcohol abuse • Alcoholic liver disease • Cirrhosis from alcohol |
VERY HIGH | |
| • Hepatitis B virus • Hepatitis C virus • Chronic infection • Co-infection with HIV |
VERY HIGH | |
| • Type 2 diabetes mellitus • Non-alcoholic fatty liver disease (NAFLD) • Metabolic syndrome • Obesity |
HIGH | |
| • Hemochromatosis (iron overload) • Wilson’s disease (copper accumulation) • Alpha-1 antitrypsin deficiency |
MODERATE-HIGH |
Warning Signs & Symptoms:
| Category | Symptoms | Significance |
|---|---|---|
| • Fatigue, weakness • Unexplained weight loss • Right upper abdominal pain • Loss of appetite |
Often subtle initially | |
| • Jaundice (yellow eyes/skin) • Abdominal fullness/swelling • Bleeding from mouth • Easy bruising |
Indicates advanced disease | |
| • Severe abdominal pain • Vomiting blood • Confusion • Severe weakness |
Requires immediate attention |
Why We Are The Best Liver Treatment Hospital in Sonipat:
Expert Hepatobiliary Surgeons – Specialized in liver and biliary disorders
Advanced Laparoscopic Surgery – Keyhole surgery with minimal trauma
Comprehensive Diagnostic Facilities – CT, MRI, ultrasound, fibroscan
Multiple Treatment Options – Medical, surgical, and interventional
Rapid Recovery – Home in 2-3 days, back to normal quickly
Excellent Outcomes – High success rates, minimal recurrence
Complete Liver Care Program – From diagnosis to long-term follow-up
Cancer Treatment Expertise – Resection, ablation, transplant preparation
Restore Your Health: We understand the complexity of liver diseases. Our expert team provides comprehensive, effective treatment to help you return to healthy living.