Procedures As Well As Interventions Carried Out

Skin

• Conservative cellulitis Management
• Fasciotomy

Breast

• Benign lump excision
• Modified radical mastectomy

Thyroid

• Hemithyroidectom
• Total thyroidectomy

Soft Tissue

• Infections management
• Conservative
• Surgical debridement

Wound/ulcer

• Debridement (Primary/Secondary)
• Split skin graft
• Flap cover

Diabetic Foot Management

• Debridement
• Salvage surgeries
• Amputation
• SSG/flap

Vascular Diseases

• Varicose veins-
• Trendelenberg’s procedure,
• vein stripping
• Sclerotherapy

Trauma

• Emergency services as per need
• Skeletomuscular injury exploration and proceed
• Abdominal injury — laparotomy and proceed (emergency resection and anastomosis,ostomies)

Abdominal Conditions-elective And Emergency

• EMERGENCY — Laparotomy , open/lap appendicectomies and open / lap cholecystectomies
• ELECTIVE
• Hydrocele — Eversion/Excision of Sac
• Hernia- open meshplasty /TEPP and TAPP
• Appendicitis- open/lap procedures
• Cancers
• Stomach-Distal gastrectomy and AGJ
• GOO-PGJ/AGJ

Rectum And Anal Canal

• Chronic fissure in ano-Internal sphincterotomy
• Hemorrhoids-Milligan morgan method and closed methods
• Fistula in ano-Fistulectomy
• Pilonidal sinus-Rhomboid flap

Genitourinary

• Phimosis-Cicumcision
• CA penis-Penile amputation at appropriate level and reconstruction

Cosmetic

• Gynaecomastia- Webster’s procedure

About The Department

The GENERAL SURGERY Department is a post-graduate teaching institute affiliated with The Tamil Nadu Dr. M.G.R. Medical University, with a strong vision of academic excellence, research advancement, and quality patient care. Undergraduate and postgraduate students are given hands- on training to manage both routine and complicated surgical cases confidently in their professional careers.

The Department has five units which provide out-patient services, elective and emergency surgical services. The General surgical OPD functions six days a week. Five units- each in charge of a particular day of the week. Saturday / Sunday admitting units will be on rotation.

About 150 patients are seen every day in the OPD and emergency services and admissions are made during both times when warranted. There are 3 Male surgical wards (75 beds), 3 female surgical wards (75 beds), special burns wards separately for males and females, a post-operative ward, surgical intensive care unit and a dedicated trauma / casualty ward.

On admission days, the admitting unit will oversee OP, Admissions, Emergency cases while the other units will be occupied with the operation theatre cases, ward rounds, dressing, review cases and academic works as assigned.

he Duty assistant Surgeon (DAS) will be responsible for all surgical inpatient and outpatient care, casualty (Surgical / Trauma), Emergency operative cases, Surgical ward calls from other departments from end of OP at 3:00 pm on admitting day to next day 8:00 am.

Surgical Specialities

• Plastic surgeon is available 6 days a week except on Sundays.
• Urologist is available 5 days a week for OP and theatre where procedures like urethroscopy, TURP etc are performed.
• The surgical gastroenterologist is available 3 days a week for consultation and procedures like diagnostic & therapeutic upper / lower GI endoscopies.
• Surgical oncologist is available 3 days a week.
• Neurosurgeon is available 6 days a week except on Sundays.

All elective / emergency superspeciality procedures are being carried out in our hospital by the respective superspeciality surgeons.

Infrastructure Facilities

1. Out-Patient Department (OPD) with five consultation unit

2. Operation Theatres — for elective and emergency surgeries

3. Library & e-learning facilities for students and faculty

4. Seminar Room: -Audiovisual equipment details: Smart TV, Overhead Projector, collar mic, with speakers, computer system with internet facility (Wi-fi).

Facilities Available For Patients

• OPD on daily basis , except on Sundays which will be mingled with casualty services
• Proctoscopy facilities
• Minor procedureslike suturing,wound exploration,abscess drainage
• Dedicated wound cleaning and dressing cabins
• Daycare procedures
• Patient examination areas — separately for males and females
• OGDscopy facilities
• Colonoscopy facilities
• Emergency receiving area near casualty
• Well equipped SICU setup
• Emergency OT/elective OT
• Trauma ward functioning with triage team
• Laparoscopic facilities
• Breast cancer screening
• Oral cancer awareness clinic

Details Of The Curriculum For UG

The curriculum for undergraduates (UG) is followed as per NMC norms and includes theory classes, seminars, small group discussions, self-directed learning, clinical postings, and skills lab teaching. Students undergo periodic formative and summative assessments.

Clinical posting: 2nd MBBS (CBME Phase II) 150 students divided into 3 batches of 50 students each posted for a period of 4 weeks per batch on rotation. 5 units, 10 students per unit. As per timetable theory classes are covered in the form of lectures (Standalone / Integrated) for 2nd MBBS and early clinical exposure lectures along with nesting of topics for Ist MBBS.

Details Of The PG Program

The department offers comprehensive postgraduate training in General surgery leading to M.S (GENERAL SURGERY) degree.

The department has an annual intake of 11 students as per NMC guidelines, with admission based on NEET-PG. The course duration is three years, during which students receive:

• Clinical training in managing normal and high-risk surgical cases including elective and emergency management.
• Exposure to all elective and emergency surgeries
• Hands-on operative training in laparoscopy and open surgeries.
• Active participation in seminars, journal clubs, case discussions, interdepartmental meetings,clinical society meetings,continued medical educations,quiz programmes.
• Research methodology training with mandatory dissertation work
• Participation and presentation in regional and national conferences
• Bedside procedures
• Minor procedures under the supervision of the guide.

Publications Done By The Department

Ongoing Research Projects

1. Article on post operative complications-preventive strategies and management approaches.

2. Article on the evolution of hernia repair-from open surgery to advanced mesh techniques.

3. Study the predicators and risk factors for formation of Gallstones in a asymptomatic patients

4. Observational study on surgical management of intestinal obstruction.

5. Clinico-imaging patterns of arterial and venous pathologies in lower limb.

6. Post-Operative Complications: Preventive Strategies and Management Approaches

7. The Evolution of Hernia Repair: From Open Surgery to Advanced Mesh Techniques

8. Comparative study of Lichtenstein’s procedure Only Vs Same with Modified Bassini’s Repair —Retrospective Study

9. Comparative study of Laparoscopic Versus Open Cholecystectomy

10. Retrospective Study-A study of factors influencing post laparotomy wound healing

11. A comparative analysis of hem-o-lok clips , metallic clips and suturing in laparoscopic cholecystectomy

12. A comparative study of single layer versus double layer small bowel anastomosis.

Ongoing Studies Being Done By Post Graduates

1. A randomized control trial study on evaluating the outcomes between open vs closed lateral anal sphincterotomy in the management of chronic fissure in ano

2. Across sectional study to observe the association between benign prostatic hyperplasia and inguinal hernia

3. A randomized control single blinded comparative study of placentrix gel and amorphous hydrogel with colloidal silver in the treatment of chronic clean diabetic foot ulcers.

4. A comparative study of topical anaesthesia and injection lignocaine in traumatic wound management:Efficacy,patient comfort and clinical outcomes.

5. Across sectional study to observe biochemical variations in complicated appendicitis in a tertiary care center.

6. A study on prevalence of thyroid disorders in patients with gall stone disease.

7. comparative study on post operative outcome of modified park submucous hemorrhoidectomy versus Milligan Morgan Hemorrhoidectomy.

8. A randomized control trial study on sie regression small fibroadenomas and fibrocystic diseases of breast.

9. A cross sectional study on swellings of the head and neck region among patients attending the surgery opd in a tertiar care setting.

10. A comparative study between electrosurgical vs harmonic scalpel in laparoscopic cholecystectomy in a tertiary care setting.

11. A comparative study between monocryl vs ethilon for wound closures in surgeries for benign breast disease in a tertiary care center.

12. A comparative study on post operative complications of open appendicectomy vs laparoscopic appendicectomy in a tertiary care hospital.

13. A comparative study between open Hasson’s vs closed Veress needle method for the creation of pneumoperitoneum in laparoscopic surgeries.

14. A comparative prospective study between the usages of topical insulin spray vs topical phenytoin application in the management of non healing diabetic foot ulcer

15. A randomized control trial study on postoperative outcomes of open hemorrhoidectomy and open hemorrhoidectomywith lateral anal sphincterotomy in hemorrhoids patients.

16. A comparative study on advantages of absorbable sutures over non absorbable sutures in lacerated wounds-A randomized control trial

17. A prospective study on evaluating ERAS against Standared post operative care in intestinal obstruction.

18. A comparative study to observe the outcome of sublay and onlay prolene mesh repair in the treatment of ventral hernia.

19. A cross sectional study in evaluating the diagnostic accuracy of fine needle aspiration cytology in benign breast diseases.

20. A cross sectional study by comparing diagnostic accuracy of CBNAAT against the results of HPE in tuberculous fistula in ano

21. A prospective study in incidence outcome and management of biliary leak after laparoscopic cholecystectomy.

Post Graduates Achievements

Paper and Poster presentations in TNASICON 2024 and 2025.

Participation in various national conferences.

Programs Conducted By The Department (Cme, Workshop, Conference, Ete.)

The department lays ample stress on research and has been regularly active in academic programs like presenting cases at the Clinical society meetings, Patho-Surgical Meets, Student presentations & symposium programs, CME programs and implementation of competency based medical education.

Awards And Achievements In Academic Excellence By The Faculty