General surgery is a medical discipline that involves performing various types of surgical procedures to treat a broad range of health problems and diseases. General surgeons can diagnose several types of diseases, i.e., related to abdomen and the organs connected to it which may include bile ducts, liver, pancreas, spleen, appendix, small and large intestine, rectum, stomach and may operate the thoracic region, glands in the thyroids, hernias, etc.
The Department of General Surgery at Shifa International Hospital provides general and specialized surgical services to patients suffering from a wide range of congenital and acquired conditions requiring surgical intervention. The department specializes in providing minimally invasive laparoscopic surgeries with expert and personalized care to improve the quality, safety and outcomes of surgery. Internationally experienced and board certified consultants evaluate and manage patients by maintaining close coordination with specialty physicians in the pre-operative evaluation and post-operative management of patients by providing an integrated and quality care.
Shifa Department of General Surgery
The Department of General Surgery provides compassionate and high quality comprehensive surgical consultations and care in many sub-specialties including; colon and rectal surgery, trauma and burn, pediatric surgery, endocrine surgery, bariatric surgery, and multidisciplinary hepatobiliary and pancreatic surgery. By using latest techniques, we strive to provide best treatment in routine and complex surgical conditions.
Multi-disciplinary meetings have been regularly established to cater to all types of cancers and difficult diseases to jointly plan the best possible management. The department has been offering latest techniques of VAAFT (Video assisted anal fistula treatment) for peri-anal complex fistulae and EPSit (Endoscopic Pilonidal Sinus Treatment) for pilonidal sinus diseases. Laparoscopic VMR is another established procedure for obstructed defecation.
General Surgical Procedures:
Minimally Invasive Gallbladder Removal (Laparascopic Cholecystectomy)
Laparoscopic Cholecystectomy is a less invasive technique to remove the gallbladder. This surgery uses a laparoscope (an instrument used to see the inside of your body) to remove the gallbladder. Laparoscopic Cholecystectomy is performed through several small incisions rather than through one large incision. With laparoscopic cholecystectomy, patients are able to carry out their routine work in less time, have less pain after surgery, and have a shorter hospital stay and a shorter recovery time. Surgery to remove the gallbladder with a laparoscope does not require that the muscles of your abdomen be cut, as they are in open surgery. The incision is much smaller, which makes recovery go quicker.
Bariatric Surgery (surgical weight loss):
Laparoscopic Sleeve Gastrectomy
Sleeve Gastrectomy removes up to 75% of the stomach and a narrow tube or sleeve remains there which connects to the intestines. This reduction of the stomach size causes major changes in dietary habits and weight loss.
Roux-en-Y Gastric Bypass (RYGB):
Roux-en-Y is the most common type of bariatric surgery. The surgeon divides the stomach into two parts; sealing off the upper section from the lower, and then connects the upper stomach directly to the lower section of the small intestine, this creating a shortcut for the food, bypassing a section of the stomach.
Hernia Repair Surgery (open & laparoscopic):
Hernia repair surgery or herniorrhaphy involves returning the displaced tissues to their proper position and reinforcement with a mask when needed. At Shifa International Hospital, our internationally qualified surgeons are highly experienced in treatment all kinds of major and minor hernia issues with precision. Hernia Repair Surgery is done through open and laparoscopic procedures.
Minimal Invasive Appendix Removal (Laparascopic appendectomy):
Appendectomy is a common emergency surgery that is performed to treat appendicitis, which is an inflammatory condition of the appendix. Traditionally, the appendix is removed through relatively large incision in the abdomen. Laparoscopic appendectomies are performed via very small incisions while simultaneously watching an enlarged image of internal organs on a monitor. Laparascopic appendectomy yields many benefits opposed to traditional appendectomy methods as it results in less post-operative pain shorten hospital stay, quicker return to bowel function, early return to normal activity.
Splenectomy (Open & Laparoscopic)
A Splenectomy is a surgical removal of the entire spleen which is a delicate fist-sized organ that sits under the left rib cage near the stomach. Splenectomy is performed though using a laparascope which enables our surgeons to carry out the procedure without any large incision. However, patients requiring traditional splenectomy are also treated by our team of surgeons with ease. The spleen carries out significant function of maintaining body’s defense (immune) system, which involves containing special white blood cells which kills bacteria and help the body resist infections when sick as well as it helps in removing, or filtering, the old red blood cells from the body’s circulation. Benefits of Laparoscopic Splenectomy includes less postoperative pain, shorter hospital stay, faster return to a regular, solid food diet, quicker return to normal activities, better cosmetic results.
Hemorrhoids are abnormally enlarged vein caused due to excessive venous pressure occurring within or outside the anal sphincter.Stapled hemorrhoidectomy is an advanced technique for treating hemorrhoids,A circular, hollow tube. Through this tube, a long thread (Suture) is placed circumferentially above the internal hemorrhoids. The ends of the suture are brought out through the hollow tube. The a disposable instrument with a circular stapling device at the end known as stapler is placed through the first hollow tube and the ends of the suture are pulled. Pulling the suture pulls the expanded hemorrhoidal supporting tissue into the jaws of the stapler. The hemorrhoidal cushions are pulled back up into their normal position within the anal canal. The stapler then is fired. When it fires, the stapler cuts off the circumferential ring of expanded hemorrhoidal tissue trapped within the stapler and at the same time staples together the upper and lower edges of the cut tissue.
Shifa Vascular Center constitutes team of board certified vascular surgeons highly experienced in providing comprehensive most advance diagnostic and therapeutic interventions for the entire spectrum of circulatory disorders, from medical management to minimally invasive endovascular therapy to conventional open surgery.
Shifa Vascular Centre offers complete range of diagnostic, therapeutic, surgical and minimal invasive treatment options for wide range of circulatory diseases and disorders.
Below mentioned are among key Vascular Surgery services offered at the facility;
- Minimally Invasive Varicose Veins Treatment- Endovenous Ablation
- Minimally Invasive Aortic Aneurysm Repair- EVAR & F-EVAR
- Peripheral Vascular Surgery
- Carotid endarterectomy
- Aortic aneurysm repair
- Peripheral vascular surgery
- Hemo-dialysis access (AV graft & AV fistula)
- Varicose veins (stripping & ligation)
Minimally Invasive Varicose Veins Treatment- Endovenous Ablation
Varicose veins develop when the small valves inside the veins stop working properly. In a healthy vein, blood flows smoothly to the heart. The blood is prevented from flowing backwards by a series of tiny valves that open and close to let blood through. If the valves weaken or are damaged, the blood can flow backwards and can collect in the vein, eventually causing it to be varicose (swollen and enlarged).
At Shifa International Hospital we offer both Endovenous Ablation and surgery for varicose veins which includes tying off (ligation) and removing (stripping) larger veins. Endovenous ablation is more advanced, sophisticated and minimally invasive procedure. It involves destroying the veins through thermal energy (heat) and doesn’t include cutting and stripping of veins.
Minimally Invasive Aortic Aneurysm Repair- EVAR & F-EVAR
The aorta is the main artery that carries the blood to abdomen and rest of your body from heart. The intestines and kidneys are supplied with blood through branches of aorta. The aorta splits in to two vessels each going to right and left leg respectively. An aneurysm is swelling of an artery caused by weakening of its walls and an aortic aneurysm is swelling of aortic artery. Shifa International Hospital has introduced latest and most advanced EVAR surgery to treat aortic surgery which is more precise, less complex and safe as compared to previous method of treatment. It involves repairing the aneurysm through a mesh tube known as stent, which fits in the aorta.
- The stent is put into aorta through a cut in the groin and is passed up through the artery till it reaches the aneurysm.
- Once in the right position the stent is expanded in artery and wire frame pushes against the healthy portion of the aorta and seal device in place
- This allows the blood to flow without entering the aneurysm
- Some patients might need a puncture/minor incision into an artery in the upper arm.
The procedure might take 1.5-2.5 hours and patient is able to leave hospital within two days.
Hemo-dialysis access (AV graft & AV fistula)
An AV graft is an artificial vein made from a synthetic tube inserted under the skin & An AV fistula is an artery and a vein sewn together. Normally, AV fistula & grafts are made in non-dominant arm usually forearm or upper arm depending upon what is the most appropriate treatment for patient. The AV Graft is put inside in as straight lobe or as a U shaped loop. While giving AV Access for hemodialysis, physicians identify vein that is easy to find and use in patient’s body along with also ensuring that I doesn’t disrupts daily life of patients. Needles will be inserted in fistulas or grafts by dialysis technician, which will perform the function of talking blood to dialyzer and returning it back in body. At the end of each treatment, your both needles will be removed and bandages will be over the needle sites. The bandages can be removed after a few hours.
Peripheral Vascular Surgery
Peripheral vascular surgery is performed when cleaning blocked arteries is not possible or multiple blood vessels are blocked. Peripheral vascular surgery is usually performed to remove the buildup of plaque inside the blocked artery. If arteries are blocked significantly, a bypass procedure is performed which allows blood t flow around clogged arteries or bypass it. A healthy artery or veins segment from the leg may be taken as a new blood vessel while an artificial blood vessel may also be used. The new blood vessel is grafted to one end of the artery, under the blocked area. While the other end of the blood vessel is grafted above the blocked area. The new vessel allows blood to flow freely through the arteries and reach the heart.
- Breast cancer surgery (mastectomy & axillary dissection, breast-conserving lumpectomy)
- Colon & rectal cancer (open and laparoscopic colectomy, anterior resection), APR
- Skin & soft tissue tumors
- Pancreatic cancer surgery
- Retroperitoneal tumors
- Esophagus & gastric cancer surgery
HIPEC- Hyperthermic (or Heated) Intraoperative Peritoneal Chemotherapy
HIPEC is an alternative and innovative method of delivering chemotherapy, which is commonly used to treat many types of cancer, to the body. Unlike traditional chemotherapy that is delivered intravenously, HIPEC delivers chemotherapy directly into the abdomen making it a good option for cancers that originated in or have spread to the abdominal cavity.
How does HIPEC work?
First, your surgeon removes any visible tumors from the abdomen. Next, HIPEC delivers heated chemotherapy directly inside the abdomen to help destroy any remaining cancer cells and very small tumors that cannot be seen by the surgeon. This is because the chemotherapy circulates inside the abdomen, allowing it to reach more places. The goal of HIPEC is to prevent these cells from growing into new tumors causing cancer.
Surgical Oncology services at Shifa International Hospital, specializes in the following cancer treatment segments:
- Liver Cancer
- Pancreatic Cancer
- HIPEC – Intraperitoneal Chemotherapy for Advanced Cancer
Dr. Ghulam Siddiq
MBBS, FRCS (UK)
Major Gen (R) Dr. M.A Hashmi
MBBS, FCPS, FRCS (UK)
Dr. Tahir Hussain Dilawari
Consultant General & Vascular Surgeon
Dr. Omer Ehsan
MBBS, CCT (UK), FRCS
Consultant General & Vascular Surgeon
Dr. Hadi Mohammad Khan
MBBS,MD, FACS, DABGM (USA), DABSO(USA)
Consultant General & Cancer Surgeon
Dr. Mohammad Amir
MBBS, FRCS (UK), FCPS
Dr. Mussadiq Khan
MBBS, FCPS, DABS
Dr. Mohammad Iqbal
MBBS, FRCS (UK)
Dr. Arif Malik
MBBS, MD, DABS
Dr. Qamar Hafeez Kiani
MBBS, FCPS, MRCS(UK)
Prof. Dr. M. Iqbal Khan
MD, FRCS, MHPE
Dr. Nasir Khan
MBBS, MD (Canada), FCPS
Dr. Hadi Mohammad Khan
MBBS, MD, FACS, DABGM (USA), DABSO(USA)
Dr. Saeeda Yasmin
MBBS, FCPS , MCPS, MRCS (Glasgow)
Dr. Mehar Jehan
Dr. Muhammad Sohaib Khan
MBBS, FCPS, FRCS(Edn), MRCS(UK), FEBS/Upper GI
Dr. Waqas Aziz
MBBS, FCPS, MRCPS (Glasgow)