Bariatric Surgery – Testimonials and Reviews

Really well experienced doctors Dr Padmakumar and Dr Pai. I had undergone a bariatric surgery in 2015, I was 112kgs. Now…

Posted by Mahesh Nambiar on Sunday, February 24, 2019

eminent surgeons are there.dr.padmakumar dr.pai are the best surgeons in the city

Posted by T S Ramachandran Nair on Monday, August 27, 2018

Yes because it is more safe and less hospitalisation and when it is done by an eminent Doctor

Posted by Allen George on Monday, August 27, 2018

Watch Video Reviews

Posted by Keyhole Clinic on Tuesday, May 7, 2019

Bariatric Surgery Keyhole Clinic

Bariatric Surgery – Weight Loss Surgery

Bariatric Surgery is also known as weight loss surgery. It is performed on people who suffer from obesity. Obesity is a serious medical condition and has adverse health effect on the body. Diabetes, cardiovascular diseases, hypertension (high blood pressure), obstructive sleep apnea are some of the medical issues in patients suffering from obesity.

Click here to read more on obesity

When Bariatric Surgery is indicated?

Surgery is indicated:

  • In patients with BMI of 30 kg/m2 or greater. BMI is an approximate measure of a person’s body fat based on height and weight.
  • In patients suffering with obesity-related medical conditions. Eg: Type 2 diabetes, cardiovascular diseases, stroke, etc

Types of Bariatric Surgery

Laparoscopic Sleeve Gastrectomy

In Sleeve Gastrectomy, the stomach is reduced to about 15% of the original size of the stomach. This reduced food intake. The portion of the stomach which secretes the “hunger hormone ” or Ghrelin is the part which is removed.

Gastric Bypass – Roux-en-Y

In Gastric Bypass or Roux-en-Y, the stomach is divided into two. A small upper pouch and a large lower pouch. The small intestine is then reattached to the upper pouch. Thus a bypass for food is created. This results in absorption of less calories and nutrients.

Intragastric Balloon – Non-surgical Weight Loss Procedure

This is a non-surgical weight loss procedure. A deflated balloon is placed into the stomach using an endoscope orally. The balloon is then inflated. This reduces the space in the stomach. Thus due to the presence of the inflated balloon in the stomach, food intake is restricted. The balloon is left in the stomach for a period of up to 6 months. This procedure is mostly advised in people who come into the category of overweight, but not obese.

Doctors performing this surgery

Dr. R. Padmakumar
MBBS, DNB, MNAMS, DipALS, FAIS, FIMSA, FCLS, FRCS (GL) 
Senior Consultant Laparoscopic and Metabolic Surgeon
(Specialist in Laparoscopy, Hernia, Cancer, Obesity, Diabetes Surgery, Endoscopic Thyroid Surgery, Thoracoscopy, Intragastric Balloon)

Dr. Madhukar Pai
Consultant- General & Laparoscopic Surgeon
(Specialist in Laparoscopic surgery, Hernia Surgery, Anorectal & Varicose vein Surgery)

Keyhole Clinic Experience and Patient Stories

Posted by Keyhole Clinic on Tuesday, May 7, 2019

Video Talks on Bariatric Surgery

Posted by Keyhole Clinic on Sunday, January 13, 2019

Endoscopic Thyroidectomy Incisions

Endoscopic Thyroidectomy – Keyhole Thyroid Surgery

Endoscopic thyroidectomy as the name suggests is carrying out thyroidectomy (thyroid removal) endoscopically or through small skin incisions.

What is thyroidectomy?

Thyroidectomy is a surgical procedure performed to remove all or part of the thyroid gland.  It is performed to treat thyroid disorders and is recommended for conditions such as thyroid cancer, large goiter (enlargement of the thyroid), hyperthyroidism or overactive thyroid. 

Thyroidectomy can be either:

  • Partial thyroidectomy or hemithyroidectomy where a portion of the thyroid is removed;
  • Total thyroidectomy where the entire thyroid is removed.

Endoscopic thyroidectomy

Endoscopic thyroidectomy is a surgical technique allowing the surgeon to perform thyroid surgery through small skin incisions.  It is also called Minimally Invasive Video-Assisted Thyroidectomy.  Minimal access approaches are attempted in neck surgery as they avoid scar to the neck.  Here we perform endoscopic thyroidectomy through very small incisions made at the axilla.  A video camera is inserted that provides a magnified view of the internal structures.  This aids in comfortable dissection of the thyroid as the surgeon can view the internal structures magnified on a computer monitor.  This adds the benefit of safety and precision.

Endoscopic thyroidectomy instruments through axilla
Incisions made at the axilla and instruments passed through the incisions for dissection and removal of the thyroid.

Watch a Video Talk by Dr. Padmakumar on Thyroid and Keyhole Surgery

Traditional methods of open thyroidectomy involve a transverse incision on the neck measuring 7-10 cm in length.  This leaves behind a scar line on the neck.  Women usually find this scar cosmetically unacceptable and unappealing.

The greatest benefit of endoscopic thyroidectomy is that the neck remains free of scar as the thyroidectomy is performed endoscopically via incisions made at the axilla. The smallest of scars produced are hidden beneath the inner clothes at the axilla. This is a great cosmetic advantage.

After Total Thyroidectomy – Small incisions at the axilla

Other Topics

Dr Madhukar Pai as faculty at WORLDCON

Dr. Madhukar Pai as faculty at WORLDCON 2019 – 6th Annual Conference of International Society of Colo-Proctology from 15th to 17th March 2019 at Life Medicity Hospital, Jabalpur. It was a national conference held by ISCP ( International Society of ColoProctology). The theme of the conference was Colorectal Surgery – Learn, Unlearn, Relearn. Dr. Madhukar Pai presented on Delormes’ procedure for rectal prolapse.

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