General and Minimal Access Surgery

General and Minimal Access Surgery

General & Minimal Access Surgery at UMC

UMC Hospitals, Navi Mumbai delivers comprehensive, consultant-led General Surgery and advanced Minimal Access Surgery for elective and emergency conditions, prioritizing safety, precision, and faster recovery through evidence-based pathways.

Why choose UMC

  • Consultant-led team with subspecialty expertise in laparoscopic, colorectal, hepatobiliary, breast, endocrine, and proctology surgery.
  • Minimally invasive techniques with enhanced recovery (ERAS) to reduce pain, complications, and hospital stay.
  • Integrated anesthesia, ICU, diagnostics, dietetics, physiotherapy, and wound-care support for seamless care.
  • Protocol-driven infection control, VTE prevention, and standardized safety checklists across all procedures.
  • Transparent planning with clear communication on indications, options, outcomes, and recovery timelines.

Conditions Treated

  • Gallbladder: gallstones, cholecystitis, biliary colic.
  • Appendix: acute appendicitis and complications.
  • Hernias: inguinal, umbilical, ventral, incisional, recurrent hernias.
  • Proctology: hemorrhoids (piles), fissure, fistula, pilonidal sinus.
  • Colorectal: benign disease, strictures, polyps; cancer pathways with oncology collaboration.
  • Upper GI and foregut: reflux disease (GERD), paraesophageal hernia, selected gastric conditions.
  • Hepatobiliary and pancreas: symptomatic gallstones, selected liver and pancreatic pathologies.
  • Endocrine surgery: thyroid, parathyroid, adrenal (with endocrine evaluation).
  • Breast: benign lumps, infections/abscesses; breast cancer pathways via multidisciplinary teams.
  • Skin and soft tissue: cysts, lipomas, abscesses, non-healing wounds.
  • Emergencies: perforation, obstruction, bleeding, strangulated hernia, abdominal trauma.

Procedures Offered

  • Laparoscopic cholecystectomy and appendectomy with day-care or short-stay recovery.
  • Hernia repair: laparoscopic TEP/TAPP, open mesh, and complex/recurrent hernia solutions.
  • Proctology: stapled hemorrhoidopexy (MIPH), laser hemorrhoidoplasty, LIFT/laser fistula procedures, fissure surgery.
  • Colorectal resections with oncologic principles and stapled anastomosis where appropriate.
  • Anti-reflux procedures for GERD in selected cases after comprehensive evaluation.
  • Thyroidectomy, parathyroidectomy, and adrenalectomy with nerve and calcium management protocols.
  • Minor day-care surgeries: cyst/lipoma excision, abscess drainage, pilonidal sinus procedures.
  • Endoscopy support for diagnosis and adjunctive treatment where indicated.

Minimal Access Focus

  • Laparoscopy-first approach (where suitable) for smaller incisions, less pain, quicker mobilization, and earlier return to routine.
  • Laser-assisted proctology options for select hemorrhoids and fistulae to minimize postoperative discomfort.
  • Image guidance, advanced energy devices, and stapling systems to enhance precision and efficiency.

Emergency Surgical Care

  • 24/7 availability for acute abdomen, trauma, and septic surgical conditions with critical care backup.
  • Fast-track triage, imaging, stabilization, and timely operative intervention when indicated.

The Care Pathway

  • Pre-op: consultation, imaging/labs, anesthesia review, optimization of comorbidities, and procedure counseling with fasting and medication instructions.
  • Surgery day: standardized safety checklists, antibiotic and thrombosis prophylaxis as indicated, tailored anesthesia and pain control.
  • Recovery: ERAS-based mobilization, early oral intake, wound care, and clear red-flag guidance; typical discharge within 0–2 days for many laparoscopic procedures.
  • Follow-up: stitch care or removal if required, activity milestones, scar care, and prevention strategies.

Technology and Safety

  • High-definition laparoscopy towers, advanced energy devices, and stapler platforms.
  • Ultrasound/CT availability, blood bank access, and perioperative lab monitoring.
  • Strict infection control, medication safety checks, and continuous quality audits.

 

Day-care and ERAS

  • Many minimal access and proctology procedures are completed as day-care with same-day discharge.
  • ERAS protocols emphasize multimodal analgesia, nausea control, early feeding, and mobilization to reduce complications.

Preparing for Consultation

  • Bring prior reports: ultrasound/CT, labs, endoscopy notes, previous operative records, and medication list.
  • Share allergy details, prior surgeries, bleeding tendencies, and any anesthesia history.
  • Expect a personalized plan covering options, benefits/risks, costs, and a realistic recovery timeline.

FAQs

  • Are minimally invasive options always possible? Technique depends on diagnosis, anatomy, prior surgeries, and safety considerations; the least invasive effective option is prioritized.
  • How soon can normal work resume? Many patients return to desk work within 3–7 days after laparoscopy; open surgery may require 2–3 weeks based on healing.
  • Will there be significant pain? Pain is typically lower with minimal access techniques; multimodal pain control is used to keep discomfort manageable.
  • What about scars and cosmesis? Smaller incisions generally mean smaller scars; scar-care guidance is provided after surgery.
  • Is it safe with other medical conditions? Preoperative optimization with internal medicine, cardiology, pulmonology, and endocrinology improves safety for patients with comorbidities.

Team and Support

  • General and minimal access surgeons, anesthesiologists, intensivists, radiologists, dietitians, physiotherapists, stoma/wound-care nurses, and specialized nursing.
  • Dedicated coordinators assist with appointments, insurance preauthorization, procedure preparation, and rehabilitation enrollment.

Book an Appointment

For a general or minimal access surgery consultation or a second opinion at UMC Hospitals, Navi Mumbai, request a call-back or schedule a visit. The care team will guide evaluation, preparation, and next steps tailored to clinical needs.

Clinical Team

Dr. Monty Khajanchi

Dr. Monty Khajanchi

Consultant, General Surgeon

General and Minimal Access Surgery, General Surgery

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