::Departments : Clinical : Department of Surgery
 
HISTORY OF THE DEPARTMENT
 
 
INCEPTION:  
The Department of General Surgery is an integral part of Government Mohan Kumaramangalam Medical College and Hospital and it offers tertiary surgical care to about 7 to 8 nearby districts and it imparts surgical education to 100 undergraduate medical students per year and 6 M.S postgraduates per year. It was started in 1992 with 4 units under Prof. Dr.V.S. Balasubramanian, the then HOD. By the year 2004, The Department upgraded to hold 5 units which is the current status. This college and Hospital is affiliated to The Tamil Nadu DR. M.G.R Medical University since its inception. The Department caters surgical care to average of 210 out patients on a daily, about 1615 in patients monthly and 29 elective and emergency surgeries daily.
 
STAFF PATTERN:  
The Department functions under Prof. Dr. C. Rajasekaran M.S., HOD, Chief of the First unit, with four other units headed by Associate Professors with 24 Assistant professors/Senior Residents. The Post Graduation course commenced in this Hospital in the year 2002, when 2 pg students were admitted per year which was increased to intake of 6 postgraduates per year since 2010. Presently, it is expected to be upgraded to 12 Post Graduate students per year from 2017. 

 
DEPARTMENT INFRASTRUCTURE:
The New Surgical Block was constructed and brought to public use on 02/01/2004 with bed strength of 180. And a separate block for allied specialities was erected on 31/01/2012, under the Prathan Manthri’s Swasthika Suraksha Yojana (PMSSY) scheme. Separate Male and Female wards provides quality care for the patients pre-operatively, post operatively, septic conditions and CMCHI Scheme by structured Units headed by Professors/Associate professors, Assistant professors, SR and JR.The Department possess four elective theatres within the Surgical block. A Septic Operation Theatre is allocated for diabetic wound care and other septic conditions. Apart from elective Operation theatres, 24 hour emergency Operation theatre functions with a duty anesthetist to facilitate immediate surgical care to patients who land up with surgical emergency. 
Well equipped SICU ,cared by the Chief, round the clock Assistant professor ,SR/JR and the well     trained staff nurses cater the post-operative care for the critically ill patients.Post operative patients with difficult recovery from anaesthesia have been shifted to the PACU ( post-anaesthetic care unit) , a specialized intensive care unit under anaesthetists care.
An Accident and Emergency Ward in the PMSSY Block functions with 20 beds and 4 ventilators to admit trauma cases and after triage, immediate resuscitation and preliminary care, according to the severity and type of injury patients are shifted to respective departments.
An Endoscopic suite is functioning in the surgical block first floor with an average of 60 UGI scopies per month.
3 sets of laparoscopy instruments is available in our department which provides state of art treatment for the needy patients and also impart skills to the young surgeons through the well trained faculties and through regular workshops. 
Separate isolation ward is available to treat Tetanus patients.
Departmental seminar hall is available where the seminars and symposia take place. The library has about 102 surgical and allied text books with an adequate room space and lighting.


ACADEMIC ACTIVITIES OF THE DEPARTMENT:
           
UG TRAINING PROGRAMME
Daily OP/Ward classes and the Theory classes taken separately for each year UG students.
Monthly regular programmes will be conducted for the undergraduates
Ist SATURDAY – UG SYMPHOSIUM
UG GENERAL CLINICS – CONDUCTING UNIT FREE DAY
 
CRRI TRAINING PROGRAMMES
Include bedside clinics, seminar and CME sessions. Useful bed side procedures are oriented to them and they are physically and psychologically trained to handle patients.

PG TEACHING PROGRAMME
Out department gives structured training to our post graduates by regular demonstrations of clinical/operative procedures in the op, wards and in the OT, periodical assessment of their performances by theory and practical exams.
OT TECHNICIAN TEACHING PROGRAMME

MONTHLY TEACHING STRUCTURE FOR PG- 2017
 
 
Ist  SATURDAY – JOURNAL CLUB
IITUESDAY – PG SYMPHOSIUM
IId THURSDAY – TUMOUR BOARD (SURGERY, PATHOLOGY, RADIODIAGNOSIS, R.T, MEDICAL ONCOLOGY)
IIId WEDNESDAY – CLINICAL SOCIETY MEETING
IVth FRIDAY – PG SEMINAR
IVth SATURDAY – GUEST LECTURE
 
·         The Department conducts regular continuing medical education programmes (CME) for the benifit of the undergraduate and postgraduate students . The department also encourages the students to attend conferences, workshops, quiz programme and CME programmes and also trains the students to conduct the same.
·         Department conducts the workshop on basic suturing techniques, resection anastamosis of Intestine for Junior residents periodically.
·          CME on Fundamental techniques in minimal access surgery is being conducted for senior and junior residents every year.
·         Department of General Surgery along with ASI conducted a state CME with lectures and state of art live surgical workshop and demonstrations by eminent surgeons from various parts of our country, in 2016.

LIST OF CME PROGRAMMES CONDUCTED:
 
SL.NO:                        ACADEMIC ACTIVITY                                                 DATE

       1                   CURRENT TRENDS IN SURGERY                                      24-09-14
       2                    RECENT ADVANCES IN CRITICAL CARE                       27-02-15
       3                    CSE-INTESTINAL STOMAS                                                24-06-15
       4                    ABC OF ENDOSCOPY                                                          01-10-15
       5                    SURGICAL DOWNLOAD-2015                                           15-11-15
      6                     HEAD AND NECK MALIGNANCIES                                   21-01-17
 
LIST OF WORKSHOPS:
 
SL.NO:                        ACADEMIC ACTIVITY                                                 DATE

1                              BASIC SUTURING AND KNOTTING TECHNIQUES                10-10-15
2                              UPPER GI ENDOSCOPY IN STOMACH MODULE                    11-12-15
3                              HANDS ON TRAINING IN STAPLERS                                        30-01-16
 
DEPARTMENT STATISTICS FOR THE YEAR 2016:

 
MONTH OP CENSUS IP CENSUS ELECTIVE SURGERIES EMERGENCY SURGERIES TOTAL SURGERIES
JANUARY 6643 1501 346 650 996
FEBRUARY 6862 1436 435 718 1153
MARCH 2548 1463 351 698 1049
APRIL 6544 1509 360 520 880
MAY 6326 2452 445 479 924
JUNE 7185 1637 353 488 841
JULY 7496 1502 330 470 800
AUGUST 4377 1615 230 675 905
SEPTEMBER 8069 1875 251 583 834
OCTOBER 7587 1381 246 441 687
NOVEMBER 9274 1442 212 489 701
DECEMBER 6068 1568 215 589 804


AVERAGE OUT PATIENTS PER DAY IN 2016                                                                              :210
AVERAGE IN PATIENTS PER DAY IN 2016                                                                                : 58
AVERAGE SURGERIES PER DAY IN 2016 (BOTH ELECTIVE & EMERGENCY)                                  : 29


PUBLISHED ARTICLES: 
  
Sl.No Title of the article Author(s) Name of the indexed journal Type of article
1. Assessment of accuracy of Sentinel node biopsy in deciding Axillary node dissection after Neo-adjuvant chemotherapy in carcinoma Breast using Methylene blue injection technique. Prof. N. Tamilselvan M.S.,
Dr. M. Arulkumaran M.S,MRCS Ed, D.A
IOSR Original research article
2. A Prospective study of Skin Resurfacing to Maximize cosmesis and function in full Thickness second degree burns Prof. N.Tamilselvan M.S.,
Dr.P.V.Dhanapal M.S., Dr. S.S. Meera M.S.,
 
IOSR
Original research article
 
 
3.
 
 
A rare case of Amyand’s hernia- A case report with review of literature
 
 
Prof. K. Vijayakumar
Prof. M. Rajasekar
 
 
IOSR
 
 
Original Article- case study
 
4.
A comparative study on various techniques in the management of Fistula in ano Prof. Dr. A. Nirmala M.S.
Dr. N. Jeeva., M.S.,
Dr. R. Swaminathan.,M.S
Dr. V. Sivakumar., M.S.,
 
IOSR
Original research article
5. An interesting and rare case of small bowel perforation – A case study with review of literature Dr.M.Rajasekar M.S.,
Prof. K. Vijayakumar
IOSR Original Article- case study
6. Novel technique (Woven Darning method) in the management of Large midline Incisional hernias. Prof. N.Tamilselvan M.S.,
Dr.M.Rajasekar M.S.,
Dr. S. S. Meera M.S.
 
IOSR
Original research article
7. “Intraoperative Touch Imprint Cytology of Sentinel Nodes”, Can it serve as an Alternative to Frozen Section? – A Prospective comparitive study of Touch Imprint Cytology and Frozen Section in the intra operative assessment of nodal metastasis in carcinoma breast. Dr. M.Arulkumaran M.S, MRCS Ed, D.A
Prof. N. Tamilselvan M.S.,
Dr.., P.Satheeshkumar,
Prof. Thenmozhi M.D.,
Prof. Sujatha M.D.,
 
 
IOSR
Original research article
8. A Prospective study of Intra Anal drainage of Subcutaneous Perianal abscess
 
Dr.M. Rajasekar M.S., Dr.P. V. Dhanapal M.S., Prof.N.Tamilselvan M.S., Dr. S.S. Meera M.S., Dr.P.Satheeshkumar  
IOSR
Original research article
9. A comparative study on various techniques in the management of Incisional hernia Prof. Dr. A. Nirmala M.S.
Dr. R. Swaminathan.,M.S
Dr. N. Jeeva., M.S.,
Dr. V. Sivakumar., M.S.,
 
 
IOSR
Original research article
10. A prospective study of efficacy of Selective Oestrogen Receptor Modulators in (ANDI) Aberration in Normal Development and Involution of breast. Dr. S.S. Meera M.S., Prof.N. Tamilselvan M.S.,
Dr.M. Arulkumaran M.S., Dr. V.Rishigowtham
 
IOSR
Original research article
11. A Comparative study of efficacy of Superoxidized solution against Povidone iodine In The treatment of Diabetic foot ulcers. Dr. S.S. Meera M.S., Prof.N. Tamilselvan M.S.,
Dr.M. Arulkumaran M.S., Dr. P.Satheeshkumar
 
IOSR
Original research article
12. The cheating Cheatle”s : How safe they are ? –Original Article Dr. S. GaneshBabu., M.S.,Dr. Murugesan., M.S.,Dr. T.Ravikumar., M.D.,Dr.Mythreyee., MD.,Dr. N. Tamilselvan., M.S.,Dr. K. Kesavalingam ., M.S., Dr. S. S. Meera  
IOSR
Original research article
13. A PROSPECTIVE COMPARATIVE STUDY TO ASSESS THE EFFICACY OF HELICOBACTER PYLORI TRIPLE REGIME ALONE WITH ADDITION OF  REBAMIPIDE WITH TRIPLE REGIME KIT IN ERADICATING HELICOBACTER PYLORI INFECTION IN ACID PEPTIC DISEASE
 
Dr.C.Rajasekaran.,M.S., Dr.K.Vijayakumar M.S., Dr. M. Arulkumaran M.S., Dr. S. S. Meera
 
ongoing Original research article
14. A RANDOMISED CONTROLLED STUDY TO COMPARE THE EFFICACY OF HUGHES ABDOMINAL REPAIR WITH CONVENTIONAL ABDOMINAL CLOSURE – TO REDUCE THE INCIDENCE OF INCISIONAL HERNIAS IN INDIAN POPULATION
 
Dr.C.Rajasekaran.,M.S., Dr.K.Vijayakumar M.S., Dr. M. Arulkumaran M.S., Dr. S. S. Meera
 
ongoing Original research article
15. A PROSPECTIVE STUDY TO CALCULATE A FORMULA FOR THYROXINE REPLACEMENT DOSE AFTER TOTAL THYROIDECTOMY IN BENIGN DISORDERS IN INDIAN POPULATION
 
Dr.C.Rajasekaran.,M.S., Dr.K.Vijayakumar M.S., Dr. M. Arulkumaran M.S., Dr. S. S. Meera
 
ongoing Original research article





























































































LIST OF DISSERTATION WORKS BY JUNIOR RESIDENTS:
 
 
S.No.  
Name of the Research Scholar


 
Topic
1 Dr. SAMPATH KUMAR Comparative study on various surgical management in pilonidal sinus
2 Dr. JEYAPRAKASH Comparative study on various surgical management in fistula in ano
3 Dr. PRAKASH Comparative study on chemical sphincterotomyvs lateral sphincterotomy in fissure in ano
4 Dr. KARTHIKEYAN Incidence of thyrotoxicosis and carcinoma in multinodulargoitre
5 Dr. SRI SUDHA Comparative study in various dressings available for diabetic foot syndrome
6 Dr. JASMINE Comparative study on open haemorrhoidectomyvs rubber band ligation in grade III haemorrhoids
7 Dr. PRASAD Post operative outcomes following total thyroidectomy and its comparison with subtotal thyroidectomy in multinodulargoitre with euthyroid state
 8 Dr. POORNI Comparative study in reducing ssi following the use of antibiotic and non antibiotic coated suture material in clean and clean contaminated operative field
9 Dr. SIVAKUMAR Comparative study on various drainage procedure in chronic pancreatitis
10 Dr. SATHISH KUMAR Assessment of nodal status after neoadjuvant chemotherapy in locally advanced carcinoma breast in using sentinel node biopsy
11 Dr. PRAKASH Comparative study of lichtenstein mesh repair and desarda s no mesh repair for inguinal hernia
12 Dr.MAHESH KUMAR A clinical study in predicting factors affecting laparoscopic cholecystectomy
13 DR.V.RISHI GOWTHAM A prospective comparative study of Bisap scoringwith ranson scoring in assessing the severity and mortality of acute pancreatitis
14 DR.K.JITHESH Bacteriological profile of bile in bile stones
15 DR.G.SHARMILA Effectiveness of carbon dioxide pneumoperitoneum on lft in laparoscopic cholecystectomy
16 DR.PADMALAXMI Effectiveness of MANNHEIM PERITONITIS INDEX in predicting mortality and morbidity on perforative peritonitis patients in GMKMCH,Salem
17 DR.T.VARUN A comparative study on various component separation techniques in ventral hernia
18 DR.S.T.JAYASUDHA Study on C-Reactive Protein -An aid for assessing and monitoring the severity of acute pancreatitis in GMKMCH,Salem


CURRENT ONGOING RESEARCH ACTIVITIES:
 
1 DR.KARTHIKEYAN Conservative management of spelinic injuries
2 DR.SELVARAJ Effictiveness of lateral sphincterotomy with open haemorrhoidectomy vs open haemorrhoidectomy alone in reducing post operative pain and complication
3 DR.JITHU GEORGE Comparative study of incisional hernia repair with abdominoplasty vs incisional hernia repair alone
4 DR.K.DHAKSHINA MOORTHY Comparative study of lichenstein repair vs lap repair in inguinsl hernia
5 DR.R.SURESH KUMAR Comparative study ofvarious factors in surgical site infection
A) Shaver vs clipper.
B) I.v antibiotics one hour before surgery vs at the time of induction of anesthesia
6 DR.R.VIJAY SHANKAR Comparative study of lichenstein repair under local vs spinal anesthesia
7 DR.R.TAMILSELVAN Clinical study and management of snake bite cellulitis
8 DR.K.GOUTHAMAN Portsmouth possum scoring in predicting morbidity
and mortality of patients undergoing emergency abdominal surgeries in GMKMCH
9 DR.A.SHYAM RATHNAM Comparative study between lateral sphincterotomy, topical2% Diltiazem and topical 0.2% Nitroglycerene in the management of chronic anal fissure
10 DR.B.RAMKUMAR Intra abdominal  pressure and outcome in laparotomy patients
11 DR.B.SIVASUBRAMANIAM Role of hyperbilirubinemia in assessing the severity of acute appendicitis
12 DR.V.S.SARAVANAN Effectiveness of octeriotide in controlling fistulous output in enterocutaneous fistulas


GUEST LECTURES:
25.03.2017 DR.MADHU PERIYASAMY, M.S, M.Ch (PLASTIC)
PODIATRIST, GANGA HOSPITAL, COIMBATORE
“CURRENT CONCEPTS IN DIABETIC FOOT MANAGEMENT”
 
29/04/2017
(Upcoming)
DR.KUPPURAJ NARAYANASAMY, M.S, FRCS (URO)
ROBOTIC SURGEON, KMCH, COIMBATORE
“RECENT ADVANCES IN SURGERY - ROBOTICS”
 

 

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