| General Surgery & GI |
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Department of General Surgery and GI Surgery is lead by Dr. Kh. Palin. Other Specialists in the department available are: 1.Dr. Kh. Palin - MS, MCh (Plastic Surgery), FICS 2.Dr. S. Samorkanta - MS, WHO-Fellow (UK) 3.Dr. L. Krishnamani - MS, Trained in Endo-Urology 4.Dr. Jugindra S. - MS 5.Dr. Kh. Devendra - MS 6.Dr. Shyamchand - MS 7.Dr. H. Nabakishor - MS Surgeries: Laparoscopic Surgery Bloodless Surgery In simple words, bloodless surgeries are those surgeries with minimal or total avoidance of bleeding during operation. Surgeons all over the world are trying to attain as minimum bleeding as possible by using various methods to avoid blood loss and in extreme situations blood transfusion. Among the various methods used for bloodless surgery are Tourniquet, Diathermy, LASER Harmonic Scalpel. Knowledge of anatomy is, of course, the most important pre-requisite for bloodless surgery . Tourniquet This is probably the oldest and most widely used method of avoiding blood loss during surgery on the limbs. A circular pressure is applied on the limbs proximal to the site of operation (single boned area e.g. at the arm for operation at the forearm, thigh for leg), 40 mm mercury above the systolic blood pressure. This obliterates the lumen of the arteries stops blood flow and bleeding at the site of operation. Tourniquet can be applied for an hour (maximum of one and half hours) for the upper limb. This is called tourniquet time. For lower limbs it is one and a half hours (maximum of two hours) beyond which there will be nerve and other tissue damage, causing tourniquet pulsy or paralysis. If the operation requires a longer duration the tourniquet is released for 15 minutes and reapplied. Its application is limited only to the limbs and digits. Diathermy Electrical energy is converted into heat at the tip of the diathermy probe which cuts and coagulates the tissue at the same time. This technique is widely used in both |

