Department of General Surgery - TNMC & Nair Charitable Hospital

About the Department

The Department of General Surgery comprises General Surgical Services, Gastroenterological Surgical Services, Breast Services, Endocrine surgical services, and Hyperbaric Oxygen Therapy (HBOT). It is one of the largest departments of the institution. It provides dedicated high-quality surgical care and offers state-of-the-art facilities.
It conducts both the undergraduate MBBS course (150 students/year) and the postgraduate MS degree course (14 students/year). Both courses are offered by the Maharashtra University of Health Sciences (MUHS) and are recognized by the Medical Council of India (MCI).

Main Activities:

1. Outpatient Services : (8:30 AM to 12:30 PM Monday to Saturday)

Breast disease Services

Endocrine Surgery (Thyroid and Parathyroid Surgical Services)

Coloproctology Services, Diagnostic, and Therapeutic Endoscopy services.

Vein Clinic

Stoma clinic and Stoma Care.

Hyperbaric Oxygen therapy (HBOT)

2. Inpatient Services:

3 male wards, 1 female ward.

Emergency Surgical Ward/ Trauma ICU.

3. Emergency Surgical services: (24 x7)

Emergency Operation Theatre available 24 x7.

4. Routine Surgical Services: 9 am to 4 pm

General Surgery Operation theatres are available.

Open surgical procedures

Laparoscopic surgeries

Minor surgical procedures

Faculty

Dr. Satish Dharap

Professor & Head

Dr Jayashri Pandya

Professor

Dr. Dharmesh Balsarkar

Professor

Dr.Rajeshkumar Mahey

Associate Professor

Dr.Rajesh Patil

Associate Professor

Dr. Nitin Borle

Professor(Additional)

Dr Dnyaneshwar Mohare

Professor(Additional)

Dr Sudatta Waghmare

Assistant Professor

Dr Asma Khalife

Assistant Professor

Dr. Sachin Suryawanshi

Assistant Professor

Dr. Shantanu Navgale

Assistant Professor contractual

Dr Deepak Rameshrao Ranveer

Assistant Professor contractual

Dr. Pravin Goykar

Assistant Professor Contractual

Dr. Mohmmed Irfan

Assistant Professor Contractual

Dr.Ashish Jatale

Assistant professor (contract)

Guvvala Penchala Prabhakar

Senior resident

Dr. Shyam Uttam Rathod

Senior Resident

Harsh Singh

Senior Resident

Dr. Pawar Ajay Raghuvirsingh

Senior Resident

Rajendra Habib

Senior Resident

Dr Anju Rajani

Senior Resident

Dr. Sanaah Saifuddin Raja

Senior Resident

Research and Publications

Research and publications: - (in last 3 years)

1.Pandya J,Waghmare S, Thareja V, Monda A. "Can Well's clinical prediction guideline score be a standalone to start anticoagulant treatment in a�suspected case of deep vein thrombosis" , Vol.-7, Issue- 4,P. 161-168, Indian Journal of Basic and Applied Medical Research; September 2018.

2.Mahey R, Javali SC. "An analysis of management in papillary thyroid carcinoma in a tertiary care hospital Thyroid Research and Practice15(2):65, January 2018.

3.Balsarkar. DJ, Kandekar RV, Mohmad. S. "The study of aetiology, clinical presentation, management and outcome of liver abscess." Volume-7,Issue-10, ISSN No 2277 - 8179 I IF: 4.758 I IC Value: 93.98, October-2018.

4.Satish Dharap Head Injury in API textbook of Medicine 11th Edition, Dr Sandhya A Kamath (Editor) Published by CBS Publishers & Distributors�Pvt. Ltd, New Delhi, 2019pp: 2049-2056

5.�Waghmare. S, Mahey R. "Evaluation and management of diabetic foot according to Wagner's classification"; 3(4): 197-201 , InternationalJournal of Surgery Science 2019.

6.Pandya J, Tiwari AR, Thareja V. "Role of GeneXpert MTB/RIF Assay for Diagnosis of tuberculous Mastitis", 8(1)313, Indian Journal of Surg 2019.

7.Dharap S, Pandya J, Jain D. "Lessons Learnt from ", Formative Assessment of Postgraduate Students in General Surgery. 01/2019; 9(2):103.

8.Mahey R, Agarwal S, Chilbule P, Dharap S, Jain D. "Validation of RIPASA score for the diagnosis of acute appendicitis", Volume- 8 Issue-3,International Journal of Scientific Research, March-2019.

9.Soni G, Kumar BK, Khalife A, Telang B, Ranvir D. et al," Surgical management of malignant gastric GIST with organ sparing surgery". Glob Surg�5.2019

10.�Khalife A, Sangale S, Dadla M, Joshi R. "An observational Study of etiology, clinical presentation, Management and outcomes of pseudocyst of Pancreas." Vol.3. (4), International journal of Surgery Science.2019.

11.�Khalife A, Dadla M, Sangale S, Joshi R. "An observational Study of Management of Splenic Injury in a tertiary care Hospital", International Journal Of Scientific Research. Oct 2019. 8.(10).

12.�Patil R, Doshi J. "Study of indications and advantages of drain insertion in cases of standard laparoscopic cholecystectomy in a tertiary care hospital" . International Journal of Scientific Research 8(7); July 2019.

13.Ludvig Warnberg Gerdin, Monty Khanjanchi, Vineet Kumar, Nabhojit Roy, Makhan Lal Saha, Kapil Dev Soni, Anurag Mishra, Jyoti Kamble, Nitin Borle, Chandrika Prasad Verma, Martin Gerdin Warnberg. Comparison of emergency department trauma triage performance of clinician and clinical prediction model: a cohort study in India International BMJ open 2020 2044- 6055.

14.Balsarkar Dharmesh J. Chauhan Surajsinh A. Clinical study, management and outcome of gall bladder perforation in a tertiary care hospital. International Surgery Journal, [S.l.), v. 7, n. 8, p. 2621-2625, July 2020. ISSN 2349-2902. Available at: accessed: 29 aug. 2021. doi:h tt p://dx.doi.org/10.18203/2349-2902.

15.�Bakale N. Suryawanshi S. A study of etiology, clinical presentation and management of incisional hernia", International Journal of Surgery Science 2021; 5(1): 626-629.

16.�Covid surg Collaborative: "Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study", Anaesthesia 76(6):748- 758, June 2021

17.�Covidsurg Gollaborati:ve. "SA.RS-Co V-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study" BJS Open, June 2021.

Academic Activity

Academic activity:

Undergraduates:
The Department of General Surgery undertakes teaching programs for the following UG degree courses offered by MUHS and recognized by MCI.

MBBS:�(I/C Dr. Rajeshkumar C. Mahey)

150 students admitted per year, 4 and 1/2 year course.

Teaching consists of didactic lectures, guest lectures, exposure to patients via 4� clinical ward rotations, OPD and theatre rotations, tutorials, and attendance at emergencies.

Assessment is done continually throughout the year in the form of ward exams, internal assessments, terminal exams, and prelims. Final MBBS exams are conducted twice a year by the MUHS.

UG's participate in an introductory course on Newer Techniques & Technologies in Surgery.

They are encouraged to be part of departmental research projects and attend CME's, quiz competitions, and conferences as well.

Postgraduates

MS (General Surgery): (I/C Dr. D. J. Balsarkar)

14 new students registered per year. Admission is based on merit at the NEET-PG exam. (Please consult the MUHS website for details)

This is a three-year full-time stipendiary residency program. Residents stay on campus and are available on duty 24 hrs. Free on-campus accommodation and leave benefits are provided. Residents are registered with a PG guide for their thesis and rotate every six months through various units, with a rotation through three super-specialties as well. (total 6 posts)

The PG teaching program includes:

Small-group teaching, seminars, monthly mortality meetings and surgical audit, journal clubs, ward clinics, and a supervision of operative procedures.

Use of the departmental library with free internet is encouraged.

New residents undergo an orientation program with a pre-and post-test.

There is an annual in-service examination.

Residents attend training courses in trauma care, use of staplers, basic and advanced laparoscopy, basic surgical skills, endoscopy, use of new technologies, etc.

They participate in workshops on Research Methodology conducted by the METT cell.

Residents are actively guided and encouraged to present departmental work in local, national, and international meetings, and to publish in national and international journals.
They along with staff members may be deputed by the BMC to provide on-site surgical services in the community when required.

Senior resident/ Senior Medical Officer (bonded)/ House officer (7th posts) are available for those who have completed a recognized three-year surgical residency.Details are available at the NRE section, TN Medical College

Interns:

(I/C Dr. Rajesh Patil) undergo an orientation program and basic CPR/ BLS training during their surgery posting. They are allowed to assist and perform minor ward procedures under supervision.

BDS (Dental):( I/C Dr Rajesh Patil/ Dr. Asma Khalife)

BP.Th� (Physiotherapy):�I/C Dr.Sudatta Waghmare

BO.Th (Occ.Therapy):�I/C Dr.Sudatta Waghmare

Nursing (Dip of RNRM):�I/C Dr. Sudatta Waghmare

Observership:

1-3 months observership, clinical internships or student exchanges are available in the surgery. Details are available with the NRE section, TNMC.

CME & Research:

The Department conducts regular CME programs, seminars, and workshops.

Eminent members of the profession are invited for guest lectures and surgical demonstrations.

Research activities consist of departmental projects, post-graduate thesis, and participation in pharmaceutical clinical trials. The Nair Golden Jubilee Research Foundation (NGJRF) assists with these projects. All research protocols must receive Ethics Committee approval.

Workshop/ Conferences/CME:

2018:

1)Live operative surgical workshop, MASICON 2018, Annual Conference of Maharashtra State Chapter of Association of Surgeons of India 26th January 2018

2)Quality Scientific Paper Writing Workshop, 13th October 2018in association with Mumbai Surgical Society

2019:

1)Master class on wound management on 22nd June 2019 in association with Mumbai Surgical Society

2) Workshop on chemo-port insertion on 15th July 2019, supported by Bard ( India) Ltd.

3)Workshop on surgical management of hernia on 14th August 2019, supported by Medtronic's�(India) Ltd.

2021:��

1)Symposium on chronic pancreatitis: 10th August 2019 as a part of the Centenary year Celebration.

Awards and Achievements

Awards and Achievements:

Undergraduate students:

Rishabh Singh, Alisha Mehta, Samyak Kalamkar.

First Prize. Intercollege Surgery Quiz Mediace (2019) conducted at Smt. Kashibai Navale Medical College, Pune

�Postgraduate students:

1] Dr. Munaafroz Shaikh: MASICON (2019) Aurangabad: Selected for Best poster presentation.Unusual presentation of an uncommon disease- description of a case of Wilkie's Syndrome.

2] Dr. Swanit Deshpande :� Shirin Mehtaji award for Best paper 21st December 2019.

3] Dr. Akshay Deshpande: 3rd Prize at the Best paper contest at MASICON 2020, Amravati

4] Priya Barbaniya -1 st prize in session 9 at ASICON 2020"Co-relation between USG and FNAC in the diagnosis of differentiated thyroid cancer.

5] E. Sai Krishna -1 st price in session 1 at ASICON 2020" To evaluate the effectiveness of neoadjuvant chemotherapy in LABC."

6] Jenny Thomas -1 st price in station 3 at ASICON 2020Post total thyroidectomy, should we wait� 4 weeks for radioiodine scan."

7] Dr. Sanjana Ibrahimpur: First prize Poster presentation (ASICON 2020)Co-existence of superior mesenteric artery syndrome and celiac-mesenteric trunk. A rare presentation.

8] Dr. Muna Afroz Shaikh: Second Price in Scientific Paper presentation (MARCH.2021)STAFFSOCIETY, T.N.Medical.College, Mumbai.Comparison of end-to-end and side-to-side bowel anastomosis.

9] Dr. Bhavya Rao: Third prize poster presentation (ASICON 2021)Management of ischemic hepatitis as a complication of hepaticojejunostomy for choledochal cyst.

10] Dr. Tejas Prakash Narkhede: Third prize in a poster presentation (ASICON 2021)Foreign body in Esophagus: A case of an ingested denture.

11] Dr. Sushma Dinesh: Second prize poster presentation (ASICON 2021)�Case report on Ileal GIST

12] Dr.Sanjana Ibrahimpur: - Third prize in Paper presentation (ASICON 2021)

A study of the correlation between FNAC and histopathology in persistent reactive cervical lymphadenopathy.

�Faculty:

1] Dr. Satish Dharap :

Elected Secretary of Maharashtra State Chapter of the Association of Surgeons of India 2018-2021

Appointed Editor of the Indian Journal of Surgery 2018-2021

Dr. S. K. Bhansali Memorial Oration Award 2019 on Challenges in Trauma Management

Delivered Lecture on Chest Injuries in MASICON 2020, Amravati

2] Dr. Rajesh Mahey :

Dr. K.C. Gharpure traveling fellowship 2018-19