ANURAG HOSPITAL

21/07/2025

CME lecture for TN MS exam going batches on 'Hernia Surgery- Open, Lap & Robotics' at VMC! A very well organized meet thanks to Prof Damodaran.

02/07/2025

Dr Vanitha opening 'Pain Clinic' with Ultrasound facilities for specialized Pain Care.

Consultation by appointments with +918015087871 or 04227967544

23/04/2025

Friends,

This is to inform you that we have updated our internet surgery book "Textbook of Laparoscopic Surgery for the General Surgeon" used by practicing laparoscopic surgeons, has been updated with a new chapter. Click on the following link to get your free copy of the updated book.

04/04/2025

03/04/2025

31/03/2025

A big 'Thank you' for the kind invitation to speak Dr Thirulogachandran the President of ASI Dinduigul and Dr Siva Balaji i the Hon Sec. yesterday.

The topic of CME was 'Then and Now: Scalpel and Stories: A Surgeon's Journey' . Well arranged and well attended luncheon meeting.

Thank you Dr Pravin John John for the preparation and company.

31/03/2025

A big 'Thank you' for the kind invitation to speak Dr Thirulogachandran the President of ASI Dinduigul and Dr Siva Balaji the Hon Sec. yesterday.

The topic of CME was 'Then and Now: Scalpel and Stories: A Surgeon's Journey' . Well arranged and well attended luncheon meeting.

Thank you Dr Pravin John for the preparation and company.

21/03/2025

Dr Pravin John in 3cm paraumbilical hernia with bowel and fat contents demonstrates the suturing part in eTEP-RS surgery for paraumbilical hernia. Only the suturing techniques are described in this video. https://www.youtube.com/watch?v=sRjZABkaZ8M

In the operation of eTEP RS for paraumbilical hernia repair, suturing is needed in the following areas:
1) Peritoneal closure after reduction of hernia contents. The posterior re**us sheath (PRS) is not always to be included in this suture.
2)Peritoneal defects inadvertently created have to be closed to prevent bowel adhesions to the exposed polypropylene mesh
3)Closure of the anterior fascia with optional inclusion of the hernia sac on the roof-top with correction of recti divarication can be taxing. Hence this needs special mention.

Tips for suturing with prolene in eTEP RS
1. Keep the length of the suture to 15-18 cm
2. A hangman’s knot made extracorporeally makes a convenient loop for the needle to pass through to tighten the first knot which must be succeeded by several subsequent knots OR
3. While initiating the first knot at the outset, one needs to consider a granny knot with three loops rather than the conventional 2 loops as three loops will keep the knot in situ snug while the subsequent knots are in place OR
4. A sliding knot can also be substituted instead of step three as it slides easily with prolene monofilament suture.
5. Steps 2,3 and 4 are especially useful while suturing on the roof to oppose the anterior fascial defect or while correcting the recti divarication. This can be aided a lot by bringing down deliberately the intra-abdominal pressure (IAP) to much lower levels to aid the suture to be in place.
6. While doing a continuous suture, one must remember to use the tissue to be pushed back so that the tension on the suture is maintained
7. Barbed sutures are available as an easy option, but with good suturing techniques described above, the results will be good

As for the general intra-corporeal suturing tips including how and where to hold the instruments, kindly refer to. https://drive.google.com/file/d/1ar8v... for the concerned article on intracorporeal suturing.

Dr Pravin John in 3cm paraumbilical hernia with bowel and fat contents demonstrates the suturing part in eTEP-RS surgery for paraumbilical hernia. Only the s...

31/10/2024

Happy Deepavali Greetings to everyone !

28/09/2024

Wrapping up an incredible 2-day conference in Indore with the Hernia Society of India!

Huge appreciation to Sarfaraz and Vijay Borgoankar for inviting me to be a part of this fantastic event.

Special kudos to the organizers for a seamless and well-planned conference. Punctuality and timely speaker transitions were truly impressive!

Thank you, HSI, for providing a valuable platform for knowledge sharing and collaboration.

22/09/2024

"Just spent an incredible 3 days in Bengaluru moderating a panel of renowned surgeons on Redo Hernia Surgery and sharing expertise through 3 lectures on Advanced Laparoscopic Surgery!

Honored to have shared the stage with exceptional surgeons and thought leaders in the field in IAGES.

Grateful for the overwhelming response - over 250 surgeons from across India attended!

Thank you to the organizers Dr Ganesh Shenoy , Dr Kalaivani and most hardworking team for creating a fantastic platform for knowledge sharing and collaboration.

Looking forward to continuing the conversation and advancing the field of Laparoscopic Surgery!

"

24/08/2024