Services

1. Thyroid Surgery

• Comprehensive evaluation of thyroid disorders in collaboration with Endocrinology, Pathology, and Radiology

• Surgery for benign thyroid diseases such as multinodular goitre, toxic nodular goitre, and Graves’ disease

• Surgery for thyroid malignancies, including:

  • Total thyroidectomy, Hemithyroidectomy,Completion Thyroidectomy

  • Central compartment and lateral neck dissections when indicated

• Completion Thyroidectomy for recurrent goiters

• Surgery for Retrosternal goiters (Cervical,Sternotomy,Thoracotomy approach)

• Thyroglossal cyst excision (Sistrunk procedure)

• USG guided FNAC and core biopsy of thyroid nodules

• Minimally invasive and day-care thyroid surgery for select patients

• Use of Intraoperative Nerve Monitoring (IONM) to enhance safety by continuous monitoring of the recurrent laryngeal nerve

• Preservation of parathyroid function using meticulous dissection techniques and NIRAF+ ICG angiography to assess parathyroid vascularity

• Comprehensive postoperative care including calcium monitoring and thyroid hormone replacement as needed

• Long-term follow-up and surveillance of thyroid cancer patients in coordination with Endocrinology and Nuclear medicine

2. Parathyroid Surgery

• Evaluation and localisation of parathyroid lesions using ultrasound, Sestamibi scans and 4D CT in collaboration with radiology and nuclear medicine

• Focused/Minimally invasive parathyroidectomy (MIP) for solitary adenomas

• Bilateral neck exploration for multiglandular disease or negative localisation

• En-bloc resection for Parathyroid Cancer

• Intraoperative PTH monitoring(IOPTH) to confirm adequacy of resection

• Use of NIRAF + ICG angiography to identify parathyroid glands intraoperatively

• Surgery for secondary and tertiary hyperparathyroidism in renal disease patients (subtotal or total parathyroidectomy with autotransplantation)

• Reoperative parathyroid surgery for persistent or recurrent disease

• Comprehensive postoperative care including calcium and vitamin D supplementation protocols

• Long-term follow-up to monitor for recurrence and ensure sustained cure

• Part of the hospital-wide Project PACE (Parathyroid Awareness, Collaboration & Evaluation) initiative, aimed at enhancing early detection, multidisciplinary management, and public/clinician awareness of parathyroid disorders

Advanced Surgical Technologies

• Intraoperative Nerve Monitoring (IONM) : Used during thyroid and parathyroid surgeries to continuously monitor the recurrent laryngeal nerve and enhance safety by reducing the risk of nerve injury.

• NIRAF + ICG Angiography : Indocyanine green (ICG) angiography with near-infrared autofluorescence (NIRAF) imaging is used to identify and assess the vascularity of parathyroid glands intraoperatively, improving gland preservation and reducing post-operative hypocalcemia.

3. Adrenal Surgery

• Comprehensive evaluation of adrenal disorders in collaboration with endocrinology, including hormonal work-up and imaging (CT/MRI)

•  Minimally invasive Adrenalectomy (laparoscopic) for benign functional tumours such as:

  • Pheochromocytoma

  • Aldosterone-producing adenoma (Conn’s syndrome)

  • Cortisol-secreting adenoma (Cushing’s syndrome)

•  Adrenalectomy for non-functional adrenal masses (incidentalomas) based on size and radiological criteria

• Surgery for malignant adrenal tumours, including adrenocortical carcinoma(ACC) and metastatic deposits

• Partial (cortical-sparing) adrenalectomy in select cases, especially bilateral disease or hereditary syndromes

• Management of bilateral adrenal disease, including staged or combined procedures as appropriate

• Multidisciplinary perioperative care with endocrinology, anaesthesiology, and critical care for optimal outcomes

• Postoperative hormonal assessment and long-term follow-up to monitor recovery and detect recurrence

4. Pancreatic and Other Neuroendocrine Tumours

• Surgical management of functioning pancreatic neuroendocrine tumours (pNETs) such as:Insulinoma,Gastrinoma,VIPoma

• Surgery for non-functioning pancreatic neuroendocrine tumours based on size, growth, and oncological risk

• Surgical Management of Abdominal and neck Paragangliomas

• Comprehensive care of hereditary and syndromic endocrine tumour conditions, including Multiple Endocrine Neoplasia (MEN) syndromes

• Long-term multidisciplinary follow-up and surveillance for recurrence or development of additional tumours

5. Breast Surgery

• Diagnosis and treatment planning for breast diseases

• Surgery for breast cancer

  • Breast conserving surgery (BCS) offered to all eligible patients, using intraoperative ultrasound guidance or hook wire localisation for precise tumour removal and optimal cosmetic outcomes

  • Oncoplastic breast surgery including partial breast reconstruction using Perforator flaps for enhanced cosmetic outcomes

  • Modified Radical Mastectomy(MRM) with simultaneous whole breast reconstruction options in eligible patients

  • Axillary Staging with dual tracer based Sentinel lymph node biopsy (SLNB)  and Axillary clearance

• Benign breast disease clinic