General Surgery Hospital | BOSH | Bangalore

The general surgery department at BOSH comprises of senior surgeons and supportive staff. Provide personalised care and take pride in high success rates for surgeries done here. Surgeons collaborate with other departments if the need be to arrive at a better treatment plan. Whenever possible we do minimally invasive procedures like laproscopic procedures so that the patient will have less post operative discomfort and will recover at a shorter time with minimal scars. For other problems we use the traditional open method. Surgeons deal with pre-operative, operative and post-operative problems of all kinds primarily in relation to alimentary canal, abdomen, head and neck, gynecological and foot related care. Critically ill patients are brought here and stabilized.  With the cutting edge technology we ensure that out patients are benefitted the most. Every effort is made to make your surgical experience as stress free as possible. High quality patient care is at the heart of everything we do and we strive to ensure every single patient and service user has an exceptional experience with BOSH. Our compassionate care team here, includes a full complement of highly skilled surgeons who are committed to comprehensive care and to maximize the long-term health and success of each patient. When the patient needs the delicate surgery to alleviate the debilitating pain, you can trust the knowledge and skills of our surgeons.

Treatments at BOSH for conditions involving

Head & Neck Surgery

Head and Neck cancers are the 6th most common type of cancer in the world and account for 6% of all tumors. It usually presents itself in an advanced stage and predominantly in older men. Head and neck cancers refer primarily to those that begin in mouth (oral cavity), nasal cavity (passage behind the nose), paranasal sinuses (spaces around the nose), salivary glands (glands that make saliva), throat (pharynx), and voice box (larynx).

Risk Factors-

  • medical Alcohol Consumption and Tobacco Use
  • medical Pre-existing Conditions and Infection
  • medical Family History
  • medical Age
  • medical Gender
  • medical Nutrition
  • medical Workplace Exposure
  • medical Oral Hygiene
  • medical Radiation

Symptoms-

Each type of head and neck cancer may be associated with specific type of symptoms. Consult our neck surgeon if you notice the following symptoms:

  • medical a ulcer in the mouth that does not heal or that bleeds on touch
  • medical a persistent red or white patch in the mouth
  • medical inability to open the mouth completely (sub mucous fibrosis ) have high risk of development of cancer
  • medical multiple episodes of bleeding from nose, nasal congestion, or chronic sinus infections that do not respond to treatment
  • medical a lump or swelling in the neck
  • medical persistent sore throat not responding to treatment
  • medical persistent hoarseness or a change in the voice(slurring of speech)
  • medical persistent pain in the neck, throat, or ears
  • medical blood in the sputum
  • medical difficulty chewing, swallowing, or moving the jaws or tongue
  • medical numbness in the tongue or other areas
  • medical loosening of teeth
  • medical dentures that no longer fit

Treatment-

Treatment depends on the primary site and stage of cancer:

  • medical For early cancer with size <4cm without spread to lymph glands in the neck, the treatment is surgery, radiation is added if other risk factors of cancer coming back are identified in the final histopathology report.
  • medical For locally advanced cancers size >4 cm or involving adjoining structures or spread to lymph glands in the neck,the treatment is surgery, radiation with or without chemotherapy.
  • medical For very advanced cancers where it has spread near brain or involving vitals structures or spread to other parts of the body, then treatment is not aimed at cure. Life span and quality of life can be improved with palliative radiation therapy+ chemotherapy or immunotherapy depending on the general health of the patient.

The three modalities of head and neck cancer are Surgery, Chemotherapy and Radiation Therapy. Surgery or Radiotherapy are the primary modalities while Chemotherapy is used as adjuvant/adjunct treatment. However, the treatment plan may vary from patient to patient depending upon stage of tumour, location of tumour, patient’s age, general condition and occupation of patient.

BOSH involves itself only in the surgical aspect of the treatment

Breast Surgery

Breast Cancer is one of the most highly treatable forms of cancer. Early detection & correct treatment can ensure a healthy & long life for the patient of Breast Cancer.

Symptoms:

In its initial stage, breast cancer is hard to detect. This is why doctors suggest regular breast examination. Breast cancer symptoms may include:

  • medical a change in the size or shape of one or both breasts
  • medicaldischarge from either of your nipples, which may be streaked with blood
  • medicaldimpling on the skin of your breasts
  • medicala rash on or around your nipple
  • medicala change in the appearance of your nipple, such as becoming sunken into your breast
  • medicalBreast lump or lump in the armpit that is hard and has uneven edges
  • medicalBone pain
  • medicalBreast pain or discomfort
  • medicalSkin ulcers
  • medicalWeight loss

Causes: There is no specific cause of breast cancer. However, most common causes include:

  • medical Age and gender - Over a period of time, the chances of developing breast cancer increases
  • medical Family history of breast cancer
  • medical Genes
  • medical Menstrual cycle - Women who got their periods early (before age 12) or went through menopause late (after age 55) have an increased risk for breast cancer
  • medical Childbirth - Women who give birth after the age of 30 are more likely to develop breast cancer
  • medical Alcohol use - Consuming more than 1-2 glasses increases your chances of breast cancer

Procedure: The treatment for breast cancer depends on the type and stage of cancer. At BOSH we only deal with the surgical aspect of the treatment option. In general, breast cancer treatments may include:

  • medical Chemotherapy - done to kill cancer cells
  • medical Radiation therapy - to destroy cancerous tissue. Radiation therapy involves the use of high energy X Rays that destroy cancer cells and shrink tumors. About half of all people with cancer are treated with radiation therapy, either alone or in combination with other types of cancer treatment. T
  • medical Surgery - is done to remove the cancerous tissue (it involves complete removal of breast lump and nearby structures). Standard surgeries are Mastectomy (Removal of the whole breast), Quadrantectomy (Removal of one quarter of the breast), and Lumpectomy (Removal of a small part of the breast). Reconstructive surgery can be done where breast contour can be restored to near normal with plastic surgery.

Gynecological Surgeries

We provide the full range of services for comprehensive, patient-focused management of gynecologic conditions, including management of contraception, menopause, pain and bleeding issues, abnormal pap smears, vulvovaginal conditions, and complications in early pregnancy. Our expert gynecology services provide care for women with complex conditions and complicated medical issues.
Full range of personalized gynecologic care, including routine exams, consultations for benign gynecologic conditions and procedural interventions, including colposcopy, hysteroscopy, and benign gynecologic surgery.Minimally Invasive Gynecologic Surgery Comprehensive range of advanced, minimally invasive procedures for uterine fibroids, abnormal uterine bleeding, pelvic pain, endometriosis, pelvic organ prolapse, cervical incompetence and ovarian cysts.

Ovarian Cysts: The ovaries are part of the female reproductive system. They’re located in the lower abdomen on both sides of the uterus. Women have two ovaries that produce eggs as well as the hormones estrogen and progesterone. Sometimes, a fluid-filled sac called a cyst will develop on one of the ovaries. Many women will develop at least one cyst during their lifetime. In most cases, cysts are painless and cause no symptoms.

Symptoms:

  • medical abdominal bloating or swelling
  • medical painful bowel movements
  • medical pelvic pain before or during the menstrual cycle
  • medical painful intercourse
  • medical pain in the lower back or thighs
  • medical breast tenderness
  • medical nausea and vomiting

Treatment:

  • medical Birth Control Pills- If you have recurrent ovarian cysts, your doctor can prescribe oral contraceptives to stop ovulation and prevent the development of new cysts.
  • medical Laproscopy- If your cyst is small and results from an imaging test to rule out cancer, your doctor can perform a laparoscopy to surgically remove the cyst. The procedure involves your doctor making a tiny incision near your navel and then inserting a small instrument into your abdomen to remove the cyst.
  • medical Laparotomy- If you have a large cyst, your doctor can surgically remove the cyst through a large incision in your abdomen. They’ll conduct an immediate biopsy, and if they determine that the cyst is cancerous, they may perform a hysterectomy to remove your ovaries and uterus.

Endometriosis: Endometriosis is a progressive, chronic condition where cells similar to those that line the uterus (the endometrium) are found in other parts of the body.Common signs and symptoms of endometriosis may include:

  • medical Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.
  • medical Pain with intercourse. Pain during or after sex is common with endometriosis.
  • medical Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.
  • medical Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).
  • medical Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.

Key Hole gynecological treatment procedures

Diabetic Foot care

The strong team at BOSH, has best of handpicked diabetes experts. We ensure finest quality care to patients suffering from diabetes and associated metabolic diseases. Dedicated staff of health care experts, therapists and intensivists render comprehensive assistance to deal with different issues related to diabetes.The presence of high blood glucose levels over a long period of time may result in a condition called diabetic neuropathy (damage to the nerves) or loss of circulation in the extremities of the body. If the nerves in the feet or legs are damaged, the feet can lose sensation and become numb. It is relatively common for people with diabetes to not feel foot problems until they have developed, therefore it is key to ensure you have regular foot examinations.

Symptoms: It’s important to recognize early warning signs of foot problems, such as:

  • medical burning, tingling, or painful feet
  • medical loss of sensation to heat, cold, or touch
  • medical changes to the color or shape of your feet
  • medical loss of hair on the toes, feet, and lower legs
  • medical thickening and yellowing of the toenails
  • medical onset of red spots, blisters, sores, ulcers, infected corns, or ingrown toenails

Preventive Education: Foot care involves reducing damage from occurring to feet and regularly checking the feet for any signs of damage. Damage to feet can be reduced by avoiding walking barefoot, wearing correctly fitting footwear and keeping your feet clean and in good condition. Check feet every day for any signs of damage.

Checking of feet: One should regularly examine own feet for signs of damage. This is all the more important if one is suffering from poor circulation and numbness. Look out for any of the following signs of foot damage:

  • medical Cuts
  • medical Bruising
  • medical Swelling
  • medical Grazes
  • medical Sores
  • medical Changes in colour
  • medical Ulceration
  • medical Hard skin
  • medical Also be aware of any cracking from dry skin as this could develop into an ulcer over time.

Laparoscopic Surgeries

Laparoscopic surgery also referred to as minimally invasive surgery describes the performance of surgical procedures with the assistance of a video camera and several thin instruments. During the surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the instruments are then introduced through the ports which allow access to the inside of the patient.The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopy surgery, since the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure.

General Surgery Doctors