Genese Clinic

Surgical Gastroenterology
Services

Dr. Harsh Sheth is a leading laparoscopic surgeon in Mumbai, renowned for his expertise in advanced minimally invasive surgery. With over ten years of experience, he has performed numerous successful GI and bariatric surgeries, establishing himself as one of the most sought-after surgeons in the city.

Why Choose Laparoscopic Surgery?

Laparoscopic surgery, also known as keyhole surgery, offers a multitude of benefits compared to traditional open surgery. Here’s a breakdown of the advantages:

  • Smaller Incisions: Laparoscopy involves several tiny incisions (0.5-1.2 cm) instead of a large incision, leading to minimal scarring and a faster recovery process.
  • Reduced Pain and Blood Loss: Smaller incisions translate to less pain and blood loss during surgery.
  • Shorter Hospital Stay: Faster recovery allows for a shorter hospital stay, minimising disruption to your daily life.
  • Reduced Risk of Infection: Smaller wounds decrease the risk of infection post-surgery.
  • Types of Laparoscopic Procedures Performed by Dr. Sheth:

    Dr. Sheth specialises in a wide range of laparoscopic procedures, including:

  • Bariatric Surgery: Mini-gastric bypass, sleeve gastrectomy, Roux-en-Y gastric bypass, and revision bariatric surgeries.
  • Upper GI Surgery: Fundoplication, hiatal hernia repair, gastroparesis, duodenal perforation repair, and cancer surgeries for the stomach and oesophagus.
  • Colorectal Surgery: Hemicolectomies, rectopexy, anterior resection and APR, diverticulitis surgery, stoma creation and revision, and colorectal cancer surgery.
  • HPB Surgery: Cholecystectomy, hydatid cyst surgery, cystogastrostomy, surgery for acute or chronic pancreatitis, and surgery for gallbladder, bile duct, liver, and pancreatic tumours.
  • What problems can laparoscopy be used for?

    Laparoscopy can be used for both diagnosis and treatment. It can help identify and diagnose various abdominal and pelvic conditions when non-invasive methods prove inconclusive. Additionally, it can be used to take tissue samples (biopsies) from organs like the appendix, liver, gallbladder, etc.

    Who is a good candidate for laparoscopic surgery?

    Your suitability for laparoscopic surgery will depend on several factors, including your overall health, the specific condition being addressed, and your medical history. Dr. Sheth will perform a thorough evaluation to determine if laparoscopy is the most appropriate approach for you.

    What are the risks of laparoscopic surgery?

    Laparoscopic surgery, when performed by a qualified and experienced surgeon like Dr. Sheth, is generally considered safe. However, as with any surgery, there is a small risk of complications, such as infection or the need to convert to an open surgery if unforeseen difficulties arise during the procedure.

    Robotic surgery is a cutting-edge surgical approach that utilizes robotic systems to assist surgeons in performing complex procedures. Dr. Sheth’s proficiency in robotic surgery allows him to offer unparalleled precision, skill, and control during operations.

    Benefits of Robotic Surgery:

  • Enhanced Precision: Robotic arms provide exceptional dexterity and stability, enabling surgeons to perform intricate procedures with unmatched accuracy.
  • Improved Visualization: High-definition 3D imaging offers a magnified view of the surgical site, allowing for better visualisation and precision.
  • Minimally Invasive: Robotic surgery is performed through small incisions, leading to less pain, scarring and a faster recovery time.
  • Greater Flexibility: Robotic arms can be positioned in ways that are difficult for human hands, allowing for better access to surgical sites.
  • Robotic Surgery Procedures Offered:

    Dr. Sheth utilises robotic surgery for a wide range of procedures, including:

  • Bariatric surgery
  • Upper GI surgery
  • Colorectal surgery
  • HPB surgery
  • Choosing the Right Approach

    Whether laparoscopic or robotic surgery is the best option for you will depend on your specific condition and needs. Dr. Sheth will carefully evaluate your case and recommend the most appropriate surgical approach.

    Ready to Explore Your Options?

    To learn more about laparoscopic surgery and how it can benefit you, schedule a consultation with Dr. Harsh Sheth today.

    When we look at surgeries for the upper part of your gastrointestinal tract, which includes the oesophagus, stomach, and duodenum, we use laparoscopic and robotic techniques. These are advanced tools that help us work with great precision and cause minimal disturbance to your body. This means you’ll likely have a shorter stay in the hospital, less pain after the surgery, and a quicker recovery. Plus, the smaller incisions mean less scarring and a lower chance of getting an infection. With these techniques, you can get back on your feet and return to your everyday life much faster.

    What are the common conditions treated with Upper GI surgeries?

    Conditions like acid reflux, stomach ulcers, and cancers of the oesophagus, stomach, and duodenum are commonly treated with Upper GI surgeries.

    How long is the recovery period after an Upper GI surgery?

    Recovery can vary, but typically, you may spend 2 to 5 days in the hospital, and full recovery might take 2 to 3 weeks.

    What are the risks associated with laparoscopic Upper GI surgeries?

    While generally safe, risks include bleeding, infection, and injury to surrounding organs, though these are relatively rare.

    How do robotic surgeries differ from traditional surgeries for the Upper GI tract?

    Robotic surgeries provide greater precision and flexibility during the operation, potentially leading to shorter recovery times and less pain than traditional open surgeries.

    Can I expect a complete resolution of symptoms after surgery?

    Many patients experience significant relief from their symptoms, though results can vary depending on the underlying condition and individual health factors.

    For issues in your liver, pancreas, or bile ducts, we use the same advanced laparoscopic and robotic methods. These tools help us be very precise, so we only remove what’s necessary and keep the rest of your organs intact and functioning well. This is crucial, especially when we’re dealing with complex conditions like tumours. You’ll benefit from this precision because it reduces your chances of needing more treatment later on, speeds up your recovery, and helps you get back to normal sooner.

    What types of conditions are treated with HPB surgeries?

    HPB surgeries treat conditions like liver cancer, pancreatitis, bile duct cancer, and gallstones.

    What are the benefits of using robotic techniques for HPB surgeries?

    Robotic techniques offer high precision, reduced trauma to the body, shorter hospital stays, and faster recovery.

    How long do I need to stay in the hospital after an HPB surgery?

    Hospital stays after HPB surgeries can range from 4 to 7 days, depending on the surgery’s complexity and your recovery progress.

    What are the potential complications of HPB surgeries?

    Possible complications include bleeding, infection, and issues with bile or pancreatic ducts, which can affect digestion.

    How does the surgery impact long-term liver, pancreas, or bile duct function?

    Most surgeries aim to preserve organ function, but some reduction in function can occur, especially if a significant portion of an organ is removed.

    If you’re facing a problem in your colon or rectum, such as colorectal cancer, inflammatory bowel disease, rectal prolapse etc. we can treat these using minimally invasive techniques. This means using small tools and cameras that allow us to work without making large cuts. You’ll feel less pain after the surgery, the risk of complications is lower, and you’ll recover faster. This approach also helps reduce the risk of infection and leaves smaller scars, which means you’ll heal quicker and can return to your daily routine sooner than expected.

    What are the indications for undergoing colorectal surgery?

    Indications include colorectal cancer, diverticulitis, inflammatory bowel diseases like Crohn’s and ulcerative colitis, and significant bowel obstructions.

    What advancements in laparoscopic techniques are used in colorectal surgeries?

    Advancements include high-definition cameras and specialised instruments that allow for more precise and less invasive procedures.

    How does minimally invasive surgery benefit colorectal cancer patients?

    Benefits include less pain, quicker return to normal activities, lower risk of complications, and, often, better cosmetic outcomes.

    What are the common complications after colorectal surgery?

    Complications can include infection, bleeding, and changes in bowel habits, but these are generally manageable with proper care.

    How long is the typical recovery period after colorectal surgery?

    Most patients can expect to spend 3 to 7 days in the hospital, with a total recovery time of 2 to 6 weeks, depending on the extent of the surgery and individual healing rates.

    Sleeve Gastrectomy is a minimally invasive bariatric surgery that helps patients achieve significant weight loss by restricting the amount of food the stomach can hold. During the surgery, a portion of the stomach is removed, creating a sleeve-shaped pouch that limits food intake and promotes feelings of fullness.

    How much weight can I expect to lose with a sleeve gastrectomy?

    Patients typically lose 50-70% of their excess body weight within 1-2 years following surgery.

    What are the dietary changes required after sleeve gastrectomy?

    You will need to follow a post-surgical diet plan that focuses on smaller, more frequent meals with a high protein content. This helps with proper nutrient absorption and weight loss.

    Will I experience any side effects after sleeve gastrectomy?

    Short-term side effects may include nausea, vomiting, and fatigue. These typically resolve within a few weeks. Long-term complications are rare but can include nutritional deficiencies, which are manageable with proper dietary planning and supplementation.

    Is sleeve gastrectomy a permanent solution for weight loss?

    The sleeve gastrectomy is a permanent modification to your digestive system. However, long-term success relies on maintaining healthy lifestyle habits, including a balanced diet and regular exercise.

    The Roux-en-Y gastric bypass promotes weight loss through a two-pronged approach: restricting food intake and reducing nutrient absorption. This laparoscopic procedure involves creating a small stomach pouch and rerouting a portion of the small intestine. The bypassed section of the small intestine no longer comes into contact with digested food, leading to decreased calorie absorption.

    Am I a good candidate for Roux-en-Y gastric bypass?

    This surgery is typically considered for patients with a BMI of 40 or higher, or those with a BMI of 35 or higher who have serious health complications due to obesity.

    What are the potential side effects of Roux-en-Y gastric bypass?

    Common side effects include dumping syndrome (unpleasant digestive symptoms after eating sugary or fatty foods) and nutritional deficiencies. These can be managed with dietary adjustments and supplementation.

    What dietary changes are necessary after Roux-en-Y bypass?

    Following surgery, you will need to follow a specific diet plan focused on protein-rich, low-sugar, and low-fat foods. This ensures proper nutrition and minimises the risk of dumping syndrome.

    Will I need to take any vitamins or supplements after surgery?

    Due to the altered digestive system, most patients who undergo Roux-en-Y bypass require lifelong supplementation with certain vitamins and minerals to avoid deficiencies.

    The One Anastomosis Gastric Bypass (OAGB) is a simplified version of the Roux-en-Y gastric bypass surgery. This laparoscopic procedure involves creating a small stomach pouch and connecting it directly to the lower part of the small intestine, bypassing a portion of the stomach and small intestine. The OAGB offers a shorter surgery time and may be suitable for certain patients who meet specific criteria.

    Who is a good candidate for OAGB?

    This surgery may be suitable for patients with a BMI of 35 or higher who meet specific anatomical criteria. Your bariatric surgeon will assess your individual case to determine if OAGB is the right choice for you.

    Are there any specific dietary requirements after OAGB?

    Similar to other bariatric surgeries, OAGB patients will need to follow a post-surgical diet plan focused on protein-rich, low-sugar, and low-fat foods to optimize weight loss and minimize digestive discomfort.

    What is the long-term follow-up like after OAGB?

    Regular follow-up appointments with your bariatric team are crucial for monitoring your progress, addressing any nutritional deficiencies, and ensuring long-term success.

    Revisional bariatric surgery is performed on patients who have previously undergone bariatric surgery and now require adjustments due to:

    • Weight regain after the initial bariatric surgery
    • Complications like strictures, leaks, or hernias
    • Change in Body Mass Index (BMI)

    What is the recovery process like for revisional surgery?

    Recovery times for revisional surgery can vary depending on the complexity of the procedure. However, advancements in minimally invasive techniques often lead to faster recovery times compared to traditional open surgeries.

    What are the long-term considerations after revisional surgery?

    Following revisional surgery, a strong commitment to a healthy diet and exercise routine is crucial for long-term success. Regular follow-up appointments with your bariatric team are essential to monitor your progress and ensure optimal health outcomes.

    Hernias occur when an internal organ or tissue pushes through a weak spot in the abdominal wall muscles. At Genese, we offer a range of surgical techniques to repair hernias and reconstruct the abdominal wall.

    Here's a breakdown of the surgical approaches we offer:

    1. Open Surgery (Incisional):

    This traditional approach involves making an incision in the abdomen directly over the hernia. We push the protruding tissue back into place and reinforce the weakened area with sutures or surgical mesh.

    2. Laparoscopic Surgery:

    A minimally invasive technique utilizing small incisions in the abdomen. A laparoscope (a thin, lighted instrument) is inserted to visualize the surgical area, and specialized tools are used to repair the hernia and place surgical mesh for reinforcement.

    3. Robotic Surgery:

    This advanced minimally invasive technique uses a robotic surgical system. We control the robotic arms from a console, allowing for precise movements and magnified visualization of the surgical field. The repair process is similar to laparoscopy, with the added benefit of robotic assistance.

    Choosing the Right Approach:

    The best surgical approach for your hernia repair will depend on various factors, including the type and size of your hernia and your overall health. During the consultation, Dr Sheth will discuss all options with you, explain the benefits and considerations of each technique, and help you determine the most suitable approach for your individual needs.

    FAQs

    Do all hernias require surgery?

    Not all hernias need immediate surgery. Small, asymptomatic hernias can sometimes be monitored. However, hernias tend to grow over time, and surgery is often recommended to prevent complications.

    What factors influence the choice of surgical approach?

    The type and size of the hernia and your overall health influence the choice of surgical approach.

    What is the difference between open, laparoscopic, and robotic surgery?

    Open surgery involves a traditional incision, while laparoscopic surgery uses small incisions and specialised instruments. Robotic surgery is a minimally invasive technique using robotic arms controlled by the surgeon.

    What is the recovery process like for each type of surgery?

    Recovery times vary depending on the surgical approach and the complexity of the repair. You will be provided with specific information about your expected recovery.

    How can I prevent a hernia recurrence?

    Maintaining a healthy weight, avoiding heavy lifting, and following postoperative instructions can help prevent hernia recurrence.

    The gallbladder is a small, pear-shaped organ located just below your liver. It stores bile, a fluid that helps digest fats. Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. While many people with gallstones experience no symptoms, others may experience severe pain. Gallstones can block the bile duct, causing inflammation and other complications.

    Dr. Harsh Sheth, a renowned gastrointestinal surgeon in Mumbai, provides minimally invasive laparoscopic surgery involving small incisions and advanced techniques for precise and efficient gallbladder removal.

    Benefits of laparoscopic gallbladder surgery:

  • Smaller incisions lead to less pain and scarring
  • Shorter hospital stay
  • Faster recovery time
  • Reduced risk of infection
  • When is Gallbladder Surgery Necessary?

    Your doctor may recommend gallbladder surgery if you experience:

  • Severe pain
  • Repeated attacks of gallstones
  • Gallbladder inflammation (cholecystitis)
  • Gallstones blocking the bile duct
  • Complications such as pancreatitis
  • What are the symptoms of gallstones?

    Common symptoms include severe pain in the upper right abdomen, nausea, vomiting, and indigestion. However, many people with gallstones experience no symptoms.

    Do all gallstones require surgery?

    Not all gallstones require surgery. If you have no symptoms, your doctor may recommend monitoring. However, if you experience severe pain or complications, surgery may be necessary.

    How long is the recovery time for laparoscopic gallbladder surgery?

    Most patients can resume normal activities within a few days after surgery. However, complete recovery may take several weeks.