Comprehensive Surgical Care
Sahaj Hospitals provides a complete spectrum of surgical services across multiple specialties, supported by modern operating theaters, advanced anesthesia care, and dedicated post-operative recovery units.Operating Theaters
State-of-the-art modular OTs with advanced surgical technology
Surgical Specialties
Expert surgeons across general, orthopedic, cardiac, and specialty surgery
Anesthesia Services
Comprehensive anesthesia care with latest monitoring technology
Post-Operative Care
Dedicated recovery rooms and surgical ICU for optimal outcomes
Operating Theaters
Our surgical department features 12 state-of-the-art modular operating theaters designed to international standards.Operating Theater Infrastructure
Operating Theater Infrastructure
- 12 Modular Operating Theaters
- Ultra-clean laminar airflow systems (Class 10,000 and Class 100)
- HEPA filtration with positive pressure
- Temperature and humidity control
- Individual OT sizes ranging from 600-800 sq ft
- Specialized Operating Rooms
- 2 Cardiac surgery theaters with heart-lung machine capability
- 2 Orthopedic theaters with laminar flow and C-arm
- 1 Neurosurgery theater with operating microscope
- 1 Endoscopy suite with multiple procedure rooms
- 1 Day surgery unit for minor procedures
- Equipment and Technology
- Advanced anesthesia workstations with ventilators
- Multi-parameter patient monitoring systems
- Electrosurgical units (monopolar and bipolar)
- Surgical lights with shadow-free illumination
- Operating microscopes for microvascular surgery
- C-arm fluoroscopy in orthopedic OTs
- Laparoscopic towers with HD cameras
- Arthroscopy equipment
- Cryotherapy units
Infection Control Measures
Infection Control Measures
- Air Quality Management
- HEPA filtration with 99.97% efficiency
- 20-25 air changes per hour
- Positive pressure gradient
- Regular air quality monitoring
- Sterilization Protocols
- Central Sterile Supply Department (CSSD)
- High-pressure steam autoclaves
- Ethylene oxide gas sterilization for heat-sensitive items
- Low-temperature hydrogen peroxide plasma sterilization
- Biological indicators for sterilization validation
- Surgical Site Infection Prevention
- WHO surgical safety checklist implementation
- Prophylactic antibiotic protocols
- Skin preparation with chlorhexidine
- Traffic control and door discipline
- Regular environmental sampling
- Surgical site infection surveillance
Safety Protocols
Safety Protocols
- WHO Surgical Safety Checklist
- Sign-in (before induction)
- Time-out (before skin incision)
- Sign-out (before patient leaves OR)
- Patient Identification
- Dual identifier verification
- Surgical site marking
- Consent verification
- Equipment Safety
- Regular preventive maintenance
- Backup equipment availability
- Emergency power supply (UPS and generator)
- Fire safety systems
- Crash Cart
- Fully stocked emergency medication
- Defibrillator in each OT
- Difficult airway cart
- Malignant hyperthermia cart
OT Utilization: Our operating theaters operate from 8:00 AM to 8:00 PM for elective surgeries, with 24/7 availability for emergency procedures. Advanced booking ensures optimal scheduling and minimal wait times.
Surgical Specialties
We offer comprehensive surgical services across multiple specialties with expert surgical teams.General Surgery
Abdominal Surgery
Abdominal Surgery
- Gastrointestinal Surgery
- Appendectomy (open and laparoscopic)
- Cholecystectomy (gallbladder removal)
- Hernia repair (inguinal, umbilical, incisional, hiatal)
- Bowel resection and anastomosis
- Hemorrhoidectomy and fistula surgery
- Pilonidal sinus excision
- Hepatobiliary Surgery
- Liver resection
- Bile duct surgery
- Pancreatic surgery
- Portal hypertension surgery
- Colorectal Surgery
- Colectomy (partial and total)
- Rectal cancer surgery
- Inflammatory bowel disease surgery
- Stoma creation and reversal
- Prolapse repair
- Emergency Surgery
- Acute abdomen management
- Bowel obstruction
- Perforated viscus
- Acute cholecystitis
- Trauma laparotomy
Laparoscopic (Minimally Invasive) Surgery
Laparoscopic (Minimally Invasive) Surgery
Benefits of Laparoscopic Surgery:
- Smaller incisions (5-10mm vs 10-20cm)
- Less post-operative pain
- Faster recovery and hospital discharge
- Reduced scarring
- Lower infection risk
- Earlier return to normal activities
- Laparoscopic cholecystectomy (gallbladder)
- Laparoscopic appendectomy
- Laparoscopic hernia repair (TEP, TAPP)
- Laparoscopic fundoplication (GERD)
- Laparoscopic bowel resection
- Laparoscopic ventral hernia repair
- Diagnostic laparoscopy
- Single-incision laparoscopic surgery (SILS)
- Bariatric surgery (sleeve gastrectomy, gastric bypass)
- Laparoscopic liver resection
- Laparoscopic splenectomy
Breast and Endocrine Surgery
Breast and Endocrine Surgery
- Breast Surgery
- Lumpectomy and wide local excision
- Mastectomy (simple, modified radical, skin-sparing)
- Breast conservation surgery
- Sentinel lymph node biopsy
- Axillary lymph node dissection
- Breast reconstruction (immediate and delayed)
- Thyroid Surgery
- Hemithyroidectomy
- Total thyroidectomy
- Thyroid lobectomy
- Parathyroidectomy
- Other Endocrine
- Adrenalectomy (open and laparoscopic)
Vascular Surgery
Vascular Surgery
- Varicose vein surgery (stripping, ligation)
- Endovenous laser ablation (EVLA)
- AV fistula creation for dialysis
- Peripheral vascular bypass
- Carotid endarterectomy
- Aneurysm repair
- Thrombectomy
Orthopedic Surgery
Joint Replacement Surgery
Joint Replacement Surgery
- Total Knee Replacement (TKR)
- Primary TKR (unilateral and bilateral)
- Revision TKR
- Minimally invasive TKR
- Computer-assisted navigation
- Custom-fit implants
- Total Hip Replacement (THR)
- Primary THR (cemented, uncemented, hybrid)
- Revision THR
- Hip resurfacing
- Minimally invasive approaches (anterior, posterior)
- Ceramic and cross-linked polyethylene bearings
- Other Joint Replacements
- Shoulder replacement (total and reverse)
- Elbow replacement
- Ankle replacement
- Immediate physiotherapy initiation
- DVT prophylaxis protocols
- Pain management pathways
- Infection surveillance
- 10-15 year implant survival rates over 95%
Trauma and Fracture Surgery
Trauma and Fracture Surgery
- Fracture Fixation
- Plate and screw fixation
- Intramedullary nailing
- External fixation
- K-wire fixation
- Common Fractures Treated
- Long bone fractures (femur, tibia, humerus)
- Hip fractures (neck of femur, intertrochanteric)
- Ankle and wrist fractures
- Clavicle and scapula fractures
- Pelvic and acetabular fractures
- Soft Tissue Injuries
- Tendon repairs
- Ligament reconstruction
- Nerve repair
- Muscle repair
Arthroscopic Surgery
Arthroscopic Surgery
Minimally invasive joint surgery using camera and instruments
- Knee Arthroscopy
- ACL reconstruction (hamstring/patellar tendon graft)
- PCL reconstruction
- Meniscus repair and meniscectomy
- Cartilage procedures (microfracture, OATS)
- Synovectomy
- Shoulder Arthroscopy
- Rotator cuff repair
- Bankart repair (shoulder instability)
- Subacromial decompression
- Biceps tenodesis
- SLAP repair
- Other Joints
- Ankle arthroscopy
- Elbow arthroscopy
- Wrist arthroscopy
- Hip arthroscopy
Spine Surgery
Spine Surgery
- Cervical Spine
- Anterior cervical discectomy and fusion (ACDF)
- Cervical laminectomy
- Cervical disc replacement
- Lumbar Spine
- Microdiscectomy
- Lumbar fusion (TLIF, PLIF)
- Laminectomy and decompression
- Minimally invasive spine surgery (MISS)
- Deformity Correction
- Scoliosis correction
- Kyphosis correction
- Spinal Trauma
- Vertebral fracture fixation
- Spinal cord injury management
- Pain Management Procedures
- Vertebroplasty
- Kyphoplasty
- Epidural steroid injections
Cardiothoracic Surgery
Cardiac Surgery
Cardiac Surgery
- Coronary Artery Surgery
- CABG (on-pump and off-pump)
- Minimally invasive CABG
- Redo CABG
- Valve Surgery
- Mitral valve repair and replacement
- Aortic valve replacement
- Tricuspid valve repair
- Double valve replacement
- Ross procedure
- Congenital Heart Surgery
- ASD/VSD closure
- Tetralogy of Fallot repair
- Coarctation repair
- Complex congenital defects
- Aortic Surgery
- Aortic aneurysm repair
- Aortic dissection surgery
- Bentall procedure
- Other Cardiac Procedures
- Pericardiectomy
- Cardiac tumor excision
- Transplant evaluation and listing
Thoracic Surgery
Thoracic Surgery
- Lung Surgery
- Lobectomy and pneumonectomy
- Video-assisted thoracoscopic surgery (VATS)
- Lung biopsy
- Bullectomy for pneumothorax
- Mediastinal Surgery
- Thymectomy
- Mediastinal tumor excision
- Esophageal Surgery
- Esophagectomy
- Fundoplication
- Esophageal diverticulum
- Chest Wall
- Chest wall reconstruction
- Rib fracture fixation
Neurosurgery
Brain Surgery
Brain Surgery
- Tumor Surgery
- Craniotomy for tumor excision
- Stereotactic biopsy
- Awake craniotomy for eloquent area tumors
- Transsphenoidal pituitary surgery
- Vascular Neurosurgery
- Aneurysm clipping
- AVM excision
- Cavernoma excision
- Trauma
- Decompressive craniectomy
- Hematoma evacuation (EDH, SDH, ICH)
- Depressed skull fracture elevation
- Hydrocephalus
- VP shunt insertion
- Endoscopic third ventriculostomy (ETV)
Spinal Neurosurgery
Spinal Neurosurgery
- Spinal tumor excision
- Spinal cord decompression
- Spinal instrumentation
- Syringomyelia treatment
- Tethered cord release
Functional Neurosurgery
Functional Neurosurgery
- Deep brain stimulation (DBS) for Parkinson’s
- Epilepsy surgery
- Trigeminal neuralgia (microvascular decompression)
- Pain surgery
Urological Surgery
Endourology
Endourology
- Stone Disease
- ESWL (extracorporeal shock wave lithotripsy)
- PCNL (percutaneous nephrolithotomy)
- RIRS (retrograde intrarenal surgery)
- Ureteroscopy (URS) with laser lithotripsy
- Cystolithotripsy
- Endoscopic Procedures
- TURP (transurethral resection of prostate)
- TURBT (bladder tumor resection)
- Urethral stricture management (DVIU, urethroplasty)
- URS for ureteric stricture
Laparoscopic Urology
Laparoscopic Urology
- Laparoscopic nephrectomy (simple and radical)
- Laparoscopic partial nephrectomy
- Laparoscopic pyeloplasty
- Laparoscopic radical prostatectomy
- Laparoscopic radical cystectomy
- Laparoscopic varicocelectomy
Reconstructive Urology
Reconstructive Urology
- Hypospadias repair
- Urethroplasty for stricture
- Pyeloplasty for PUJO
- Vesicovaginal fistula repair
- Bladder augmentation
Uro-Oncology
Uro-Oncology
- Radical nephrectomy (kidney cancer)
- Radical prostatectomy (prostate cancer)
- Radical cystectomy with ileal conduit (bladder cancer)
- Partial nephrectomy (nephron-sparing)
- Retroperitoneal lymph node dissection
Gynecological Surgery
Benign Gynecology
Benign Gynecology
- Hysterectomy
- Abdominal hysterectomy
- Vaginal hysterectomy
- Laparoscopic hysterectomy (TLH)
- Laparoscopic-assisted vaginal hysterectomy (LAVH)
- Myomectomy
- Open myomectomy
- Laparoscopic myomectomy
- Hysteroscopic myomectomy (for submucosal fibroids)
- Ovarian Surgery
- Ovarian cystectomy
- Oophorectomy
- Ovarian drilling for PCOS
- Endometriosis Surgery
- Laparoscopic excision of endometriosis
- Ovarian endometrioma excision
- Prolapse Surgery
- Vaginal wall repair
- Sacrocolpopexy
- Mesh repair procedures
- Incontinence Surgery
- TVT/TOT sling procedures
- Burch colposuspension
Obstetric Surgery
Obstetric Surgery
- Cesarean Section
- Elective cesarean section
- Emergency cesarean section
- VBAC trial with surgical backup
- Ectopic Pregnancy
- Laparoscopic salpingectomy
- Laparoscopic salpingostomy
- Other Procedures
- Cervical cerclage
- Manual removal of placenta
- Repair of perineal tears
Gynecological Oncology
Gynecological Oncology
- Total abdominal hysterectomy with bilateral salpingo-oophorectomy
- Radical hysterectomy (Wertheim’s)
- Pelvic lymph node dissection
- Omentectomy
- Staging laparotomy for ovarian cancer
- Vulvectomy
Other Surgical Specialties
ENT Surgery
ENT Surgery
- Tonsillectomy and adenoidectomy
- Septoplasty and turbinectomy
- Functional endoscopic sinus surgery (FESS)
- Tympanoplasty and mastoidectomy
- Thyroidectomy
- Parotidectomy
- Laryngeal surgery
- Cochlear implant
Ophthalmology Surgery
Ophthalmology Surgery
- Cataract surgery (phacoemulsification with IOL)
- Glaucoma surgery (trabeculectomy)
- Vitreoretinal surgery
- Corneal transplant
- Strabismus surgery
- Oculoplastic procedures
- LASIK and refractive surgery
Plastic and Reconstructive Surgery
Plastic and Reconstructive Surgery
- Cleft lip and palate repair
- Hand surgery and microvascular reconstruction
- Burn contracture release
- Skin grafting and flap procedures
- Scar revision
- Cosmetic procedures (rhinoplasty, liposuction, abdominoplasty)
Pediatric Surgery
Pediatric Surgery
- Neonatal surgery (intestinal atresia, anorectal malformations)
- Congenital diaphragmatic hernia repair
- Pyloric stenosis repair
- Intussusception reduction
- Circumcision
- Orchidopexy for undescended testis
- Hypospadias repair
Anesthesia Services
Our Department of Anesthesiology provides comprehensive perioperative care with a team of experienced anesthesiologists and certified nurse anesthetists.Pre-Anesthetic Evaluation
Pre-Anesthetic Evaluation
- Pre-Anesthetic Checkup (PAC)
- Detailed medical history
- Airway assessment
- ASA physical status classification
- Risk stratification
- Patient counseling about anesthesia options
- Pre-Operative Optimization
- Medical condition stabilization
- Medication adjustment
- NPO (fasting) instructions
- Pre-medication orders
- Informed Consent
- Explanation of anesthesia techniques
- Discussion of risks and benefits
- Alternative options
Anesthesia Techniques
Anesthesia Techniques
- General Anesthesia
- Inhalational anesthesia
- Total intravenous anesthesia (TIVA)
- Balanced anesthesia
- Airway management (ETT, LMA, difficult airway protocols)
- Regional Anesthesia
- Spinal anesthesia
- Epidural anesthesia
- Combined spinal-epidural (CSE)
- Peripheral nerve blocks (ultrasound-guided)
- Local Anesthesia
- Local infiltration
- Field blocks
- Tumescent anesthesia
- Sedation
- Minimal sedation (anxiolysis)
- Moderate sedation (conscious sedation)
- Deep sedation
- Monitored anesthesia care (MAC)
Monitoring and Safety
Monitoring and Safety
- Standard Monitoring (ASA Standards)
- Continuous ECG
- Non-invasive blood pressure (every 5 minutes minimum)
- Pulse oximetry (SpO2)
- Capnography (EtCO2)
- Temperature monitoring
- Anesthetic agent monitoring
- Advanced Monitoring
- Invasive arterial blood pressure
- Central venous pressure (CVP)
- Pulmonary artery catheter
- Cardiac output monitoring
- Depth of anesthesia monitoring (BIS, entropy)
- Neuromuscular monitoring (TOF)
- Transesophageal echocardiography (TEE)
- Patient Safety Protocols
- Difficult airway management cart
- Malignant hyperthermia protocol and dantrolene availability
- Local anesthetic toxicity management (lipid emulsion)
- Anaphylaxis management protocols
Specialized Anesthesia Services
Specialized Anesthesia Services
- Cardiac Anesthesia
- On-pump and off-pump CABG
- Valve surgery
- Congenital heart surgery
- Advanced hemodynamic monitoring
- Neuro Anesthesia
- Brain tumor surgery
- Awake craniotomy
- Spine surgery (prone positioning)
- ICP management
- Obstetric Anesthesia
- Labor epidural analgesia
- Cesarean section anesthesia
- High-risk obstetric anesthesia
- Pediatric Anesthesia
- Neonatal anesthesia
- Pediatric airway management
- Age-appropriate dosing and monitoring
- Day Surgery Anesthesia
- Fast-track anesthesia techniques
- Short-acting agents
- PONV prevention
Pain Management
Pain Management
- Acute Pain Service
- Post-operative pain protocols
- Patient-controlled analgesia (PCA)
- Epidural analgesia
- Regional anesthesia for post-op pain
- Multimodal analgesia
- Chronic Pain Management
- Pain clinic services
- Interventional pain procedures
- Epidural steroid injections
- Nerve blocks
- Radiofrequency ablation
Fasting Guidelines (NPO - Nil Per Os):
- Clear liquids: 2 hours before surgery
- Breast milk: 4 hours
- Light meal: 6 hours
- Heavy/fatty meals: 8 hours
Post-Operative Care
Comprehensive recovery and monitoring ensure optimal surgical outcomes and patient comfort.Post-Anesthesia Care Unit (PACU)
Post-Anesthesia Care Unit (PACU)
- Recovery Room
- 20-bed recovery unit adjacent to operating theaters
- 1:2 nurse-to-patient ratio
- Continuous monitoring of vital signs
- Pain and nausea management
- Oxygen therapy as needed
- Discharge Criteria (Modified Aldrete Score)
- Stable vital signs
- Adequate pain control
- No active bleeding
- Able to ambulate (for day surgery)
- No nausea/vomiting
- Return of protective reflexes
- Average PACU Stay
- Minor surgery: 30-60 minutes
- Major surgery: 1-2 hours
- Day surgery: Until discharge criteria met
Surgical Intensive Care Unit (SICU)
Surgical Intensive Care Unit (SICU)
For patients requiring intensive monitoring after major surgery:
- 15-Bed Dedicated SICU
- 24/7 intensivist and surgical team coverage
- 1:1 or 1:2 nursing ratio
- Advanced monitoring and life support
- Common SICU Admissions
- Post-cardiac surgery
- Major vascular surgery
- Complex neurosurgery
- Multi-organ trauma
- Hemodynamically unstable patients
- Patients requiring ventilator support
- SICU Capabilities
- Mechanical ventilation (multiple modes)
- Hemodynamic monitoring and support
- Continuous renal replacement therapy (CRRT)
- Intra-aortic balloon pump (IABP)
- Extracorporeal membrane oxygenation (ECMO)
Surgical Ward Care
Surgical Ward Care
- Post-Operative Monitoring
- Vital signs every 4-6 hours
- Wound inspection and dressing changes
- Drain output monitoring
- Intake-output charting
- Pain assessment and management
- Early Mobilization
- Early ambulation protocols (within 24 hours for most surgeries)
- Incentive spirometry for lung expansion
- DVT prophylaxis (pharmacological and mechanical)
- Physiotherapy consultation
- Nutritional Support
- Early oral feeding when appropriate
- Dietitian consultation for special needs
- Parenteral nutrition if required
- Complication Surveillance
- Infection monitoring
- Wound healing assessment
- Early detection of complications
- Prompt intervention when needed
Pain Management
Pain Management
Multimodal Analgesia Approach:
- Non-Opioid Analgesics
- Paracetamol (acetaminophen)
- NSAIDs (when appropriate)
- Local anesthetic infiltration
- Opioid Analgesics
- Patient-controlled analgesia (PCA) pumps
- Scheduled and breakthrough dosing
- Opioid-sparing protocols
- Regional Techniques
- Epidural analgesia (for major abdominal/thoracic surgery)
- Peripheral nerve catheters
- TAP blocks for abdominal surgery
- Pain Assessment
- Regular pain scoring (0-10 scale)
- Patient satisfaction monitoring
- Side effect surveillance
Wound Care
Wound Care
- Surgical Site Care
- Sterile dressing for first 24-48 hours
- Daily wound inspection
- Dressing changes as per protocol
- Suture/staple removal (typically 7-14 days)
- Drain Management
- Output monitoring and recording
- Removal when output decreases
- Infection prevention protocols
- Signs of Infection (patient education)
- Increased redness or warmth
- Purulent discharge
- Fever
- Increasing pain
- Wound dehiscence
Discharge Planning
Discharge Planning
- Discharge Criteria
- Stable vital signs for 24 hours
- Adequate pain control on oral medications
- Tolerating oral diet
- Independently mobile (or baseline mobility)
- Wound healing appropriately
- No signs of complications
- Home support arranged
- Discharge Instructions (written and verbal)
- Medication list with dosing schedule
- Wound care instructions
- Activity restrictions
- Diet recommendations
- Warning signs to watch for
- Follow-up appointment details
- Emergency contact numbers
- Follow-Up Care
- First follow-up typically 7-14 days post-surgery
- Wound check and suture removal
- Progress assessment
- Further follow-up as needed
Enhanced Recovery After Surgery (ERAS) Protocols: We implement ERAS pathways for many surgical procedures, focusing on optimizing nutrition, minimizing surgical stress, early mobilization, and effective pain control to accelerate recovery and reduce complications.
Pre-Operative Preparation
What to Bring for Surgery:
- Government-issued photo ID
- Insurance card and pre-authorization (if applicable)
- List of current medications
- Previous medical records and test results
- Comfortable, loose-fitting clothes for discharge
- Personal toiletries
- Do NOT bring valuables or jewelry
Surgical Safety and Quality
Quality Assurance Measures
Quality Assurance Measures
- Surgical Safety Checklist
- WHO surgical safety checklist mandatory for all procedures
- Team briefing before first case of the day
- Timeout before incision
- Debriefing after procedure
- Surgical Site Infection Surveillance
- CDC definitions and protocols
- Surveillance for 30 days (or 90 days for implant surgery)
- Feedback to surgical teams
- Continuous quality improvement
- Morbidity and Mortality Conferences
- Regular departmental M&M conferences
- Case discussions and learning
- Root cause analysis for adverse events
- Outcome Monitoring
- Surgical complication rates
- Readmission rates
- Patient satisfaction scores
- Benchmarking against national standards
Patient Safety Initiatives
Patient Safety Initiatives
- Universal protocol for preventing wrong site, wrong procedure, wrong person surgery
- Surgical site marking by operating surgeon
- Two patient identifiers verification
- Implant traceability
- Blood availability verification before major surgery
- VTE prophylaxis protocols
- Antimicrobial stewardship
Minimally Invasive Surgery Advantages
Whenever feasible, we prefer minimally invasive techniques for numerous benefits:Smaller Incisions
Typically 5-10mm ports vs 10-20cm open incisions
Less Pain
Reduced post-operative pain and lower analgesic requirements
Faster Recovery
Shorter hospital stay and quicker return to normal activities
Better Cosmesis
Minimal scarring with excellent cosmetic results
Lower Infection Risk
Reduced surgical site infection rates
Less Blood Loss
Improved visualization and hemostasis
Booking Surgery
Insurance and Payment: Most surgical procedures are covered by health insurance with proper authorization. We have tie-ups with major insurance providers for cashless services. Our billing department assists with insurance documentation and claims. Self-pay packages available with transparent pricing.
Emergency Surgery: Emergency surgical procedures are performed as soon as medically necessary, bypassing the usual scheduling process. Our emergency operating theaters are available 24/7 for urgent and emergent cases.