Center for Minimally Invasive Surgery (MIS)

Minimally invasive surgery uses tiny cuts or incisions in the skin — or no cuts at all — rather than the large cuts often needed in traditional surgery. MIS includes both laparoscopy (surgery through small holes) and endoscopy (diagnostic and therapeutic procedures performed through the body's organs and existing openings). There are many kinds of minimally invasive surgeries; each involves the surgeon using an endoscope or laparoscope. This is a thin tube with a light and tiny video camera at the end. The endoscope lets the surgeon see inside the body. The Surgeon inserts specially designed, thin instruments and sophisticated coagulation device to perform the operation through the smaller opening. It’s safer than open surgery. You’ll recover more quickly, spend less time in the hospital, and feel more comfortable.

In traditional surgeries, a surgeon needs to make a large incision in order to operate, mainly to use many assistants hands to be inside the wound. To have a reasonable vision for the team, the cut has to be really big. Minimally invasive techniques only require two to three small incisions — usually 5 mm / 10 mm and these port sites are the key to MIS. The high definition camera and lighting provide a clear vision for precise surgery.

There are many methods of minimally invasive surgery that have become the standard of care for a wide range of medical conditions, ranging from common medical issues to complex surgeries.


In Endoscopic Thyroidectomy, very small incisions are made in the axilla. A video camera helps in providing magnified vision of the structures and comfortable dissection. Our endoscopic technique using the axillary approach helps to remove large nodules of the thyroid by hemi or total thyroidectomies. It combines the benefits of the minimal access approach, safety and precision. The smallest of scars produced are hidden beneath the inner clothes, offering a great cosmetic advantage. This procedure gives better surgical outcomes than open surgery even in cancer thyroid.


The portion of stomach which secretes Ghrelin (hormone which increases appetite & work like magnet to retain fat to body) and acid in excess is removed. This leads to reduction in food intake and also alteration in hormonal milieu which leads to usage of stored fat for caloric requirement. Thus, by natural way, weight gets reduced and in a few months time, major portion of excess weight is lost. There is no need for taking medicines continuously and the weight loss will be sustained. Studies show this as the best method to control Diabetes, high cholesterol, snoring & joint pains also reduce significantly.


Intragastric Balloon (IGB) is placement of a deflated balloon in the stomach using endoscopy and then filling it to decrease the amount of intragastric space. It can be left in the stomach for a period of 6-12 months and results in average weight loss of 10-15 kg in 6 months. It may be used in patients who are overweight and not coming to the category of Obesity surgery. Very useful in PCOD causing infertility and in obese children.


A hernia is a medical condition when an organ can protrude through an opening in the tissue that holds the organ. Abdominal hernias are quite common and they mainly occur due to various reasons. A hernia can occur more easily in people who have thin abdominal walls either due to congenital reasons or due to an injury. Chronic cough or chronic constipation can raise the condition of hernia. Age and obesity is a risk factor for hernia. Hernia if not treated at the right time can lead to more complications like intestinal blockage or tissue damage. Laparoscopic surgeries/ keyhole surgeries provide the best experience of the surgery due to the less pain and blood loss during the surgery. Laparoscopic surgeries assure the repair of the hernia using the instruments without further damaging the abdominal wall. Very minimal tissue injury and placement of large mesh makes it far superior in strength and hence very less chance for reoccurrence of hernia. The prolonged rest for months following open hernia can be fully avoided by laparoscopic approach.

Hernia can be of different types and the most important among them are

DIABETIC SURGERY (RESOLUTION IN 90%) - Ileal Interposition (Hybrid)

By keyhole surgery the stomach size is brought down, hence excess food intake will be reduced and gastric emptying is accelerated. Last portion of small intestine is brought towards the stomach that helps in bringing partially digested food into the small intestine rapidly, thus increasing GLP1 level and thereby increasing insulin levels. Obese diabetics require modified sleeve gastrectomy alone while non obese diabetics require sleeve gastrectomy and Ileal interposition. The weight reduction and associated fat loss will also increase insulin activity. These surgeries are found to increase insulin performance and give long standing resolution of diabetes. Metabolic surgery patients have better Type 2 Diabetes remission & fewer complications than the medically treated patients.
Diabetes can be resolved by surgery has been well accepted world over and recommended by professional bodies like International Diabetic Federation (IDF). The dramatic normalization of blood sugar level for many many years gives significant reduction in associated complications also like eyesight loss, kidney failure, heart attack and limb loss.


  • Appendectomy
  • Cholecystectomy
  • Low Anterior Resection for Colorectal Diseases (without having colostomy)
  • Cancer Surgery
  • Splenectomy
  • Adhesiolysis
  • Liver Biopsy


  • Varicose Vein Treatment
  • Diabetic Foot Management
  • Breast Surgery
  • Stapler Hemorrhoidectomy for piles
  • Advanced Treatment for fistula
  • Tummy Tuck for Abdominal apron
  • Flap repair for Pilonidal sinus

Highlights of our care

OUR TEAM OF MIS: Excellent, experience & World reputed team..

Our team of dedicated surgeons uses state-of-the-art technology and techniques to perform a variety of minimally invasive surgeries. Surgeons skilled in minimally invasive surgery is also referred to as laparoscopic, endoscopic or “key hole” surgeon. Our minimally invasive surgeons are well-trained with vast experience. People from more than 30 countries have utilized our highly professional services. They provide training and education to surgeons from other hospitals across the globe.


1. Dr. R Padmakumar MBBS, DNB, MNAMS, DipALS, FAIS, FIMSA, FCLS, FRCS( GL) Head of the department - MINIMALLY INVASIVE SURGERY( MIS)
Sr.Consultant Laparoscopic and Metabolic Surgeon
2. Dr. Madhukara Pai D MBBS, MS( Gen.Surgery), FMAS, FCLS, FLHS Consultant- General & Laparoscopic Surgeon
(Specialist in Laparoscopic surgery, Hernia Surgery, Anorectal & Varicose vein Surgery)
3. Dr. Kevin J Chiramel MBBS, MS, FMAS, DMAS Jr.Consultant – General & Laparoscopic Surgeon
4. Dr. Aravind Balakrishnan MBBS, MS( Gen.Surgery) Jr.Consultant – General & Laparoscopic Surgeon