Department Of Surgery

Overview Dept of surgery was established in 1993 in a very small setup through

the effort of our senior consultant and founder Dr Saroj P. Dhital. Since 2003, it got transformed into a tertiary referral center. Now, our department provides comprehensive surgical services in a tertiary care setting. A wide-range of minimally invasive , open surgeries and endo-urological procedures are being offered by the department. The department is committed to providing state-of- the-art surgical care to patients from throughout the Nepal. Our team members work closely with other faculty, including the departments of Medicine, Anesthesiology, Gynaecolgy & Obstetrics, Pathology &Laboratory medicine and Radiology . This team approach, which includes routine case conferences, ensures complete and coordinated care of the patient. The care of patients is what attracted most of our faculty members and residents into surgery initially, and it continues to be the focus of much of our attention.

Mission of the Department To provide our patients with most ethical, compassionate,

cost effective , skilled and innovative surgical care of the highest quality.

To develop skilled surgeons by educating students, residents and fellows in the humanistic, scientific and practical aspects of surgery.

To promote professional and personal growth in a collaborative environment which will help in developing the next generation of leaders in the dept.

Message From HOD

I express my great honor to all the founders of KMH, especially to Dr Saroj Dhital, who dreamed and did his best towards the development and delivery of health services to the very needy people of our country. Dept of Surgery is making effort and professional dedication to upgrade the services. I am very much excited that Kathmandu Model Hospital, which is in the process of establishing Pushpalal Medical College is going to launch this website. I hope that through this website we will be able to share our departmental activities to the people of our country.

Dr. Saroj P. Dhital, Senior Consultant,Founder

Dr. Bijendra Dhoj Joshi, Dr. Udaya Koirala Consultant, HOD Consultant

Dr. Amit Mani Upadhyay, Dr Kabir TiwariSenior Registrar Registrar

Ms Sreejana Maharjan, Dept. SecretaryDr. Prakash Paudel, FCPS-II 2nd yr ResidentDr Surya B. Thapa, FCPS-II 1st yr ResidentDr Kovid Nepal, FCPS-II 1st yr ResidentDr Marisa Aryal , FCPS-II 1st yr Resident

Services(OPD Schedule)Name Sunday Monday Tuesday Wednesd

ayThursday Friday

Dr Saroj Dhital

11-1 Pm 11 – 1 Pm

Dr Bijendra Dhoj Joshi

10.30 -3 Pm

10.30 – 3 Pm

Dr Udaya Koirala

10.30 -3 Pm 10.30 – 3 Pm

Dr Amit Mani Upadhyay

10.30 – 3 Pm

10.30 – 3 Pm

Dr Kabir Tiwari

10.30 – 3 Pm

10.30 – 3 Pm

10.30 – 3 Pm

Common Procedures in general surgery

Hepatobiliary:1) Laparoscopic Cholecystectomy2) Open Cholecystectomy

with/without ECBD3) Extended Cholecystectomy

Hernia:

1) Mesh Repair

2) Herniorraphy

Breast:

1) MRM

2) Excision of fibroadenoma

3) Wide local lumpectomy

4) Sub-cutaneous Mastectomy

Common Procedures in general surgery

GI:1) Appendectomy (Open/ Laparoscopic)2) Exploratory Laparotomy3) Gastrectomy( Total/ Subtotal)4) Diagnostic Laparoscopy5) Hemicolectomy6)*Whipple’s Procedure (2 in last 2yrs)

Ano-rectal:1) Hemorrhoidectomy (Open/ Stappled)2)APR + LAR3) Fistulectomy4) Lateral Sphicterotomy Vascular:1) High ligation and stripping of varicose vein

Common procedures in Urology Open surgeries

1) Pyelolithotomy/ Nephrolithotomy

2)Ureterolithotomy/Cystolithotomy3) Nephrectomy4) RPP5)Pyeloplasty

6) Urethroplasty7)Radical Cystectomy8) Circumcision & EVS

Endourological procedures

1) URS + ICPL2) TURP &TURBT3) PCNL4)CYSTOSCOPY + ICPL5)OIU6)CYSTOSCOPY + DJ STENTING

OPD based diagnostic procedures

Upper GI EndoscopyDuodenoscopySigmoidoscopyColonoscopyERCP (in the near future)

Academic Activities:

FCPS Part II Training: 1st batch already completed successfully 2nd & 3rd batch currently enrolledInternship training as per the requirement from

Nepal Medical Council since 2006. PTC Training ‘’Disaster Management Protocol” design for 7 years

&“Disaster Management Protocol” orientation twice yearly.

Cont…

Research Activities: Morphology of GB stones, Post- Lap. Chole. Pain management, Ureteric Stones, Prostatic hypertrophy, SSI, non operative management in Ac Appendicitis

Paper Presentation:NMA International Conference 2009PSRN International Conference 2010ICS CME 2008, 2010 MarchSSN International conference 2010ICS international conference 2011

Dr Bijendra Dhoj joshi NMC Regd No : 1762, NMA Regd No : 1649/L-1249 Graduation : Kharkov Medical University, 1992, Ukraine Master in Surgery : Institute of Postgraduate Medicine &

Research, Dhaka university, 2003, Bangladesh Worked as Senior MO in KMH from 1995-1997,Registrar in

Dept Of Surgery from 2003-2006,Senior Registrar from 2006-2008, and since then as consultant

Training in Department of Endoscpic,Diagnostics and Therapeutics in Kyushu University Hospital, Japan from July to September , 2010 for Advanced Endoscopic and Laparooscopic procedures

Dr Bijendra Dhoj joshi

Dr Amit Mani Upadhyay Completed MBBS from Peking University, School of Medicine

in 1999. Completed master degree(M.S) in General surgery from

Peking University, School of Medicine in 2007. Completed one year fellowship in advanced endourolgy &

general urology from Peking University, 3rd Hospital in 2008. Worked in Patan Hospital dept of emergency & B.P.Koirala

Memorial Cancer Hospital dept of surgical oncology as a medical officer from 2000 to 2004.

Working as senior registrar in dept of surgery ,Kathmandu Model Hospital since Sept 2008.

Special field of interest: General Urology + Endourological procedures like PCNL,URS,TURP,TURBt and laparoscopic surgery.

Dr Kabir Tiwari

• MBBS, MS (Urology)• NMC regd. no.5482• MBBS- Medical College of Zhengzhou

University, P.R China, 2004• Master of Surgery (Urology) –Sun Yat-sen

University, P.R China 2011• Training Laparoscopic course conducted by

Ministry of Health,P.R China• Working as Registrar in the dept of surgery

since Nov,2011.• Field of interest- Endourology,

Urooncology.