GI SURGERY

Gastrointestinal (GI) surgery focuses on disorders of the esophagus, stomach, small bowel, colon, rectum, liver, gallbladder, pancreas, and abdominal wall. The aim is simple: make a correct diagnosis, plan a safe and effective operation, and help you return to eating, moving, and living comfortably as soon as possible. Under the care of Dr. Asif Umar, patients receive a practical plan that balances cure, comfort, and recovery time—using minimally invasive options where appropriate and open techniques when they are the safer choice.

What we treat

  • Gallbladder and bile duct disease: Biliary colic, gallstones, polyps, and acute or chronic cholecystitis; bile duct stones with targeted imaging when needed.
  • Hepatobiliary pathologies like Choledochal cysts and biliary strictures
  • Hernias and abdominal wall defects: Inguinal, ventral, umbilical, and incisional hernias—including recurrent and complex cases requiring mesh and abdominal wall reconstruction.
  • Appendix and small bowel problems: acute appendicitis, small bowel obstruction (adhesions), and selected benign tumors or vascular issues requiring surgery.
  • Reflux and hiatal hernia: Anti-reflux surgery and hiatal hernia repair for patients with proven reflux who are not controlled on medicines or prefer a surgical solution.
  • Stomach and colon conditions: Symptomatic benign disease (diverticular complications, bleeding lesions, polyps not suitable for endoscopy)
  • Proctology and anorectal: Hemorrhoids, fissure, fistula, pilonidal disease—planned to reduce pain, recurrence, and time away from work.

Minimally invasive first, when it’s right

Many GI procedures are performed laparoscopically or with other minimal access methods. Smaller incisions can mean less pain, fewer wound issues, and a faster return to daily life. When extensive scarring, severe inflammation, or emergencies make open surgery safer, that approach is recommended without hesitation. The method is chosen for you, not the other way around.

Core procedures

  1. Gallbladder (Laparoscopic cholecystectomy)
    • What to expect: Two to four tiny incisions, removal of the gallbladder, and same day or next day discharge for most patients.
    • Recovery: Light meals at first, walking the same day, desk work in a few days, and a short lifting restriction to protect healing.
  2. Hernia repair (inguinal, ventral, incisional, umbilical)
    • Approach: Mesh reinforcement in the best plane for durability—open or laparoscopic depending on the hernia type, size, prior repairs, and your goals.
    • Recovery: Early walking, simple wound care, and a stepwise return to activity; component separation considered for large, complex abdominal wall reconstructions.
  3. Appendix and small bowel
    • Appendectomy: Urgent keyhole removal in most cases, with overnight observation when needed.
    • Small bowel surgery: Adhesiolysis or resection performed with careful tissue handling to reduce recurrence and protect bowel function.
  4. Anti-reflux and hiatal hernia surgery
    • Who benefits: Patients with documented reflux (testing-based) who have persistent symptoms or medication side effects.
    • Plan: Repair of the hiatus and an anti reflux wrap tailored to anatomy and motility, with diet progression and voice/swallow guidance after surgery.
  5. Colon and rectal surgery
    • Benign disease: Resection for complicated diverticular disease, bleeding, or non endoscopically removable polyps.

How your care is planned

  • Right tests, not extra tests: Ultrasound, CT/MRI, endoscopy, and lab work used purposefully to answer specific questions.
  • Clear consent: What is being done, why it’s needed, the alternatives, and the milestones that define a smooth recovery.
  • Enhanced recovery: Early mobilization, smart pain control, and diet advancement as tolerated to shorten downtime and lower complications.

Anesthesia, safety, and comfort

Modern anesthesia and vigilant monitoring are standard. Drains are used only when they help. Pain plans start simple and escalate only when necessary. Incisions are closed to support strong healing and a clean scar.

Your recovery roadmap

  • Day 0–1: Walk early, breathe deeply, and sip fluids as allowed. Going home the same day is common after many laparoscopic cases.
  • First week: Light meals, short walks, and simple wound care; most desk jobs resume within a few days if you feel ready.
  • Weeks 2–4: Activity increases gradually with guidance; lifting limits protect hernia and abdominal wall repairs.
  • Follow up: A set review to check the incision, discuss pathology if taken, and clear you for driving, gym, and travel.

Why patients choose us

Straight answers: You’ll hear the plan in plain language, including what not to do and why.

  • Technique that travels well: Meticulous hemostasis, gentle tissue handling, and exact closure for fewer problems later.
  • Continuity: The same team that meets you before surgery calls you after and signs off only when you’re truly back to baseline.

Preparing for surgery

Bring prior reports and imaging. Share all medicines and supplements—especially blood thinners and diabetes drugs. Pausing nicotine improves wound strength. Eat protein forward meals, hydrate, and keep moving; even short daily walks improve outcomes.

Book a consultation

If you’re facing gallbladder pain, a hernia, reflux not settling with medicines, appendix trouble, or a colon/stomach issue that needs surgical insight, book an appointment with Dr. Asif Umar. You’ll leave with a diagnosis you understand, a practical surgical plan, and a clear path back to normal life.