DEPARTMENT OF ENDOCRINE SURGERY
The discipline of Endocrine surgery is an emerging field in medical science. Endocrine organs exert their distant target action through hormones and comprise of the thyroid, parathyroid, adrenal gland, breast, endocrine pancreas, pineal gland as well as pituitary, the master gland.
The unit of Endocrine Surgery at Government Mohan Kumaramangalam Medical College Hospital, Salem-1 is the second of its kind in the state of Tamilnadu. The outpatient service for Endocrine Surgery wasinaugurated by the Honourable Dr E. Palanisamy, former Chief Minister of State, in September 2016 on the third floor of PMSSY super specialty block, GMKMCH. Since the turn of the century, there has been an increasing incidence of endocrine diseases including breast cancer, thyroid cancer, thyroiditis, hyperthyroidism, obesity, and so on. Hence, our objective is to provide tertiary health care for the management of endocrine-related diseases on par with world standards and to meet the growing demand of needy patients from the neighboring 6 -7 districts. In recent times, advanced endocrine procedure including endoscopic thyroidectomy was performed in our hospital which is first of its kind in the Salem district. Operation theatre was allotted to Endocrine Surgery in the month of April 2022 at specialty theatre complex in PMSSY block. Since its inception, many challenging cases of malignant pheochromocytoma, retrosternal goiter, parathyroid carcinoma, etc.,have been dealt withefficiently.
Many well-designed research projects and clinical trials are conducted. The ongoing ICMR extramural project on Thyroid cancer is registered in world portal of Clinical trials registry. The outcomes of the research have been presented at National and International conferences and published in many international peer-reviewed journals.
2. ADDRESS FOR CORRESPONDENCE:
Department of Endocrine Surgery, OPD No. 177, Third Floor, PMSSY Superspecialty Block, Government Mohan Kumaramangalam Medical College Hospital, Shevapet, Salem-636001
Email ID: endocrinesurgery.gmkmc@gmail.com
Location: PMSSY Block, Third Floor
Inauguration of Endocrine Surgery Outpatient Department 2016
3. FACULTY:
| 1 | Head of the Department i/c | Prof. K. Vijayakumar MS., Head i/c, Dept of Endocrine Surgery, Professor & Head, General Surgery, Government Mohan Kumaramangalam Medical College Hospital, Salem-636001 |
| 2 | Assistant Professor | Dr. K. Poongkodi MS, MCh., Senior Civil Surgeon &Assistant Professor of Endocrine Surgery, Government Mohan Kumaramangalam Medical College Hospital, Salem-636030 Madras Medical College, (Deputation) Principal Investigator, Indian Council of Medical Research Extramural Scheme, GMKMC, Salem-636030 Research Scholar, The Tamilnadu Dr MGR Medical University, Chennai |
4. DEPARTMENT ADMINISTRATION:
Prof. Dr. K. Vijayakumar MS., HOD i/c oversees the administration work of the department, including Chief Minister’s Comprehensive Health Scheme. HOD ensures smooth coordination between various departments including Biochemistry, Microbiology, Pathology, Anesthesiology, Surgery and allied specialties to provide a holistic approach and comprehensive health care.
5. FACILITIES AND SERVICES:
Endocrine Surgery Outpatient Services:
Days of the week: Monday, Wednesday and Friday
Time: 10.00 Am to 12.00 pm
Venue: OPD No.177, Third floor, PMSSY block, GMKMCH, Salem-1
Endocrine Surgery In-patient Services:
Female surgical ward, male surgical ward, Special ward 500 under Chief Minister’s Comprehensive Health Scheme are available for preoperative work-up of male and female patients admitted under Endocrine surgery in the New Surgical Block along with the Department of General Surgery.
Woman Postoperative Ward and Male Postoperative Ward are also available separately in the second floor of New Surgical Block.
Department of General Surgery & Allied Specialty- New Surgical Block
WARD 500- Chief Minister’s Comprehensive Health Scheme-NSB II floor
Woman Postoperative ward:
Male Postoperative Ward:
Operation Theatre:
Specialty Theatre Complex- Elective Surgery:
Operation theatre cubicle 1 of the specialty theatre complex in PMSSY Superspecialty block with one operating table is allotted to Endocrine Surgery for elective surgical procedures on Thursday and Saturday of every week.
Endoscopic Thyroidectomy: BABA Technique
Emergency Operative Theatre:
Emergency Surgical Procedures are carried out in EOT located on the ground floor of the Emergency and Trauma Block.
Minor Operative Theatre and Endoscopic suite:
Minor OT and endoscopic suites are available on the first floor of New Surgical Block utilized for minor operative and endoscopic procedures along with General Surgery.
Hybrid Integrated Intensive Care Unit:
Integrated Intensive care is available for immediate postoperative and challenging cases at Hybrid-ICU with state of art technology in the first floor of PMSSY block, GMKMCH.
6. DEPARTMENT PERFORMANCE CENSUS
| SL NO | YEAR 2022 | OUT-PATIENT | IN-PATIENT | ELECTIVE SURGERY | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| MONTH | NEW | OLD | TOTAL | MALE | FEMALE | TOTAL | MAJOR | MINOR | TOTAL | |
| 1 | JANUARAY | 110 | 208 | 319 | 2 | 4 | 6 | 5 | - | 5 |
| 2 | FEBRUARY | 71 | 198 | 269 | - | 4 | 4 | 3 | - | 3 |
| 3 | MARCH | 188 | 211 | 399 | 2 | 4 | 6 | 4 | - | 4 |
| 4 | APRIL | 176 | 163 | 339 | 2 | 9 | 11 | 7 | - | 7 |
| 5 | MAY | 93 | 245 | 338 | 1 | 17 | 18 | 10 | 5 | 15 |
| 6 | JUNE | 76 | 279 | 355 | 3 | 15 | 18 | 12 | 5 | 17 |
| 7 | JULY | 63 | 453 | 516 | 1 | 8 | 9 | 8 | - | 8 |
| 8 | AUGUST | 63 | 240 | 303 | 2 | 4 | 6 | 3 | - | 3 |
| 9 | SEPTEMBER | 60 | 251 | 311 | 1 | 18 | 19 | 15 | 3 | 18 |
| 10 | OCTOBER | 61 | 274 | 335 | 1 | 12 | 13 | 10 | 2 | 12 |
| GRAND TOTAL | 961 | 2523 | 3484 | 14 | 95 | 109 | 77 | 15 | 92 | |
7. PROFESSIONAL RECOGNITION/ AWARD/ PRIZE/ CERTIFICATE, FELLOWSHIP
| S.No | Name of the Award | Awarding Agency | Year |
|---|---|---|---|
| 1. | OUTSTANDING PAPER AWARD | 54th Annual Conference of International College of Surgeons | 2009 |
| 2. | BEST PAPER PROF.JOTHIRAMALINGAM AWARD | 14th national conference of Indian Association of Endocrine Surgeons | 2013 |
| 3. | ICMR Financial aid to MCh dissertation | INDIAN COUNCIL OF MEDICAL RESEARCH | 2012 |
| 4. | Oral prize II | INTERNATIONAL SCIENTIFIC SYMPOSIUM – Christian Medical College | 2013 |
| 5. | Poster Presentation | Asian Association of Endocrine Surgeons | 2013 |
| 6. | Fellowship of Association of Endocrine Surgeons (FAES) | Indian Association of Endocrine Surgeons | 2016 |
| 7. | Oral Podium and Poster Presentation | 39thAnnual Meeting of American Association of Endocrine Surgeons (AAES) | 2018 |
| 8. | ITS- International Travel Grant Scheme for AAES 2018 | Science and Engineering research Board (SERB)-DST | 2018 |
| 9. | CSIR-Foreign Partial Finance Assistance for AAES 2018 | Council of Scientific and Industrial Research (CSIR) | 2018 |
| 10. | Advance Open and Endoscopic Thyroidectomy course | National Hospital of Endocrinology, Vietnam | 2019 |
| 11. | Best Faculty Paper Award- Prize 1 | Annual Conference of Association of Surgeons of India | 2019 |
| 12. | Best Research Paper Award- Prize 2 | Annual Conference of Association of Surgeons of India | 2019 |
| 13. | ICMR – Ad-Hoc Extramural Grant | INDIAN COUNCIL OF MEDICAL RESEARCH | 2019 |
| 14. | Case Capsule-Breast Cancer | BSI (Breast Surgery International), International Surgical Week, Vienna | 2022 |
| 15. | Poster Presentation | ISW-World Congress of Surgery, Vienna, Austria | 2022 |
Podium Presentation at Annual Meeting of American Association of Endocrine Surgeons 2018, USA
SERB/DST Grant and Partial finance assistance by CSIR- The effect of Total Thyroidectomy on Recovery of Bone Mineral Density in Hyperthyroidism
Poster Presentation at Annual meet of AAES 2018, USA with President ElectAAES
International Surgical Week 2022- World Congress of Surgery, Vienna, Austria
Breast Surgical International- Case Capsule and International Association Endocrine Surgeons- Poster Presentation
ASICON 2017, Jaipur- Faculty- Video Presentation
International Society of Oncoplastic Endocrine Surgeons (ISOPES) 2019
8. RESEARCH WORK:
Many well-designed research works are conducted and registered in CTRI.
Our work on “The effect of total thyroidectomy o the recovery of Bone Mineral Density” was the only Indian podium presentation at the prestigious 39th Annual meeting of the American Association of Endocrine Surgeons, USA 2018.
CSIR granted partial financial assistance and SERB-Dept of Science & Technology awarded International Travel Grant for the same.
Indian Council of Medical Research Project: Extramural Scheme: 2019 – till date
ICMR extramural project on “Genomic analysis in Thyroid Cancer” is first of its kind in the country. Dr K. Poongkodi MS., MCh., is the Principal Investigator (PI).
Prof Chellavel Ganapathy, the Nodal officer of the Multi-Disciplinary Research Unit coordinates with PI for this research work.
9. PUBLICATIONS
Original Articles:
- Springer Journal Langenbeck's Archives of Surgery
The impact of operative duration and intraoperative fluid dynamics on postoperative hypocalcemia after total thyroidectomy: a prospective non-randomized study. Karunakaran Poongkodi, Abraham DT, Devadas G, Ramalingam S, Balu S, Hussain Z. Langenbeck's Archives of Surgery. 2021 Jun;406(4):1211-21. - Elsevier Journal SURGERY (ISSN: 0039-6060)
The effect of total thyroidectomy on the recovery of bone mineral density in subjects with hyperthyroidism. *Karunakaran Poongkodi, Maharajan C, Chockalingam R, Asokumar P, Koramadai Karuppusamy K, Sadasivam V. Surgery. 2019 Jan;165(1):80-84. DOI: 10.1016/j.surg.2018.05.082. Epub 2018 Nov 8. - Elsevier Journal SURGERY (ISSN: 0039-6060)
Is hungry bone syndrome a cause of postoperative hypocalcemia after total thyroidectomy in thyrotoxicosis? A prospective study with bone mineral density correlation. *Karunakaran Poongkodi, Maharajan C, Ramalingam S, Rachmadugu SV. Surgery. 2018 Feb;163(2):367-372. doi: 10.1016/j.surg.2017.09.008. Epub 2017 Nov 14. - Elsevier Journal SURGERY (ISSN: 0039-6060)
Rapid restoration of bone mass after surgical management of hyperthyroidism: A prospective case control study in Southern India *Karunakaran Poongkodi, Maharajan C, Mohamed KN, Rachamadugu SV. Surgery 2016 Mar;159(3):771-6. DOI: 10.1016/j.surg.2015.10.002.PMID: 26582500. - Indian Journal of Endocrinology and Metabolism
The Effect of Hypomagnesemia on Refractory Hypocalcemia after Total Thyroidectomy: A Single-Center Prospective Cohort Study. Karunakaran P, Abraham DT, Devadas G, Hussain Z, Kanakasabapathi R. Indian J Endocrinol Metab. 2020 Nov-Dec;24(6):518-524. DOI: 10.4103/ijem.IJEM_681_20. Epub 2021 Jan 12.PMID: 33643868 - Springer Nature’s Journal- Indian Journal of Surgery
Is Preoperative Vitamin D Deficiency a Predictor of Transient and Permanent Hypocalcemia After Total Thyroidectomy? A Cohort Study in a Tertiary Care Hospital. Karunakaran P, Abraham DT, Devadas G, Hussain Z, Kanakasabapathi R. Indian Journal of Surgery. 2021 Nov 27:1-8. - Elsevier Journal- Annals of Medicine and Surgery (Lond)
Is there adenoma-carcinoma sequence between benign adenoma and papillary cancer of thyroid: A genomic linkage study? Bangaraiahgari R, Panchangam RB, Puthenveetil P, Mayilvaganan S, Bangaraiahgari R, Banala RR, Karunakaran P, Md R.Ann Med Surg (Lond). 2020 Dec 2;60:695-700. DOI: 10.1016/j.amsu.2020.11.069. eCollection 2020 Dec.PMID: 33318795 - International Surgery Journal
The utility of serum 25-hydroxyvitamin D in predicting post-thyroidectomy hypocalcemia in thyrotoxic subjects: a single-center cohort study Karunakaran P, Abraham DT. International Surgery Journal. 2020 Nov 27;7(12):4070-5. - International Surgery Journal
Histopathological pattern of thyroid diseases and its correlation with post-thyroidectomy hypocalcemia: a prospective study in iodine-sufficient Southern India. Karunakaran P, Devadas G. International Surgery Journal. 2020 Oct 23;7(11):3749-54. - IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.
Rising Trend in Thyroid Cancer – A Truth Or Myth?– A Prospective Study in a Tertiary Care Hospital in Southern India. Dr. K. Poongkodi M.S., M.Ch, Prof.Dr.N.Tamilselvan M.S., Prof.Dr.Thenmozhi M.D., IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) Volume 15, Issue 9 Ver. V (September. 2016), PP 45-48. DOI: 10.9790/0853-1509054548
Case reports:
- Indian Journal of Endocrine surgery
A Case Report of Skeletal Metastases from Papillary Thyroid Carcinoma. *Poongkodi K., Kamaludeen M.N., Indian Journal of Endocrine Surgery. Vol 11, Issue 1 October 2014, Pages 30 -32. - Indian Journal of Endocrine surgery
Anaplastic Large Cell Lymphoma- Unusual Malignancy of Thyroid – A Case Report and Review of Literature. *Poongkodi K., Kamaludeen M.N., IJES Vol 11, Issue 1 October 2014; Pages 33- 34. - Asian Journal of Case Reports in Surgery
Unusual Presentation and Novel Treatment of Granulomatous Thyroiditis: A Rare and Interesting Case. Panchangam RB, Mayilvaganan S, Mahalakshmi DV, Karunakaran P, Puthenveetil P. Asian Journal of Case Reports in Surgery. 2021 Jan 27:20-4. - Journal of Surgery and Clinical Interventions.
Sporadic Papillary Thyroid Carcinoma with Bilateral Pulmonary Metastases in a 7year old girl: A Case report and Literature Review. *Poongkodi K, Ravichandran R, Saminathan R (2017) J Surg Acute Care. 1(1).
Book Chapters:
- Canbay E. Vitamin D Deficiency: Causes & Treatment, Vol. 1, pp. 1-103. Vitamin D Deficiency: Causes & Treatment. 2019; openaccessebooks.com. *Poongkodi K. Causes and treatment of Vitamin D Deficiency – Online Book chapter
- Textbook of Endocrine Surgery – A South Asian Perspective ISBN 9781032136509, CRC Press, Jan 7, 2022-Editors Anand Mishra, Amit Agarwal, Rajeev Parameswaran, Kulranjan Singh- Book Chapter- History of Parathyroid Surgery- Poongkodi Karunakaran
- A Clinical Guide to Thyroidectomies-Editor-Anand Mishra- Nova Science Publishers, USA- Book Chapter – Anatomical Basis of Thyroid Surgery- Poongkodi Karunakaran
10.DETAILS OF PATENTS: - Nil
11.ACADEMIC ACTIVITIES:
Mondays: Bedside clinics with General Surgery Post graduates
Alternate Wednesday: Journal Club
Alternate Friday: Seminars/ Case Discussion
12.FUTURE GOALS:
Our future goal is to provide advanced surgical procedures on thyroid, parathyroid breast and adrenal gland including remote access/ scarless surgery and minimal access surgery. Advanced Surgical Procedures with 4D laparoscopy/ Robotic system:
Endoscopic thyroidectomy and parathyroidectomy-BABA and Transoral approach
Retroperitoneoscopic adrenalectomy
Metabolic and Bariatric surgery
Future Directionsin Research:
Genomic analysis of thyroid and breast cancer.