STATEMENT OF PROFESSIONAL INTERESTS

During my residency at the KEM Hospital in general surgery and then the Lilavati Hospital & Research Centre in surgical gastroenterology, in Mumbai, I had the privilege to work with doctors and teachers like Professor R.D. Bapat, Professor A.N. Supe and Dr. P. Jagannath who instilled in me a keen interest in GI Surgery.

Sir Gangaram Hospital, provided me the exclusive opportunity to work with stalwarts like Prof. S. Nundy, Dr. A. Soin and Dr. Adarsh Choudhary. In addition to the experience of handling the entire spectrum of cases in GI surgery, I got a chance to actively participate in the Live Donor Liver Transplantation programme in the hospital attending nearly 50 hepatic transplantations.

Working at the Tata Memorial Hospital, Mumbai as a senior fellow and subsequently as a lecturer has been a fascinating and enlightening experience, giving me a thorough exposure to all major and complex GI oncosurgery cases. Working with Dr. Parul Shukla and Dr. Shailesh Shrikhande I have gained a lot of clinical skills, surgical finesse and a much-needed boost to handle major and complex cases on an individual basis. 

Being amongst the first to complete the DNB surgical Gastroenterology course in only the second institute in this part of the country to be accredited to train students in this field, I now planned to pursue my interests professionally further in a centre of excellence for hepatopancreatobiliary surgery and liver transplantation.

The Seoul St. Mary Hospital, at Seoul, South Korea, an eminent establishment of the Catholic University of Korea, is a 1200 bedded hospital with 18 specialized clinical centers having a dedicated organ transplantation centre performing kidney, liver, and pancreas transplantations. They performed the first liver transplantation in 1989 and have carried out more than 600 liver transplants since then.

Working at a high volume centre for hepatobiliary surgery and liver transplantation and having had an eminent expert like Professor Young Kyoung You as my teacher has further enhanced my skills as a hepatobiliary and liver transplant surgeon.

Major complex hepatobiliary surgeries and liver transplantation are carried out at a handful of centers in the country. I had the privilege of training in Living Donor Liver Transplantation with Professor AS Soin in the country’s premier institute Medanta doing more than 250 LDLTs annually giving me complete and comprehensive exposure in all faculties of this rather complex and demanding procedure in addition to complex hepatobiliary cases. Working independently at Jupiter Hospital(2012-2014) has been a wonderful experience which has helped me grow in confidence and mature as an HPB surgeon.

It has been an enlightening experience working at Global Hospitals Mumbai and witnessing young hardworking individuals build a fantastic team. Working with a mentor like Professor Mohamed Rela first at Global Hospital and later at the Rela Institute & Medical Centre, Chennai and learning from his amazing surgical skills and clinical understanding of liver diseases has been a revelation and an enlightening experience.

Leading the team at the Jupiter group of hospitals since March 2022, has been a great learning experience in the leadership role where the team has managed to deliver the best outcomes in liver transplantation yet in a short while that we’ve been here.

With liver diseases increasing in India and the parallel and persistent increase in the cases requiring complex hepatopancreatobiliary surgeries along with liver transplantation, I believe that working at your institute will give me an opportunity to serve a larger number of patients in need and give me the satisfaction of serving the community in turn.

Professional Experience

• Jupiter Lifeline Hospital, Thane, Pune & Indore

Senior Consultant & Clinical Lead, Department of HPB & Liver Transplantation Surgery – March 2022 till date

• Rela Institute & Medical Centre, Chennai

Consultant, Institute of Liver Diseases & Tranplantation – October 2018 till February 2022

• Gleneagles Global Health City

Consultant, Institute of Liver Diseases & Transplantation- October 2016 till September 2018

• Global Hospital, Mumbai

Consultant, Hepatopancreatobiliary & Liver Transplantation Surgery- October 2014 to October 2016

• Jupiter Hospital, Thane

Consultant GI, Hepatopancreatobiliary, Liver Transplant Surgery – March 2013 to October 2014

• Medanta – The Medicity, Gurgaon, Haryana - Institute of Liver Transplantation & Regenerative Medicine - February 2012 onwards

Senior Fellow – February 2012 to February 2013

Associate Consultant – February 2013 to October 2014

• Seoul St Mary’s Hospital, Catholic University of Korea, Seoul, South Korea.

Fellow, Division of Hepatopancreatobiliary Surgery and Liver Transplantation.   January 2011 – October 2011

• Lilavati Hospital & Research Centre, Bandra, Mumbai.  November 2010 – January 2012

Associate Consultant, Department of Surgical Gastroenterology

• L. H. Hiranandani Hospital, Powai, Mumbai. July 2008 onwards

          Honorary Consultant – GI Surgery

• Tata Memorial Hospital, Parel, Mumbai. Deparment of GI & HPB Oncosurgery. August 2008 – October 2010

      Lecturer, May – October 2010

            Senior Research Fellow, January 2009 – April 2010

                  Observer, August – December 2008

• Sir Gangaram Hospital, New Delhi  March 2007 - June 2007

Fellow, The Gyan Burman Hepatopancreatobiliary Fellowship, Department of Surgical Gastroenterology

Assisted all major gastrointestinal and hepatobiliary surgeries, with both preoperative and postoperative care of the patients in the ward.

was an active member of the transplant team conducting regular Live Donor Liver Transplants.

• Lilavati Hospital & Research Centre, Mumbai February 2004 - February 2007

                        Senior Registrar, Department of Surgical Gastroenterology,                                           April 2006 – February 2007 

• Managed the indoor and outdoor patients in the department.
• Conducted all major and minor GI surgeries independently and as an active assistant.
• Comprehensive hands on training in basic laparoscopic gastrointestinal surgeries

                   Senior Registrar, Department of Surgical Oncology February 2004-                              March 2006

• Assisted all major GI onco surgical work
• Managed the preoperative work up and the post operative management of the indoor and outdoor patients.
• Healthy experience with the rigorous postoperative critical care of these patients in the ICU.

• Seth G.S. Medical College & KEM Hospital, Mumbai,

                        Senior Registrar, Department of Surgical Gastroenterology                                August 2003 – January 2004

• Managed the outpatient and indoor patients
• Independently conducted all minor GI surgeries
• Actively assisted all major GI surgeries conducted in the department

                        Senior Resident, Department of General Surgery                                                   August 2001- January 2003

• Managed the emergency surgical unit, with six months of surgical intensive care management
• Conducted all major surgical procedures both elective and emergency independently and as an assistant.

                        Junior Resident, Department of General Surgery                                                              February 2000- July 2001

• Managed the surgical wards and outpatient department
• Conducted minor surgeries under supervision.

• Primary Health Center, Vasai, Thane

            Medical Officer March 1999 – February 2000

• Conducted OPD and provided basic medical facilities for a population of 12000- 15000
• Promoted medical awareness and conducted health camps and providing immunization at various outreach centres.

Professional Affiliations

• International HepatoPancreatoBiliary Association (IHPBA)
• Association of Surgeons of India (ASI)
• Association of Medical Consultants, Mumbai
• Liver Transplantation Society of India
• International Liver Transplant Society (ILTS)

   Professional Activities

• Workshops Attended
  • DaVinci Robotic skills training, Chennai August2021-February 2022
  • Microvascular surgery course at Ethicon Institute of Surgical Education, Chennai, February 2018
  • Advanced Laparascopy workshop at Ethicon Institute of Surgical Education, Mumbai, July 2016.
  • Microvascular surgery course at Ethicon Institute of Surgical Education, Mumbai, July 2015.
  • Ethiskills course at Ethicon Institute of Surgical Education, Mumbai in Nov.2000.
  • Use of Staplers in General Surgery at K.E.M. Hospital, Mumbai in July 2001.
  • Transmission of HIV in the medical field held at K.E.M. Hospital in Sept.2001.

• Programmes Attended.
  • MCLD 2016-2022, Chennai, India
  • ILTS 2017, Prague, Czech Republic
  • MASICON, February 2016, Kolhapur, Maharashtra
  • Congress of Asian Society for Transplantation, Seoul, September 2011
  • Korean Society of Laparoscopic and Endooscopic Surgeons, Annual Fall Meeting, April 2011.
  • 34th International Conference on Hepatobiliary Pancreatic Surgery, Korea, April 2011,Seoul
  • Liver transplantation Seminar, Seoul, March 2011
  • IASG, Mumbai, October 2009
  • Basics of Clinical Research & Statistical Analysis, Clinical Research          Secretariat, Tata Memorial Centre, Mumbai, October 2008
  • IHPBA World Congress, Mumbai, April 2008
  • Update on liver transplantation & portal hypertension, SGPGI, Lucknow, February 2008.
  • IHPBA - Indian Chapter, Lucknow, February 2007.
  • Update on GI cancers held at the Tata Memorial Hospital, Mumbai, August 2006.
  • ASCICON , Mumbai 2006
  • Grand Rounds in GI cancers at the Lilavati Hospital & Research Centre in 2005 & 2006.
  • IHPBA –Indian Chapter, Ahmedabad October 2005.
  • IHPBA – Indian Chapter, Hyderabad August 2004.
  • HPB MASTERCLASS at Tata Memorial Hospital, Mumbai in Sept.2003.
  • Continuing Medical Education in Surgery held at G.S.Medical College and K.E.M. Hospital, Mumbai in Dec.2002.
  • Continuing Medical Education in Surgery at Lokmanya Tilak Medical College and Sion Hospital, Mumbai in Oct.2002.

• Presentations at National/international meetings
  • Masterclass in Liver Disease 2017, 2018
  • Large Liver tumors, experience of two cases: IHPBA- Indian chapter, Ahmedabad 2005.
  • Complications in Colorectal Cancer Surgery – a specialized unit experience: AFCP & ACRSICON, Goa, September 2009.
  • Mortality following pancreatoduodenectomy – lessons learnt. Paper accepted at the IHPBA 2010, Buenos Aires, Argentina.

• Single-port Laparoscopy Assisted Donor Right Hepatectomy in Living donor Liver Transplantation: Sensible approach or unnecessary hindrance? : Poster presentation at the Congress of the Asian Society for Transplantation, Seoul, September 2011.
• Outcomes of Liver Transplantation in Acute Liver Failure: Acute Liver Faiure - A Paradigm Shift, Global Hospital, Mumbai, October 2015
• Portal vein thrombosis in HCC. Surgical and non surgical management of HPB tumors. Global Hospital, Mumbai, February 2016
• Hepatocellular carcinoma in cirrhotics. Symposium in Masicon, February 2016, Kolhapur, Maharashtra, India

Honors & Awards

• Awarded the J N Tata Endowment scholarship 2010-2011 for further studies abroad in a higher speciality
• Awarded the B Braun scholarship 2006-07 for academic excellence             in the field of surgical gastroenterology.

• Ranked 3rd in the university in the M.S. (General Surgery)      examinations

Journal Publications

• “Robotic monosegment donor hepatectomy for pediatric liver transplantation”: First report

Pediatr Transplant. 2022;26:e14110

• “Distal gastroduodenal arterial inflow as a salvage strategy for extensive

Intraoperative arterial dissection in Living donor liver transplantation”

Liver Transplantation, Vol. 0, No. 0, 2021

• “Estimation of liver volume in the western Indian population”

Indian J Gastroenterol (2016)

• "Evolution of pancreatoduodenectomy in a tertiary cancer center in India: improved results from service reconfiguration." 

Pancreatology 13.1 (2013): 63-71.

• "Post-operative abdominal drainage following major upper gastrointestinal surgery: single drain versus two drains." 

Journal of cancer research and therapeutics 9.2 (2013): 267.

• "Synchronous hepatocellular carcinoma with renal cell carcinoma: a case report and review of literature of multiple synchronous primary malignancies." 

Indian Journal of Surgery 75.1 (2013): 290-292.

• "Extending the limitations of liver surgery: outcomes of initial human experience in a high-volume center performing single-port laparoscopic liver resection for hepatocellular carcinoma."

Surgical endoscopy 26.6 (2012): 1602-1608.                                

• "Gastrointestinal stromal tumors: case series of 29 patients defining the role of imatinib prior to surgery." 

World journal of surgery 36.4 (2012): 864-871.

• "Single-port laparoscopy-assisted donor right hepatectomy in living donor liver transplantation: sensible approach or unnecessary hindrance?." 

Transplantation proceedings. Vol. 44. No. 2. Elsevier, 2012.

• "Complications as indicators of quality assurance after 401 consecutive colorectal cancer resections: the importance of surgeon volume in developing colorectal cancer units in India."

World journal of surgical oncology 10.1 (2012): 1.

• "Solitary pancreatic metastasis from renal cell carcinoma: a case report from India with a review of literature." 

Internet Journal of Medical Update-EJOURNAL 7.1 (2012). 

• "Superior mesenteric artery first combined with uncinate process approach versus uncinate process first approach in pancreatoduodenectomy: a comparative study evaluating perioperative outcomes." 

Langenbeck's Archives of Surgery 396.8 (2011): 1205-1212.

• "Laparoscopic surgery for rectal cancer." 

The Lancet Oncology 11.10 (2010): 919-920.

• "Is early feeding after major gastrointestinal surgery a fashion or an advance? Evidence-based review of literature."                                               Journal of cancer research and therapeutics 5.4 (2009): 232.

• "Meta-analysis of defunctioning stomas in low anterior resection for rectal cancer (Br J Surg 2009; 96: 462–472)."

British Journal of Surgery 96.11 (2009): 1374-1375.

• "Giant villous adenoma of the ampulla of vater-observation of the adenoma carcinoma sequence." (2007).

            Published online at gastrohep.com.

• “Lymphoplasmacytic sclerosing pancreatitis mimicking pancreatic cancer.”

       Case Report - Indian J Gastroenterology 2005;24:86-87

• "Ectopic pancreatic tissue mimicking ampullary tumor."

Indian journal of gastroenterology: official journal of the Indian Society of Gastroenterology 24.6 (2004): 265-266.

• "Case reports: Right sided pancreatico pleural fistula: a rare clinical presentation."

       BHJ 2003;45;July

• "Gastric cancer presenting with acute disseminated intravascular coagulation." 

Indian journal of gastroenterology: official journal of the Indian Society of Gastroenterology 21.4 (2001): 164-165.

Book Chapter

• "Pancreatic Anastomosis and Fistula."

Surgery of Pancreatic Cancer: Current Issues-ECAB (2012): 47.