DR. RAJKUMAR PALANIAPPAN

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1 DR. RAJKUMAR PALANIAPPAN DIRECTOR: INSTITUTE OF BARIATRIC SURGERY CONSULTANT GASTRO & ROBOTIC SURGEON, DEPARTMENT OF MINIMAL ACCESS SURGERY, APOLLO HOSPITALS, CHENNAI Primary Medical Qualification: M.B.B.S. Rajah Muthiah Institute of Medical Sciences. Chidambaram Annamalai University, India, December 1996 Postgraduate Certification: M.S. (General Surgery) Sri Ramachandra Medical College, Chennai Ramachandra Deemed University, India, November 2000 Super Speciality Certification: M.M.A.S. (Masters in Minimal Access Surgery) Ninewells Hospital and Medical School, Dundee University of Dundee, United Kingdom, September 2003 Further Certification: F.I.C.S. (Fellow International College of Surgeons) in Surgical Gastroenterology International Member-at-large, USA, August 2003 D.MAS. (Diploma in Minimal Access Surgery) The Global Open University, India, September 2010 F.MAS. (Fellowship in Minimal Access Surgery) Laparoscopy Hospital, New Delhi, February 2010

2 F.ALS.(Fellowship in Advanced Laparoscopic Surgery) Honororary fellowship, IAGES, February 2012 F.R.S. (Fellowship in Robotic Surgery) International Accreditation Organisation USA, April 2012 F.L.S. (Fellowship in Laparoscopic Surgery) Kovai Medical Center and Hospital, Coimbatore PRESENT POSITION: INSTITUTE OF BARIATRIC SURGERY: CONSULTANT & DIRECTOR Apollo Hospitals, Chennai Since October 2010 PREVIOUS APPOINTMENTS: DEPARTMENT OF SURGICAL: GASTROENTEROLOGY, 2010 & OBESITY SURGERY DEPARTMENT OF SURGICAL: CONSULTANT & HEAD 36 months, October 2007 October Apollo Victor Hospital, Goa CONSULTANT GASTROENTEROLOGY and 18 months, March 2006 October 2007 MINIMAL ACCESS SURGERY Chennai LifeLine Multispeciality Hospital, (Also MEDICAL ADMINISTRATOR)

3 DEPARTMENT OF SURGERY: ASSITANT PROFESSOR Prof. T.R.Gopalan, MS 18 months, Sep 2004 March 2006 SRMC & RI, Chennai GENERAL and LAPAROSCOPIC SURGERY: ASSISTANT PROFESSOR Prof. Jeyasingh, MS 12 months, Oct 2003 Sep 2004 PSG IMS&R, Coimbatore MASTERS in MINIMAL ACCESS SRGERY: RESEARCH RESIDENT Prof. Sir Alfred Cuschieri, MD, FRSE, FRCS 12 months, Oct 2002 Oct 2003 Ninewells Hospital & Medical School University of Dundee, Scotland, UK GASTO ENTEROLOGY / LAPAROSCOPY: SURGICAL REGISTRAR Dr. John AC Thanakumar, MS, FRCS, FLS 24 months, Nov2000 Oct 2002 KMCH, Coimbatore

4 AWARDS & ACHIEVEMENTS: Excellence in New Initiative Award 18 Sep 2013, Apollo Group of Hospitals Chikitsa Rattan Award - 22 May 2007, NewDelhi Honorary Fellowship in Advanced Laparoscopic Surgery, IAGES, Feb 2012 Honorary Fellowship in Minimal Access Surgery, TGO University, NewDelhi, Feb 2010 Performed World s first SILS Revision Bariatric Surgery in July 2011 Performed Asia s first Endoluminal Revision Gastroplasty in January 2012 Performed India s first Robotic Bariatric Surgery in December 2011 Performed India s first SILS Gastric By-pass in February 2011 Performed India s First SILS Cardiomyotomy in April 2010 Performed India s First SILS Gastro Jejunostomy in April 2010 Performed India s first SILS Incisional Hernia Repair in October 2009 Performed India s first SILS Fundoplication in December 2009 Performed India s first SILS Rectopexy in May 2010 Performed India s First Laparoscopic Diaphragmatic Reconstruction in May 2006 Invented Hiatal Sling liver traction technique for Single Incision Laparoscopic Surgery (SILS) Published a novel Window Technique of Laparoscopic Cholecystectomy in March 2003 Author of Rule of Hand, an innovative technique of port placement in Laparoscopy Part of a team that invented Dundee Multitool for Hand-Assisted Laparoscopic Surgery Vice President, International College of Robotic Surgeons

5 Nominated Executive Council member of Obesity & Metabolic Surgeons Society of India Examiner and Faculty for Fellowship in IAGES (FIAGES) & AMASI (FMAS) Faculty, Ethicon Institute of Surgical Education (EISE) & PACE (Covidien) Editorial Board, World Journal Of Laparoscopic Surgery PUBLICATIONS: Laparoscopic Sleeve Gastrectomy JS Rajkumar, Rajkumar NP, AMASI Web publication, August 2007 Modified fundus-first laparoscopic cholecystectomy A safer approach Rajkumar NP, John AC Thanakumar, Surgical Endoscopy: 18:2004: S145 Basic and Advanced Laparoscopic Procedures International video edition John ACT, Rajkumar NP, MIS-ICON, October 2001 RESEARCH: Laparoscopic and Hand-assisted Liver surgery Possibilities of resection. A comprehensive review of published literature on minimal acces management of liver disorders with a view to analyze the current evidence regarding feasibility, utility and safety of laparoscopy under the supervision of Professor A.Cuschieri with a view for submitting to a peer journal.

6 Comparison of use of dominant and non-dominant hands in HALS. A study carried out in the department of Surgical Skills Unit in Ninewells hospital, United Kingdom with 30 surgeons from different parts of Europe, America and Asia. The research showed significant improvement in task performance using the dominant hand inside the abdomen in HALS. Multitool proved to be very promising and was recommended for HALS requiring extensive suturing skills. Bile duct injuries Evaluation and management Evaluation of the causes of bile duct injuries and to facilitate appropriate management depending on various clinical presentation. This study was done with 22 cases referred to SRMC & RI Hospital, Chennai, for a period of three years. Failure to indenty the anatomy was considered to be the commonest cause of injury and immediate treatment option had found to produce best results with Hepatico-jejunostomy being the gold standard in the treatment. TEACHING: Director of Forum for Laparoscopic Innovtive Practices (FLIP), a first of its king training course covering all aspects of innovations in laparoscopy and trained around 200 surgeons. A qualified tutor for courses conducted by Eithicon Institute of Surgical Education (EISE), PACE foundation by Covidien, Indian Association of Gastrointestinal Endosurgeos (IAGES) and Association of Minimal Access Surgeons of India (AMASI). Been a part of teaching as assistant professor in medical institutions for 9 years now. I m presently a honorary ASSOCIATE PROFESSOR of Surgery in Saveetha Medical College, Chennai. I also am an EXAMINER / FACULTY for FIAGES and FAMASI courses.

7 FIELDS OF INTEREST: My main field of interest will be Bariatric surgery. I have completed more than 400 successful cases in my department with all types of bariatrics including band, sleeve, bypass, duodenal switch and re-do bariatrics. I carry an excellent record with least morbidity & no mortality. Recent addition to my updated interest is Single Incision Laparoscopic Surgery (SILS), and Robotic Surgery, two new promising branches of minimal access surgery, and I ve already performed the most variety of SILS in the country, which includes few of India s first SILS procedures and India s first Robotic Bariatric procedures. LIVE SURGICAL DEMONSTRATIONS (RECENT): SILS Gastric Bypass Advanced Bariatric Conclave, 21 September 2013, Bangalore Laparoscopic Revision Sleeve to Gastric Bypass LASER 2013, 7 September 2013, Indore Robotic D2 Gastrectomy, Robotic Gastric Bypass FLIP 2012, 26 October 2012, Chennai 3D Laparoscopic Sleeve Gastrectomy IILSCON, 21 April 2012, Coimbatore Endoluminal Resleeve Gastroplasty 3 rd ABSCON, 22 January 2012, Chennai

8 SILS Gastric bypass FLIP 2011, Chennai, 29 October 2011, Mamallapuram SILS Sleeve Gastrectomy, Cholecystectomy, Fundoplication, Hernioplasty PACE SILS Leadership Program, 19 July 2011, Chennai SILS Fundoplication Endosurg.10: SILS, 3 rd July 2010, Goa. INVITED LECTURES IN MAJOR CONFERENCES (RECENT): Will SILS Sleeve Gastrectomy be the gold standard in Minimal Access technique IFSO 2013, 28 th August 2013, Istanbul, Turkey Robotic Bariatric Surgery: Indian Experience IFSO 2013, 28 th August 2013, Istanbul, Turkey Ergonomic challenges of SILS Gastric Bypass Advanced Bariatric Conclave, 20 th September 2013, Bangalore SILS Sleeve Gastrectomy: Tips & Tricks Nova Bariatric Master class, Mumbai, 1 st June 2013 Complications in SILS Bariatric Surgery OSSICON 2013, Bangalore, 5 th April 2013 Ergonomic consideration in SILS Bariatric Surgery IFSO 2012, New Delhi, 13 th September 2012

9 SILS Revisional Bariatric Surgery ACMOMS 2012, 6 th July 2012, Gurgaon Recent Advances in Bariatric Surgery WALS 2012, Gurgaon, 14 th February 2012 Robotic Bariatric Surgery IAGES 2012, 18 th Jan 2012 Robotic Sleeve Gastrectomy: First reported bariatric surgery in India Vattikuti Global Robotic Conference 2012, New Delhi, 14 th Jan 2012 Ergonomic modifications of SILS SILSCON 2011, 30 th April 2011, Mumbai Advanced Single Incision Laparoscopic Surgery in India: Early Experience SAGES 2011, 30 th March 2011, St. Antonio, USA Gallbladder & Liver traction techniques in SILS Obesity Surgery Live Update on Obesity Surgery, PSG Surgicon, 24 th Feb 2010.

10 MAJOR CONFERENCES CONDUCTED: FLIP 2012: Robotic GI Surgery Organizing chairman, Apollo Hospitals, Chennai, October 2012 FLIP.11: Single Incision Laparoscopy Organising Chairman, Apollo Hospitals, Chennai October 2010 ENDOSURG.10: SILS Organising Chairman, Apollo Victor Hospitals, Goa, 1 3 June 2010 OSSICON 2007 Organizing Secretary, Park Sheraton-, Chennai, March 2007 PSG SURGICON 2005 Workshop Co-ordinator, PSG Hospitals, Coimbatore, December 2005 PSG SURGICON 2003 Organizing Committee, PSG Hospitals, Coimbatore, December 2003.

11 WORKSHOPS ORGANISED (RECENT): Laparoscopic Bariatirc Workshop FLIP & EISE, Chennai, 4-5 th October 2013 SILS Bariatric Workshop PACE Program, Chennai, July 2013 Advanced Robotic GI surgery workshop FLIP 2012, Chennai, India, October 2012 Advanced SILS GI Surgery Workshop PACE, Chennai, January 2012 Single Incision Laparoscopic Surgery Workshop FLIP 2011, Chennai, India, 30 October 2011 PACE foundation leadership Course & Workshop in SILS PACE 2011, Chennai, India, August 2011.

12 WORK EXPERIENCE: Pioneer in the field of Bariatric, SILS & Robotic surgeries in the country Spearheads the Bariatric Institute across all Apollo Group of Hospitals Performed largest series of bariatric surgeries in Apollo and the most technical varieties in India. Regularly hosted by several institutions and forums to teach bariatric and laparoscopic surgery Enjoys the distinction of pioneering the largest variety of SILS Bariatric surgery in the world More than a decade of Advanced and Oncological Minimal Access Surgical practice. PROFESSIONAL PLAN: Clinical work: To practice obesity and metabolic surgery speciality and to develop universally reputed unit. To perform all form of advanced laparoscopic surgeries including general surgery, upper GI, colorectal, Hepatobilary & solid organ surgeries. To popularize SILS (Single Incision Laparoscopic Surgery), and Robotic Surgery and to continue performing variety of procedures in these very new field of surgery.

13 Teaching: To train upcoming surgeons in the field of Bariatrics, Laparoscopy, NOTES, SILS & Robotics To start and run a laparoscopic animate training institute along with other qualified teachers. To start fellowship, diploma & masters program in laparoscopy accredited with national & international organizations. Research: To do clinical study in various bariatric & minimal access procedures. To publish interesting cases & do research in the field of bariatrcs, SILS & Robotic surgery. To innovate new techniques & instrumentation for laparoscopy, SILS and Robotic procedures.

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