Department of Cardiology
The Department of Cardiology at Amrita is a tertiary care center of repute with patients from South India as well as neighboring countries of South Asia and Middle East being referred for advanced cardiac care.
The cardiology department has set the benchmark for cardiovascular care in South India. Approximately 10000 new patients are treated annually. A 24-hour emergency team with a Mobile Intensive Care unit provides speedy access in emergencies.
The center is fully equipped to provide intensive and multidisciplinary comprehensive medical care for cardiac patients. The center offers noninvasive imaging modalities like transthoracic and transeosaphageal echocardiography with tissue doppler imaging, contrast and stress echocardiography, intraop echocardiography, 24 hour Holter, HUTT, Loop recorder, multi detector CT, cardiac MRI, nuclear cardiology studies and PET imaging services.
It also has invasive services with fully equipped cardiac catheterisation lab with angiogram, angioplasty, IVUS, FFR, rotablation and peripheral angioplasty services.
The electrophysiology services include 2D and 3D mapping systems and pacemaker and AICD implantation. The centre also offers preventive cardiology services and has undertaken various research project and is a teaching institute for various undergraduate and postgraduate courses.
Department of Cardio Vascular Thoracic Surgery
The Cardiac and Vascular Surgery Program at Amrita is one of the busiest programs in the country. Over 3000 cardiac surgical operations are performed annually. The operations performed include coronary artery bypass grafting, heart valve repair and replacement and operations for congenital heart defects.
Department of Endocrinology
The Centre for Endocrinology, Diabetes and Podiatric Surgery is the only full-fledged Endocrinology centre in Kerala providing advanced care for diabetes mellitus as well as for a variety of complex endocrine disorders. With 20 doctors and nearly 50 supporting staff, the centre offers complete clinical care for virtually all endocrine diseases. All aspects of diabetes care is addressed comprehensively ie screening for diabetes and its complications, management of acute and long standing diabetic foot disorders including lower limb angioplasty, joint reconstruction surgeries, paediatric and adoloscent diabetes, Insulin pump therapy, continuous glucose monitoring system, diabetic retinopathy screening and treatment. Work done by Podiatry wing is unmatched in the country and it serves as a premier referral centre for complex foot problems in South India. It is also a major referral centre for pituitary, adrenal, parathyroid and thyroid disorders and is well supported by an excellent Neurosurgery and Endocrine surgery team.
We run a comprehensive thyroid cancer clinic along with Nuclear Medicine & Head & Neck surgery which provides multidisciplinary care to patients. Obesity clinic for adults and children was established a few years back and all therapies from medical to Bariatric surgery is offered by our centre. Osteoporosis assessment and management is aided by the availability of DEXA scan in house and expertise in dealing of complex issues by a team of specialist including rheumatologist and spinal surgeons. The Paediatric Endocrinology wing is unique in providing comprehensive care to children with Type 1 Diabetes, growth disorders (short stature and tall stature), pubertal disorders ( late and early puberty), childhood obesity, disorders of sexual development, thyroid disorders and bone disorders. The innovative community work of Amrita Diabetes Welfare Association is unparalleled in India. The services are available 7 days a week with 24 hour telephone helpline for diabetes related problems. Evening clinics are available 5 days a week to make it easier for those with daytime jobs.
Department of Gastroenterology
The Department has facilities for the early detection, diagnosis, and treatment of complex gastrointestinal, liver, gallbladder, and pancreatic diseases. The core units of the Institute are the Department of Gastroenterology and Hepatology and the Gastrointestinal Surgery Department. The departments of Imaging, Interventional Radiology, Nuclear Medicine, Oncology and Lab Services also work closely with the Digestive Diseases group. The Department of Gastroenterology is comprised of the following services and areas of speciality:
- Liver Centre
- Centre for biliary and pancreatic disorders
- Centre for luminal disorders
- Diagnostic and therapeutic endoscopy and ERCP
- Centre for swallowing and oesophageal disorders
- Gastrointestinal haemostasis
- Cancer detection and palliation unit
- Paediatric gastroenterology
- Intensive care services
- Tele-medicine and tele-education services
Department of Gastrointestinal Surgery
The Department of Gastrointestinal Surgery has a comprehensive surgical program focusing on:
- Oncological surgery of the GI tract
- Pancreatico—biliary surgery
- Gastric and oesophageal surgery
- Liver transplant
- Advanced laparoscopic surgical procedures
- Specialised colorectal surgery including sphincter saving, stapled and pouch procedures
- Infra-abdominal vascular reconstructions
- Retroperitoneal tumour excisions
- Infra-abdominal trauma
The operating rooms are one of the best equipped in the country with advanced facilities such as a dedicated C-arm image intensifier, harmonic scalpel, argon becim coagulator, CUSA, and intra—operative ultrasound and endoscopy.
Department of Head and Neck Surgery
The Department of Head and Neck Surgery is organized as a multidisciplinary team, supported by the most modern diagnostic and treatment infrastructure to deal with all major problems arising in the head and neck region. This is the first of its kind clinical service, which brings under one umbrella a multidisciplinary team of specialists in the fields of Head and Neck Surgery, Plastic Surgery, Maxillofacial Surgery, Neurosurgery and Otorhinolaryngology for the management of complex ailments of the head and neck region.
The Department offers state of art treatment in head and neck cancers. The treatment is decided and executed by a multi disciplinary tumor board comprising of surgical, medical and radiation oncologists as well as supportive services like pathologists, head and neck radiologist and swallowing therapy specialists.
The patients are offered appropriate reconstruction including microvascular free flaps. The swallowing therapy center in the department is first of its kind in the country.
The spectrum of work executed by the department include endoscopic and conventional skull base surgery, laser surgery sialendoscopy and management of thyroid diseases.
The department pioneered the training in head and neck surgical oncology by starting its 3 year fellowship training programme 10 years back. The programme was accorded recognition as MCh programme by the medical council this year and is the only other institution in India along with Tata Memorial Hospital to run such programme. The swallowing therapy unit runs an MSc programme which is also first of its kind in the country. The department runs teaching programmes every year in microvascular surgery, head and neck cancers, thyroid disorder management and Craniomaxillofacial trauma.
The department has several international publications to its credit and has bagged prizes in all the national conferences in head and neck surgery in the country for the past 10 years. The faculty has been recognized in various international forums and the department has hosted several national and international trainees.
Department of Medical Oncology
The Department of Medical Oncology and Haematology covers the treatment and prevention of solid tumours , benign and malignant hematological disorders in adults and children.
Facilities are also available to undertake outpatient chemotherapies in a specialised day care unit. Both in-patient and outpatient chemotherapy are offered. All cases are discussed in multidisciplinary tumour board and treatment decisions are made accordingly.
Diagnositc procedures such as Bone Marrow Aspiration, Bone Marrow Biopsy, Lumbar Puncture, Paracentesis as well as Therapeutic procedures such as intrathecal administration of medications are all being carried out on routine basis.
Bone Marrow Transplant services (Autologous & Allogenic) are also available in our Department. In addition to this, a separate pain and palliative care team which gives pain management and supportive care on IP basis as well as arrangement for continued care at home. The services of a psycho- oncologist to address the psychosocial issues of patients and their family is available.
The DM program in Medical Oncology was started in 2011 with an intake of one candidate per year.
Department of Nephrology
One of the first few specialities to start at Amrita Institute of Medical Sciences, Kochi, the Department of Nephrology started functioning in July 1998.
The Nephrology unit has facilities to treat all types of kidney diseases in all age groups. The Department provides comprehensive health care for patients with different types of renal (kidney) diseases.
Acute and chronic renal diseases and renal problems due to diabetes mellitus, hypertension, stone disease, infections, hereditary illnesses and poisons are diagnosed and treatment is provided. Till now, over 250,000 patients have been treated in the outpatient clinics and over 15,000 patients have been treated in the wards. The Department has a state-of-the-art dialysis unit, where over 1,56,500 dialysis has been completed so far.
The excellent care rendered by the unit has resulted in patients surviving over ten years on hemodialysis and enjoying a good quality of life.
Other treatment modalities like continuous ambulatory peritoneal dialysis, plasmapheresis, hemoperfusion, continuous renal replacement therapy and slow low effciency dialysis are being done regularly and successfully.
Kidney transplantation is being done for the last 11 years; transplantation is a team work which involves the Urology unit, Anaesthesiology and other supporting departments. The donors have been first degree relatives (385 in number) and deceased donors (20 in number). A recent analysis of the survival data showed a ten year survival of 81%, which is superior to many well known centers in USA (77%).
The Department conducts a DM course in Nephrology, as well as M. Sc. courses in Dialysis therapy and Allied Health Sciences ; in addition, a Ph. D. programme goes on in the department. There have been over 35 publications from the Department in peer reviewed indexed national and international journals.
Department of Neurology
The Department of Neurology provides care to patients with diseases of the brain, spinal cord, peripheral nervous system, and muscle-related diseases and conditions utilising state—of—the—art technology and a world-class medical team. It includes the following disciplines:
- Clinical Psychology
- Cerebrovascular Diseases (Stroke) Centre
- Epilepsy Centre
- Headache Service
- Movement Disorders and Gait Service
- Neuromuscular Service
- Comprehensive Neuro Rehabilitation
- Clinical Neurophysiology Laboratory
- Speech Therapy
- Sleep Medicine
- Paediatric Neurology
Formally trained and experienced specialists are available for consultation and management of neuro behavioural and memory disorders, neuromuscular diseases, cerebrovascular disease, movement disorders, seizure disorders, headache, paediatric neurology and sleep disorders.
The Neurology Department provides:
- Compassionate, tertiary level, state-of-the-art medical care to patients with neurological diseases
- Comprehensive investigations of neurological disorders
- An environment conducive for basic and clinical research
- Training for neurological and rehabilitation doctors
- State-of-the-art diagnostic facilities
Diagnostic services include:
- Non-invasive vascular testing
- Magnetic resonance spectroscopy
- Functional magnetic resonance imaging
- Cerebral angiograph
- Nerve conduction study
- Electromyography (EMG)
- Electroencephalography (EEG)
- Poly sonnography (sleep study)
These imaging services offer capability for digital storage and facilities for remote site access.
Department of Neurosurgery
Neurosurgery is the speciality concerned with the surgical treatment of diseases of the nervous system composed of the brain, spinal cord and spinal column, as well as the nerves that travel through all parts of the body. The Department of Neurosurgery at AIMS is fully equipped to perform all types of surgeries for a wide range of illnesses. These include:
- Congenital diseases of the brain and spine and other illnesses affecting children
- Tumours of the brain, spine and spinal cord
- Vascular diseases such as aneurysms and vascular malformations
- Degenerative disc and other spinal diseases
- Instrumentation of the spine and the cranio-vertebral junction
- Diseases of the pituitary gland
- Stereotactic surgery
- Surgery for epilepsy and movement disorders
- Stroke and haemorrhage in the brain and spinal cord
The department is supported by state-of-the-art dedicated neurosurgical operation theatres, equipped with a Carl Zeiss OPMI NC4 Operating Microscope, a Karl Storz Neuroendoscope, a Midas Rex drill system, a ValleyLab Ultrasonic Surgical aspirator, a Siemens C—arm with facility for DSA, Codman and Aesculap operating instruments, and a Leksell Stereotactic frame. A dedicated Neurosurgical Intensive Care Unit provides comprehensive care for postoperative and acutely ill patients. The Department also now offers steriotactic radiosurgery in connection with Radiation Oncology and Medical Physics.
Department of Pediatric Cardiology
The Pediatric Cardiac Program is now among the largest in India in terms of number of patients undergoing surgical and non-surgical treatment of congenital heart disease.
The unique features of the program include with focus on teamwork, excellence and continuous quality improvement. As a result AIMS has currently among the best surgical results in the country. The program caters to patient referrals from all over India.
The program caters to patient referrals from all over India. Children from Africa, Middle East, and from neighboring countries such as Maldives, Bangladesh and Mauritius have also benefited from the program. Over 3000 new children with heart disease visit the Paediatric Cardiology clinic annually.
The department of pediatric cardiology has evolved to become the premier academic center in the country and one of the leading centers in the developing world. This is now the first global training center of the Children’s Heartlink(link is external) and a training center for a number of trainees in pediatric cardiology, cardiac surgery and intensive care from all over the world.
Some of the other highlights of the program’s accomplishments include:
- Establishment of large community-based studies on rheumatic heart disease, congenital heart disease, childhood obesity and hypertension in South India
- Development of several novel low cost strategies for management of congenital heart defects.
- Teaching and Training of Pediatricians and Cardiologists in India and Neighboring Countries through numerous lectures, CME programs and workshops
- Initiating a national fellowship training program in pediatric cardiology (FNB) under the National Board of Examinations
- Organizing the annual conference of the Pediatric Cardiac Society of India on two occasions (2000 and 2008)
- Initiation of a DM (Post doctoral) course in pediatric cardiology approved by the Medical Council for the first time in India
- Publication of over 100 peer reviewed articles (many in leading international journals)
Department of Paediatric Surgery
The Department of Paediatric Surgery treats children from day one to eighteen years of age. All the facilities to take care of children needing surgery are available under one roof.
A well-experienced team of doctors is available to take round-the-clock care of the children. All types of open and endoscopic procedures are performed in the department.
Excellent supportive care in the form of a tertiary care NICU is available for sick and critical neonates, plus a fully equipped pediatric surgical ICU with pediatric ventilators and 24 x 7 anaesthetist backup. The Department also has a full-fledged training program in M.Ch.
Department of Plastic and Reconstructive Surgery
The Department of Plastic Surgery has 7 consultants and is considered as one of the best in the country. The Department caters to the entire spectrum of plastic surgery activities including aesthetic surgery. The specialized services offered by the Department includes microvascular surgery, facial plastic surgery, hair transplant services, brachial plexus service, cleft and craniofacial service and breast cancer reconstruction service. The cleft and craniofacial service is accredited to the smile train programme through which free treatment is offered to cleft lip and palate patients.
The Department runs an MCh programme in plastic surgery. There is also a microvascular fellowship programme. The department runs several training programs every year including a postgraduate teaching programme, practical curses in microvascular surgery, flap harvesting and craniomaxillary trauma.
The Department has several international publications to its credit and has bagged prizes in all the national conferences in head and neck surgery in the country for the past 10 years. The faculty has been recognized in various international forums and the department has hosted several national and international trainees.
The Department runs an excellent tissue engineering research programme. The main thrusts of research activity includes adipose and cartilage tissue engineering.
Department of Pulmonary Medicine
The Centre for Pulmonary Medicine undertakes the prevention, early detection, diagnosis, and treatment of pulmonary diseases in children, adolescents, and adults.
Comprehensive pulmonary medicine programs include specialised treatment of specific diseases such as asthma, chronic obstructive pulmonary diseases, sleep-disordered breathing, interstitial lung diseases, cystic fibrosis, occupational lung diseases, tuberculosis, infectious lung diseases and lung cancers.
Department has a dedicated smoking cessation clinic and pulmonary rehabilitation programmes. The diagnostic facilities include full fledged pulmonary function laboratory with body plethysmography and cardiopulmonary exercise system for routine PFT, diffusion studies and lung volume measurements. Other than this, the diagnostic facility includes allergy skin testing, specific IgE allergy testing, dedicated sleep lab for assessing obstructive sleep apnoea and CPAP titration, flexible video bronchoscopic investigation, thoracoscopic procedure for pleural evaluation and biopsies.
With the facility of EBUS [endobronchial ultrasound] and chest ultrasound the interventional programmes are also conducted. The department is also supported with spiral and high resolution CT imaging and ventilation perfusion scans for detecting pulmonary embolism.
The department has also made its mark in the academic aspect as a state of the art training centre in the postgraduate and superspeciality levels. The DM programme in pulmonary medicine was initiated in 2010, AIMS being the second centre offering this course in the country [other than PGI Chandigarh].
The department caters to the need of critically ill patients at IRCU constantly manned by in house pulmonologists. Research activities of the department have been acknowledged at the global level with senior department faculty serving as key opinion leader in various international and national forums.
Department of Urology
The Centre for Urology and Renal Transplantation offers comprehensive facilities for the diagnosis and treatment of genitourinary problems in adults and children. A highly qualified and experienced team of dedicated urologists and resident surgeons who are available 24 hours a day mans it. The latest “state of the art” technology and equipments are available. The faculty subspecializes in the fields of paediatric urology, urological oncology, laparoscopic urology, endourology, andrology, female urology, neuro – urology and reconstructive urology. Along with the support of the nephrology services more than 400 renal transplantation operations have been successfully performed. The department has established itself as one of the best of it’s kind not only in the country but comparable to the best the world.