Endocrine surgery is a nascent branch among surgical disciplines. The need of this branch comes from the fact that many endocrine tumors exert their action by deranging the physiology rather than the mass effect. The rarity of these tumors along with difficulty in localizing with conventional imaging techniques and their unusual clinical presentation underlines the importance of this branch

Thyroid nodules are many at times not appropriately managed. The reported incidence of recurrent laryngeal nerve can be as high as 5-17% in untrained hands whereas it is <0.1% in the hands of a trained endocrine surgeon. All over the world the treatment modality of benign multi-nodular goiters have changed from sub total Thyroidectomy to total Thyroidectomy due to the high incidence of recurrent laryngeal nerve(RLN)  injury.There is 5-10% incidence of Papillary cancer in FNA benign tumors which makes it less ideal to cut through the gland as most of the times Thyroidectomy is done. 20% of patients can have superior laryngeal nerve injury which is reduced to <2% in the hands of an endocrine surgeon  Reoperative surgery can cause a RLN palsy of about 17% again emphasizing the need for a meticulously planned approach in the first surgery itself.  Thyroid cancers require comprehensive care involving an endocrine surgeon who can modify the surgery according to the risk category of the patient. Codon directed Prophylactic Thyroidectomy for thyroid cancers is an emerging frontier. We are also well versed with management of retrosternal and mediastinal goiters

Parathyroid disease many at times is missed and patient is diagnosed with advanced bone disease. These patients may have varied presentations like bone pains, recurrent renal stones, psychiatric symptoms (mostly depression), difficulty in climbing stairs suggesting proximal muscle weakness, fracture after trivial trauma, bone swellings and constipation. Endocrine surgeons provide conventional exploration and minimally invasive parathyroidectomy depending on the merit of the case. Hyperparathyroidism may be associated with familial MEN syndromes in up to 20% of cases and this makes it necessary to screen and treat the co existing endocrine tumors also adequately

Adreanal tumors form a important cause of endocrine hypertension and the important causes being Pheochromocytoma followed by cushing’s adenoma and Conn’s adenoma. The key to managing these patients successfully lies in the ability to have an accurate biochemical diagnosis and revert the physiology back prior to surgery. Even a normotensive asymptomatic adrenal mass with normal VMA may be a pheochromocytoma. The work up of Cushing’s is tricky as the adrenal tumor may be an incidental tumor which is seen in 3-4% of normal population. Mere adrenelectomy will not cure a missed pituitary cushing’s or an ectopic ACTH sereting tumor. we provide both open and laparoscopic adrenelectomies depending on the merit of the case

Endocrine pancreas can develop tumors like insulinoma where patient present with fasting hypoglycemia along with high serum insulin, corrected with glucose intake. The high rate of association of these tumors with familial setting thereby multicentricity makes it necessary to seek the aid of intraoperative USG to aid for appropriate surgical procedure

We give comprehensive care for both benign and malignant breast diseases including conservative breast surgery, Modified radical mastectomies; sentinel lymph node based axillary preservation, breast cancer chemotherapy and endocrine therapy

We also deal with mediastinal tumors and thymectomy for myasthenia gravis  

MES Medical College is the one and the only Medical institution in the whole of the state of Kerala where the Surgical Endocrinology department is functioning headed by a doctor having the professional qualification Mch-Surgical Endocrinolgoy.