Current Positions

  • GI Laparoscopic Surgeon and Breast Surgeon (Apollo Spectra Hospital, Koramangala, Bangalore)
  • Consultant Breast Oncosurgeon and Bariatric Surgeon (Sakra World Hospital, Bangalore)

Work Experience

Consultant Breast Oncosurgeon
Mazumdar Shaw Medical Center, Bangalore 2015 – 2017

Vice-President–Medical Services & GI Laparoscopic Surgeon
Nova Specialty Surgery, Bangalore 2009 – 2013

Surgical Oncologist and Laparoscopic Surgeon
HCG, Bangalore 2009 – 2016

Associate Professor, Department of General Surgery
St. John’s Medical College Hospital Bangalore 2002 – 2009

Registrar, Department of General Surgery
Manipal Hospital, Bangalore 2000 – 2002

Clinical Trials

  • Hifenac-(P) Surveillance Study Phase IV in Surgery
  • Breast cancer study by ICMR at St. John’s Medical College
  • SAVE-ONCO A multinational, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of AVE5026 in the prevention of venous thromboembolism (VTE) in cancer patients at high risk for VTE and who are undergoing chemotherapy
  • Numoda NXL 104/2002 A Prospective, Multicenter, Double- blind, Randomized, Comparative Study to estimate the safety, tolerability and efficacy of NXL 104 / ceftazidime plus metronidazole vs meropenem in the treatment of complicated intra-abdominal infections (cIAI) in hospitalized adults.
  • Compound: AVE 5026 A Multinational, Multicenter, Randomized, Double Blind Study comparing the Efficacy and Safety of AVE 5026 with enoxaparin for the Prevention of Venous thromboembolism in patients Undergoing Major abdominal Surgery.

Honorary positions

  • Faculty in Ethicon Endosurgery
  • Vice President of Colon and Rectal Surgeons Association of India.2007
  • Executive Committee member of AMASI (Association of Minimal Invasive Surgeons of India) 2008
  • Advisor in Cloud Mentor Children’s Science programme

Memberships

  • Vice president of colorectal association
  • Executive committee member of laparoscopy association of India
  • Member of Association of Surgeons of India (ASICON)
  • Member of AMASICON
  • Member of IAGS
  • Member of Medi Tel India
  • Member of Association of Colorectal Surgeons of India
  • Member in the board of Ethicon company

Contribution to Research
Dr. Nanda has also been contributing to the medical research forefront through research articles published in indexed journals, paper presented at the national and international level, and through chapters in books. Her keen interest in research has made it possible for her to combine practice along with research in ways that very few surgeons have been able to do in the profession. She has been invited as a speaker at several conferences. As a member of several prominent medical associations such as Vice President of the Colorectal Association, Executive Member of Laparoscopy Association of India, Member of the Association of Surgeons of India, AMASICON, IAGS, Medi Tel India, Association of Colorectal Surgeons, her contributions have been substantial.

Dr. Nanda Rajaneesh has over 18 years of experience in surgical oncology and laparoscopic surgery. She is currently a visiting consultant in both Apollo Spectra Hospitals and Sakra World Hospital. She has operated many film stars & VIPS, both at regional and national level.

Dr. Nanda Rajaneesh, an eminent surgeon, endowed with rich and diverse experience and distinguished academic record, has established herself as a specialist in minimally invasive gastrointestinal surgery (laparoscopy), breast surgery and surgical oncology. She has acquired multiple degrees through extensive training in the surgical field and a member of Royal College of Surgeons.

She studied in Kittur Rani Channamma Residential Sainik School for Girls, Belgaum. Apart from excelling in academics, she was also outstanding in sports and NCC. With her outstanding performance in II PUC, she got into medicine.

And this was just the beginning.
After completing MBBS in flying colors, having obtained distinction throughout, she pursued her post-graduation from Mysore Medical College, opting for surgery, as a conscious choice. Her keen interest in cancer surgery prompted her to seek further specialization and training in GI Surgical Oncology from the prestigious Tata Memorial Institute, Mumbai and from Heidelberg University Hospital, Germany. She underwent a basic and advanced course in colorectal surgery as part of her AFCRSI degree. Her interest in laparoscopic surgery further led her to undergo training in A.V. Hospital, Bangalore and Ethicon Institute, Mumbai. Her quest for further specialization led her to undergo an advanced training in the same field in GEM Hospital, Coimbatore.

Thus, professionally Dr. Nanda constantly sought to upgrade her technical knowledge by updating herself with the latest courses and fellowships such as laparoscopic surgery, microvascular surgery, colorectal surgery and surgical oncology. Notwithstanding the demands of a practicing surgeon, Dr. Nanda spares no effort in keeping herself updated with latest technologies and development in the medical field. The sheer fact of having served in these hospitals have given Dr. Nanda an exposure to advanced technology, hospital leadership, the service sector as well the opportunity to interact with a wide range of patients with varying backgrounds, personality, and temperament.

An anal fissure or rectal fissure is a break or tear in the skin of the anal canal. It may occur when passing large or hard stools, straining during childbirth, or experiencing bouts of diarrhoea. The crack in the skin exposes the muscle tissue underneath, causing severe pain and bleeding during and after bowel movements.

Here are some FAQs answered!

What are the causes of anal fissure?

Most anal fissures are caused by stretching of the anal mucosa beyond its capability. An anal fissure most often occurs when passing large or hard stools. Chronic constipation or frequent diarrhoea can also tear the skin around the anus. Other common causes of anal fissures include:

  • Childbirth trauma in women
  • Sexual activities
  • Crohn’s disease
  • Ulcerative colitis
  • Poor toileting in young children
  • Decreased blood flow to the anorectal area
  • Overly tight or spastic anal sphincter muscle

What are the symptoms of anal fissure?

An anal fissure may cause one or more of the following symptoms:

  • Visible tear in the skin around the anus
  • Skin tag, or small lump of skin, next to the tear
  • Sharp pain in the anal area during bowel movements
  • Burning or itching in the anal area
  • Streaks of blood on stools or on tissue paper after wiping

How is anal fissure diagnosed?

Anal fissure is usually diagnosed simply by examining the area around the anus. However, digital rectal examination can also be performed to confirm the diagnosis. During this exam, the doctor will insert an endoscope or anoscope into your rectum to make it easier to see the tear. These medical instruments are thin tubes with attached cameras and lights that allow doctors to inspect the anal canal. Using an anoscope may also help your doctor find other causes of anal or rectal pain such as hemorrhoids.

What are the treatment options for anal fissure?

Non-surgical treatments are recommended initially for acute and chronic anal fissures. These include topical nitroglycerin or calcium channel blockers (e.g. diltiazem), or injection of botulinum toxin into the anal sphincter. Other measures include warm sitz baths, topical anesthetics, high-fiber diet and stool softeners.

What is a sitz bath?

A sitz bath is a warm, shallow bath that cleanses the perineum.

When is surgery required?

Surgical procedures are generally reserved for people with anal fissure, who have tried medical therapy for at least one to three months and it has not healed. It is not the first option in treatment.

What are the types of anal fissure surgery?

  • Lateral internal sphincterotomy: LIS is the surgical procedure of choice for anal fissures due to its simplicity and its high success rate (~95%). In this procedure the internal anal sphincter is partially divided in order to reduce spasming and thus improve the blood supply to the perianal area. This improvement in the blood supply helps to heal the fissure, and the weakening of the sphincter is also believed to reduce the potential for recurrence. The procedure is generally performed as a day surgery after the patient is given general anaesthesia. The pain from the sphincterotomy is usually mild and is often less than the pain of the fissure itself. Patients often return to normal activity within one week.
  • Fissurectomy: This is another surgery that can be used to treat anal fissures. This procedure produces the same result as a sphincterotomy, except that during this surgery, the edges of the fissure are also surgically removed, as are any skin tags that may have occurred in conjunction with chronic tears. A cauterising tool is then used to seal the entire area of the wound. The muscle is not cut.

How can you prevent these fissures?

  • By keeping the anal area dry
  • By cleansing the anal area gently with mild soap and warm water
  • By drinking plenty of fluids, eating fibrous foods, and exercising regularly
  • By treating diarrhoea immediately

Dr. Nanda Rajaneesh has over 18 years of experience in surgical oncology and laparoscopic surgery. She is currently a visiting consultant in both Apollo Spectra Hospitals and Sakra World Hospital. She has operated many film stars & VIPS, both at regional and national level.

Pilonidal sinus is midline opening formed by a cyst or an abscess near the tailbone that often contains hair, dirt and skin debris.

Here are some FAQs answered!

How does it occur?

It is thought that the combination of buttock friction and shearing forces in that area causes broken hairs which collect there and drill through the midline skin and enter the skin by the suction created by movement of the buttocks. The body considers this hair foreign and launches an immune response against it and this immune response forms the cyst around your hair.

What are the risk factors of pilonidal sinus?

  • Obesity – People with body mass index (BMI) of 30 or above
  • Age – Pilonidal sinuses can occur at any age, but are more common in young adults between the ages of 15 and 40
    having an above-average amount of body hair, which may be why more men are affected than women
  • Having coarse and curly body hair
  • Previous injury to the affected area of skin – for example, from a fall
  • Having a deep cleft between your buttocks
  • Having a family history of the condition – more than one-third of people have a family member with the condition
    having a job involving a lot of driving or sitting down for long periods

What are the symptoms of pilonidal sinus?

At first you may notice a small, dimple-like depression on the surface of your skin. However, once the depression becomes infected, it will quickly develop into a cyst or an abscess.

What are the signs and symptoms of infection?

  • Pain when sitting or standing
  • Swelling of the cyst
  • Reddened, sore skin around the area
  • Pus or blood draining from the abscess, causing a foul odour
  • Hair protruding from the lesion
  • Formation of more than one sinus tract, or holes in the skin

How do you treat pilonidal sinus?

  • Conservative treatment- In those whose symptoms are relatively minor, simple cleaning out of the tracks and removal of all hair, with regular shaving of the area and strict hygiene, may be recommended.
  • Incision and drainage- This is done in acute exacerbation of the disease. Before this procedure, your doctor will give you a local anaesthetic. They will then use a scalpel to open the abscess. They will clean away any hair, blood, and pus from inside the abscess. Your doctor will pack the wound with sterile dressing and allow it to heal from the inside out. The wound usually heals within four weeks, and many patients don’t require any further treatment.
  • Surgery- Surgery is the treatment of choice in chronic or recurring abscesses or sinuses.

What are the surgical treatments available?

Limberg Flap- The rhomboid (Limberg) flap. The flap design places the longitudinal axis of the rhomboid excision parallel to the line of minimal skin tension

Irrespective of procedure, postoperative wound care is important and centres around elimination of hair (ingrown, local or other) from the wound.

How can you prevent the recurrence of pilonidal sinuses?

  • You can prevent recurrence by washing the area on a daily basis with a mild soap, making sure all soap is removed, keeping the area completely dry, and avoiding sitting for long periods.
  • Shaving of hair on the back and the buttock area.
  • Permanent laser treatment also can be helpful.

Dr. Nanda Rajaneesh has over 18 years of experience in surgical oncology and laparoscopic surgery. She is currently a visiting consultant in both Apollo Spectra Hospitals and Sakra World Hospital. She has operated many film stars & VIPS, both at regional and national level.