50-year-old male
Proximal stomach tumor
Proximal Gastrectomy with stomach tube
Esophagogastric anastomosis
9 Dec 2017
16 Oct 2017
18 Sept 2017
Toxic Megacolon
Patient operated for toxic megacolon with impending perforation
Grossly dilated large bowel up to transverse colon
Emergency exploration with resection and stoma done
16 Sept 2017
Gastrocutaneous fistula
A very rare case of gastric duplication cyst with cutaneous fistula.
Patient was 4-year child with chronic discharging sinus in epigastric region
Operated for incision and drainage with local exploration
But had persistent symptoms.
Finally relived with distal gastrectomy and Roux en Y GJ
15 Sept 2017
1 Sept 2017
30 Aug 2017
Angioembolization of Small bowel bleed
Patient with small bowel bleed underwent angioembolization
Post procedure patient had severe pain and septic signs
Emergency exploration and resection anastomosis done
28 Aug 2017
Radical cholecystectomy
Radical cholecystectomy was done for carcinoma of the gall bladder.
Resection of segment 4B and 5 along with lymph node dissection.
24 Aug 2017
Pancreatic Necrosectomy
Mini incision (mini-laparotomy) for infective pancreatic necrosis
Small vertical midline incision and trans-gastric approach
Patient discharged on post op day 2
22 Aug 2017
16 Aug 2017
Esophagectomy
Open Esophagectomy for carcinoma of mid esophagus
Mckeown three field esophagectomy with the stomach tube.
12 Aug 2017
Diverticulitis
Considerably western world disease but with the changing era and food culture in India
The problem in Indian subcontinent is increasing as well.
Relatively silent but can be a cumbersome with infection.
Constipation and low fibers in diet are responsible factors.
Simple measures like change in diet habit can avoid major issues of diverticular disease
4 Aug 2017
Completion Lap Chole
Patient underwent open partial chole
Had biliary pancreatitis later
Operates Laparoscopically
Had biliary pancreatitis later
Operates Laparoscopically
27 Jul 2017
Lap proctocolecromy with IPAA
Case of refractory Ulcerative colitis
Lap total colectomy done
Ileal pouch anal anastomosis
Lap total colectomy done
Ileal pouch anal anastomosis
22 Jul 2017
Laparoscopic Right Hemicolectomy
27 year old lady with incidentally detected Cecal NET
Tumor at appendicular base without obstruction
Operated for Lap right hrmicolectomy
Extracorpoeal anastomosis end to side manner
Tumor at appendicular base without obstruction
Operated for Lap right hrmicolectomy
Extracorpoeal anastomosis end to side manner
17 Jul 2017
Sinistral Portal Hypertension
Case of chronic pancreatitis with left sided PHT
Operated for open Splenectomy with devasculrisation
Operated for open Splenectomy with devasculrisation
12 Jul 2017
Rectal sparing difficult TLH
Laparoscopic hysterectomy
Attempted for open surgery
Procedure abandoned by previous surgeon
Completed laparoscopically
Attempted for open surgery
Procedure abandoned by previous surgeon
Completed laparoscopically
10 Jul 2017
Small bowel adenocarcinoma
Small bowel adenocarcinoma.
One of the rare cases.
Resection anastomosis done.
Patient discharged on day 4.
One of the rare cases.
Resection anastomosis done.
Patient discharged on day 4.
2 Jun 2017
Transgastric Necrosectomy
48 year male with Acute Necrotising Pancreatitis
Had infected necrosis with Duodenal obstruction
NJ kept for feeding and on Imipenem
On day 32 operated for infected necrosis
Transgastric Necrosectomy done
Nasocystic drainage and NJ kept
Patient kept in ICU for 3 days
Discharged with all tubes on post op day 9
All tubes pulled out on follow up
Had infected necrosis with Duodenal obstruction
NJ kept for feeding and on Imipenem
On day 32 operated for infected necrosis
Transgastric Necrosectomy done
Nasocystic drainage and NJ kept
Patient kept in ICU for 3 days
Discharged with all tubes on post op day 9
All tubes pulled out on follow up
10 May 2017
Laparoscopic Spleenectomy
48 year old male c/o Torsion of wandering spleen
with Gastric Volvulus
Lap Spleenectomy with Seromuscular GJ
with Gastric Volvulus
Lap Spleenectomy with Seromuscular GJ
28 Apr 2017
Laparoscopic Transgastric Necrosectomy
68 year old female case of biliary pancreatitis
Operated for walled of pancreatic necrosectomy
Operated for walled of pancreatic necrosectomy
13 Apr 2017
Transverse colon fistula
Operated case of incisional hernia repair 16 years back
Presented with spontaneous purulant discharge from scar
On CT detected transverse colon cutaneous fistula
Exploratory laparotomy with repair of fistula without resection
Inflammatory mass formed by mesh was excised
Post operative recovery was uneventful.
Presented with spontaneous purulant discharge from scar
On CT detected transverse colon cutaneous fistula
Exploratory laparotomy with repair of fistula without resection
Inflammatory mass formed by mesh was excised
Post operative recovery was uneventful.
27 Mar 2017
Total proctocolectomy with IPAA
65 year old male without any medical comorbidities
Complain of change in bowel habit and occasional bleeding PR
On colonoscopy he had rectal growth with multiple polyp in colon
Biopsy from growth was positive for malignancy
Polyps from different parts of colon s/o dysplasia
Total laparoscopic proctocolectomy was performed
Small lower midline incision taken to deliver specimen
Ileal Pouch Anal Anastomosis with diversion ileostomy done.
He had persistent ileus for more than 8 days
Hence was reexplored and adhesiolysis was done
Stoma started functioning from post op day 2 of 2nd surgery
He recovered well and stoma closure was done after 6 weeks.
HPE report was T2N0 Adenocarcinoma of rectum with dysplastic multiple polyps.
Complain of change in bowel habit and occasional bleeding PR
On colonoscopy he had rectal growth with multiple polyp in colon
Biopsy from growth was positive for malignancy
Polyps from different parts of colon s/o dysplasia
Total laparoscopic proctocolectomy was performed
Small lower midline incision taken to deliver specimen
Ileal Pouch Anal Anastomosis with diversion ileostomy done.
He had persistent ileus for more than 8 days
Hence was reexplored and adhesiolysis was done
Stoma started functioning from post op day 2 of 2nd surgery
He recovered well and stoma closure was done after 6 weeks.
HPE report was T2N0 Adenocarcinoma of rectum with dysplastic multiple polyps.
18 Mar 2017
Radical Gastrectomy
53 year old healthy male without any comorbidity
Stomach mass at lesser curvature upto GE junction
Radical Proximal Gastrectomy with gastric tube
Oesophago gastric tube hand sewn anastomosis
Stomach mass at lesser curvature upto GE junction
Radical Proximal Gastrectomy with gastric tube
Oesophago gastric tube hand sewn anastomosis
6 Mar 2017
Laparoscopic Assisted Whipple's PD
Patient with Bilrubin level >8 periampullay tumor
Operated for Laparoscopic Assisted Whipple's
Surgery time 7 hours Blood loss 150 ml
Complete laparoscopic resection of specimen
All anastomosis through upper midline oncision
Patient discharged on postop day 9
Operated for Laparoscopic Assisted Whipple's
Surgery time 7 hours Blood loss 150 ml
Complete laparoscopic resection of specimen
All anastomosis through upper midline oncision
Patient discharged on postop day 9
26 Feb 2017
Laparoscopic APR
75 year old lady diagnosed to have Carcinoma lower rectup
Upfront surgery was done Laparoscopic APR
Upfront surgery was done Laparoscopic APR
25 Feb 2017
Cystogastrostomy (minilap)
21 year old male operated through small incision
Transgastric pseudocyst drainage with cystogastrostomy
20 Feb 2017
Radiation Enteritis
64 years old male operated Lap APR 2 years back for CA Rectum
Received radiation post operatively
He had repeated attacks of Intestinal Obstruction after 18 months
Admitted 4 times in last 6 months for same
Presented with perforation peritonitis and operated again
Findings severe radiation enteritis with terminal ileal perforation
Adhesiolysis with resection of terminal ileal segment
Permanent colostomy kept in situ & double barrel ileal stoma made
Received radiation post operatively
He had repeated attacks of Intestinal Obstruction after 18 months
Admitted 4 times in last 6 months for same
Presented with perforation peritonitis and operated again
Findings severe radiation enteritis with terminal ileal perforation
Adhesiolysis with resection of terminal ileal segment
Permanent colostomy kept in situ & double barrel ileal stoma made
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