Wednesday, August 31, 2011

CASE: PSRS For EHPVO With portal biliopathy

24 yrs male with UGI bleed..grade 3/4 multiple large varices..
Hypersplenism, splenomegaly
Obstructive jaundice with dilated CHD 22mm (Portal biliopathy.)

SURGERY: PSRS




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www.sidshospital.com

You Tube : Dr Keyur Bhatt

CASE: Necrotizing pancreatitis with mesenteric cyst & agenesis of left kidney - NECROSECTOMY AND Removal of cyst

38 Yrs alcoholic necrotizing pancreatitis second month..
with sepsis , distension,  pain
CECT:



SURGERY: Open necrosectomy and removal of mesenteric cyst:










www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt


CASE: Obstruction with bowel gangrene

70 yrs male with 7 days history of sub acute intestinal obstruction
developed frank obstruction in last 2 days....

exploration reveled bowel gangrene..





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www.sidshospital.com

You Tube : Dr Keyur Bhatt

CASE: Multiple diverticulosis with perforated splenic flexure diverticula

75 yrs female with pain in abdomen and distension with signs of peritonitis..






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www.sidshospital.com

You Tube : Dr Keyur Bhatt


CASE: LPJ

28 YRS Female with chronic pancreatitis


CECT:

SURGERY: LPJ



Discharged on POD 7.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

Wednesday, August 3, 2011

CASES: 1.PERFORATED PAYOCELE 2. PERFORATED GB WITH CIRRHOSIS OF LIVER

CASE 1.OLD age women with perforated payocele of GB. Status ERC and stone clearance and stented.
was advised cholecystectomy 8 months back refuted....

ultimately landed with perforation of payocele with perforation and
SURGERY: Open cholecystectomy


CASE 2: Old age women with GB STONE and cholecystitis...kept conservatively in view of Cirrhosis of liver..
symptoms increased and was taken up for LAP cholecystectomy few months back...but considering the liver condition and intrahepatic situation of GB surgery was abandoned after placement of camera.

remained asymptomatic for another few months
now presented with sever pain in abdomen
CECT: S/O perforated GB with impacted stone in neck with cirrhosis of liver ans PHT



SURGERY: OPEN CHOLECYSTECTOMY.




www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt



CASE: Pancreas & Splenic vein transaction with liver grade 4 injury

Middle aged male with history of trauma...shock ...collapsed
Tense abdomen with hemoperitoneum

Resuscitation started and taken up for Laparotomy
found to have Deep laceration in left lobe of liver, 2.5 liters of hemoperitoneum, completely transected pancreas at neck with total transaction of splenic vein ...
A TEAM efforts by surgeons, intencivists, anesthetists....

SURGERY: Repair of liver laceration...distal pancreatectomy and splenectomy.


www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt