Friday, December 29, 2017

Hydatid Retro peritoneal & lung

Retroperitoneal and left lung hydatid cyst

Yong male with a history of pain in central abdomen on examination: Milddistension of abdomen presenr on investigations found to have retroperitoneal and left lung hydatid cyst

CECT: confirmed the diagnosis

Posted for surgery after 15 days of albendazole therapy

Sunday, December 10, 2017

Gall stone obstruction : Dr Keyur Bhatt

Gall stone obstruction laparoscopic stone removal

85 Years, morbidly obese(145kg) lady with hypertension and hypothyroidism, a presenter with complain of pain, vomiting & distension of abdomen

USG; S/o Pneumoblia with cholecysto enteric fistula
CECT: Confirmed the findings with gallstone stuck in the ileum, causing intestinal obstruction

Gall stone obstruction : Dr Keyur Bhatt

Gall stone obstruction laparoscopic stone removal

85 Years, morbidly obese(145kg) lady with hypertension and hypothyroidism, a presenter with complain of pain, vomiting & distension of abdomen

USG; S/o Pneumoblia with cholecysto enteric fistula
CECT: Confirmed the findings with gallstone stuck in the ileum, causing intestinal obstruction

Friday, December 8, 2017

Lap Type 4 peptic ulcer perforation repair with hiatus hernia : Dr Keyur...

Spleen preserving Distal Pancreatectomy

Lap Spleen preserving Distal Pancreatectomy

Middle-aged male with dyspeptic symptoms on evaluation found to have a small solid lesion in a body of the pancreas

USG/CECT/EUS FNAC was done
S/O: NET

SURGERY: Lap spleen-preserving distal pancreatectomy
The patient recovered well and was discharged on POD 2

Thursday, November 23, 2017

Lap CBD Exploration : Dr Keyur Bhatt

Lap CBD Exploration

Younger female with a history of pain in abdomen and jaundice diagnosed to have gall stone and CBD stones

ERCP attempted and CBD Stenting is done (Large 2 Stones Could not be Retrived)

Plan: Lap exploration of CBD & stone removal patient was discharged uneventfully on POD 2

Sunday, October 29, 2017

Worlds longest Trichobezoar! 5 feet long!!!

Worlds longest Trichobezoar

17 Year female with a history of pain on the abdomen for 3 days, on evaluation and detailed history the patient accepted to have a habit
of eating threads and hair

CECT was done to confirm the Diagnosis.

Surgery: Laparotomy and removal of trichobezoar with repair of gastric perforation

Monday, October 9, 2017

laparoscopic Left hemi colectomy : Dr Keyur Bhatt

Left hemicolectomy for ca splenic flexure

66 year male with a history of constipation and 3 kg waite loss on evaluation found to have splenic flexure growth

CECT was done along with Colonoscopy & biopsy to secure diagnosis

Surgery: Laparoscopic left hemicolectomy

Sunday, October 1, 2017

Mini cystogastrostomy - an answer for Lap / Endoscopic cystogastrostomy

Mini Cystogastrostomy

Middle-aged male with a history of acute necrotizing pancreatitis treated conservatively during that episode, improved from that episode but had persistent pseudocyst(WOPN)

Conservative treatment tried for almost a year but the cyst was increasing in size, he had few pressure symptoms

patient was subjected to open mini cysto gastrostomy surgery time: 20Mins, Discharged on POD 3.

Thursday, September 21, 2017

Lap Whipple's surgery

LAP Whipple's Procedure with FJ

Middle-aged female diagnosed to have a periampullary tumor.
She was subjected to LAP WHIPPLES SURGERY
after physicians fitness and all other preoperative work up

SURGERY: LAP Whipple's' Procedure with FJ

DURATION: 6 Hrs

Bx: T2N(0/8)M0

Saturday, September 16, 2017

Lap Completion Radical cholecystectomy : Dr Keyur Bhatt

Lap Completion Radical cholecystectomy

A middle-aged male with thick walled GB and few gall stones underwent pal cholecystectomy found to have ca GB incidently

Bx; T1b NxMx

Plane: Completion lap radical cholecystectomy and lymphadenectomy
Final biopsy: cystic duct, liver margins free of tumor all HDL lymph nodes and IAC node negative for malignancy

Friday, September 15, 2017

Lap : Jejunal needle removal : Dr Keyur Bhatt

Lap: Jejunal needle removal

14 Years boy with a history of ingestion of needle 8 days back
C/O Pain in the abdomen on investigation found to have a needle in central abdomen stuck in jejunal loops

Surgery: Laparoscopic removal of needlePatient was discharged home (daycare 8 hrs).


Thursday, September 14, 2017

Dr Keyur Bhatt : Lap Total intrathoracic gastric volvulous reduction

Lap reduction of hernia & fixation of stomach

52 years female with a history of pain in central abdomen nausea and one episode of hematemesis

On investigation found to have large hiatus hernia in CECT Chest & upper abdomen

SURGERY: Lap reduction of hernia & fixation of stomach

Friday, September 1, 2017

Laparoscopic LAR ( low anterior resection)

Laparoscopic LAR (low anterior resection)

Middle-aged male with complain of bleeding per rectum and constipation for 3-4 months all blood investigations were normal.

Barium enema study was done in perepheral center was suggestive of mass in middle one-third of the rectum

Bx (done Outside): S/O Adenocarcinoma of rectum

Saturday, April 22, 2017

Lap whipples surgery

Lap Whipple Surgery

56 years Male with a history of mild abdominal pain,
weight loss fo 6 kg and decrease appetite, surgical
obstructive jaundice for 15 days on investigation found to have a periampullary tumor with replaced Rt hepatic artery from SMA

SX: Lap Whipple's pancreatic duodenectomy
Duration: 6.5 hrs
patient was discharged on POD 6
Bx: T2N1 (2/11) Periampullary adenocarcinoma

Thursday, April 20, 2017

Replaced Rt hepatic artery dissection in Lap Whipples

Replaced Rt Hepatic artery dissection in Lap Whipple

Laparoscopic dissection of the uncinate process of the pancreas during Whipple surgery in a patient with replaced right hepatic artery arising from superior mesenteric artery