Monday, November 5, 2018

Thoracoscopic Denture removal from esophagus : Dr Keyur Bhat

Thoracoscopic Denture removal from esophagus

An Elderly Female with a history of accidental ingestion of denture 8 days before two uncessfull attempts of removal was tried.

Surgery: Thoracoscopic Removal of mid Esophageal denture & FJ



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Tuesday, October 23, 2018

Lap Mirizzi Syndrome / CBD Exploration : Dr Keyur Bhatt

Lap Mirizzi Syndrome / CBD Exploration

Middle aged female with a history of pain in cenral abdomen and jaundice
underwent ERCP and CBD stenting posted for lap chole with CBD Exploration.



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Wednesday, October 17, 2018

Laparoscopic Repair of peptic perforation : Dr Keyur Bhatt

Laparoscopic Repair of peptic perforation

A 38-year male patient presented with complaints of severe generalized abdomen pain since one day.

History of two episodes of vomiting, No History of fever.

Per abdomen - generalized tenderness and guarding TLC Raised
Chest x-ray was normal.

CT scan abdomen showed free gas under the right dome of the diaphragm.



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Wednesday, October 3, 2018

Boerhaave's syndrome : Dr Keyur Bhatt

Boerhaave's syndrome

An Elderly male with a history of pain in a left chest for 2 hours, on investigations, found to have gross left hydropneumothorax ICD
Kept and a patient was conservative.

Day 3 - CT Chest was done s/o empyema left chest thoracoscopy and lavage was given patient continued to have 1000ml/day ICD output Repeat chest CECT with oral contrast done on DAY 7 which s/o gross leak of contrast from lower one-third of an esophagus in the left thoracic cavity.

Transferred to SIDS Hospital & Research Center OGD Scope was done with CO2
s/o: Lower end left sided 3 cm esophageal perforation.

PLAN : Laparoscopy and repair of perforation feeding jejunostomy Thorascopy / Mini thoracotomy and lavage.



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Wednesday, September 26, 2018

Lap Splenectomy for ITP : Dr Keyur Bhatt

Lap Splenectomy for ITP

Young female with History of ITP for 4 years steroid dependent and resistant to other all medical management Platelets counts persistently near 10,000/cmm

Plan: Lap Splenectomy

Platelet counts 8,000/cmm on Day of Surgery



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Monday, September 24, 2018

Lap Subtotal Colectomy : Dr Keyur Bhatt

Lap Subtotal Colectomy lleo rectal anastomosis

24 Years young male with a history of constipation for 15 years No other significant medical history.

Colonoscopy: s/o Normal mucosa and no other significant abnormality.



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Sunday, September 16, 2018

Lap ICG Cholecystectomy : Dr keyur Bhatt

Lap ICG Cholecystectomy with ICG

Young female with a history of pain in abdomen On evaluation found to have acute cholecystitis with the impacted stone in GB Neck.

Surgery: Lap Cholecystectomy with ICG Dye

ICG Dye injected 1 ml 45 Must prior to surgery.


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Monday, September 10, 2018

Lap Right portal vein ligation with AR : Dr Keyur Bhatt

Right portal vein ligation with AR for Ca Sigmoid (NEC) + Extensive Right Lobe liver Mets

55 Years male with a history of constipation and 1 kg wt loss On Colonoscopy found to have: Ca Sigmoid (Neuroendocrine)
CEST: s/o Sigmoid mass with extensive right lobe liver Mets

Surgery Plan: Laparoscopic Right Portal vein ligation & sigmoid colectomy


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Tuesday, August 28, 2018

Lap cholecystectomy (Gangrenous GB) : Dr Keyur Bhatt

Lap cholecystectomy Gangrenous cholecystitis (Intrahepatic GB)

Middle-aged male with a history of pain in upper abdomen for 3 days known diabetic for 15 Years.
TLC: 14000/CM
LFT: Normal

USG: s/o Acute cholecystitis with pericholecystic fluid.

Surgery: Lap Cholecystectomy



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Lap APR For Ca Anal Canal : Dr Keyur Bhatt

Lap APR For Squamous cell Carcinoma Anal canal

Middle-aged male with perianal pain and bleeding P/R.
Operated for MIPH & Perianal fissure with Bx from a fissure

Bx - Squamous cell Carcinoma of anal canal after three months patient had taken 60 Gy radiotherapy.

Post-treatment patient had persistent peri anal for 3 months, Underwent internal sphincterotomy for the same!

Two months later again underwent peri anal bx
s/o: Persistence of Squamous cell ca

PET Scan: s/p Locally active disease in the perianal region.

we received the patient after all the work up Advise: Lap APR

Surgery and post-op recovery was uneventful patient discharged on POD 5.

Biopsy: s/o T2N0 Squamous cell ca



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Monday, August 27, 2018

Tuesday, August 21, 2018

Lap Liver cyst excision : Dr Keyur Bhatt

Lap Liver cyst excision

Middle aged female with pain in central abdomen On evaluation found to have a complex cyst in left in the left lobe of liver Hydatid serology and tumor markers were negative

Plan: Lap excision of the cyst.

A patient was discharged on next day.


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Tuesday, August 14, 2018

Lap Choledochal cyst excision and RYHJ : Dr Keyur Bhatt

Lap Choledochal cyst excision and RYHJ

32 years male with a complaint of intermittent pain in RHC found to have CDC Type 1 MRI Confirmed the diagnosis.

Surgery: Lap CDC Excision with RYHJ Patient discharged on POD 5



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Friday, July 13, 2018

Completion cholecystectomy for biliary fistula : Dr Keyur Bhatt

Completion cholecystectomy for biliary fistula

Elderly male history of pain in abdomen x  6 months diagnosed to have gall stone disease and had undergone Lap converted Open cholecystectomy (done in peripheral hospital)

A patient had persistent biliary fistula following surgery (10days - 400ml.day)

MRCP was done suggestive of residual significant GB with multip;e stones & a large juxta papillary diverticula

Surgery: Lap completion cholecystectomy

Patients were discharges uneventfully postoperatively on POD 2 Without Drain



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You Tube : Dr Keyur Bhatt

Lap Whipples Dissection