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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Lap Whipples Dissection

Lap Whipple's Dissection

Middle age male with a history of pain in center abdomen and occasional back radiation, no h/o jaundice or significant weight loss

USG: S/o mass in the head of the pancreas

CECT: Confirmed the mass in the head of the pancreas

EUS FNAC: S/o Adenocarcinoma of pancreas

Surgery: Lap assisted Whipple surgery

Wednesday, July 11, 2018

lap Band release : Intestinal obstruction - Dr Keyur Bhatt

Lap release of band/obstruction

Young boy with a complaint of severe pain in abdomen for 4 days with mild distension of abdomen and vomiting(Bilious)

Operated 1 year back for open appendectomy

CECT S/o band in the lower abdomen with intestinal obstruction

Surgery: Lap Release of band

Mucocele of appendix : Lap Resection : Dr Keyur Bhatt

Mucocele of appendix Lap resection

76 years female with nonspecific pain in RIF on investigation found to have Mucocele of appendix

CECT: S/o mucocele of appendix

Surgery: lap Staple appendectomy 

Monday, July 9, 2018

TLH : Large fibroids upto 24 weeks size - Dr Keyur Bhatt

TLH-More than 24 weeks size Uterine fibroid

39 years female with lower abdominal pain
USG: S/o Large uterine multiple fibroids up to 24 weeks size of a uterus

Plam: Laparoscopic total abdominal hysterectomy patient was discharged uneventfully on POD 1