Dr. Keyur Bhatt - Gastrosurgeon

Friday, March 18, 2011

CASE : Complete intestinal malrotation with Cecal Volvulus^-www.drkeyurbhatt.in*

38 yrs male
pain in abdomen for 3 days with differential abdominal distension more in LIF
Associated with constipation and nausea
p/h/o open appendectomy 15 yrs back from RIF incision..

USG : S/O volvulus of sigmoid colon
X RAY: S/O volvulus of colon arising from pelvis with few more air fluid levels
suspected diagnosis: Sigmoid Volvulus..

Sigmoidoscopy: normal...

CECT : Large bowel obstruction with ? p/o Malrotation with kink midway ? cecal volvulus..with diameter of colon . >10 cm.. and dilated proximal bowel loops..

SURGERY: (Exploratory Laparotomy): Derotation, untwisting and division of a LAD Band and repositioning of cecum in left iliac fossa (as this is a case of complete intestinal malrotation type 3) and decompression.

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Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

Dr Keyur Bhatt- Best GI Surgeon

Thursday, March 10, 2011

CASE: CYSTO DUODENOSTOMY^-www.drkeyurbhatt.in*

21 Yr girl with h/o acute Idiopathic pancreatitis 6 mths back
resolved with development of pseudocyst.

Significantly increasing in size and causing gastric outlet obstruction and visible lump..

CECT:

SURGERY: Cysto duodenostomy (the most Dependant portion of cyst)

Pt is now on oral diet and ready for discharge..

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Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

Dr Keyur Bhatt- Best GI Surgeon

Tuesday, March 8, 2011

CASE: ACUTE MESENTERIC VENOUS THROMBOSIS & BOWEL GANGRENE^-www.drkeyurbhatt.in*

28 yrs male with pain in abdomen for 3 days
distension, nausea, Melena
Rising TLC and agony

CECT:

SURGERY: Laparotomy and resection of gangrenous segment of jejunum (as stated in scan with venous thrombosis) and stoma.
(1.5 liters of toxic fluid and gangrenous distal jejunum)

Pt about to go home... with distal mucus fistula feeding....

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Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

Dr Keyur Bhatt- Best GI Surgeon

CASE: LAP. RETROPERITONEAL NECROSECTOMY^-www.drkeyurbhatt.in*

TOTAL LAPAROSCOPIC RETROPERITONEAL NECROSECTO

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Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon

Dr. Keyur Bhatt - Best Gastro Surgeon

Dr. Keyur Bhatt- Best GI Surgeon - Dr Keyur Bhatt - Best Gastro Surgeon

Dr Keyur Bhatt- Best GI Surgeon

Monday, March 7, 2011

CASE: LAP. RETROPERITONEAL NECROSECTOMY^-www.drkeyurbhatt.in*

38 yrs male with Acute Necrotising pancreatitis
TLC ; > 18,000, & Fever...Pain in abdomen with distension and discomfort...

S/O Infected Pancreatic necrosis.

CECT:

Infected pancreatic necrosis inlasser saac, and retroperitoneum
going in mesentery and behind descending colon

SURGERY: Total Retroperitoneoscopic necrosectomy
TIME : 3 hrs. BLOOD LOSS: 50 ML
1 Tray full necrosis & 500 ml of pus.
ICU STAY: 1 DAY ORAL DIET : From day 2.

Surgery: