Tuesday, January 8, 2013

CASE: Achalasia cardia - lap haller's myotomy with fundoplication^-www.drkeyurbhatt.in*

middle aged female with progressive disphagia and hypothyroidism
on work up detected with achalasia cardia


surgery: lap haller's myotomy and anterior fundoplication . patient was discharged on next day with soft diet

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon


CASE : Emergency left hepatectomy for trauma and biliary leak^-www.drkeyurbhatt.in*

young male with alleged h/o trauma and liver tare, CECT s/o near complete transection of left lateral segment of liver with mild to moderate amount of free fluid in abdomen

viatly: pt stable initially, upto 6-8 hrs of trauma
Hb stable in 24 hrs but started having distension , distress on repeat usg found to have increase in free fluid




explored suspecting biliary peritonitis and rightly found along with necrotic liver left lateral lobe

surgery: left lateral hepatectomy and cholecystectomy and intra op cholangiogram - to confirm negative bile leak.




patient was discharged uneventfully on POD 7.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt


www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surg


Thursday, December 13, 2012

case: lap splenectomy for multiple splenic abscesses^-www.drkeyurbhatt.in*

young male with daily high spiking fever for 12 days
on work up found to have multiple splenic abscess

CECT:





SURGERY: LAP. Splenectomy

patient was discharged on POD 2.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best G

CASE: CA RECTOSIGMOID - AR^-www.drkeyurbhatt.in*

Elderly male with frequent lower gi bleeding and h/o severe aortic stenosis (valve area less than 10 mm) and atherosclerotic changes in descending abdominal aorta

on evaluation found to have ca recto-sigmoid junction and unfortunately patient was refuted from surgey in two major onco-surgical hospitals due to medical fitness issues..

patient was worked up and taken up for surgery

surgery: Anterior resection and primary anastomosis -
whole surgery was done in segmental epidural anaesthesia maintaining Vitals through out normal, and patient did not stayed a single day in ICU. Was started on oral diet by day 3 and discharged on day 6 uneventfully,







Bx: T3N0 moderatedly differentiated adenocarcinoma of rectum.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon




Wednesday, December 12, 2012

CASE: Acute mesenteric ischemia due to acute block in SMA^-www.drkeyurbhatt.in*

Middle aged male with pain abdomen for last 3-4 days acute in onset..central abdominal pain
with vomiting ...past history of CHD and coronary stenting done before 3 yrs

CECT  was done and was s/o acute sma block with thrombosis and proximal bowel gangrene and distal bowel ischemia...along with that air pockets in all lobes of liver..





taken up for surgery:

DAY 1: laparotomy and Superior Mesenteric Aartery exploration and thrombectomy and closure

Day 2: Re -exploration, proximal bowel resection anastomosis ..lavage and drainage.



patient was on inotrops and venti support for 7 days and was gradually improved  and started on oral diet and discharged on day 12.

www.gisurgerysurat.com

www.sidshospital.com

You Tube : Dr Keyur Bhatt

www.gisurgerysurat.com/

www.drkeyurbhatt.in/

www.sidshospital.com

 

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 - Dr Keyur Bhatt - Best Gastro Surgeon

                                   Dr Keyur Bhatt- Best GI Surgeon