Strassburg Type A Bile Duct Injury Cystic Duct Blow Out

Cystic duct blow out after Laparoscopic cholecystectomy with biliary peritonitis

Rectal Duplication Cyst in 17 year Female

17 year Girl presented with the acute intestinal obstruction. She had history of rectovaginal fistula repair at the age of one year. Laparotomy was done through pfennestiel incision. On PR examination there was a hard mass anterior and to the right of rectum, CECT suggestive of ?? Cyst ?? Retain Foreign Body. Laparoscopic adhesiolysis followed by dissection of cystic tract, track was reaching up to the sigmoid colon. Whole track was excised through the pelvis anterior to the rectum. Sigmoid attachment was also released.

Altered Density Mass Anterior to the Rectum

Areas of Calcification in the Mass

Pelvic Removal of Duplication  Antro Rectal Duplication Cyst 

Long Rectal Duplication Cyst Extending upto Sigmoid Colon

Patient with 56 BMI Underwent Laparoscopic Sleeve Gastrectomy at Rahul Hospital, Surat

Division of Gastrocolic Ligaments

Division of GastroSplenic Ligament

Division of Gastric Sleeve

Transaction of Fundus of Stomach

LAPAROSCOPIC PLICATION OF DIAPHRAGM FOR EVENTRATION at RAHUL HOSPITAL, SURAT

58 year lady presented to the hospital. She was asymptomatic, had history of DM and HTN. Her recent health check up report was suggestive of Left Diaphragmatic Hernia. She was planned for Laparoscopic Diaphragmatic Hernia repair. Intra operatively it was found to be a Eventration of Diaphragm. Laparoscopic plication of diaphragm was done. Post operatively she behaved well and discharged on first post op day.

Left Eventration of Diaphragm

Eventration of Diaphragm

Diaphragmatic Plication

Plication of Diaphragm

Final Picture after Plication of Diaphragm

LAP SLEEVE GASTRECTOMY FOR SUPER OBESE (BMI =48, 140 kg) at RAHUL HOSPITAL, SURAT

58 year lady presented to the hospital was Super Obese, her BMI was 48 and weight was 140 kg. She was suffering from hypertension and was having hypothyroidism. Laparoscopic Sleeve Gastrectomy was performed at Rahul Hospital.

Division of Gastrocolic Ligaments

Division of Gastrosplenic Ligaments

Division of Stomach with Echelon Stapler 

Removed Part of the Stomach 

LAPAROSCOPIC SLEEVE GASTRECTOMTY FOR MORBIDLY OBESE ( BMI 37 - 38) at RAHUL HOSPITAL, SURAT

52 year lady presented to me with morbid obesity, her BMI was 37.5 and her main complain was Sleep Apnoea. Laparoscopic Sleeve Gastrectomy was done without any complication at Rahul Hospital, Surat

Division of Gastro Colic Lig.

Division of GastroSplenic Lig.

Creation of Sleeve Using Echelon Staples

Last Fire for Creation of Sleeve

Part of the Stomach Removed

Part of the Removed Stomach

FIRST LAPAROSCOPIC SLEEVE GASTRECTOMY AT RAHUL HOSPITAL, SURAT FOR MORBID OBESITY

55 year F presented with Morbid Obesity, BMI was 40 with associated HTN, Sleep apnoea, knee related problems. After all the work up she was treated by Laparoscopic Sleeve Gastrectomy at my hospital.
Patient is absolutely fine and started her oral diet. She lost 3 kg in last 10 days. This is the First Laparoscopic  Sleeve Gastrectomy by Surat Surgeon without the help of out city surgeon.

Division of Gastrocolic Ligament

Divisio of GastroSplenic Ligament

Division of Gastrocolic Ligaments till Antrum

Division of Stomach with Stappler

Gastric Sleeve Removed 

Gastric Sleeve after Inflation with Air

Laparoscopic Assisted Ultra Low Anterior Resection for Lower One Third Adeno Carcinoma Rectum at Rahul Hospital, Surat

54 Year Male presented to me with bleeding PR for 2 months, on examination there was severe anal spasm with fissure in ano. I could not able to do PR or Proctoscopic examination. I did colonoscopy of that patient and find out a lower rectal adeno carcinoma T2, N0, M0 on CT scan.Patient was operated and Ultra Low Anterior resection was done with Laparoscopic Assistance. Final HPE awaited.

Dissection of Inferior Mesenteric Vessel and Applying Vascular clips

Division of Inferior Mesenteric Artery

Retro Rectal Dissection in Presacral Space

Posterior Rectal Dissection

Anterior Dissection in between Fascia Propria and Dinoviller's Fascia

Fungating Growth with 2 cm of Distal Clear Margin

Specimen of Ultra Low Anterior Resection

LAPAROSCOPIC NISSEN'S FUNDOPLICATION FOR GERD WITH HIATUS HERNIA

Division of Gastrohepatic Ligaments

Division of GastroColic Omentum

Dissection of Left Crux

Creating Posterior Window and Lengthening of Esophagus

Crural Repair

Gastric Fundal Wrap

Complete Fundal Wrap

Total Proctocolectomy with Ileal Pouch Anal Anastomosis (IPAA) for Steroid Dependent Ulcerative Colitis

Total Rectal Mobilization

Division of Rectum

Creation of J Pouch

Release of Mesentery till DJ Flexure

Ileal J Pouch

Ileal Pouch Anal Anastomosis

Specimen of Total Proctocolectomy

Cut Specimen of Total Proctocolectomy