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