Tuesday, 6 March 2012

FIRST LAPAROSCOPIC CYSTO GASTROSTOMY FOR PSEUDOCYST OF PANCREAS after ACUTE PANCREATITIS in SURAT

Gastrotomy on Anterior Stomach Wall

Gastrotomy on Posterior Stomach Wall and Pseudo cyst

Suction and Evacuation of Stomach Content

Creation of Cysto Gastrostomy with ENDO GIA STAPLER

Removal of Necrosis from Cyst Cavity

Removal of Necrosectum

Closure of Anterior Gastrotomy with ENDO GIA

Final Picture after Closure of Stomach

Thursday, 1 March 2012

Laparoscopic Nissen's Fundoplication for Hiatus Hernia


Hiatus Hernia on Pre operative Upper GI Scopy




GastroHepatic Ligament Division

Division of Short Gastric Vessel

Hiatus Dissection with Right and Left Crura Dissected Saperately



Interrupted Crural Repair with Ethibond 

Floppy Loose Fundoplication 

Complete 360 Degree Nissen's Fundoplication

Upper GI Scopy at the End Demonstrating  Newly formed functioning GE Valve



Tuesday, 21 February 2012

Malrotation of GUT - Managed Surgically

All the bowel on Left side of abdomen

Rt Iliac Fossa Empty

Derotation of the Mesentry and Fixation at DJ Flexure

Caecum Ascending Colon on the Left Side

Tuesday, 22 November 2011

Wednesday, 16 November 2011

Restorative Total Proctocolectomy with Ileal Pouch Anal Anastomosis (IPAA), Definitive surgical management for Ulcerative Colitis - First time in Surat


Rectal Dissection during Transection

Complete Rectal mobilization with its covering

Creation of Ileal Pouch after Proctocolectomy

Ileal Pouch

End Result - Ileal Pouch Anal Anastomosis 

Ileal Pouch Anal Anastomosis with Circular Stappler

Specimen of Total Proctocolectomy
Cut Open Specimen of Total Proctocolectomy

Wednesday, 9 November 2011

Frey Procedure ( Head Coring with LPJ ) in 42 yr Male with Chronic Alcoholic Pancreatitis

Dilated MPD with Stones in it
Edematous Pancreas



Completely dissected MPD

LPJ + Head Coring

Side to Side Pancreatico Jejunostomy

Pancreatico jejunostomy


Final Roux en Y Pancreatico Jejunostomy