Laparoscopic Sleeve Gastrectomy in a Male with Central Obesity ( BMI = 45)

Division of Gastro Splenic Lig

Division of Greater Omentum

Division of Gastro Colic Ligament

Creation of Gastric Sleeve

Completion of Gastric Sleeve

Sleeve Gastrectomy in 46 BMI Female with HTN, DM, Backache, Knee pain

Division of Greater Curvature

Division of Greater Omentum

Division of Stomach with Echelon 

Division of Stomach with Echelon

Bariatric Surgery: Sleeve Gastrectomy in 42 BMI Male with Obstuctive Sleep Apnoea

Mobilisation of Gastrocolic Ligament

Complete Division of Greater Omentum

Creation of Sleeve with Tri Staple Covidien 

Completion of Sleeve

Remaining Sleeve with no air leak

Laparoscopic Cholecystectomy with Sleeve Gastrectomy with TVTO ( BMI = 52, 118 kg)

Cholecystectomy

Division of Gastrosplenic Ligaments

Division of Gastric Sleeve

Completion of Gastrectomy

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