Laparoscopic Spleenectomy for ITP in 50 yr Female at RH

Gastro Splenic Division

Dissection of Splenic Artery

Division of Splenic Artery after Ligation and Clipping

Dissection of Spleenocolic Ligaments

Dissection and Ligation of Splenic Vein

Retrieval of Spleen in Endobag from 10 mm Port

Laparoscopic Splenectomy for ITP ( Idiopathic Thrombocytopenic Purpura)

Dissection of Splenic artery after dividing Gastrocolic Omentum and Short Gastric vessels at the Superior border of Pancreas

Ligation of Splenic artery with Silk suture

Dissection of the Splenic vein posterior to Pancreas

Ligation of the Splenic Vein

Complete Mobilization of Spleen with Division of Spleeno colic and Spleeno Renal ligaments

Dissection at the Hilum with Division of Vein and Artery

Removal of the Spleen in Endo bag

Total Gastrectomy with D 2 Lymphadenectomy for Adeno carcinoma Stomach

Total Gastrectomy showing Ulcerated Growth

Ulcerated Growth in the Posterior wall of Stomach

Resected Specimen of Stomach

Hand Sewn Esophago Jejunal Anastomosis 

Post Lap TAPP Pus Discharging Sinus at Inguinal Region

Sinus at Inguinal Region

Choledochal Cyst Excision with Hepaticojejunostomy

Type 1 Choledocjal Cyst

Hepatic Hilum showing Rt and Lt Hepatic Ducts

Roux & Y Hepaticojejunostomy

Roux & Y Hepaticojejunostomy

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

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