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

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