9 Dec 2017

Proximal Gastrectomy

50-year-old male
Proximal stomach tumor
Proximal Gastrectomy with stomach tube
Esophagogastric anastomosis

18 Sep 2017

Toxic Megacolon

Patient operated for toxic megacolon with impending perforation
Grossly dilated large bowel up to transverse colon
Emergency exploration with resection and stoma done

16 Sep 2017

Gastrocutaneous fistula

A very rare case of gastric duplication cyst with cutaneous fistula.
Patient was 4-year child with chronic discharging sinus in epigastric region
Operated for incision and drainage with local exploration
But had persistent symptoms.
Finally relived with distal gastrectomy and Roux en Y GJ

30 Aug 2017

Angioembolization of Small bowel bleed

Patient with small bowel bleed underwent angioembolization
Post procedure patient had severe pain and septic signs
Emergency exploration and resection anastomosis done

28 Aug 2017

Radical cholecystectomy

Radical cholecystectomy was done for carcinoma of the gall bladder.
Resection of segment 4B and 5 along with lymph node dissection.

24 Aug 2017

Pancreatic Necrosectomy

Mini incision (mini-laparotomy) for infective pancreatic necrosis
Small vertical midline incision and trans-gastric approach
Patient discharged on post op day 2

16 Aug 2017

Esophagectomy

Open Esophagectomy for carcinoma of mid esophagus
Mckeown three field esophagectomy with the stomach tube.

12 Aug 2017

Diverticulitis

Considerably western world disease but with the changing era and food culture in India
The problem in Indian subcontinent is increasing as well.
Relatively silent but can be a cumbersome with infection.
Constipation and low fibers in diet are responsible factors.
Simple measures like change in diet habit can avoid major issues of diverticular disease

4 Aug 2017

Completion Lap Chole

Patient underwent open partial chole
Had biliary pancreatitis later
Operates Laparoscopically

27 Jul 2017

Lap proctocolecromy with IPAA

Case of refractory Ulcerative colitis
Lap total colectomy done
Ileal pouch anal anastomosis


22 Jul 2017

Laparoscopic Right Hemicolectomy

27 year old lady with incidentally detected Cecal NET
Tumor at appendicular base without obstruction
Operated for Lap right hrmicolectomy
Extracorpoeal anastomosis end to side manner

12 Jul 2017

Rectal sparing difficult TLH

Laparoscopic hysterectomy
Attempted for open surgery
Procedure abandoned by previous surgeon
Completed laparoscopically

10 Jul 2017

Small bowel adenocarcinoma

Small bowel adenocarcinoma.
One of the rare cases.
Resection anastomosis done.
Patient discharged on day 4.




















2 Jun 2017

Transgastric Necrosectomy

48 year male with Acute Necrotising Pancreatitis
Had infected necrosis with Duodenal obstruction
NJ kept for feeding and on Imipenem
On day 32 operated for infected necrosis
Transgastric Necrosectomy done
Nasocystic drainage and NJ kept
Patient kept in ICU for 3 days
Discharged with all tubes on post op day 9
All tubes pulled out on follow up


10 May 2017

Laparoscopic Spleenectomy

48 year old male c/o Torsion of wandering spleen
with Gastric Volvulus
Lap Spleenectomy with Seromuscular GJ

28 Apr 2017

Laparoscopic Transgastric Necrosectomy

68 year old female case of biliary pancreatitis
Operated for walled of pancreatic necrosectomy

13 Apr 2017

Transverse colon fistula

Operated case of incisional hernia repair 16 years back
Presented with spontaneous purulant discharge from scar
On CT detected transverse colon cutaneous fistula
Exploratory laparotomy with repair of fistula without resection
Inflammatory mass formed by mesh was excised
Post operative recovery was uneventful.

27 Mar 2017

Total proctocolectomy with IPAA

65 year old male without any medical comorbidities
Complain of change in bowel habit and occasional bleeding PR
On colonoscopy he had rectal growth with multiple polyp in colon
Biopsy from growth was positive for malignancy
Polyps from different parts of colon s/o dysplasia
Total laparoscopic proctocolectomy was performed
Small lower midline incision taken to deliver specimen
Ileal Pouch Anal Anastomosis with diversion ileostomy done.
He had persistent ileus for more than 8 days
Hence was reexplored and adhesiolysis was done
Stoma started functioning from post op day 2 of 2nd surgery
He recovered well and stoma closure was done after 6 weeks.
HPE report was T2N0 Adenocarcinoma of rectum with dysplastic multiple polyps.

18 Mar 2017

Radical Gastrectomy

53 year old healthy male without any comorbidity
Stomach mass at lesser curvature upto GE junction
Radical Proximal Gastrectomy with gastric tube
Oesophago gastric tube hand sewn anastomosis



















6 Mar 2017

Laparoscopic Assisted Whipple's PD

Patient with Bilrubin level >8 periampullay tumor
Operated for Laparoscopic Assisted Whipple's
Surgery time 7 hours Blood loss 150 ml
Complete laparoscopic resection of specimen
All anastomosis through upper midline oncision
Patient discharged on postop day 9

26 Feb 2017

Laparoscopic APR

75 year old lady diagnosed to have Carcinoma lower rectup
Upfront surgery was done Laparoscopic APR

25 Feb 2017

Cystogastrostomy (minilap)

21 year old male operated through small incision
Transgastric pseudocyst drainage with cystogastrostomy


20 Feb 2017

Radiation Enteritis

64 years old male operated Lap APR 2 years back for CA Rectum
Received radiation post operatively
He had repeated attacks of Intestinal Obstruction after 18 months
Admitted 4 times in last 6 months for same
Presented with perforation peritonitis and operated again
Findings severe radiation enteritis with terminal ileal perforation
Adhesiolysis with resection of terminal ileal segment
Permanent colostomy kept in situ & double barrel ileal stoma made

17 Feb 2017

Laparoscopic Retroperitoneal Necrosectomy

32 year old male with ethanol induced acute necrotising pancreatitits
Had severe attack with multiorgan failure
ICU stay was more then 30 days with ventilatory support
Received broad spectrum antibiotcs, pigtail, tracheostomy
With all efforts from Gastroenterologist and Intencivist recovered
Operated for infective extensive pancreatic necrosis on day 38
Laparoscopic retroperitoneal approach was taken
Thorough necrosectomy and lavage done from right side
Diverting loop ileostomy made
Postoperative ICU stay was 4 days recovery was slow and steady
Discharged with all drains in situ


16 Feb 2017

Whipple's Pancreaticodudenectomy

48 year old male patient presented with obstructed jaundice
Preoperative bilirubin level 7.9 without cholangitis
Operated for Whipple's Pancreaticodudenectomy
He had replaced hepatic artery with chronic pancreatitis
Dissected neatly and vessel safeguarded
Reconstruction done of with duct to mucosa (PJ duct 5 mm)
Recovered uneventfully, ICU stay 2 days, Hospital stay 6 days

9 Feb 2017

Right extended hemicolectomy

Case of Right extended hemicolectomy for Adenocarcionoma (pT3N0)
Extensive desmoplasia because of growth which lead to dense
adherence with SMV
R0 resection achieved safely preserving SMV and SMA without injury.
Patient recovered uneventfully




4 Feb 2017

Laparoscopic left lateral hepatectomy

20 year old male diagnosed for left lobe lesion
Provisional diagnosis of biliary cystadenoma
Operated for laparoscopic resection
HPE suggestive of left sided caroli's disease

31 Jan 2017

Whipple' Pancreaticodudenectomy

56 year old male without any medical comorbidity
Had Obstructive Jaundice
Diagnosed to have periampullary tumor
He was stented for same
Whipple's Panceaticodudenectomy was done
Postoperative course was uneventful

30 Jan 2017

Transperitoneal Necrosectomy

45 year old female with history of idiopathic acute necrotising pancreatitits
Spent more than one month for severe attack with multi organ failure
Had tracheostomy and two pigtail insertion for infective collection
Recovered well from organ dysfunction
She had persistent fever and pus discharge from both drains
CT scan done after two and half months of attack
Findings suggestive of multiple necrotic collection & splenic abscess
Spleenic flexure encased in tail pancreas fibrosis leading to obstruction
Open Transperitoneal necrosectomy was done with diverting ileostomy.
Postoperative stay in ICU for 1 day and full diet started.
She had residual 20 ml collection in spleenic fossa
Pigtail insertion done for same and she recovered well.

25 Jan 2017

Laparoscopic choledodchodudenostomy

67 year old female known HT and DM 
Large Lower CBD stone sized 1.1cm
Attempted ERC but failed to remove
Operated Laparoscopically
Blood loss 50 ml
Discharged on post op day 3


23 Jan 2017

Right Hemicolectomy in complete Malrotation

88 year old lady with ECOG status 0
Presented with bleeding PR
CT Scan and Endoscopy diagnosed Carcinoma of caecum
She had complete Malrotation with whole colon in left
Right hemicolectomy done

22 Jan 2017

Mesenteric Vascular Ischaemia

Patient with Acute Mesenteric Ischaemia due to SMA thrombosis.
Bowel resection with thrombectomy using fogarty catheter
and relook exploration after 24 hrs showed reperfused ischaemic bowel.
Proximal ileal stoma and distal feeding made both side of incision
ICU stay with ventilator support 4 days
Discharged on post op day 8 with refeeding


21 Jan 2017

Laparoscopic sigmoid colectomy

60 year old lady with history of discharging sinus in lowe abdomen
History of I & D for small abscess 11 months back in hypogastric region
Which later developed as pus discharging sinus
On CT scan she had complicated sigmoid diverticulitis with fistula
Colonoscopy confirmed diagnosis
Operated for Laparoscopic Sigmoid colectomy
Post operative period was uneventful


Laparoscopic Hydatid cyst drainage

28 year old female with history of pain in abdomen
diagnosed to have hydatid cyst in segment 6 and 7 of liver
Given 2 weeks course of Tab Albendazole
Operated for laparoscopic drainage, lavage
Post operative recovery was uneventful
Patient discharged on post op day 2