verticle sleeve gastrectomy bmi 40 at navelihospital surat gujarat india

if you are smart enough find out five minor mistakes you can rectify which are seen in my this video.

heamoperitoneum with rupture spleen- spenectomy

h/o road traffic accident with blunt trauma abdomen usg and c.t s/o rupture speen with heamoperitoneum. emergency open splenectomy was done.

heamoperitoneum with rupture spleen-splenectomy

road traffic accident grade 3 pancreatic transection with rupture spleen

splenectomy with distal pancreatectomy was done in 30 yr old patient.with h/o r.t.a and poly

huge retroperitoneal vascular hemartoma rt lumber and illiac fossa

 40 yr male having diffuse pain and lump in lower abdomen and lumber region. ct-scan showing huge about 12*15 cm size retroperitoneal mass with neovascularization, adharant to rt renal padicle and ivc. complete excision with ivc tear repair was done. on table frozen sections/o benign pathology. i.h.c s/o retroperitoneal vascular hemartoma.rare lesions seen now adays.

laparoscopic sleeve gastrectomy at naveli hospital surat,BMI 38

laparoscopic ventral hernia repair with physiomesh and secure strap absorbable tackers

total laparoscopic hysterectomy

sigmoid volvulus

 About  38yr old female had  gross fecal impection  due to huge feacolith of a cricket ball size  at rectosigmoid region.she had acute obstruction  with sigmoid volvulus. feacolith was dismpected ,menual per rectal removal  was done,considering young age and negative history of chronic constipation, simple plication of sigmoid colon was done( as per literature colon resection is recommanded). patient was fine and post op uneventful, had followup of about 1 year with satisfactory result. in 2  similar cases we had put the sigmoid colon in the subcutaneous space also by  inguinal incision, all the pt who were co-morbid and high risk for resection,they have also behaved well but constipation is always an issue in patients without resection.few cases were done with resection and results were better(unfortunately no pictures available).  two patient had leak from resection site, and converted in to colostomy.nowadays due to good bulk forming agents ,incidence of sigmoid volvulus are decreasing.(this post is not in favour of plication against resection)