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Postoperative Ventral Wall {Incisional} Hernia

Introduction It is the result of a failure of fascial tissues to heal & close following laparotomy. Such hernias can occur after any type of abdominal wall incision, although highest incidence is seen with midline & transverse incision. Laparoscopic port sites may also develop hernia defects in the abdominal wall fascia. Incidence & Etiology Modern rates of incisional hernia ranges from 2% to 11% Once belived that the majority of incisional hernia present within first 12 months following laparotomy, long term data indicate that at least one – third will present 5-10 years post-operatively. Multiple risk factors existRead the Rest…


Hemorrhoidectomy

Introduction Hemorrhoids are consider the natural anal cushions They are made up of  arterio-venus communication, smooth muscle & elastic connective tissue in submucosa that normally reside in the left lateral, right posterolateral & right antero lateral anal canal. Classification Internal Hemorrhoids Reside above the dentate line & are covered by transitional and columnar epithelium. Grading Grade 1 – Painless bleeding with defecation Grade 2 – Hemorrhoids protrudes through anal canal at the time of defecation but spontaneously reduce. Grade 3 – Protrudes bleeds but they must be manually reduced. Grade 4 – Permanently fixed below dentate line &Read the Rest…


Laparoscopic Inguinal Hernia Repair

Introduction Hernia is defined as an area of weakness or complete disruption of fibromuscular tissue of body wall causing protrusion of abdominal contents. Hernia in latin means “A Rupture”. Epidomology Of all groin hernias, 95% are hernias are of inguinal region with the remainder being femoral hernia. Inguinal Hernia is 9 times more common in men than women. Although femoral hernias are found more in females, the inguinal hernia is still the most common hernia in women. Anatomy of Groin Inguinal region has 2 rings, 2 boundaries & 2 borders. 2 Rings Internal Ring – A deep ringRead the Rest…


Laparoscopic Cholecystectomy

Introduction First Endoscopic Cholecystectomy was performed in 1985 by Erich Muhe of Boblingen, Germany. Shortly pioneers in France & USA coupled with a CCD video camera with a laparoscopy to allow entire surgical team to view the operative field. Indication for Cholecystectomy Symptomatic Cholelithiasis Biliary Colic Acute Cholecystitis      2. Choledocholithiasis       a) Gall Stone Pancreatitis       b) Cholangitis or Obstuctive Jaundice Asymptomatic Cholelithiasis – Prophylatic Cholecystectomy for Asymptomatic Cholelithiasis can be justified in certain circumstances, such as     With sickle cell disease : Pt. with sickle cell disease often have hepatic or vaso-occlesive crises thatRead the Rest…


Yogurt Fruit Parfait By Avanti Deshpande


Rainbow Oats Upma By Mayuri Diwakar


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