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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…


Laparoscopic Vertical Sleeve Gastrectomy

How is it done? Vertical sleeve gastrectomy, also known as parietal gastrectomy or just Sleeve gastrectomy consists of an operation that aims, if performed alone, to be restrictive in nature. It is performed by laparoscopy and consists of the restrictive portion of the biliopancreatic diversion +/- duodenal switch bariatric surgical procedure (BPD/DS). The VSG procedure is often utilized as a first-stage bariatric procedure to reduce surgical risk in high-risk patients by induction of weight loss and this may be its most useful application at the present time (BMI > 60 kg/m2). During this procedure, we create a small,Read the Rest…


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Gallstones

Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver. The gallbladder holds a digestive fluid called bile that's released into your small intestine. Gallstones range in size from as small as a grain of sand to as large as a golf ball. Some people develop just one gallstone, while others develop many gallstones at the same time. Gallstones are common in the United States. People who experience symptoms from their gallstones usually require gallbladder removal surgery.Read the Rest…


Laparoscopic Nissen Fundoplication

The procedure is to reinforce the lower esophageal sphincter called Nissen fundoplication. In this procedure, the surgeon wraps the top of the stomach around the lower esophagus. This reinforces the lower esophageal sphincter, making it less likely that acid will back up in the esophagus. This surgery is done as a surgical treatment for GERD.


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