How to Control Liver Bed Venous Bleed?

Sometimes, there is unexpected bleeding from Liver bed during Laparoscopic Cholecystectomy.
Whether we try Monopolar/ Bipolar or Harmonic Energy source, still sometimes we are unable to control bleeding. That that time, Instead of Frying the tissue again and again, just ask your anaesthetist to keep systolic BP below 100 mm Hg. And Wait. The bleeding will automatically stop within few seconds.  Meanwhile, remove the Gallbladder and use it to Apply Mild pressure over the bleeding area. The bleeding will stop as a Rule.

Recto-Signoid Growth, 20 cm from Anal verge.

Biopsy- Poorly Differentiated Adenocarcinoma with Signet Ring Cells.

LOW ANTERIOR  RESECTION WITH COMPLETE MESORECTAL EXCISION DONE.

RICHTER'S HERNIA:-
Not that Uncommon.

LARGE BOWEL CANCER SURGERIES

Low Anterior Resection Specimen

Right Hemicolectomy for Adenocarcinoma Ascending Colon

Right Hemicolectomy for Large Mucocele Appendix

DIFFERENT TYPES OF GASTRIC NEOPLASMS OPERATED HERE IN JALANDHAR BY ME

 GASTRIC LIPOMA (8 x 10cm)






GASTRIC ADENOCARCINOMA

BLEEDING GASTRIC GIST

ASYMPTOMATIC JEJUNAL DIVERTICULA

Extensive Small Bowel Gangrene due to Meckel's DIverticulum

Acute Small Bowel Obstruction in a 30 year male, due to Meckel's diverticulum with extensive small bowel gangrene presented after 5-6 days.

MIDLINE EXPLORATORY LAPAROTOMY WITH RESECTION OF MAJOR PORTION OF SMALL BOWEL INCLUDING MECKEL'S DIVERTICULUM  AND (Side to side) ANASTOMOSIS  (20cm distal ileum and 15cm proximal jejunum left) DONE UNDER GA.

HE IS NOW MORE THAN  3 YEARS IN FOLLOW-UP AND DOING FINE.

Indirect Inguinal Hernia with Small bowel Obstruction-Open Surgery

This young man aged 19 years had Acute Small Bowel Obstruction with Right Inguinal Hernia.
The hernia was Irreducible and Obstructed at presentation.
On Diagnostic Laparoscopy followed by Open Exploration, there was Stricture of Herniated Bowel- Decision was taken to do a side to side Anastomosis without doing proper resection.
Patient did well and was discharged on 5th Postop. day.

CIRRHOSIS LIVER

SMALL BOWEL OBSTRUCTION DUE TO GOSSYPIBOMA IN A YOUNG GIRL OF 14 YEAR AGE