Surgeon Satya

27/10/2023

Knowing Hiatus Hernia: Symptoms, Strategies, and Solutions👩‍⚕️

Struggling with hiatus hernia? 🤢
In under a minute, learn about the symptoms, practical lifestyle changes, and even surgical options in our brief informative video!

Your health matters. 💚

24/10/2023

26/05/2022

Surprise, Surprise.
Demonstration of a Critical view of safety is mandatory for laparoscopic cholecystectomy (gall bladder removal). This is to avoid major catastrophes waiting to happen.
One of the reason for that is that is the variations in anatomy.

Here we find a vessel (marked as 3 in the picture)
going into the liver bed.
Or is it just cystic artery dissected bare?

30/03/2022

Flip a coin, when the coin is in the air, you know what you are hoping for.

But wait, if you swallow it accidentally.??
Don't worry trust your surgeon.

We present a case of coin extraction by endoscopy for accidentally ingested coin.

14/12/2021

Laparoscopic myomectomy for an
Anterior wall uterine fibroid about 8cms x 4cms.

18/11/2021

48 yrs old gentleman with a BMI of 35 presented to us with a complaint of right lower flank bulge noticed following trauma in a road traffic accident, which happened 6 months ago, he sustained a # left femur and it was repaired.

Now , on evaluation patient has traumatic lateral hernia with a defect of 9cms ,(L4W2-EHS Classification) and an epigastric hernia of 3cms (M1W1), which was there since his younger days.

He Doesn't smoke to***co, non diabetic, non hypertensive. Pulmonary function tests showed mild obstructive pattern.

Patient was planned for AWR , posterior component separation under GA.
We with our able Surgical team could accomplish a right side RS+TAR and left side RS and placed a 30cms × 30cms polypropylene mesh.
The patient was ambulatory on the next day and discharged with no Surgical site occurence.

Thanks to our team of surgeons and postgraduates.
Thanks to our anaesthetists at ANH


ANH
Operating AWR team -
Dr. Satya Kumar Barla.
Dr. Srinivas G
Dr. Srinivas M
Dr. Asra
Dr. Dhananjay

PS : abbreviations
AWR : Abdominal wall reconstruction
RS : Rives - Stoppa
TAR : Transverses Abdominis Release
GA: general anaesthesia
# : fracture

06/11/2021

46 year old lady presented to us with chronic abdominal pain with acute episodes that incapacitated her daily work.
She had history of multiple laparotomies- 2 LSCS, 1 tubectomy, TAH, 1 laparoscopic appendectomy and laparoscoic lavage for pelvic abscess.

On imaging, there was an right ovarian cyst with ? Cystic collection in the pelvis.
We along with our department of OBG, counselled her and took her up for surgery.

Expecting a hostile abdomen, we entered the peritoneum at Palmer's point, and other working ports under vision
Dense bowel adhesions to the anterior abdominal wall were released, no enterotomies made, right cystectomy and left pelvic cyst was excised.

Patient was discharged on Day 5, and was pain
free and followed up for 2 months she is happy with our efforts.

@ Surgery-Gyn team up@ANH
thanks to the Anaesthesia dept and OT team.

04/11/2021

Colorful lights
Heartfelt Prayers
Joyful Crackers
And a Family to celebrate Life.

HAPPY DIWALI 😄

01/11/2021

30 yrs lady presented with chronic abdominal pain with a history of C-section by lower midline incision.
On evaluation found to have an 2cm umblical hernia, imaging was unremarkable.
As the pain was not totally related to that of umblical hernia we worked her up for diagnostic laparoscopy and +/- umblical hernia repair.

The challenge in this case was to do a definitive hernia repair(defect closure and mesh) along with the indicated procedure after diagnostic laparoscopy.

We wanted to give her the advantage of minimal access and deploy the mesh in a seperate plane.
On diagnostic laparoscopy we have found intra peritoneal adhesions, rest of the study was apparently normal.
We proceeded with adhesiolysis, defect closure
And SCOLA(subcutaneous onlay laparoscopic approach).
patient was discharged on day 3 and happy with our efforts.

Thanks to my surgery team
And the whole of Anaesthesia and Ot team