Organ systems of Gastro- Intestinal Tract

Solid organ systems-1- Liver and biliary tract

  • Liver resections for malignancy-Right hepatectomy, Left hepatectomy, Extended right hepatectomy.
  • Liver resections for Trauma- nonsegmental resections
  • Lap Cholecystectomy for acute and chronic cholecystitis-over 10000 cases
  • Lap CBD (common bile duct) exploration
  • Lap Choledochal cyst excision with hepatico-jejunostomy
  • Hepatico- jeunostomy for Bile duct strictures and Biliary Atresia

Pancreas

  • Lateral Pancreatico –jejunostomy for Chronic Pancratitis-over 400cases
  • Whipples resections for Ca.pancreas, bileduct, and duodenum-127 cases
  • Distal Pancreatectomy for Ca. pancreas and trauma

Spleen

  • Lap Splenectomy for Hemolytic anemia, Abscess
  • Open splenectomy for trauma
  • Open splenectomy for Abdominal apoplexy- 1 case

Upper GI Tract

  1. Esophagus
  • 3 stage esophagectomy for Ca.esophagus.about 2oocases.-rare case of Melanoma Esophagus
  • Ivor –Lewis esophagectomy
  • Boerhaves Syndrome-esophageal perforation-2 cases
  • Lap Cardiomyotomy+Toupet fundoplication for Achlasia Cardia

Stomach

  • Lap / open gastric resections for Ca.,GIST,Lymphoma,sarcoma.

Duodenum

  • Perforations for ulcer and trauma open/lap
  • Lap Diverticulectomy
  • Lap Duodeno-jejunostomy for SMA Syndrome.

Jejunum and Ileum

  • Resections for Tumors and perforations
  • Lap Assissted enteroscopy for IBD
  • Lap/Open Meckles Diverticulectomy 

Lower Gi Tract

  1. Appendix
  • Laparoscopic Appendicectomy- 6000 cases
  • Open for complicated, Mucocele.
  • Lap Appendicectomy for Mucocele of appendix

Colon

  • Colectomy for Ca.-Ascending,Transverse,Descending,Sigmoid
  • Colectomy for stricture- tuberculous, Vascular,foreign body perforations, trauma
  • Lap Sigmoidectomy for Diverticulitis
  • Lap Right and Extended Right Colectomy for Ca.
  • Lap Descending Colectomy,Tranasverse colectomy

Rectum

  • Abdomino- perineal resection, low anterior resection for Carcinoma.Lap /Open
  • Lap Low anterior Resection for Ca.
  • Resection rectopexy for total rectal prolapse
  • Lap Rectopexy for rectal prolapse
  • Lap Rectopexy + Colpopexy for Vault prolapse

Anal Canal

  • Haemorrhoides- MIPH- over 2ooo cases
  • Fistula- VAAFT 300 cases
  • Abdomino-perineal Resection for Ca. Anal canal
  • Rectovaginal fistula- post delivery-

Diaphragm

1-Bochdalek hernia- paediatric and adult- Lap/Open

2-Morgagni hernia

3-Hiatus Hernia

  • Type1-to-Type 4-Lap Nissen Fundoplication
  • Gastric Volvulus- Lap Repair
  • Post- Sleeve Gastrectomy-Hiatus Hernia- Lap Repair- Nissen+Belsy mark 4

4-Median arcuate Ligament Syndrome- Lap Release-4 cases

Pelvic floor

  • Lap Sacrocolpopexy+ Rectopexy for Vault and uterine prolapse.

Paediatric Surgery

  • Congenital Diaphragmatic Hernia(pt Review)
  • Anorectal Anomalies
  • Hirschsprings disease-Duhamels procedure.
  • Undescended testis- Lap Orchidopexy
  • Hernia
  • Malrotations
  • Biliary atresia

Hernia

  • Inguinal hernia- Lap Repair- TEP,TAPP,E-Tep- 6000 cases
  • Femoral Hernia- Lap Tapp repair
  • Umbilical &Epigastric- Lap Tapp- IPOM. Lap E-Tep
  • Incisional hernia- Lap Tapp+ component separation
  • Incisional hernia – Rives-Stoppa repair, TAR

Emergency surgery

  • Trauma
  • Perforations- duodenal, small bowel, colonic,
  •  foreign body induced
  • Abdominal Apoplexy
  • Ectopic Pregnancies

Bariatric Surgery

  • Lap Sleeve Gastrectomy
  • Lap Mini Gastric Bypass
  • Redo Corrective Bariatricss

Unusual Cases

  • Extra-uterine pregnancy with intrauterine pregnancy- Lap Assissted resection
  • Foreign body in pancreas- Lap
  • Foreign body in rectum and ileu
  • Tail gut cyst with obstruction. News report
  • Hernia through the Lesser omentum- Pars flacida 6 yrs after a Hiatus hernia repair.
  • Coloplasty in a 4 yr old boy due to corrosive stricture of esophagus and stomach
  • Bowel perforations due to unusual objects like toothpick, matchstick,stapler pins,plastic spoons,needles, dentures etc.
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