45 year old patient with 2nd degree bleeding haemorrhoids. Dr Nitish Jhawar performed painless noncutting Doppler Guided Haemorrhoidal Artery Ligation and Recto Anal Repair ( DGHAL-RAR).
By use of Doppler the blood vessels supplying piles are located and ligated precisely, obliterating its blood supply. Mucopexy is done to treat the prolapse.
Young patient with multiple attacks of appendicitis, Laparoscopic Interval Laparoscopic Appendectomy operation is done by Dr Nitish Jhawar.
The meso appendix carrying blood vessels to appendix is coagulated with bipolar cautery /energy and base of appendix is cleared from surrounding adhesions and is doubly ligated.
35 years patient visited Dr Nitish Jhawar with pain in abdomen , fever and vomiting. Patient was diagnosed as appendicitis by clinical examination, ultrasonography ( USG abdomen) and CBC blood test. But Patient refused admission.
Patient visited emergency department of the hospital in Navi Mumbai with unrelenting symptoms. Emergency CT scan showed appendix was perforated (ruptured) and its content leaked in the abdomen (Peritonitis . Emergency laparoscopic appendectomy was done.
46 year old female patient came with colicky pain in right upper abdomen after a large meal.
Ultra-Sonography abdomen revealed multiple gall stones with one stone blocking neck of the gall Bladder.
Timely removal of Gall Bladder by laparoscopic operation (Laparoscopic Cholecystectomy) is the GOLD standard.
Neglected case of Acute Cholecystitis landed with gangrenous gall bladder which is difficult to tackle laparoscopically. Laparoscopic surgery in such situations should be done by very experienced laparoscopic surgeons. The gallbladder was swollen with infected bile (pus) a condition known as empyema. Pus was aspirated by Laparoscopic needle aspiration. Gall Bladder was removed through one of the laparoscopic ports after meticulous dissection from surrounding adhesions, Callot’s triangle and liver bed.
A 65 years old patient had history of acidity off and on. He came to emergency department with severe pain in abdomen, vomiting and fever. His blood pressure was low and abdomen distended. X-Ray Abdomen showed free gas-pneumoperitoneum a sign of perforation of intestine. Duodenum perforation was repaired by Laparoscopic surgery.