ABDOMINAL OPERATIONS

COL DILIP RAVALIAProf & Head Dept. of SurgeryParul Institute of Medical Sciences & Research

ABDOMINAL OPERATIONS

IndicationsTraumaInfectionsObstructionBenign TumourMalignancyStonesPerforationDiagnosis

InvestigationsBlood TestUrine TestX-RaysUltrasonographyCT ScanSpecial Investigations like IVP

Pre op preparationConsentNil by mouthBath and shavingEnemaAntibioticsKeep Blood ready

AnaesthesiaGeneral AnaesthesiaSpinal AnaeshesiaEpidural Anaesthesia

Anatomy

Anatomy

Anatomy

Incisions

IncisionsRt & Left KochersGridiron/Mc BurneysRutherfordLanzBikiniTransverseLumbarPfennensteil

CholecystectomyIndicationsCholelithiasisCholecystitisGall bladder polyp Carcinoma of gall bladder

AnaesthesiaGeneral AnasthesiaSpinal Anaeshesia

Procedure

ProcedureSupine positionCleaning and drappingRight subcostal incisionLigation of cystic artery and ductDissection of gall bladder from liverHaemostasisDrainageClosure

AppendicectomyIndicationAnaesthesiaProcedure

ColostomyIndicationsAnaesthesiaProcedure

HerniaInguinal HerniaFemoral herniaEpigastric herniaUmbilical herniaIncisional hernia

Hernia OperationsHerniotomyHerniorrhaphyHernioplastyAnatomical repairMesh repair

ProstatectomyIndicationsAnaesthesiaProcedure

NeprectomyIndicationsNon functioningPyonehrosisMalignancy

Anaesthesia

Procedure

Other OperationsDiagnostic LaparoscopyLaparoscopic AppendicectomyLaparoscopic CholecystectomyLaparoscopic Hernia Reapir

Other operationsPyelolithotomyUreterolithotomyCystolityhotomyPCNL Percutaneous nephrolithotomy

THANK YOU ?