Bhopal Surgery: Photo Gallery

Gastrointestinal & Colorectal Surgery

Right iliac fossa mass in a female, 42 years.
The patient presented with pain and lump in right iliac fossa, distension of abdomen, vomiting and loss of appetite. CEA, CA-125 and serum ADA were within normal limits. USG abdomen and CT Scan of abdomen revealed a mass in the right iliac fossa.

On exploration a right iliac fossa mass formed by amalgamation of right ovary, uterine tube, adenexa, rectum and vermiform appendix was seen. Rectal involvement has caused stricture of upper rectum. Enbloc removal of the mass with multivisceral resection was done. [ Low anterior resection, total hysterectomy and appendicectomy.] Reconstruction was done with primary colorectal anastomosis.

Rectal Stricture

Sigmoid colon mass in a 40 yr female: On exploration the mass was infiltrating uterine adnexa, urinary bladder and parietal wall. En-bloc multivisceral resection was done. Sigmoid colon, left adnexa and parietal wall resection along with partial cystectomy was done. Histopathology revealed adenocarcinoma of sigmoid colon.

Cancer sigmoid colon

A rare case of Colocolic intussusception in a 60 yrs female: CEA was 24 mcg/L. An extended right hemicolectomy with stapled side to side ileocolic anastomosis was performed.

Carcinoma descending colon with transverse colostomy prolapse in a 75 yr male: Pancolectomy with primary ileorectal anastomosis was performed.. Histopathology revealed adenocarcinoma of descending colon.

Sigmoid Volvulus in a bedridden 65 yrs female patient: Sigmoid colectomy with triple stapled colorectal anastomosis was performed.

Adenocarcinoma of Caecum:

Hirschsprung's disease in adulthood: Nineteen year male with complains of severe constipation since childhood. CT scan and contrast studies revealed dilated colon with coning in distal sigmoid colon and collapsed rectum.

Hirschsprung's disease in adult

Urology and Retroperitoneal Surgery

Retroperitoneal Leiomyosarcoma in a 70 yrs Female.

A Large retroperitoneal tumor causing left hydronephrosis as seen on CT Abdomen

Left Colon could be preserved and the left ureter was separated from the tumor

Medially the tumor was cleared off the Abdominal Aorta.

Resected tumor along with the lymph nodes.

Retroperitoneal Leiomyosarcoma

Histopathology was suggestive of high grade Leiomyosarcoma.

Immunohistochemistry- Strongly positive for Vimentin and MSA

Negative for C-Kit and EMA

Radical Nephrectomy for Renal Cell Carcinoma

Radical Nephrectomy for Renal Cell Carcinoma

Pelviureteric junction (PUJ) obstruction with hydronephrosis: Culp pyeloplasty was done.

Complete transection of bladder neck following road traffic accident: - Primary anastomosis was done. Postoperatively patient had normal flow rates and voiding functions.

Nephrectomy for Non-functioning Kidney. Renal Calculi causing hydronephrosis with obstructive uropathy.

Multiple renal stones causing a huge hydronephrosis with obstrucvtive uropathy.
Percutaneous nephrostomy done.

Nephrectomy done through a small 6 cm incision.

Nephrectomy specimen

Gynecological Surgery

Total abdominal hysterectomy for a huge fibroid uterus.

Fibroid uterus

The histopathology report confirmed leiomyoma of uterus with no evidence of sarcomatous changes.

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Multiloculated cystic ovarian neoplasm in a female, 45 yrs . Total abdominal hysterectomy was done.

Mucinous cystadenocarcinoma of ovary

Histopathology report confirmed well differentiate mucinous cystadenocarcinoma of ovary.

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A huge Ovarian Serous Cystadenoma

Serous Cystadenoma of ovary

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Huge Ovarian Teratoma in a 20 yr female:

Ovarian teratoma

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Cervical fibroid in a female, 35 years
The patient presented with pain, heavy and irregular menstrual bleeding and frequency of micturition.

Abdominal hysterectomy was done.

Cervical fibroid of uterus

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Recurrent pelvic tumor in a 45 year female, operated for total abdominal hysterectomy: The patient was operated for total abdominal hysterectomy at Jhansi about one year back. She developed pelvic lump, which on CT scan revealed a huge pelvic tumor with solid and cystic contents. The tumor was adherent to the urinary bladder and sigmoid colon. Liver was normal and there was no ascites and adenopathy. CA 125 was within normal limits.