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Incision Construction For Phacoemulsification

Incision Construction For Phacoemulsification

Incision construction is critical to a successful phacoemulsification procedure. The incision needs to be accurately sized for the size of the phacoemulsification tip to be used. Today's microincision corneal procedures utilize an incision of 2.5 mm or smaller that must accommodate a micro phaco tip. The square configuration of the 2.2 mm incision and nearly square 3.0 mm incision is stable and along with diligent confirmation of incisional sealing, prevents hypotony during the immediate postoperative period. In addition, although the IOP should be set high after refilling the anterior chamber with BSS to ensure proper wound apposition of the internal wound lips, it can and should be set at physiologic levels at the end of the procedure in the presence of a sealed, square, clear corneal incision.

Excision of a Large Conjunctival Naevus, Firt Two Stages

Excision of a Large Conjunctival Naevus, Firt...

The film shows the first two stages of excision of extensive conjunctival naevus. The final touch up shall be done on third surgery. Fugo blade is used to ablate the naevus in a bloodless manner.

Laparoscopic Splenic Cyst Surgery

Laparoscopic Splenic Cyst Surgery

A 13 years old boy was brought with complaints of abdominal pain for two months. There was no history of blunt abdominal trauma. Clinical examination revealed mass in the left hypochondrium. On imaging was found to have a large splenic cyst.

Laparoscopic Splenectomy For Multifocal Splenic Abscesses

Laparoscopic Splenectomy For Multifocal Splenic...

35 male presented with fever for ten days and pain left hypochondrium for five days. He also gave history of headache and joint pains for fifteen days. On evaluation was found to have multiple splenic abscesses not responding to medical management.

Laparoscopic Hydatid Cyst Surgery

Laparoscopic Hydatid Cyst Surgery

32 year old man presented with upper abdominal discomfort and on & off fever. Clinical examination revealed mass in the epigastric region. On evaluation was found to have a dumbell shaped hydatid cyst in the left lobe of liver.

Laparoscopic Inguinal Hernioplasty With 3D MAX Mesh

Laparoscopic Inguinal Hernioplasty With 3D...

A 24 year old female presented with right sided inguinal hernia for past two years and was treated laparoscopically. Contour meshes are easy to introduce, orientation and placement of the mesh is easy.

Laparoscopic Liver Resection

Laparoscopic Liver Resection

38 year old women with history of recurrent upper abdominal pain with fever, chills and rigors. LFT was abnormal. USG and CECT showed shrunken left lobe of the liver (segment 3) with dilated intrahepatic ducts and stones consistent with Oriental Cholangio-hepatitis.

Laparoscopic Anterior Mesh Rectopexy

Laparoscopic Anterior Mesh Rectopexy

A 46 year old female patient with complete rectal prolapse without history of constipation was treated laparoscopically with anterior mesh rectopexy . Doing well on followup with complete resolution of symptoms.

Laparoscopic CBD Exploration (Post Cholecystectomy)

Laparoscopic CBD Exploration (Post Cholecystectomy)

64 year old female presented with complaints of recurrent pain abdomen associated with fever and vomiting. She also gave history of lap. cholecystectomy two year ago. She was diagnosed to have choledocholithiasis . ERCP was attempted twice but failed to clear the CBD.


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