Laparoscopic primary repair of perforated diverticulitis

Laparoscopic primary repair of perforated diverticulitis

This is a 52 years old female who presented to the emergency room with two days history of severe left lower quadrant abdominal pain, nausea, vomiting, and fever. She was found to have severe tenderness and guarding in the left lower quadrant and her abdominal CT scan showed severe sigmoid diverticulitis with micro-perforation and significant peri-colonic inflammatory changes.

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Dr-Iraniha-Different-Type-of-Hernia-Surgery-Symptoms-and-Recovering

Different Type of Hernia Surgery Symptoms and Recovering

Abdominal wall hernia is a common surgical problem. Hernia is a defect in the abdominal wall. Therefore, the content of the abdominal cavity could potentially protrude through this defect causing an abdominal wall bulge with on and off pain and discomfort especially during activity and straining. The hernias could be congenital or acquired and could get larger and more symptomatic by time.

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Dr Iraniha Hernia repair during gallbladder surgery

Is it safe to repair hernia during gall bladder surgery?

This question is a very controversial topic in general surgery and coming up with one right answer for all situations is impossible and incorrect. Therefore, let`s evaluate different scenarios and situations. One major rule is, that in the presence of infection whether in the area of the hernia or in the remote location, repairing of the hernia with permanent mesh is not advised.

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Dr. Iraniha-TAPP-Ventral-Hernia-Repair-with-Mesh

Dr. Iraniha Robotic assisted TAPP ventral hernia repair with mesh

For a long time, repairing the ventral hernia and diastasis recti required open surgical intervention with large mid-line abdominal incision, creation of large skin flap to approximate the mid-line muscle structures and reinforce the closure with mesh. That was associated with severe post-operative pain, long recovery, large mid-line scar and more potential for wound complications.

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Dr. Iraniha- Laparoscopic

Dr Iraniha – What is Laparoscopic?

What is Laparoscopic? Laparoscopic surgery is performing the surgical task with special instruments and guidance of a camera through small abdominal incisions. The idea is to minimize the trauma of the surgical procedure by eliminating the large abdominal wall incision compare to conventional open surgery. By minimizing the trauma of the abdominal wall incision, we…

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Biliary Dyskinesia -Surgical Oasis

Biliary Dyskinesia, true or false?

Is Biliary Dyskinesia, true or false? More than 10% of patients with gallbladder disease have negative ultrasound with no evidence of gall stones. Most of these patients suffer biliary dyskinesia and unfortunately do not get diagnosed for a long time or undergo medical management with little or no response. Biliary dyskinesia is a functional disease…

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Robotic Surgery - Surgical Oasis

Robotic Surgery

Robotic Surgery eliminating the laparoscopic limitations. The robotic surgery has introduced a very attractive alternative for minimally invasive surgery by eliminating the laparoscopic limitations. The dual camera system allows better visualization and restores the surgeon’s depth of vision. The wristed instrumentations also allow the better access and more precise dissection especially during complex surgical procedures.…

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Dr Iraniha

Laparoscopic Surgery

Dr Iraniha – Laparoscopic Surgery. For many years since I started my practice in August of 2000, I have been doing advanced and complex laparoscopic procedures. Laparoscopic surgery is performing the surgical task with special instruments and guidance of a camera through small abdominal incisions. The idea is to minimize the trauma of the surgical…

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