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Dr Tayyab Riaz Ch

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Faisalabad
Dr Tayyab Riaz Ch

We Treat the Patient not the Disease. Quality Care is our first Priority.
(5)

08/12/2023

This Man was brought to Emergency Department with this piece of sugarcane badly embedded into his right orbitcal cavity after shattering his helmet shield. What a Bad Luck for him, even Helmet Could not save him from this unfortune.
In view of Sugar Production Season, Sugarcane loaded tractor trolleys are on the roads everywhere. One must be careful about the Speed of their vehicles as most accidents in this season are recorded with these trolleys specially during upcoming foggy days. Keep your Eyes and Mind Open, Stay Safe.

04/12/2023

𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗩𝗲𝗿𝗲𝘀𝘀 𝗔𝘀𝘀𝗶𝘀𝘁𝗲𝗱 𝗧𝘄𝗼 𝗣𝗼𝗿𝘁 𝗔𝗽𝗽𝗲𝗻𝗱𝗲𝗰𝘁𝗼𝗺𝘆 (𝗩𝗔𝗧𝗣𝗔 ) is the innovative technique of doing Reduced Port Appendectomy with help of Loop Passer through Veress needle and 2mm knot pusher
𝗕𝗲𝗻𝗲𝗳𝗶𝘁𝘀 𝗼𝗳 𝗩𝗔𝗧𝗣𝗔
• Almost Scarless - as optical port wound is already through natural Umbilical scar that wont be visible secondly 5mm working port scar is below the waist line and lastly 2mm veress scar is negligible.
• No swording of two instruments.
• Ease and freedome of manipulation of veress needle in any direction and along its own axis.
• Easy learning curve.
• Saves the time.

Visit following link for complete HD learning based Video
https://youtu.be/Ivw0CkM6qHc

30/11/2023

𝗔𝗱𝘃𝗮𝗻𝗰𝗲𝗱 𝗛𝗲𝗽𝗮𝘁𝗼 𝗣𝗮𝗻𝗰𝗿𝗲𝗮𝘁𝗼 𝗕𝗶𝗹𝗶𝗮𝗿𝘆 𝗛𝗮𝗻𝗱𝘀 𝗼𝗻 𝗪𝗼𝗿𝗸𝘀𝗵𝗼𝗽 at PKLI and Mayo Hospital Lahore.
Learnt alot in this workshop including Hilar dissection, Extended kocherization, Right and left lobe of the liver mobilizations and resections, Dissection around the coeliac axis and SMA, Dissection of the pancreas and creating SMV tunnel, State of the art Pancreaticojejunostomy, hepaticojejunostomy and Vein grafts procurement.
Thank you Dr Faisal Dar Dean PKLI and Team Mayo Hospital for this Opportunity.

28/11/2023

𝗦𝘂𝗰𝗰𝗲𝘀𝘀𝗳𝘂𝗹 𝗚𝗿𝗮𝗱𝘂𝗮𝗹 𝗗𝘆𝗻𝗮𝗺𝗶𝗰 𝘄𝗼𝘂𝗻𝗱 𝗰𝗹𝗼𝘀𝘂𝗿𝗲 𝘄𝗶𝘁𝗵 𝗡𝘆𝗹𝗼𝗻 𝘇𝗶𝗽 𝘁𝗶𝗲𝘀
This patient had IM injection site fat necrosis and skin gangrene over left arm.
Wide local excision of the wound in elliptical fashion was done followed by Gradual and dynamic wound closure by Nylon cable zip ties for almost 20 days followed by application of Prolene stitches.
Such gaping wounds including those of Fasciotomy also - where primary closure is not possible can be managed with this technique successfully.
For detailed Video Visit following link
https://youtu.be/Gf4WsuWEstE

25/11/2023

𝗜𝗻𝘁𝗲𝗿𝗲𝘀𝘁𝗶𝗻𝗴 𝗰𝗮𝘀𝗲 𝗼𝗳 𝗥𝗲𝘀𝗶𝗱𝘂𝗮𝗹 𝗨𝗿𝗲𝘁𝗲𝗿𝗶𝗰 𝘀𝘁𝗼𝗻𝗲 𝗮𝘀 𝘀𝗼𝘂𝗿𝗰𝗲 𝗼𝗳 𝗰𝗵𝗿𝗼𝗻𝗶𝗰 𝘀𝗶𝗻𝘂𝘀 𝗮𝗳𝘁𝗲𝗿 𝗡𝗲𝗽𝗵𝗿𝗲𝗰𝘁𝗼𝗺𝘆
This patient had Open Nephrectomy 4 years back from a teaching hospital in faisalabad. One year later she developed this discharging sinus over the scar and visited multiple consultants in both private and tertiary care hospitals during this 3 years period, where her Ultrasounds were done (which showed only some collection in lumbar region) followed by debridements but the problem was not solved. She was referred to me, her CT KUB was done, an 18mm stone was seen in pelvic ureter. Considering this stone as source of sinus, I explored the patient and found this sinus communicating with proximal ureteric stump. Whole residual ureter was excised till urinary bladder along with stone in it. Patinet is doing fine now.

22/11/2023

𝗦𝘂𝗿𝗴𝗶𝗰𝗮𝗹 𝗽𝗿𝗶𝗻𝗰𝗶𝗽𝗹𝗲𝘀 𝗼𝗳 𝗺𝗲𝘀𝗵 𝗵𝗲𝗿𝗻𝗶𝗼𝗽𝗹𝗮𝘀𝘆
This video is about surgical principles of mesh hernioplasy for Umbilical and paraumbilical hernia
Visit Following link for Complete HD learning based video
https://youtu.be/54kF-7glBIk

16/11/2023

𝗦𝘁𝗮𝗴𝗲 𝟯 𝗦𝗲𝘃𝗲𝗿𝗲 𝗹𝘆𝗺𝗽𝗵𝗮𝗱𝗲𝗺𝗮 𝘀𝗶𝗴𝗻𝘀 𝗼𝗻 𝗙𝗼𝗼𝘁
1- Skin thickening
2- Skin discoloration/pigmentation
3- hyperkeratosis
4- warty overgrowths
5- squaring toes sign
6- Stemmer’s sign (inability to pinch a fold of skin on the dorsum of the toes)
7- buffalo hump on the dorsum of the foot

14/11/2023

𝗡𝗲𝗮𝗿 𝗧𝗼𝘁𝗮𝗹 𝗧𝗵𝘆𝗿𝗼𝗶𝗱𝗲𝗰𝘁𝗼𝗺𝘆 𝗳𝗼𝗿 𝗥𝗲𝘁𝗿𝗼𝘀𝘁𝗲𝗿𝗻𝗮𝗹 𝗠𝗡𝗚
40 years old female with gradually increasing multinodular swelling from last 20 years
🔘 Engorged neck veins
🔘 Pemberton positive
🔘 Kocher -ve
🔘 Thyroid Profile normal
🔘 USG showing Multiple nodules in both lobes with No suspicios features
🔘 CT chest showing, Type A, pre-vascular Retrosternal goiter.
Near Total Thyroidectomy done via cervical approach.
Note: Picture and Videos taken and used with Consent of the patient
Complete surgery video link 👉
https://youtu.be/ddtCIiTBAMo

14/11/2023

𝗣𝗼𝘀𝘁 𝗗𝗲𝗯𝗿𝗶𝗱𝗲𝗺𝗲𝗻𝘁 𝗡𝗲𝗴𝗹𝗲𝗰𝘁𝗲𝗱 𝗪𝗼𝘂𝗻𝗱
This 16y old boy underwent some trauma over dorsal aspect of his ankle 6 months back leading to necrosis of almost 10×6cm patch of skin. Debridement was done by some doctor back then followed by series of wound dressings and was let heal by secondary intention that was obviously a bad idea which led to poor wound cover by only granulation tissue. He developed this crack in the scar 1 month back on ankle movement and consulted me for this purpose today.
𝗣𝗹𝗮𝗻: Redebridement of all this poor granulation tissue till healthy skin margins followed by referral to a plastic surgeon for split thickness skin grafting when wound becomes red.

08/11/2023

I never advocate speed in surgery rather Quality should be preferred over speed, if speed is not compromising your quality then enjoy the ride.
𝐕𝐢𝐬𝐢𝐭 𝐅𝐨𝐥𝐥𝐨𝐰𝐢𝐧𝐠 𝐋𝐢𝐧𝐤 𝐟𝐨𝐫 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐇𝐃 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐁𝐚𝐬𝐞𝐝 𝐯𝐢𝐝𝐞𝐨
https://youtu.be/mpiBSreTC5w

06/11/2023

Its Era of Minimal invasive surgery and Gold standard technique of Cholecystectomy is Laparoscopic Cholecystectomy, But many young surgeons and consultants who have no exposure of open cholecystectomy ask me to upload Open cholecystectomy videos, So i have made two videos on both Antegrade and Fundus First approaches, everyone should know how to perform it. There can be either patient's demand, lack of laparoscopic facility or experties or in a difficult laparoscopic case where it has to convert it to Open, one should know the open technique. Below are the links to both videos.
https://youtu.be/q0-fcajXSs8
https://youtu.be/EN8DgWcBF00

05/11/2023

A Surgeon's Halloween Idea 😏

04/11/2023

𝗡𝗲𝗴𝗹𝗲𝗰𝘁𝗲𝗱 𝗗𝗝
This 18y old Young female came to me for consultation regarding Her Recurrent Left Renal Stones and Pyonephrosis.
Her URS and RIRS was done in 2020 for left renal stone followed by DJ stent placement which she forgot to get removed. Recently she developed pain in left flank and fever followed by Investigations and removal of DJ stent 2 weeks back. Interestingly she is still carring this stent with her as a memory.
Patient referred to relevant speciality for further Investigations and Planning.

03/11/2023

𝗟𝗼𝗰𝗮𝗹𝗶𝘇𝗲𝗱 𝗚𝗶𝗴𝗮𝗻𝘁𝗶𝘀𝗺
This 25y old female patient came to me in OPD with this large Little finger of her left hand to get it corrected for cosmetical concerns.
"When i was in my Mother's Abdomen i was affected by Lunar eclipse" thats what she was told by her mother.
This condition is called Macrodystrophia lipomatosa which is a rare congenital condition, characterized by local gigantism of digits hands and feet called macrodactyly or megalodactyly. This disease is usually unilateral and does not require treatment untill or unless there is any functional compromise or cosmetical concern. The main surgical principle in treating this condition is to improve the cosmetic appearance, and to preserve the neurological function as far as possible. Cautious and planned use of multiple debulking procedures, epiphysiodesis, and various osteotomies are recommended to achieve the best results.

01/11/2023

Guess the Specimen 🧐

31/10/2023

Alhamdulliah
My Innovative Technique of Laparoscopic Appendectomy Published in Springer Link Endoscopy Journal Volume 37 issue 2 ✌

25/10/2023

𝗠𝗶𝗻𝗶𝗺𝗮𝗹 𝗜𝗻𝘃𝗮𝘀𝗶𝘃𝗲 𝗦𝘂𝗯𝗰𝘂𝘁𝗮𝗻𝗲𝗼𝘂𝘀 𝗠𝗮𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆
This 18y old boy had grade 2 gynecomastia of left breast.
Subcutaneous Mastectomy was done via Periareolar Incision.

24/10/2023

𝗘𝗺𝗽𝘆𝗲𝗺𝗮 𝗼𝗳 𝗚𝗮𝗹𝗹𝗯𝗹𝗮𝗱𝗱𝗲𝗿
Empyema of the gallbladder is most severe complication of Acute Obstructive Cholecystitis.
It is usually the result of a progression of acute cholecystitis in a background of bile stasis either due to large stone impaction in Hartman or cystic duct obstruction by small stone.
The stagnant bile in the gallbladder gets superinfected with microorganisms that lead to suppuration in an acutely inflamed gallbladder. Hence the gallbladder lumen becomes filled with exudative material and very often frank pus.
Organisms frequently isolated include Clostridia, Bacteroides, Klebsiella, and Escherichia coli.
It is estimated to occur in almost 15% of cases diagnosed to have acute cholecystitis and patients at increased risk are those having diabetes, immunocompromised or having hemoglobinopathies.
𝐕𝐢𝐬𝐢𝐭 𝐅𝐨𝐥𝐥𝐨𝐰𝐢𝐧𝐠 𝐋𝐢𝐧𝐤 𝐟𝐨𝐫 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐇𝐃 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐁𝐚𝐬𝐞𝐝 𝐯𝐢𝐝𝐞𝐨
https://youtu.be/h4bUavBYRF0

19/10/2023

𝗠𝗶𝗻𝗶 𝗶𝗻𝗰𝗶𝘀𝗶𝗼𝗻 𝗦𝗰𝗮𝗿𝗹𝗲𝘀𝘀 𝗛𝘆𝗱𝗿𝗼𝗰𝗲𝗹𝗲 𝗥𝗲𝗽𝗮𝗶𝗿
This is Mini Incision Scarless Hydrocele Repair for Vaginal Hydrocele. A 3-4cm incision enough to deliver Te**is out is used to repair the Hydrocele.
𝐕𝐢𝐬𝐢𝐭 𝐅𝐨𝐥𝐥𝐨𝐰𝐢𝐧𝐠 𝐋𝐢𝐧𝐤 𝐟𝐨𝐫 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐇𝐃 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐁𝐚𝐬𝐞𝐝 𝐯𝐢𝐝𝐞𝐨.
https://youtu.be/rxlFhIyrfMY

10/10/2023

𝗧𝗶𝗸𝘁𝗼𝗸𝗲𝗿 𝗲𝗻𝗱𝗲𝗱 𝘂𝗽 𝗶𝗻 𝗛𝗶𝗽 𝗱𝗶𝘀𝗮𝗿𝘁𝗶𝗰𝘂𝗹𝗮𝘁𝗶𝗼𝗻
This young Tiktoker boy met a Road traffic Accident while making his Tiktok video, leading to crush injury to his left lower limb. Initially Above knee amputation was done but gradually it ended up in Hip disarticulation. The lad is back to tiktok again making videos with his disability.
Credits: Dr اسامہ فرخ for giving him new life.

08/10/2023

What is this Horizontally runnig vessel in Calot's Triangle ?
Visit Following link to watch complete video
https://youtu.be/0nKtHqX1J6g

06/10/2023

Breast Cancer Awareness Month is a crucial time to educate people about the importance of early screening and treatment.
See a doctor if you notice any of these breast changes:
• Lump, hard knot or thickening inside the breast or underarm area
• Swelling, warmth, redness or darkening of the breast
• Change in the size or shape of the breast
• Dimpling or puckering of the skin
• Itchy, scaly sore or rash on the ni**le
• Pulling in of your ni**le or other parts of the breast
• Ni**le discharge that starts suddenly
• New pain in one spot that doesn’t go away

04/10/2023

Laser Proctology and Advanced Laparoscopic Procedures Under Kind Supervision of Mentors from All over Pakistan.

03/10/2023

𝗣𝗮𝗿𝗮𝗼𝘃𝗮𝗿𝗶𝗮𝗻 𝗖𝘆𝘀𝘁
A paraovarian cyst is a fluid-filled encapsulated cyst that develops near o***y or fallopian tube. Due to its close location to o***y Ultrsonologists mostly misinterpret it as ovarian cyst.
These cysts can be present in Broad ligament as in this 18yr old patient, who presented with pain in lower abdomen which is most common presentation of paraovarian cyst.
In this patient USG showed left ovarian cyst so Laparoscopy and proceed was planned.
𝐕𝐢𝐬𝐢𝐭 𝐅𝐨𝐥𝐥𝐨𝐰𝐢𝐧𝐠 𝐋𝐢𝐧𝐤 𝐟𝐨𝐫 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐇𝐃 𝐯𝐢𝐝𝐞𝐨
https://youtu.be/TKPLyGNpu58

***y

01/10/2023

𝗟𝗼𝘀𝘀 𝗼𝗳 𝗗𝗼𝗺𝗮𝗶𝗻 (𝗟𝗢𝗗) 𝗛𝗲𝗿𝗻𝗶𝗮
This patient presented with Huge left sided inguinal hernia. Previous history of right sided hernia repair 10 years back.
Loss of domain” (LOD) is a term used commonly in the hernia literature to describe the distribution of abdominal content between the hernia and residual abdominopelvic cavity.
Loss of domain is where 50% of the abdominal viscera reside outside the abdominal compartment into large hernia sacs.
Hernia contents reduction and repair without pre-emptive measures can cause rise in intra-abdominal pressure leading to abdominal compartment syndrome. It results in respiratory failure, pneumonia, restrictive lung disease and wound complications.
Pre-Op CT abdomen can be used to measure (hernia volume and volume of the abdominal cavity) and a ratio higher than 20% is indicative of LOD.
𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁
Management is multidisciplinary and includes
• Smoking cessation
• Exercise training
• Diabetes management
• Preoperative progressive pneumoperitoneum (PPP) -
• Botulinum toxin type A into lateral abdomial wall muscles.

28/09/2023

𝗢𝗽𝗲𝗻 𝗖𝗵𝗼𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆
Upon Demand of my many Followers, i have Made and Uploaded this detailed step by step Open Cholecystectomy Video along with different techniques and tips.
Although Gold Standard technique is now Laparoscopic Cholecystectomy but everyone should know the open technique in case Experties and Resources of Laparoscopy are not available or a case has to be converted to open in view of Difficulty during laparoscopy.
𝐕𝐢𝐬𝐢𝐭 𝐅𝐨𝐥𝐥𝐨𝐰𝐢𝐧𝐠 𝐋𝐢𝐧𝐤 𝐟𝐨𝐫 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐇𝐃 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐁𝐚𝐬𝐞𝐝 𝐯𝐢𝐝𝐞𝐨
https://youtu.be/EN8DgWcBF00

26/09/2023

𝗞𝗲𝘆𝗵𝗼𝗹𝗲 𝗔𝗽𝗽𝗲𝗻𝗱𝗲𝗰𝘁𝗼𝗺𝘆
This 22y old male Patient was not willing for Laparoscopic Appendectomy, So open Appendectomy was done via 15mm Keyhole incision.

23/09/2023

Presenting One of the Surgical Enigmas "𝗣𝗼𝘀𝘁𝗲𝗿𝗶𝗼𝗿 𝗖𝗼𝗺𝗽𝗼𝗻𝗲𝗻𝘁 𝗦𝗲𝗽𝗮𝗿𝗮𝘁𝗶𝗼𝗻 𝘄𝗶𝘁𝗵 𝗧𝗿𝗮𝗻𝘀𝘃𝗲𝗿𝘀𝘂𝘀 𝗮𝗯𝗱𝗼𝗺𝗶𝗻𝗶𝘀 𝗿𝗲𝗹𝗲𝗮𝘀𝗲 (𝗣𝗖𝗦 - 𝗧𝗔𝗥)" to Society of Surgeons Pakistan Faisalabad Chapter.
There is my Detailed Video on this Technique on my Youtube Channel.

23/09/2023

𝗖𝗲𝗿𝘃𝗶𝗰𝗮𝗹 𝗟𝘆𝗺𝗽𝗵 𝗡𝗼𝗱𝗲 𝗘𝘅𝗰𝗶𝘀𝗶𝗼𝗻 𝗕𝗶𝗼𝗽𝘀𝘆
I always recommend my patients and colleagues to go for whole intact lymph node excision for biopsy if you want to know the cause of Lymphadenopathy in case primary is unknown or histopathology of primary is still not done. Because whole intact lymph node (intact cortex and medulla) is required to study its architecture and comment on actual pathology including its variant.
FNAC is only helpful in case primary is known and diagnosed via biopsy.
𝐕𝐢𝐬𝐢𝐭 𝐅𝐨𝐥𝐥𝐨𝐰𝐢𝐧𝐠 𝐋𝐢𝐧𝐤 𝐟𝐨𝐫 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐇𝐃 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐁𝐚𝐬𝐞𝐝 𝐯𝐢𝐝𝐞𝐨
https://youtu.be/KmRsUgKhwlY

18/09/2023

𝗙𝗶𝗯𝗿𝗼𝗹𝗶𝗽𝗼𝗺𝗮 𝗧𝗶𝗽 𝗼𝗳 𝗔𝗽𝗽𝗲𝗻𝗱𝗶𝘅
This is an interesting and Rare case of Fibrolipoma Of Appendicular Tip.
35y old Obese female patient having recurrent pain RIF, USG unremarkable, TLC Normal. Diagnostic Laparoscopy Planned and interestingly a Pedunculated growth was found at tip of appendix which on Histopathology turned out to be Fibrolipoma. This Fibrolipoma might be the cause of recurrent attacks of pain although appendix itself was mildly hyperemic.
𝐕𝐢𝐬𝐢𝐭 𝐦𝐲 𝐘𝐨𝐮𝐭𝐮𝐛𝐞 𝐂𝐡𝐚𝐧𝐧𝐞𝐥 "𝐝𝐫𝐭𝐚𝐲𝐲𝐚𝐛𝐫𝐢𝐚𝐳𝐜𝐡" 𝐟𝐨𝐫 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐇𝐃 𝐯𝐢𝐝𝐞𝐨

18/09/2023

𝗕𝗹𝗮𝗱𝗱𝗲𝗿 𝗦𝘁𝗼𝗻𝗲 resembling a 𝗛𝗲𝗱𝗴𝗲𝗵𝗼𝗴

16/09/2023

𝗖𝗼𝗻𝗴𝗲𝗻𝗶𝘁𝗮𝗹 𝗟𝘆𝗺𝗽𝗵𝗮𝗻𝗴𝗶𝗼𝗺𝗮
This 5 years old girl presented with soft, painless, nontender swelling over outer aspect of Left arm since birth. USG and MRI findings were consistent with Lymphangioma. It was penetrating the triceps Muscle and reaching upto Humerus bone but NVB was intact. Complete Surgical Excison of the Lymphangioma was done including some rim of normal tissue to avoid recurrence.
lymphangioma consist of a collection of large thin walled lymphatic cisterns lying deep in the subcutaneous plane that communicate via dilated dermal lymphatic channels lined with endothelial cells. Congenital lymphangiomas form due to blockage of the lymphatic system during fetal development, though the cause remains unknown.
Congenital form typically occurs before the age of 5 years and aquired lymphangiomas occur as a sequela of any interruption of previously normal lymphatic drainage such as surgery, trauma, malignancy, and radiation therapy.
Pe*******on of muscle can be seen in lymphangiomas.
The preferred treatment for lymphangiomas is complete surgical excision. The large subcutaneous cisterns should be removed to prevent the lesion from resurfacing.

16/09/2023

Productivity is never an accident. It is always the result of a commitment to excellence, intelligent planning, focused effort and Team work ✌

14/09/2023

𝗦𝘂𝗯𝗰𝘂𝘁𝗮𝗻𝗲𝗼𝘂𝘀 𝗺𝗮𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆 𝗳𝗼𝗿 𝗚𝘆𝗻𝗮𝗲𝗰𝗼𝗺𝗮𝘀𝘁𝗶𝗮.
Gynaecomastia is a benign enlargement of the male breast resulting from proliferation of the glandular component of the breast. This is a detailed Video on Surgical Principles of Subcutaneous mastectomy for Gynaecomastia.
𝐕𝐢𝐬𝐢𝐭 𝐅𝐨𝐥𝐥𝐨𝐰𝐢𝐧𝐠 𝐋𝐢𝐧𝐤 𝐟𝐨𝐫 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐇𝐃 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐁𝐚𝐬𝐞𝐝 𝐯𝐢𝐝𝐞𝐨
https://youtu.be/4bsk7pjDP40

12/09/2023

Dr Tayyab Riaz Ch Featured Video
Below is List Of Procedures Being Performed
This is not complete list
𝗢𝗽𝗲𝗻 𝗦𝘂𝗿𝗴𝗶𝗰𝗮𝗹 𝗣𝗿𝗼𝗰𝗲𝗱𝘂𝗿𝗲𝘀
• Paraumbilical Hernia Repair
• Inguinal Hernia Repair
• Femoral hernia repair
• Re**us Divarication repair
• Abdominoplasty
• Open Appendectomy
• Orchiopexy for Undescended te**is
• Orchiectomy
• Testicular torsion surgery
• Hydrocele operation
• Varicocele Operation
• Epididymal cyst excision
• Testicular CA management
• Operations on Thyroid
• Operations on Salivary Glands and Lymph Nodes
• Hemorrhoids operation
• A**l Fistula operation
• A**l Fissure operation
• Re**al Prolapse management
• Re**al polypectomy
• Pilonidal Sinus surgery
• Vaginal Hysterectomy
• Abdominal Hysterectomy
• Myomectomy for fibroid uterus
• Bartholin cyst excision
• Ovarian cyst management
• Female tubal ligation
• Male sterilization
• Rectovaginal Fistula Repair
• Vesicovaginal fistula repair
• Plastibell circumcision
• Adult circumcision
• Bone cutter circumcision
• Scarless Fibroadenoma excision
• Mastectomy for CA breast
• Breast Cancer surgery
• Subcutaneous mastectomy for gynecomastia
• Hysterosacropexy for uterine prolapse
• Culdoplasty for vault prolapse
• Pleomorphic adenoma excision
• Ileostomy / Colostomy Formation
• Stoma reversal
• Varicose veins Surgery
• Open pyelolithotomy
• Open vesicolithotomy
• Intestinal Tumour Surgeries
• Hemicolectomies
• Laparotomy
• Cosmetical procedures of breast.
• Feeding jejunostomy
• Feeding gastrostomy

𝗘𝗺𝗲𝗿𝗴𝗲𝗻𝗰𝘆 𝗦𝘂𝗿𝗴𝗶𝗰𝗮𝗹 𝗣𝗿𝗼𝗰𝗲𝗱𝘂𝗿𝗲𝘀
• Perforated Appendix management
• Peptic ulcer perforation repair
• Typhoid enteric perforation repair
• Tubal pregnancy rupture management
• Management of intestinal obstruction

𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗣𝗿𝗼𝗰𝗲𝗱𝘂𝗿𝗲𝘀
• Laparoscopic Varicocelectomy
• Laparoscopic Hysterectomy
• Laparoscopic Appendectomy
• Laparoscopic Ovarian Cystectomy
• Laparoscopic Needle Herniotomy
• Laparoscopic Inguinal Hernia Repair
• Laparoscopic Paraumbilical hernia repair
• Laparoscopic Cholecystectomy
• Laparoscopic CBD exploration
• Laparoscopic Ectopic/Tubal Pregnancy Management
• Laparoscopic tubal ligation
• Laparoscopic Orchiopexy for undescended te**is
• Laparoscopic typhoid perforation repair
• Laparoscopic duodenal ulcer repair
• Laparoscopic gut resection and anastomosis
• Laparoscopic tubal patency test
• Laparoscopoc cystogastrostomy
• Laparoscopic gastrojejunostomy
• Laparoscopic hydatid cyst management
• Laparoscopic nephrectomy
• Laparoscopic sacrorectopexy for re**al prolapse

𝗠𝗶𝗻𝗼𝗿 𝗦𝘂𝗿𝗴𝗶𝗰𝗮𝗹 𝗣𝗿𝗼𝗰𝗲𝗱𝘂𝗿𝗲𝘀
• Sebaceous cyst excision
• Lipoma excision
• Papilloma excision
• Frenectomy for ankyloglossia
• Hemangioma excision
• Plantar wart electrocautery
• Lymph node biopsy
• Toe Ray amputation
• Below knee amputation
• Above knee amputation
• Chest tube insertion
• Dermoid cyst excision
• Ingrown toe nail excision
• Auricular keloid excision
• Abscess drainage
• Debridement
• Dibetic Foot care
• Diabetic wounds management

08/09/2023

𝗟𝗮𝗽𝗮𝗿𝗼𝘀𝗰𝗼𝗽𝗶𝗰 𝗥𝗜𝗴𝗵𝘁 𝘀𝗶𝗱𝗲𝗱 𝗡𝗲𝗽𝗵𝗿𝗲𝗰𝘁𝗼𝗺𝘆 𝗳𝗼𝗿 𝗡𝗼𝗻-𝗳𝘂𝗻𝗰𝘁𝗶𝗼𝗻𝗮𝗹 𝗞𝗶𝗱𝗻𝗲𝘆
This Patient presented with pain in Right flank region from last 7-8 months. there was History of Total abdominal hysterectomy 1 year back.
USG showed gross dilatation of Renal pelvicalyceal system and proximal ureter with a sharp cutoff point at level of pelvic brim.
DTPA scan showed No function in Right Kidney and Left kidney having normal function along with normal Renal Function test.
This is a detailed Video on Steps of Laparoscopic hysterectomy.
Visit Following Link to watch complete Video
https://youtu.be/qLinAF82ivE

08/09/2023

𝗠𝗼𝘀𝘁 𝗗𝗿𝗲𝗮𝗱𝗹𝘆 𝗖𝗼𝗺𝗽𝗹𝗶𝗰𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝗖𝗲𝘀𝗮𝗿𝗲𝗮𝗻 𝗦𝗲𝗰𝘁𝗶𝗼𝗻.
This lady Underwent cesarean section 15 days back from some Private setup and started to develope left sided lower limb gangrene starting from toes extending upwards 4-5 days later. No previous history of IHD or Peripheral vascular disease.
Doppler USG showed absent flow in whole arterial vasculature of left lower limb with minimal venous flow. I later on Recahed the diagnosis of 𝐀𝐜𝐜𝐢𝐝𝐞𝐧𝐭𝐚𝐥 𝐋𝐢𝐠𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐋𝐞𝐟𝐭 𝐬𝐢𝐝𝐞𝐝 𝐄𝐱𝐭𝐞𝐫𝐧𝐚𝐥 𝐈𝐥𝐢𝐚𝐜 𝐀𝐫𝐭𝐞𝐫𝐲 to control Postpartum Hemorrhage as Attendants were also advised to arrange multiple pints of blood in view of on-going bleeding.

07/09/2023

Beautiful 𝗨𝗿𝗶𝗻𝗮𝗿𝘆 𝗕𝗹𝗮𝗱𝗱𝗲𝗿 𝗦𝘁𝗼𝗻𝗲 accompanied by one small stone retrieved intact via Small suprabupic approach.

07/09/2023

𝗙𝘂𝗹𝗹 𝗧𝗵𝗶𝗰𝗸𝗻𝗲𝘀𝘀 𝗦𝗸𝗶𝗻 𝗚𝗿𝗮𝗳𝘁𝗶𝗻𝗴 𝗳𝗼𝗿 𝗙𝗶𝗻𝗴𝗲𝗿 𝗖𝗼𝗻𝘁𝗿𝗮𝗰𝘁𝘂𝗿𝗲
This 6 years old boy presented with Severe Flexion contracture of his right Index Finger due to electrocution one year back.
Contracture released with bilateral fish mouth incisions followed by Full Thickness Skin Grafting harvested from the groin region.
Most important post op management is Rehabilitation and proper physiotherapy of the involved finger.

05/09/2023

𝗣𝗼𝗹𝘆𝗱𝗮𝗰𝘁𝘆𝗹𝘆
Polydactyly is extra digit.
There are different types of Polydactyly, Two main types are Preaxial and postaxial. Preaxial polydactyly is having extra digit along radial side of the hand or foot while Postaxial polydactyly is defined as presence of extra digit on ulnar aspect of the hand or lateral aspect of the foot.
This 2 years old baby was having postaxial type B polydactyly where extra digit had pedunculated variety.
Watch simple 2 minutes procedure video on my Youtube channel how to deal with Type B postaxial polydactyly.
https://youtu.be/36yZ8z5aW4w

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Videos

𝗟𝗮𝗿𝗴𝗲 𝗨𝗺𝗯𝗶𝗹𝗶𝗰𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 𝗿𝗲𝗽𝗮𝗶𝗿 𝘄𝗶𝘁𝗵 𝗨𝗺𝗯𝗶𝗹𝗶𝗰𝗼𝗽𝗹𝗮𝘀𝘁𝘆 #hernia #umbilicalhernia #paraumbilicalhernia #hernioplasty #bellybuttonrepair #umbilicoplasty #cosmesis #drtayyabriazch

𝗧𝘆𝗽𝗶𝗰𝗮𝗹 𝗰𝗮𝘀𝗲 𝗼𝗳 𝗦𝘂𝗯𝗮𝗰𝘂𝘁𝗲 𝗴𝗿𝗮𝗻𝘂𝗹𝗼𝗺𝗮𝘁𝗼𝘂𝘀 𝘁𝗵𝘆𝗿𝗼𝗶𝗱𝗶𝘁𝗶𝘀 - 𝗔𝗹𝘀𝗼 𝗸𝗻𝗼𝘄𝗻 𝗮𝘀 𝘀𝘂𝗯𝗮𝗰𝘂𝘁𝗲 𝗽𝗮𝗶𝗻𝗳𝘂𝗹, 𝗱𝗲 𝗤𝘂𝗲𝗿𝘃𝗮𝗶𝗻 𝗼𝗿 𝗺𝗶𝗴𝗿𝗮𝘁𝗼𝗿𝘆 𝘁𝗵𝘆𝗿𝗼𝗶𝗱𝗶𝘁𝗶𝘀 𝐒𝐢𝐠𝐧𝐬 & 𝐒𝐲𝐦𝐩𝐭𝐨𝐦 The thyroid gland becomes increasingly tender, and the person usually develops a low-grade fever (99 to 101° F). The pain may shift from one side of the neck to the other, spread to the jaw and ears (thats why called migratory thyroiditis) and hurt more when the head is turned or when the person swallows. 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 Subacute thyroiditis is a self-limited thyroid condition associated mostly with a triphasic clinical course of hyperthyroidism, hypothyroidism, and return to normal thyroid function (No need to give Thyroid drugs during this period untill or unless significant symptoms) The specific treatment for the acute patient with severe pain is to give deltacortil (prednisone) 10–20 mg daily for 7 days and the dose is then gradually reduced. For pain NSAIDs are sufficient. #thyroiditis #subacutethyroiditis #dequervainthyroiditis #dequervain #thyroiditistreatment #signsandsymptoms #drtayyabriazch @drtayyabriazch

Is this Accessory Liver lobe overriding the Gallbladder wall ? Found another two suspicious structures entering GB wall in liver bed Visit my youtube channel "drtayyabriazch" for detailed learning based video #diffcultgallbladder #cholecystectomy #laparoscopiccholestectomy #drtayyabriazch

Beautiful Display of T-junction of Below knee Boyd Perforator. #perforator #boydperforator #varociseveins #drtayyabriazch

𝗡𝗲𝗮𝗿 𝗧𝗼𝘁𝗮𝗹 𝗧𝗵𝘆𝗿𝗼𝗶𝗱𝗲𝗰𝘁𝗼𝗺𝘆 𝗳𝗼𝗿 𝗥𝗲𝘁𝗿𝗼𝘀𝘁𝗲𝗿𝗻𝗮𝗹 𝗠𝗡𝗚 - Patient's Experience Watch Complete Surgery video on my youtube channel "drtayyavbriazch" #retrosternalgoitre #neartotalthyroidectomy #drtayyabriazch

𝗘𝗰𝘁𝗼𝗽𝗶𝗰 𝗧𝘂𝗯𝗮𝗹 𝗣𝗿𝗲𝗴𝗻𝗮𝗻𝗰𝘆 This 22y old married female presented with pain left lower abdomen from last 1 week. She missed her Cycle 5 weeks back and did UPT which was positive for Pregnancy. USG showed Left sided Tubal Ectopic pregnancy. Elective Exploration done followed by removal of Ectopic pregnancy. Baby was still having heart beath after it was removed from the tube. Note: Heart starts beating at the end of 4th week of gestation. #ectopicpregnancy #ectopictubalrupture #tubalpregnancy #babyheartbeat #drtayyabriazch

𝗦𝗽𝗶𝗱𝗲𝗿 𝗔𝗻𝗴𝗶𝗼𝗺𝗮/𝗡𝗮𝘃𝘂𝘀 Spider angioma or spider nevus is a common benign vascular lesion present in 10-15% of healthy adults and young children. They may appear as a solitary or multiple lesions. when multiple lesions are present, liver disease, arteriovenous malformations (AVM), estrogen therapy, esophageal and gastric varices, and thyrotoxicosis should be considered. In adults, these lesions are most frequently found on exposed areas of the body, such as the face, neck, upper trunk (above the nipple line), and arms. 𝗣𝗮𝘁𝗵𝗼𝗽𝗵𝘆𝘀𝗶𝗼𝗹𝗼𝗴𝘆: Estrogen-excess states such as pregnancy and liver disease have been associated with spider angiomas due to hormone’s dilating effects on arterioles during pregnancy. Additionally, other biologic substances, including vascular endothelial growth factor (VEGF), basic fibroblastic growth factor (bFGF), substance P, and endogenous vasodilators have been implicated in the pathogenesis of spider angioma (nevus araneus) 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁: In children, treatment usually is not necessary While in young women, lesions often resolve spontaneously within 6 weeks to 9 months after the birth of a child or after discontinuing oral contraceptives. Electrodesiccation and laser treatment both can be effective for bothersome facial spider angiomas. For multiple angiomas, treat the underlying cause. #spiderangioma #spidernavus #spidernevi #clinicalexam #drtayyabriazch

𝗟𝗶𝗺𝗯𝗲𝗿𝗴 𝗙𝗹𝗮𝗽 𝗥𝗲𝗰𝗼𝗻𝘀𝘁𝗿𝘂𝗰𝘁𝗶𝗼𝗻 𝗳𝗼𝗿 𝗣𝗶𝗹𝗼𝗻𝗶𝗱𝗮𝗹 𝗦𝗶𝗻𝘂𝘀 #pilonidalsinus #pilonidalsinussurgery #pilonidalsinustreatment #limbergflapreconstruction #rhomboidflapsurgery #drtayyabriazch

Angular Dermoid Cyst Excision #dermoidcyst #dermoid #dermoidcystexcision #lateralangledermoid #angulardermoidcyst #drtayyabriazch

Paraumbilical Hernia Repair + Umbilicoplasty (Umbilicus Reconstruction #paraumbilicalherniarepair #herniasurgery #umbilicusreconstruction #umbilicoplasty #bellybuttonreconstruction #cosmeticalsurgery #cosmesis #artist #drtayyabriazch

𝗠𝗶𝗻𝗶𝗺𝗮𝗹 𝗜𝗻𝘃𝗮𝘀𝗶𝘃𝗲 𝗦𝘂𝗯𝗰𝘂𝘁𝗮𝗻𝗲𝗼𝘂𝘀 𝗠𝗮𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆 This 18y old boy had grade 2 gynecomastia of left breast. Subcutaneous Mastectomy was done via Periareolar Incision. #gynecomastia #gynecomastiasurgery #gynecomastiaoperation #subcutaneousmastectomy #mastectomy #drtayyabriazch #minimalinvasivesurgery

Pinna Sebaceous Cyst excision with Cosmetical Incision #sebaceouscyts #cystexcision #sebaceouscystexcision #drtayyabriazch #cosmesis #cosmeticsurgery

What is this Horizontally runnig vessel in Calot's Triangle ? Visit Following link to watch complete video https://youtu.be/0nKtHqX1J6g #cholecystectomy #laparoscopiccholecystectomy #mucocelegallbladder #difficultcalots #variableanatomy #cholecystitis #drtayyabriazch

Limberg Flap Reconstruction for Complex Pilonidal Sinus having Multiple Openings Filled with Hair #pilonidalsinus #complexpilonidalsinus #pilonidalsinussurgery #limbergflap #rhomboidflap #flapreconstruction #pilonidalsinustreatment #pilonidalsinussurgeon #pilonidal #limbergflapreconstruction #education #learning #teaching #drtayyabriazch

𝗖𝗼𝗿𝗶𝗻𝗴 𝗼𝘂𝘁 𝗙𝗶𝘀𝘁𝘂𝗹𝗲𝗰𝘁𝗼𝗺𝘆 for Fistula in Ano #fistulainano #fistulectomy #coringoutfistulectomy #drtayyabriazch

Dr Tayyab Riaz Ch Featured Video

𝗩𝗮𝗿𝗶𝗰𝗼𝘀𝗲 𝗩𝗲𝗶𝗻𝘀 | 𝗟𝗮𝗿𝗴𝗲𝘀𝘁 𝗣𝗲𝗿𝗳𝗼𝗿𝗮𝘁𝗼𝗿 𝗲𝘃𝗲𝗿 𝘀𝗲𝗲𝗻 This patient came to me with complaint of Unilateral Varicose veins limited to below knee level along the course of great saphenous vein. When Examined clinically he was having Incompetent and very much bulging Boyd's perforator. SFJ and rest of the perforators were intact also supported by Doppler USG later on. #varicoseveins #varicosevein #perforatorvein #boydperforator #rare #varicoseveinsexamination #drtayyabriazch

𝙏𝙝𝙮𝙧𝙤𝙜𝙡𝙤𝙨𝙨𝙖𝙡 𝘿𝙪𝙘𝙩 𝙁𝙞𝙨𝙩𝙪𝙡𝙖 This 8 years old boy presented in OPD with this midline discahrging sinus from 2 years. Thyroglossal duct anomalies are the most common congenital malformations in the neck and constitute 70% of all the congenital cervical masses. They are more common in the pediatric population. The thyroglossal duct cysts may rupture spontaneously and present as a draining sinus, which has been erroneously called a thyroglossal fistula, although communication with foramen caecum is extremely rare. Most commom location of cyst is infrahoid. It is routinely investigated with ultrasound, which may reveal a cystic mass at the course of the thyroglossal duct in the midline. For Fistula/Sinus water soluble contrast injection under fluoroscopy reveals the tract and cystic dilatations of the duct in a suprahyoid position. The definite treatment for Cyst and Fistula is surgery called Sistrunk Operation which involves Complete removal of the cyst/fistula, thyroglossal tract remnant, the central portion of the hyoid bone, and a core of tissue including the suprahyoid tract up to foramen caecum. #thyroglossalductfistula #thyroglossalcyst #thyroglossalductcyst #sistrunkoperation #sistrunk #sistrunkprocedure #clinicalexam #clinicalfeatures #drtayyabriazch

𝗘𝗽𝗶𝗱𝗲𝗿𝗺𝗮𝗹 𝗜𝗻𝗰𝗹𝘂𝘀𝗶𝗼𝗻 𝗖𝘆𝘀𝘁 /𝗜𝗺𝗽𝗹𝗮𝗻𝘁𝗮𝘁𝗶𝗼𝗻 𝗗𝗲𝗿𝗺𝗼𝗶𝗱 𝗰𝘆𝘀𝘁 Epidermal inclusion cysts also called implantation dermoid cysts are benign cysts typically present as nodules directly underneath the patient's skin and result from the implantation of epidermal elements in the dermis. They can result from any trauma or surgical procedure. Center of epidermoid cysts almost always contains keratin and this keratin often has a "cheesy" appearance. The definitive treatment is the complete surgical excision of the cyst with its walls intact; this will prevent reoccurrence. #implantationdermoid #epidermoidcyst #epidermoidcystexcision #inclusioncyst #implantationcyst #cystexcision #drtayyabriazch

𝗟𝗮𝗿𝗴𝗲 𝗣𝗮𝗿𝗮𝘂𝗺𝗯𝗶𝗹𝗶𝗰𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 𝗥𝗲𝗽𝗮𝗶𝗿 𝗮𝗹𝗼𝗻𝗴 𝘄𝗶𝘁𝗵 𝗨𝗺𝗯𝗶𝗹𝗶𝗰𝗼𝗽𝗹𝗮𝘀𝘁𝘆 #paraumbilicalherniarepair #paraumbilicalhernia #hernia #herniasurgery #umbilicoplasty #umbilicalreconstruction #bellybuttonreconstruction #drtayyabriazch

This Cigar Like Stone was Retrieved from proximal Ureter causing moderate Hydronephrosis with burned end located distally. It seems Kidney was high on drugs since long 😂 #uretericstone #uretericstonesurgery #ureterolithoextraction #ureterolithotomy #drtayyabriazch

𝗟𝗶𝗽𝗼𝗺𝗮 𝗘𝘅𝗰𝗶𝘀𝗶𝗼𝗻 𝗳𝗿𝗼𝗺 𝗚𝗿𝗼𝗶𝗻 #lipoma #lipomaexcision🔪 #lipomaremoval #lipomaremoval #drtayyabriazch

𝗨𝗺𝗯𝗶𝗹𝗶𝗰𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 𝗥𝗲𝗽𝗮𝗶𝗿 + 𝗨𝗺𝗯𝗶𝗹𝗶𝗰𝗼𝗽𝗹𝗮𝘀𝘁𝘆 Visit my youtube channel for Completw Video #umbilicalhernia #herniasurgery #umbilicalherniarepair #umbilicoplasty #umbilicusreshaping #umbilicusreconstruction #cosmeticsurgery #cosmesis #drtayyabriazch

𝗣𝗮𝗿𝗮𝘂𝗺𝗯𝗶𝗹𝗶𝗰𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 𝗥𝗲𝗽𝗮𝗶𝗿 + 𝗨𝗺𝗯𝗶𝗹𝗶𝗰𝗼𝗽𝗹𝗮𝘀𝘁𝘆 Complete Video Coming Soon On my Youtube Channel along with Tips & Tricks #paraumbilicalherniarepair #herniasurgery #umbilicoplasty #umbilicalreconstruction #bellybuttonreconstruction #cosmesis #cosmeticsurgery #drtayyabriazch

Beautiful Display of Enlarged Submental Lymph nodes in case of Chin Infection - Impetigo in young child. Thats How Infection Always spread to draing lymph Nodes. #impetigo #lymphadenopathy #submentallymphnodes #draininglymphnodes #drtayyabriazch

𝗚𝗮𝗻𝗴𝗹𝗶𝗼𝗻 𝗖𝘆𝘀𝘁 𝗘𝘅𝗰𝗶𝘀𝗶𝗼𝗻 𝗳𝗿𝗼𝗺 𝗪𝗿𝗶𝘀𝘁 𝗣𝗿𝗲𝘀𝗲𝗿𝘃𝗶𝗻𝗴 𝗥𝗮𝗱𝗶𝗮𝗹 𝗔𝗿𝘁𝗲𝗿𝘆 𝗮𝗻𝗱 𝗖𝗲𝗽𝗵𝗮𝗹𝗶𝗰 𝗩𝗲𝗶𝗻 Watch full video with tips & tricks on my Youtube channel "drtayyabriazch" #ganglion #ganglioncyst #ganglioncystsurgery #ganglioncystsremoval #ganglioncystexcision #ganglioncystonwrist #radialartery #cephalicvein #drtayyabriazch

#keloidscar #triamcinolone #drtayyabriazch

Eid Wish 2023 #eid #eidmubarak #eidulfitr #eid2023

𝗰𝗵𝗼𝘃𝘀𝘁𝗲𝗸 𝘀𝗶𝗴𝗻 The Chvostek sign — a contraction of ipsilateral facial muscles subsequent to percussion over the facial nerve infront of tragus is considered a clinical indicator of hypocalcemia. This patient underwent Subtotal Thyroidectomy for MNG 1 day back. Hypocalcemia after thyroidectomy can be either transient due to compromised blood supply to parathyroids or permanent due to accidental removal of parathyroid tissue. #parathyroid #hypocalcemia #chovsteksign #thyroidectomy #hypoparathyroidism

𝗣𝗮𝗻𝘁𝗮𝗹𝗼𝗼𝗻 𝗛𝗲𝗿𝗻𝗶𝗮 Pantaloon Hernia also called saddle-bag hernia, Dual hernia or Romberg’s hernia is a rare type of hernia in which there is combination of both Direct and indirect hernias on both sides of Inferior epigastric Vessels. In this patient there was also Lipoma of the cord. Lipoma excised and Desarda Hernia Repair done for both Hernias after Herniotomy of indirect sac. #inguinalhernia #directinguinalhernia #indirectinguinalhernia #pantaloonhernia #lipomaofcord #herniarepair #desardaherniarepair #desardarepair #inguinalherniatreatment