The Breast Clinic

12/10/2023

10/06/2023

Laparoscopic repair for right sided inguinal hernia. With completed dissection.

10/06/2023

Hundreds of cholesterol stones in a young patient with Gall bladder disease. The dietary habits playing a major role in developing this disease in our society.

04/05/2023

The value of establishing critical view of safety.

Male patient with chronic calculus cholecystitis. ( Gall stone Disease )
Falciform ligament adhered to fundus of Gall bladder.
Difficult calots triangle
Very short cystic duct.
Establishing critical view of safety prevented injury to the Bile Duct.

01/05/2023

Moynihan Hump ( caterpillar turn ) of right hepatic artery during cholecystectomy for gall stone disease.

10/02/2022

10/02/2022

05/11/2021

A 40 year old male patient presented with two year history of pain in right hypochondrium for the last one year!
The gall bladder was removed without large incision ( laparoscopically) through small 10mm and 5mm holes in the abdomen

24/09/2021

A patient 40 year old male presented with recurrent PUH hernia
Previous 2 suture repairs had been done at periphery. Patient had no Cormorbidities ( no chronic cough and urinary symptoms )

Laparoscopic ventral mesh hernioplasty was done with intraperitoneal onlay mesh ( IPOM)

Post op recovery pictures will be shared too

with permission for patient awareness and academic Purposes

20/09/2021

Laparoscopic inguinal hernia repair through 3 keyholes ( 10mm and 5mm ) in abdomen only

18/09/2021

A case of difficult cholecystectomy in a 45 year male patient with long standing history of chronic calculus cholecystitis

Critical view of safety established for safe cholecystectomy and cystic duct had to be ligated with extracorporeal knotting! Patient was discharged on first post operative day in perfectly fine condition

18/09/2021

Patient presented with gall stones and pain abdomen ( right hypochondrium ) for the last one year
Gall bladder was removed laparoscopically ( through 4 pinholes 10 mm and 5mm in size )

The picture is demonstrating the safe way to do laparoscopic cholecystectomy
Alhumdulillah patient went home the next day

# produced with permission from patient

17/09/2021

Patient 50 y/ male presented with right sided inguinal hernia
Hernia repair with mesh done laparoscopically with 3 small incisions on abdomen ( two 5 mm and one 10 mm )

27/08/2021

A male patient presented with long standing recurrent attacks of calculus cholecystitis ( gall bladder pain due to stones ). Difficult cholecystectomy done safely Alhumdulillah following principles of safe cholecystectomy.
Patient is home on 2nd post operative day in full healthy condition

12/05/2021

Perforated appendix following inflammation of the appendix ( appendicitis ) that was forming a mass. Done laparoscopically successfully and patient is discharged home. Delay in diagnosis and symptom interpretation can lead to this condition. The patient had symptoms for 4 days but ignored them.
Patient is fine and discharged home
( Produced with consent from patient to create awareness)

09/05/2021

Difficult cholecystectomy for acute cholecystitis due to gall stone disease. Adhesion in the calot’s triangle.
Critical view of safety created by raising anterior and posterior windows, calots cleared of all adhesions and fatty tissue
Cystic duct and cystic artery identified
( safe cholecystectomy )

06/04/2021

Safe Cholecystectomy : ( removal of gall bladder for gall bladder stones )
Critical view of safety being established : gall bladder lifted off liver bed, calots cleared of all fibrofatty tissue and only two structures going into gall bladder. Posterior window created to visualise liver through posterior window.

06/03/2021

Receiving shield of appreciation from Secretary Specialized Healthcare & Medical Education Department and Secretary Primary and Secondary Healthcare Department for being in the team that helped establish well woman clinics all over Punjab and training medical and paramedical staff of DHQs and THQs at west surgical ward KEMU Mayo hospital Lahore
( Breast Surgery)

05/11/2020

Anatomy after dissection in right sided trans abdominal pre peritoneal hernia surgery. The defect is medial to inferior epigastric vessels . Cooper ligament ( the light house also seen )

27/10/2020

Trans Abdominal Pre peritoneal Hernia repair for bilateral inguinal hernia

27/10/2020

Axillary Anatomy after left Axillary dissection. ( Auchincloss)

27/10/2020

Critical View of Safety in Lap Cholecystectomy