New born baby with new technique

• During the beginning of the year a new technique was devised for laparoscopic treatment of tubal blocks

• The Mrs. Lalmawipuii delivered the first healthy baby after the new technique

Vellangiri

Went home walking

Epispadias repair @ Seesha - KRCH • Despite going to several

places in Kerala and Tamil Nadu including medical colleges he was told that it would cost several lakhs and would not be possible to repair (only removal was possible)

• Underwent surgical repair on April 6, 2011

4

A rare surgical procedure

• In September it was the turn for creating a vagina from vascularized tissues nearby

Research Publications

• Tropical Doctor

• Rural Surgery– Topical vacuum therapy– Non invasive BP

monitoring– Respiratory rate by

acoustic tracheal sounds– Wearable monitors

Video inguinal block dissection

• 8th team in the World to perform this procedure

• Morbidity improved from 85% having complications to less than 10%

• First patient discharged without complications

7

TVP with saline• 3% of morbidity during

prostate surgery is due to Glycine/water that is used

• Recently Bi TUR invented where safer normal saline could be used

• We modified it for doing vaporizing surgeries

8

Endometrial vaporization

• For certain conditions where Uterus has to be removed this minimally invasive method could be used instead

• Published in international Journal called “Tropical Doctor”

9

URS for renal stones

• Technique published in “Tropical Doctor” Journal

• Largest number in the World of this procedure

• Only a fraction of cost of the usual methods

10

Core through EIU

• Had complete rupture & separation of urethra in an accident

• Spent over Rs. 50000 for small drainage procedure at CBE

• Underwent a difficult endoscopic corrective Sx

11

Vacuum therapy @ KRCH• This FMPB missionary had

fracture both bones and serious wound infection in the post operative period

• The 3 in 1 machine developed @ KU/Seesha and produced by Silicon Technologies did the miracle

12

Burn’s patient • >40% burns are dangerous

with poor survival rate

• Mr. presented with about 60% burns and very sick after treatment elsewhere at CBE.

• God’s grace and good nursing are helping him

13

Minimally invasive surgery for CTS

• Carpel tunnel syndrome is becoming more common now

• Low cost minimally invasive surgery was devised here and carried out successfully

Minimally invasive thyroid surgery

• This is a new technique that is available thanks to the development of laparoscopic surgeries

• The first MIS for thyroid was carried out at SKCH for Mr. Solomon

Endogyn.com @ Braunschweig GERMANY

• They are the pioneers in gas less laparoscopic surgeries that has many advantages

• They have given their instruments and recognized SEESHA as one of their training centers

New minimally invasive surgeries for infertility

Tubal hydro insufflation with normal saline using Ureterorenoscope

Laparoscopic drilling of the fallopian tube

Ovarian drilling

Minimally invasive single incision ovarian cystectomy

Low cost

Minimally invasive

With usual instruments for open surgery

Gasless laparoscopy @SKCH

• Thanks to the new gas less laparoscopy equipment from Germany we were able to perform a minimally invasive abdomino – perineal resection for Mrs. Amsaveni on March 21, 2012.

Gasless SILS Appendicectomy @KRCH

• The first ever Gasless Single incision laparoscopic Appendicectomy was performed at KRCH

• It is a safe, less expensive, faster and efficient procedure with the best cosmetic result

Gasless single incision surgeries Safe surgeries

Smaller incisions

Well known and tested instruments are used

Comfortable for the surgeons