SlideShare ist ein Scribd-Unternehmen logo
1 von 35
COL DILIP RAVALIA
Prof & Head Dept. of Surgery
Parul Institute of Medical Sciences & Research
ABDOMINAL OPERATIONS
Indications
 Trauma
 Infections
 Obstruction
 Benign Tumour
 Malignancy
 Stones
 Perforation
 Diagnosis
Investigations
 Blood Test
 Urine Test
 X-Rays
 Ultrasonography
 CT Scan
 Special Investigations like IVP
Pre op preparation
 Consent
 Nil by mouth
 Bath and shaving
 Enema
 Antibiotics
 Keep Blood ready
Anaesthesia
 General Anaesthesia
 Spinal Anaeshesia
 Epidural Anaesthesia
Anatomy
Anatomy
Anatomy
Incisions
Incisions
 Rt & Left Kochers
 Gridiron/Mc Burneys
 Rutherford
 Lanz
 Bikini
 Transverse
 Lumbar
 Pfennensteil
Cholecystectomy
 Indications
Cholelithiasis
Cholecystitis
Gall bladder polyp
Carcinoma of gall bladder
 Anaesthesia
General Anasthesia
Spinal Anaeshesia
 Procedure
 Procedure
Supine position
Cleaning and drapping
Right subcostal incision
Ligation of cystic artery and duct
Dissection of gall bladder from liver
Haemostasis
Drainage
Closure
Appendicectomy
 Indication
 Anaesthesia
 Procedure
Colostomy
 Indications
 Anaesthesia
 Procedure
Hernia
 Inguinal Hernia
 Femoral hernia
 Epigastric hernia
 Umbilical hernia
 Incisional hernia
Hernia Operations
 Herniotomy
 Herniorrhaphy
 Hernioplasty
 Anatomical repair
 Mesh repair
Prostatectomy
 Indications
 Anaesthesia
 Procedure
Neprectomy
 Indications
 Non functioning
 Pyonehrosis
 Malignancy
 Anaesthesia
 Procedure
Other Operations
 Diagnostic Laparoscopy
 Laparoscopic Appendicectomy
 Laparoscopic Cholecystectomy
 Laparoscopic Hernia Reapir
Other operations
Pyelolithotomy
Ureterolithotomy
Cystolityhotomy
PCNL – Percutaneous nephrolithotomy
THANK YOU
?

Weitere ähnliche Inhalte

Was ist angesagt? (20)

Pulmonary surgery
Pulmonary surgeryPulmonary surgery
Pulmonary surgery
 
Principles of physiotherapy in general surgery
Principles of physiotherapy in general surgeryPrinciples of physiotherapy in general surgery
Principles of physiotherapy in general surgery
 
Cholecystectomy
CholecystectomyCholecystectomy
Cholecystectomy
 
pneumonectomy
pneumonectomypneumonectomy
pneumonectomy
 
Abdominal incisions
Abdominal incisionsAbdominal incisions
Abdominal incisions
 
Physiotherapy in abdominal surgery
Physiotherapy in abdominal surgeryPhysiotherapy in abdominal surgery
Physiotherapy in abdominal surgery
 
Surgical incisions
Surgical incisionsSurgical incisions
Surgical incisions
 
Abdominal incisions
Abdominal incisionsAbdominal incisions
Abdominal incisions
 
Open prostatectomy tray
Open prostatectomy trayOpen prostatectomy tray
Open prostatectomy tray
 
Appendectomy
AppendectomyAppendectomy
Appendectomy
 
Deep Venous Thrombosis (DVT)
Deep Venous Thrombosis (DVT)Deep Venous Thrombosis (DVT)
Deep Venous Thrombosis (DVT)
 
Rehabilitation for upper limb fracture
Rehabilitation for upper limb fractureRehabilitation for upper limb fracture
Rehabilitation for upper limb fracture
 
Thoracotomy
ThoracotomyThoracotomy
Thoracotomy
 
Nephrectomy
NephrectomyNephrectomy
Nephrectomy
 
Thoracic surgeries
Thoracic surgeriesThoracic surgeries
Thoracic surgeries
 
Decortication of the lung.pptx
Decortication of the lung.pptxDecortication of the lung.pptx
Decortication of the lung.pptx
 
Breathing exercise
Breathing exerciseBreathing exercise
Breathing exercise
 
TOTAL KNEE REPLACEMENT
TOTAL KNEE REPLACEMENTTOTAL KNEE REPLACEMENT
TOTAL KNEE REPLACEMENT
 
Rotator cuff injuries
Rotator cuff injuriesRotator cuff injuries
Rotator cuff injuries
 
Complications of abdominal surgery
Complications of abdominal surgeryComplications of abdominal surgery
Complications of abdominal surgery
 

Andere mochten auch

Physiotherapy in general surgical conditions-introduction
 Physiotherapy in general surgical conditions-introduction Physiotherapy in general surgical conditions-introduction
Physiotherapy in general surgical conditions-introductionThangamani Ramalingam
 
Gastroenterology Presentation (& some Abdominal Surgery Stuff!)
Gastroenterology Presentation (& some Abdominal Surgery Stuff!)Gastroenterology Presentation (& some Abdominal Surgery Stuff!)
Gastroenterology Presentation (& some Abdominal Surgery Stuff!)meducationdotnet
 
Surgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum TgSurgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum TgMiami Dade
 
Laparoscopic Management of Emergency UpperGI Perfofations
Laparoscopic Management of Emergency UpperGI PerfofationsLaparoscopic Management of Emergency UpperGI Perfofations
Laparoscopic Management of Emergency UpperGI PerfofationsFederico Messina
 
Medico –legal issues
Medico –legal issuesMedico –legal issues
Medico –legal issueschetan samra
 
Acs0526 Adrenalectomy 2005
Acs0526 Adrenalectomy 2005Acs0526 Adrenalectomy 2005
Acs0526 Adrenalectomy 2005medbookonline
 
identification of Race in Forensic medicine
identification of Race in Forensic medicineidentification of Race in Forensic medicine
identification of Race in Forensic medicinechetan samra
 
Chapter 8 presentation
Chapter 8 presentationChapter 8 presentation
Chapter 8 presentationRebecca Ray
 
Adrenal insufficiency / dental courses
Adrenal insufficiency / dental coursesAdrenal insufficiency / dental courses
Adrenal insufficiency / dental coursesIndian dental academy
 
Pathophysiology of asphyxia & drowning
Pathophysiology of asphyxia & drowningPathophysiology of asphyxia & drowning
Pathophysiology of asphyxia & drowningchetan samra
 
Medical certification of cause of death
Medical certification of cause of  deathMedical certification of cause of  death
Medical certification of cause of deathchetan samra
 
Surgeries human system training
Surgeries human system trainingSurgeries human system training
Surgeries human system trainingDeepak Mudgil
 
Central venous catheters
Central venous catheters  Central venous catheters
Central venous catheters wcmc
 
Sleeve gastrectomy effects on DM
Sleeve gastrectomy effects on DM Sleeve gastrectomy effects on DM
Sleeve gastrectomy effects on DM ahmedkhalifaa
 

Andere mochten auch (20)

Physiotherapy in general surgical conditions-introduction
 Physiotherapy in general surgical conditions-introduction Physiotherapy in general surgical conditions-introduction
Physiotherapy in general surgical conditions-introduction
 
Gastroenterology Presentation (& some Abdominal Surgery Stuff!)
Gastroenterology Presentation (& some Abdominal Surgery Stuff!)Gastroenterology Presentation (& some Abdominal Surgery Stuff!)
Gastroenterology Presentation (& some Abdominal Surgery Stuff!)
 
Surgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum TgSurgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum Tg
 
Laparoscopic Management of Emergency UpperGI Perfofations
Laparoscopic Management of Emergency UpperGI PerfofationsLaparoscopic Management of Emergency UpperGI Perfofations
Laparoscopic Management of Emergency UpperGI Perfofations
 
Medico –legal issues
Medico –legal issuesMedico –legal issues
Medico –legal issues
 
Acs0526 Adrenalectomy 2005
Acs0526 Adrenalectomy 2005Acs0526 Adrenalectomy 2005
Acs0526 Adrenalectomy 2005
 
identification of Race in Forensic medicine
identification of Race in Forensic medicineidentification of Race in Forensic medicine
identification of Race in Forensic medicine
 
Chapter 8 presentation
Chapter 8 presentationChapter 8 presentation
Chapter 8 presentation
 
Adrenal insufficiency / dental courses
Adrenal insufficiency / dental coursesAdrenal insufficiency / dental courses
Adrenal insufficiency / dental courses
 
Pathophysiology of asphyxia & drowning
Pathophysiology of asphyxia & drowningPathophysiology of asphyxia & drowning
Pathophysiology of asphyxia & drowning
 
Achalasia cardia
Achalasia cardiaAchalasia cardia
Achalasia cardia
 
Central Line Blood Sampling
Central Line Blood Sampling Central Line Blood Sampling
Central Line Blood Sampling
 
Finger print
Finger printFinger print
Finger print
 
Medical certification of cause of death
Medical certification of cause of  deathMedical certification of cause of  death
Medical certification of cause of death
 
Anaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeriesAnaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeries
 
Surgeries human system training
Surgeries human system trainingSurgeries human system training
Surgeries human system training
 
Central venous catheters
Central venous catheters  Central venous catheters
Central venous catheters
 
Sleeve gastrectomy effects on DM
Sleeve gastrectomy effects on DM Sleeve gastrectomy effects on DM
Sleeve gastrectomy effects on DM
 
Achalasia
AchalasiaAchalasia
Achalasia
 
Case presentation achalasia cardia
Case presentation achalasia cardiaCase presentation achalasia cardia
Case presentation achalasia cardia
 

Ähnlich wie Abdominal surgeries

General Surgery Revision
General Surgery RevisionGeneral Surgery Revision
General Surgery RevisionNick Harvey
 
Mis carcinoma Esophagus
Mis carcinoma Esophagus Mis carcinoma Esophagus
Mis carcinoma Esophagus Dr Harsh Shah
 
Radiology and details about x-ray and its pictures
Radiology and details about x-ray and its picturesRadiology and details about x-ray and its pictures
Radiology and details about x-ray and its picturesOmpriyaS
 
01.abdominal swelling 1
01.abdominal swelling 101.abdominal swelling 1
01.abdominal swelling 1mostafa hegazy
 
Git Diagnostic Tests.
Git Diagnostic Tests.Git Diagnostic Tests.
Git Diagnostic Tests.Shaikhani.
 
Management of bening prostatic hyperplasia
Management of bening prostatic hyperplasiaManagement of bening prostatic hyperplasia
Management of bening prostatic hyperplasiadrujudud
 
Cholelithiasis:Early diagnosis and prompt treatment.
Cholelithiasis:Early diagnosis and prompt treatment.Cholelithiasis:Early diagnosis and prompt treatment.
Cholelithiasis:Early diagnosis and prompt treatment.KETAN VAGHOLKAR
 
Endoscopy in Gastrointestinal Oncology - Slide 12 - J. Baillie - Distinguishi...
Endoscopy in Gastrointestinal Oncology - Slide 12 - J. Baillie - Distinguishi...Endoscopy in Gastrointestinal Oncology - Slide 12 - J. Baillie - Distinguishi...
Endoscopy in Gastrointestinal Oncology - Slide 12 - J. Baillie - Distinguishi...European School of Oncology
 
The problem of upper abdominal pain
The problem of upper abdominal painThe problem of upper abdominal pain
The problem of upper abdominal painAhmed Bahnassy
 
Aid of Imaging in diagnosis of Acute Abdomen
Aid of Imaging in diagnosis of Acute AbdomenAid of Imaging in diagnosis of Acute Abdomen
Aid of Imaging in diagnosis of Acute AbdomenDr. MD. Majedul Islam
 
X ray finaaaaaaaaaaaaaal2
X ray finaaaaaaaaaaaaaal2X ray finaaaaaaaaaaaaaal2
X ray finaaaaaaaaaaaaaal2Wawwa Yassin
 
Upper urinary tract calculi
Upper urinary tract calculiUpper urinary tract calculi
Upper urinary tract calculikaziomer
 
Upper urinary tract calculi
Upper urinary tract calculiUpper urinary tract calculi
Upper urinary tract calculikaziomer
 
Approach to patients with upper gi bleeding
Approach to patients with upper gi bleedingApproach to patients with upper gi bleeding
Approach to patients with upper gi bleedingRajesh S
 

Ähnlich wie Abdominal surgeries (20)

Surgical oncology BASICS.pdf
Surgical oncology BASICS.pdfSurgical oncology BASICS.pdf
Surgical oncology BASICS.pdf
 
Obstructive jaundice
Obstructive  jaundiceObstructive  jaundice
Obstructive jaundice
 
General Surgery Revision
General Surgery RevisionGeneral Surgery Revision
General Surgery Revision
 
Mis carcinoma Esophagus
Mis carcinoma Esophagus Mis carcinoma Esophagus
Mis carcinoma Esophagus
 
Radiology and details about x-ray and its pictures
Radiology and details about x-ray and its picturesRadiology and details about x-ray and its pictures
Radiology and details about x-ray and its pictures
 
01.abdominal swelling 1
01.abdominal swelling 101.abdominal swelling 1
01.abdominal swelling 1
 
Git Diagnostic Tests.
Git Diagnostic Tests.Git Diagnostic Tests.
Git Diagnostic Tests.
 
Management of bening prostatic hyperplasia
Management of bening prostatic hyperplasiaManagement of bening prostatic hyperplasia
Management of bening prostatic hyperplasia
 
Acute abdomen
Acute abdomenAcute abdomen
Acute abdomen
 
Haematuria
HaematuriaHaematuria
Haematuria
 
MCC 2011 - Slide 19
MCC 2011 - Slide 19MCC 2011 - Slide 19
MCC 2011 - Slide 19
 
Cholelithiasis:Early diagnosis and prompt treatment.
Cholelithiasis:Early diagnosis and prompt treatment.Cholelithiasis:Early diagnosis and prompt treatment.
Cholelithiasis:Early diagnosis and prompt treatment.
 
Endoscopy in Gastrointestinal Oncology - Slide 12 - J. Baillie - Distinguishi...
Endoscopy in Gastrointestinal Oncology - Slide 12 - J. Baillie - Distinguishi...Endoscopy in Gastrointestinal Oncology - Slide 12 - J. Baillie - Distinguishi...
Endoscopy in Gastrointestinal Oncology - Slide 12 - J. Baillie - Distinguishi...
 
The problem of upper abdominal pain
The problem of upper abdominal painThe problem of upper abdominal pain
The problem of upper abdominal pain
 
Liver
LiverLiver
Liver
 
Aid of Imaging in diagnosis of Acute Abdomen
Aid of Imaging in diagnosis of Acute AbdomenAid of Imaging in diagnosis of Acute Abdomen
Aid of Imaging in diagnosis of Acute Abdomen
 
X ray finaaaaaaaaaaaaaal2
X ray finaaaaaaaaaaaaaal2X ray finaaaaaaaaaaaaaal2
X ray finaaaaaaaaaaaaaal2
 
Upper urinary tract calculi
Upper urinary tract calculiUpper urinary tract calculi
Upper urinary tract calculi
 
Upper urinary tract calculi
Upper urinary tract calculiUpper urinary tract calculi
Upper urinary tract calculi
 
Approach to patients with upper gi bleeding
Approach to patients with upper gi bleedingApproach to patients with upper gi bleeding
Approach to patients with upper gi bleeding
 

Kürzlich hochgeladen

Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbaisonalikaur4
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...rajnisinghkjn
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalorenarwatsonia7
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxDr.Nusrat Tariq
 

Kürzlich hochgeladen (20)

Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptx
 

Abdominal surgeries