SlideShare a Scribd company logo
1 of 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
?

More Related Content

What's hot (20)

Pulmonary surgery
Pulmonary surgeryPulmonary surgery
Pulmonary surgery
 
pneumonectomy
pneumonectomypneumonectomy
pneumonectomy
 
Physiotherapy in cardiac surgery copy
Physiotherapy in cardiac surgery   copyPhysiotherapy in cardiac surgery   copy
Physiotherapy in cardiac surgery copy
 
Cholecystectomy
CholecystectomyCholecystectomy
Cholecystectomy
 
Physiotherapy in abdominal surgery
Physiotherapy in abdominal surgeryPhysiotherapy in abdominal surgery
Physiotherapy in abdominal surgery
 
Pre and post operative Physiotherapay
Pre and post operative Physiotherapay Pre and post operative Physiotherapay
Pre and post operative Physiotherapay
 
Pulmonary surgeries
Pulmonary surgeriesPulmonary surgeries
Pulmonary surgeries
 
Thoracoplasty.
Thoracoplasty.Thoracoplasty.
Thoracoplasty.
 
PT in thoracic surgery
PT in thoracic surgeryPT in thoracic surgery
PT in thoracic surgery
 
Pt in urosurgery
Pt in urosurgeryPt in urosurgery
Pt in urosurgery
 
Discuss thoracic incisions(1) copy
Discuss thoracic incisions(1)   copyDiscuss thoracic incisions(1)   copy
Discuss thoracic incisions(1) copy
 
Lobectomy
LobectomyLobectomy
Lobectomy
 
Pre & post operative physiotherapy in abdominal surgeries
Pre & post operative physiotherapy in abdominal surgeriesPre & post operative physiotherapy in abdominal surgeries
Pre & post operative physiotherapy in abdominal surgeries
 
Nephrectomy
NephrectomyNephrectomy
Nephrectomy
 
Decortication of the lung.pptx
Decortication of the lung.pptxDecortication of the lung.pptx
Decortication of the lung.pptx
 
Principles of physiotherapy in general surgery
Principles of physiotherapy in general surgeryPrinciples of physiotherapy in general surgery
Principles of physiotherapy in general surgery
 
Mastectomy
MastectomyMastectomy
Mastectomy
 
Pt in gastrectomy& cholecystectomy
Pt in gastrectomy& cholecystectomyPt in gastrectomy& cholecystectomy
Pt in gastrectomy& cholecystectomy
 
Surgery of pleura
Surgery of pleuraSurgery of pleura
Surgery of pleura
 
Adrenalectomy new
Adrenalectomy newAdrenalectomy new
Adrenalectomy new
 

Viewers also liked

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
 
Surgical incisions
Surgical incisionsSurgical incisions
Surgical incisionsAylin Mert
 
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
 

Viewers also liked (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
 
Surgical incisions
Surgical incisionsSurgical incisions
Surgical incisions
 
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
 

Similar to 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
 

Similar to 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
 

Recently uploaded

Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadGENUINE ESCORT AGENCY
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...narwatsonia7
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...narwatsonia7
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...parulsinha
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 

Abdominal surgeries