SlideShare a Scribd company logo
1 of 53
Open Lateral Internal Sphincterotomy ,[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
Indian Health Journal
Anal fissure ,[object Object],Indian Health Journal
Indian Health Journal
Aetiopathology ,[object Object],[object Object],Indian Health Journal
AIM ,[object Object],[object Object],Indian Health Journal
Factors to assess any method of treatment of chronic fissure in ano ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
Patients and Methods ,[object Object],[object Object],[object Object],[object Object],Indian Health Journal
Age-Group Indian Health Journal Age group No. of patients 21-30 06 31-40 12 41-50 02
Examination ,[object Object],[object Object],Indian Health Journal
PROCEDURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
PROCEDURE(Contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
PROCEDURE - ,[object Object],[object Object],Indian Health Journal
Procedure (Contd.) ,[object Object],[object Object],[object Object],Indian Health Journal
A note- ,[object Object],[object Object],Indian Health Journal
Indian Health Journal
Procedure (Contd.) ,[object Object],[object Object],Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Indian Health Journal
Postoperative care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
No sitz bath because- ,[object Object],Indian Health Journal
Postoperative results ,[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
A note- ,[object Object],Indian Health Journal
Sphincterotomy should not be performed for- ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
Review of Literature(Nelson RL) Operative procedures for fissure in ano(1) ,[object Object],[object Object],[object Object],Indian Health Journal
Operative Techniques ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
Anal dilatation-12 pts. Presenting with fecal incontinence- NATURE OF STRUCTURAL INJURY ,[object Object],[object Object],[object Object],Indian Health Journal
Normal Internal Sphincter Indian Health Journal
Single Break after anal stretch Indian Health Journal
Fragmentation of IS after anal stretch Indian Health Journal
IS appearance after LIS Indian Health Journal
Author’s Conclusions ,[object Object],[object Object],[object Object],Indian Health Journal
Author’s Conclusions(Contd.) ,[object Object],[object Object],Indian Health Journal
CONCLUSIONS ,[object Object],Indian Health Journal
References  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
References ,[object Object],[object Object],[object Object],[object Object],[object Object],Indian Health Journal
Indian Health Journal

More Related Content

What's hot

Pancreatic pseudocyst
Pancreatic pseudocystPancreatic pseudocyst
Pancreatic pseudocyst
draakif
 

What's hot (20)

Anorectal abscess & Anal fistulae
Anorectal abscess & Anal fistulaeAnorectal abscess & Anal fistulae
Anorectal abscess & Anal fistulae
 
Hydrocele management
Hydrocele managementHydrocele management
Hydrocele management
 
Pancreatic pseudocyst
Pancreatic pseudocystPancreatic pseudocyst
Pancreatic pseudocyst
 
Inguinal hernia ppt
Inguinal hernia pptInguinal hernia ppt
Inguinal hernia ppt
 
Anal Fissure
Anal FissureAnal Fissure
Anal Fissure
 
Open inguinal hernia repair / operative surgery
Open inguinal hernia repair / operative surgeryOpen inguinal hernia repair / operative surgery
Open inguinal hernia repair / operative surgery
 
Splenic trauma
Splenic traumaSplenic trauma
Splenic trauma
 
Open cholecystectomy/ operative surgery
Open cholecystectomy/ operative surgeryOpen cholecystectomy/ operative surgery
Open cholecystectomy/ operative surgery
 
Whipple's procedure - Indications, Steps, Complications
Whipple's procedure - Indications, Steps, ComplicationsWhipple's procedure - Indications, Steps, Complications
Whipple's procedure - Indications, Steps, Complications
 
Pilonidal sinus
Pilonidal sinusPilonidal sinus
Pilonidal sinus
 
Scrotal swellings 3- Epididymal cyst
Scrotal swellings 3- Epididymal cystScrotal swellings 3- Epididymal cyst
Scrotal swellings 3- Epididymal cyst
 
Fissure and fistula
Fissure and fistulaFissure and fistula
Fissure and fistula
 
Operative steps in open appendicectomy
Operative steps in open appendicectomyOperative steps in open appendicectomy
Operative steps in open appendicectomy
 
Cholecystectomy class
Cholecystectomy classCholecystectomy class
Cholecystectomy class
 
Splenectomy
SplenectomySplenectomy
Splenectomy
 
Stoma
StomaStoma
Stoma
 
Inguinal hernia
Inguinal herniaInguinal hernia
Inguinal hernia
 
Management of Appendicular Lump
Management of Appendicular LumpManagement of Appendicular Lump
Management of Appendicular Lump
 
Appendicitis PPT By Dr Anil Kumar, Assist Professor,Gen Surgery, AIIMS-Patna
Appendicitis PPT By Dr Anil Kumar, Assist Professor,Gen Surgery, AIIMS-PatnaAppendicitis PPT By Dr Anil Kumar, Assist Professor,Gen Surgery, AIIMS-Patna
Appendicitis PPT By Dr Anil Kumar, Assist Professor,Gen Surgery, AIIMS-Patna
 
Epigastric hernia
Epigastric herniaEpigastric hernia
Epigastric hernia
 

Viewers also liked

Anal fissure pitfalls in management
Anal fissure pitfalls in managementAnal fissure pitfalls in management
Anal fissure pitfalls in management
thedukes
 
Hydatid cyst of liver by dr aakif
Hydatid cyst of liver by dr aakifHydatid cyst of liver by dr aakif
Hydatid cyst of liver by dr aakif
draakif
 

Viewers also liked (15)

Nitroglycerin, Botox or Sphincterotomy for Anal Fissure
Nitroglycerin, Botox or Sphincterotomy for Anal FissureNitroglycerin, Botox or Sphincterotomy for Anal Fissure
Nitroglycerin, Botox or Sphincterotomy for Anal Fissure
 
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
Anal fissure & fistula in ano PPT By Dr Anil Kumar, Assistant Professor, AIIM...
 
Websites for Ayurvedic Practitioners
Websites for Ayurvedic PractitionersWebsites for Ayurvedic Practitioners
Websites for Ayurvedic Practitioners
 
Digitalis Lecture
Digitalis LectureDigitalis Lecture
Digitalis Lecture
 
Total splenectomy
Total splenectomyTotal splenectomy
Total splenectomy
 
Pancreatic pseudocysts
Pancreatic pseudocystsPancreatic pseudocysts
Pancreatic pseudocysts
 
Gastrojejunostomy
GastrojejunostomyGastrojejunostomy
Gastrojejunostomy
 
Anal fissure pitfalls in management
Anal fissure pitfalls in managementAnal fissure pitfalls in management
Anal fissure pitfalls in management
 
Hydatid cyst of liver by dr aakif
Hydatid cyst of liver by dr aakifHydatid cyst of liver by dr aakif
Hydatid cyst of liver by dr aakif
 
Pseudo cyst
Pseudo cystPseudo cyst
Pseudo cyst
 
Fissure
FissureFissure
Fissure
 
Carcinoma of Stomach
 Carcinoma of Stomach Carcinoma of Stomach
Carcinoma of Stomach
 
Hemorrhoids-
Hemorrhoids-Hemorrhoids-
Hemorrhoids-
 
An Introduction to Pharmacology
An Introduction to PharmacologyAn Introduction to Pharmacology
An Introduction to Pharmacology
 
Benign gastric outlet obstruction
Benign gastric outlet obstructionBenign gastric outlet obstruction
Benign gastric outlet obstruction
 

Similar to Open lateral internal sphincterotomy

DR deepak chahar polpiteal cyst arthroscopy
DR deepak chahar polpiteal cyst arthroscopyDR deepak chahar polpiteal cyst arthroscopy
DR deepak chahar polpiteal cyst arthroscopy
Deepak Chahar
 
Ano rectal conditions
Ano rectal conditionsAno rectal conditions
Ano rectal conditions
mahamed adam
 
Tips and Tricks in Laparoscopic Dissection of Adhesions
Tips and Tricks in Laparoscopic Dissection of AdhesionsTips and Tricks in Laparoscopic Dissection of Adhesions
Tips and Tricks in Laparoscopic Dissection of Adhesions
George S. Ferzli
 
Effectiveness of Manual Mobilization with Movement on Pain and Strength in Ad...
Effectiveness of Manual Mobilization with Movement on Pain and Strength in Ad...Effectiveness of Manual Mobilization with Movement on Pain and Strength in Ad...
Effectiveness of Manual Mobilization with Movement on Pain and Strength in Ad...
International Journal of Science and Research (IJSR)
 
Rakesh benign-anorectal-
Rakesh  benign-anorectal-Rakesh  benign-anorectal-
Rakesh benign-anorectal-
rakesh gupta
 

Similar to Open lateral internal sphincterotomy (20)

DR deepak chahar polpiteal cyst arthroscopy
DR deepak chahar polpiteal cyst arthroscopyDR deepak chahar polpiteal cyst arthroscopy
DR deepak chahar polpiteal cyst arthroscopy
 
A Prospective comparative study of Local anaesthesia & Spinal anaesthesia for...
A Prospective comparative study of Local anaesthesia & Spinal anaesthesia for...A Prospective comparative study of Local anaesthesia & Spinal anaesthesia for...
A Prospective comparative study of Local anaesthesia & Spinal anaesthesia for...
 
COMPARISON OF OPEN LICHTENSTEINE UNDER LOCAL AGAINST LAP.TEP UNDER GENERAL AN...
COMPARISON OF OPEN LICHTENSTEINE UNDER LOCAL AGAINST LAP.TEP UNDER GENERAL AN...COMPARISON OF OPEN LICHTENSTEINE UNDER LOCAL AGAINST LAP.TEP UNDER GENERAL AN...
COMPARISON OF OPEN LICHTENSTEINE UNDER LOCAL AGAINST LAP.TEP UNDER GENERAL AN...
 
Outcome of lichtensteine hernioplasty
Outcome of lichtensteine hernioplastyOutcome of lichtensteine hernioplasty
Outcome of lichtensteine hernioplasty
 
Current status of various treatment modalities in the management of Fissure-i...
Current status of various treatment modalities in the management of Fissure-i...Current status of various treatment modalities in the management of Fissure-i...
Current status of various treatment modalities in the management of Fissure-i...
 
Ano rectal conditions
Ano rectal conditionsAno rectal conditions
Ano rectal conditions
 
fecal incontinence
fecal incontinencefecal incontinence
fecal incontinence
 
Evaluation of Stapled versus Hand-Sewn Techniques for Colo- Rectal Anastomosi...
Evaluation of Stapled versus Hand-Sewn Techniques for Colo- Rectal Anastomosi...Evaluation of Stapled versus Hand-Sewn Techniques for Colo- Rectal Anastomosi...
Evaluation of Stapled versus Hand-Sewn Techniques for Colo- Rectal Anastomosi...
 
5628 20649-1-pb
5628 20649-1-pb5628 20649-1-pb
5628 20649-1-pb
 
Graded therapeutic approach to fissure in ano (study of 50 cases)
Graded therapeutic approach to fissure in ano (study of 50 cases)Graded therapeutic approach to fissure in ano (study of 50 cases)
Graded therapeutic approach to fissure in ano (study of 50 cases)
 
Analfis
AnalfisAnalfis
Analfis
 
Tips and Tricks in Laparoscopic Dissection of Adhesions
Tips and Tricks in Laparoscopic Dissection of AdhesionsTips and Tricks in Laparoscopic Dissection of Adhesions
Tips and Tricks in Laparoscopic Dissection of Adhesions
 
Effectiveness of Manual Mobilization with Movement on Pain and Strength in Ad...
Effectiveness of Manual Mobilization with Movement on Pain and Strength in Ad...Effectiveness of Manual Mobilization with Movement on Pain and Strength in Ad...
Effectiveness of Manual Mobilization with Movement on Pain and Strength in Ad...
 
FISTULA-IN-ANO.pptx
FISTULA-IN-ANO.pptxFISTULA-IN-ANO.pptx
FISTULA-IN-ANO.pptx
 
Rakesh benign-anorectal-
Rakesh  benign-anorectal-Rakesh  benign-anorectal-
Rakesh benign-anorectal-
 
Fistula in ano ppt.pptx
Fistula in ano ppt.pptxFistula in ano ppt.pptx
Fistula in ano ppt.pptx
 
48th Publication- JDHR-3rd Name.pdf
48th Publication- JDHR-3rd Name.pdf48th Publication- JDHR-3rd Name.pdf
48th Publication- JDHR-3rd Name.pdf
 
Management of fistula in ano recent advances
Management of fistula in ano recent advancesManagement of fistula in ano recent advances
Management of fistula in ano recent advances
 
Tmj arthroscopy
Tmj arthroscopy Tmj arthroscopy
Tmj arthroscopy
 
Sarangan final
Sarangan finalSarangan final
Sarangan final
 

More from Indian Health Journal

Childhood spinal tubercular osteomyelitis- case paper - dr r l shahu
Childhood spinal tubercular osteomyelitis- case paper - dr r l shahuChildhood spinal tubercular osteomyelitis- case paper - dr r l shahu
Childhood spinal tubercular osteomyelitis- case paper - dr r l shahu
Indian Health Journal
 
Intervention for Cancer Patients-ihj-Dr_Vajpeyi
Intervention for Cancer Patients-ihj-Dr_VajpeyiIntervention for Cancer Patients-ihj-Dr_Vajpeyi
Intervention for Cancer Patients-ihj-Dr_Vajpeyi
Indian Health Journal
 
Management of pscyhosomatic diseases in software executive using ayurveda dr...
Management of pscyhosomatic diseases in software executive using ayurveda  dr...Management of pscyhosomatic diseases in software executive using ayurveda  dr...
Management of pscyhosomatic diseases in software executive using ayurveda dr...
Indian Health Journal
 
Quality of health information on the internet indian medical students persp...
Quality of health information on the internet   indian medical students persp...Quality of health information on the internet   indian medical students persp...
Quality of health information on the internet indian medical students persp...
Indian Health Journal
 
Hyperhomocysteinemia in pregnancy dr vivek patkar
Hyperhomocysteinemia in pregnancy dr vivek patkarHyperhomocysteinemia in pregnancy dr vivek patkar
Hyperhomocysteinemia in pregnancy dr vivek patkar
Indian Health Journal
 
Quantitative research methods in medicine dr. baxi
Quantitative research methods in medicine   dr. baxiQuantitative research methods in medicine   dr. baxi
Quantitative research methods in medicine dr. baxi
Indian Health Journal
 
Adolescent hiv indian perspective-current and future scope - dr. baxi
Adolescent hiv  indian perspective-current and future scope - dr. baxiAdolescent hiv  indian perspective-current and future scope - dr. baxi
Adolescent hiv indian perspective-current and future scope - dr. baxi
Indian Health Journal
 

More from Indian Health Journal (16)

NINAD ORATION
NINAD ORATIONNINAD ORATION
NINAD ORATION
 
Effect of music_therapy_on_the_development_of_speech_rajiv_mishra
Effect of music_therapy_on_the_development_of_speech_rajiv_mishraEffect of music_therapy_on_the_development_of_speech_rajiv_mishra
Effect of music_therapy_on_the_development_of_speech_rajiv_mishra
 
Risperidone in autism- Dr Kalpana Shekawat
Risperidone in autism- Dr Kalpana ShekawatRisperidone in autism- Dr Kalpana Shekawat
Risperidone in autism- Dr Kalpana Shekawat
 
Role of emergency endoscopy in saving lives dr ravi gupta
Role of emergency endoscopy in saving lives   dr ravi guptaRole of emergency endoscopy in saving lives   dr ravi gupta
Role of emergency endoscopy in saving lives dr ravi gupta
 
Guidelines for the management of candidiasis dr kantharia_ihj
Guidelines for the management of candidiasis dr kantharia_ihjGuidelines for the management of candidiasis dr kantharia_ihj
Guidelines for the management of candidiasis dr kantharia_ihj
 
Childhood spinal tubercular osteomyelitis- case paper - dr r l shahu
Childhood spinal tubercular osteomyelitis- case paper - dr r l shahuChildhood spinal tubercular osteomyelitis- case paper - dr r l shahu
Childhood spinal tubercular osteomyelitis- case paper - dr r l shahu
 
Intervention for Cancer Patients-ihj-Dr_Vajpeyi
Intervention for Cancer Patients-ihj-Dr_VajpeyiIntervention for Cancer Patients-ihj-Dr_Vajpeyi
Intervention for Cancer Patients-ihj-Dr_Vajpeyi
 
Management of pscyhosomatic diseases in software executive using ayurveda dr...
Management of pscyhosomatic diseases in software executive using ayurveda  dr...Management of pscyhosomatic diseases in software executive using ayurveda  dr...
Management of pscyhosomatic diseases in software executive using ayurveda dr...
 
Quality of health information on the internet indian medical students persp...
Quality of health information on the internet   indian medical students persp...Quality of health information on the internet   indian medical students persp...
Quality of health information on the internet indian medical students persp...
 
Hyperhomocysteinemia in pregnancy dr vivek patkar
Hyperhomocysteinemia in pregnancy dr vivek patkarHyperhomocysteinemia in pregnancy dr vivek patkar
Hyperhomocysteinemia in pregnancy dr vivek patkar
 
Quantitative research methods in medicine dr. baxi
Quantitative research methods in medicine   dr. baxiQuantitative research methods in medicine   dr. baxi
Quantitative research methods in medicine dr. baxi
 
Adolescent hiv indian perspective-current and future scope - dr. baxi
Adolescent hiv  indian perspective-current and future scope - dr. baxiAdolescent hiv  indian perspective-current and future scope - dr. baxi
Adolescent hiv indian perspective-current and future scope - dr. baxi
 
Lipid Guidelines - Dr. Ajay Kantharia
Lipid Guidelines - Dr. Ajay KanthariaLipid Guidelines - Dr. Ajay Kantharia
Lipid Guidelines - Dr. Ajay Kantharia
 
Quality Control of Conferences
Quality Control of ConferencesQuality Control of Conferences
Quality Control of Conferences
 
Medico legal and patient safety through information dissemination
Medico legal and patient safety through information disseminationMedico legal and patient safety through information dissemination
Medico legal and patient safety through information dissemination
 
When Performance Deceives Desire-Dr. Vijay Kulkarni
When Performance Deceives Desire-Dr. Vijay KulkarniWhen Performance Deceives Desire-Dr. Vijay Kulkarni
When Performance Deceives Desire-Dr. Vijay Kulkarni
 

Recently uploaded

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Dipal Arora
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
 

Recently uploaded (20)

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
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
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
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
 
(👑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 Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
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...
 
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 ...
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi 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
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 

Open lateral internal sphincterotomy