LAPAROTOMY

Case-1

42 yr old male came with history of multiple surgeries for gun shot injury following which he devolved enterocutaneous fistula discharging faecal matter , CECT abdomen done and MR fistulogram showed midline and left iliac fossa hernia with fistula communicating with descending colon , patient undewent diagnostic laparoscopy with exploratory laparotomy with colonic and small bowel resection with both hernia repair , it was a tedious job patient was given parenteral nutrition and was discharged on the 5 post operative day , thanx God and kalka ma for blessing us.