SlideShare a Scribd company logo
1 of 83
Intra Uterine Fetal Surgery Dr.Sameer Dikshit
Dr.Sameer Dikshit ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address] ,[object Object],[object Object],[object Object],[object Object],[object Object]
The allure of Fetal Surgery is the possibility of interrupting the in utero progression of an otherwise treatable condition AICOG 2011 [email_address]
Fetal Surgery is…….. ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Father of Fetal Surgery ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Types of Fetal Surgery ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
FIGS  (Fetal Image Guided Surgery) ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Examples ,[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
AICOG 2011 [email_address]
FETENDO  (Fetal Endoscopic Surgery) ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Examples ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Open Surgery ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Examples ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
EXIT  (Ex-utero Intrapartum treatment procedure) ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
AICOG 2011 [email_address]
AICOG 2011 [email_address]
Examples ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Challenges before the field of fetal surgery….. ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Ethical Dilemma ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Maternal Risks ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Fetal Risks ,[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Fetal response to maternal anaesthesia ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Fetal Monitoring during surgery ,[object Object],[object Object],AICOG 2011 [email_address]
Post op care ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],AICOG 2011 [email_address]
Protocol for open Fetal Surgery ,[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Dr.Michael Harrison ,[object Object],[object Object],AICOG 2011 [email_address]
Uterine Stapler AICOG 2011 [email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
The fetus is monitored with  ,[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Maternal Anaesthesia ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Fetal Pain…. ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Future possibilities ,[object Object],AICOG 2011 [email_address]
Inherited Genetic Diseases Treatable with Stem Cells AICOG 2011 [email_address]
Inherited Genetic Diseases Treatable with Stem Cells ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]  
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
The key in fetal surgery is not when to operate, but to know when  NOT  to operate!!! AICOG 2011 [email_address]
Sacrococcygeal Teratoma (SCT) ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Cystic SCTs AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Solid SCT AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Congenital Diaphragmatic Hernia (CDH) ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
These fetuses need intra partum intervention for postpartum surgery to succeed ,[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],AICOG 2011 [email_address]
Congenital Cystic Adenomatoid Malformation of the lungs (CCAM) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AICOG 2011 [email_address]
[object Object],[object Object],[object Object],AICOG 2011 [email_address]
CCAM Prenatal Steroid Trial ,[object Object],[object Object],[object Object],AICOG 2011 [email_address]
Fetal Surgery is a roller coaster for the fetus…. AICOG 2011 [email_address]
Fetal Surgery is a roller coaster ride for the fetus ,[object Object],AICOG 2011 [email_address]
AICOG 2011 [email_address]
Thank you AICOG 2011 [email_address]

More Related Content

What's hot

FIGO guidelines on Placenta Accreta Spectrum Disorders: Conservative manage...
FIGO guidelines on  Placenta Accreta Spectrum Disorders:  Conservative manage...FIGO guidelines on  Placenta Accreta Spectrum Disorders:  Conservative manage...
FIGO guidelines on Placenta Accreta Spectrum Disorders: Conservative manage...
Aboubakr Elnashar
 
Complications of laparoscopic surgeries
Complications of laparoscopic surgeriesComplications of laparoscopic surgeries
Complications of laparoscopic surgeries
Anil Haripriya
 

What's hot (20)

Complications of laparoscopy
Complications of laparoscopy Complications of laparoscopy
Complications of laparoscopy
 
Laparoscopic Tubal Recanalization Mob: 7289915430, www.drpradeepgarg
Laparoscopic Tubal Recanalization  Mob: 7289915430, www.drpradeepgargLaparoscopic Tubal Recanalization  Mob: 7289915430, www.drpradeepgarg
Laparoscopic Tubal Recanalization Mob: 7289915430, www.drpradeepgarg
 
Complications of Laparoscopic Gynecologic Surgery
Complications of Laparoscopic Gynecologic SurgeryComplications of Laparoscopic Gynecologic Surgery
Complications of Laparoscopic Gynecologic Surgery
 
PPPP00P
PPPP00PPPPP00P
PPPP00P
 
Energy Modalities for Gynecologic Laparoscopic Surgery
Energy Modalities for Gynecologic Laparoscopic SurgeryEnergy Modalities for Gynecologic Laparoscopic Surgery
Energy Modalities for Gynecologic Laparoscopic Surgery
 
ART PREGNANCY COMPLICATIONS
ART PREGNANCY COMPLICATIONSART PREGNANCY COMPLICATIONS
ART PREGNANCY COMPLICATIONS
 
Uterus Transplantation Utx (obstetric and gynecology)
Uterus Transplantation Utx (obstetric and gynecology) Uterus Transplantation Utx (obstetric and gynecology)
Uterus Transplantation Utx (obstetric and gynecology)
 
Operative hysteroscopy
Operative hysteroscopyOperative hysteroscopy
Operative hysteroscopy
 
FIGO guidelines on Placenta Accreta Spectrum Disorders: Conservative manage...
FIGO guidelines on  Placenta Accreta Spectrum Disorders:  Conservative manage...FIGO guidelines on  Placenta Accreta Spectrum Disorders:  Conservative manage...
FIGO guidelines on Placenta Accreta Spectrum Disorders: Conservative manage...
 
Management of Infertility in Endometriosis
Management of Infertility in EndometriosisManagement of Infertility in Endometriosis
Management of Infertility in Endometriosis
 
LAPAROSCOPIC ENTRY
LAPAROSCOPIC ENTRYLAPAROSCOPIC ENTRY
LAPAROSCOPIC ENTRY
 
Cesarean Scar Ectopic Pregnancy Current Management Strategies
Cesarean Scar Ectopic Pregnancy Current Management StrategiesCesarean Scar Ectopic Pregnancy Current Management Strategies
Cesarean Scar Ectopic Pregnancy Current Management Strategies
 
Notes
Notes Notes
Notes
 
Laparoscopy and fertility
Laparoscopy and fertilityLaparoscopy and fertility
Laparoscopy and fertility
 
Natural Orifice Transluminal Endoscopic Surgery"NOTES"
Natural Orifice Transluminal Endoscopic Surgery"NOTES"Natural Orifice Transluminal Endoscopic Surgery"NOTES"
Natural Orifice Transluminal Endoscopic Surgery"NOTES"
 
Energy sources for laparoscopic surgery
Energy sources for laparoscopic surgeryEnergy sources for laparoscopic surgery
Energy sources for laparoscopic surgery
 
Role of tubal surgery in era of ivf
Role of tubal surgery in era of ivfRole of tubal surgery in era of ivf
Role of tubal surgery in era of ivf
 
Complications of laparoscopic surgeries
Complications of laparoscopic surgeriesComplications of laparoscopic surgeries
Complications of laparoscopic surgeries
 
SCAR ECTOPIC
SCAR ECTOPICSCAR ECTOPIC
SCAR ECTOPIC
 
Lod for pcos final text
Lod for pcos   final textLod for pcos   final text
Lod for pcos final text
 

Viewers also liked

Prenatal diagnosis and fetal therapy
Prenatal diagnosis and fetal therapyPrenatal diagnosis and fetal therapy
Prenatal diagnosis and fetal therapy
Mohit Satodia
 
Preimplantation genetic screening (pgs) current ppt
Preimplantation genetic screening (pgs)  current     pptPreimplantation genetic screening (pgs)  current     ppt
Preimplantation genetic screening (pgs) current ppt
鋒博 蔡
 
anaesthesia.Premedication.(dr.amer)
anaesthesia.Premedication.(dr.amer)anaesthesia.Premedication.(dr.amer)
anaesthesia.Premedication.(dr.amer)
student
 
Video assisted thoracic surgery
Video assisted thoracic surgeryVideo assisted thoracic surgery
Video assisted thoracic surgery
dr. dxt.
 
Preimplantation genetic diagnosis
Preimplantation genetic diagnosisPreimplantation genetic diagnosis
Preimplantation genetic diagnosis
Sandesh Kamdi
 
Sentinel Lymph Node Biopsy for Patients with Early Stage Breast Cancer. Updat...
Sentinel Lymph Node Biopsy for Patients with Early Stage Breast Cancer. Updat...Sentinel Lymph Node Biopsy for Patients with Early Stage Breast Cancer. Updat...
Sentinel Lymph Node Biopsy for Patients with Early Stage Breast Cancer. Updat...
Jaime dehais
 

Viewers also liked (20)

Fetal therapy
Fetal therapyFetal therapy
Fetal therapy
 
Fetal therapy
Fetal therapyFetal therapy
Fetal therapy
 
Fetal therapy
Fetal therapyFetal therapy
Fetal therapy
 
Anaesthesia for foetal surgery
Anaesthesia for foetal surgeryAnaesthesia for foetal surgery
Anaesthesia for foetal surgery
 
Anaesthesia for-fetal-surgery
Anaesthesia for-fetal-surgeryAnaesthesia for-fetal-surgery
Anaesthesia for-fetal-surgery
 
Anesthesia for fetal surgery
Anesthesia for fetal surgeryAnesthesia for fetal surgery
Anesthesia for fetal surgery
 
Prenatal diagnosis and fetal therapy
Prenatal diagnosis and fetal therapyPrenatal diagnosis and fetal therapy
Prenatal diagnosis and fetal therapy
 
Fetal endoscopic surgery
Fetal endoscopic surgeryFetal endoscopic surgery
Fetal endoscopic surgery
 
Preimplantation genetic screening (pgs) current ppt
Preimplantation genetic screening (pgs)  current     pptPreimplantation genetic screening (pgs)  current     ppt
Preimplantation genetic screening (pgs) current ppt
 
Fetal Medicine
Fetal MedicineFetal Medicine
Fetal Medicine
 
aCGH in PGD/PGS
aCGH in PGD/PGSaCGH in PGD/PGS
aCGH in PGD/PGS
 
Vats ppt
Vats pptVats ppt
Vats ppt
 
anaesthesia.Premedication.(dr.amer)
anaesthesia.Premedication.(dr.amer)anaesthesia.Premedication.(dr.amer)
anaesthesia.Premedication.(dr.amer)
 
Single Incision Laparoscopic Surgery
Single Incision Laparoscopic SurgerySingle Incision Laparoscopic Surgery
Single Incision Laparoscopic Surgery
 
Video assisted thoracic surgery
Video assisted thoracic surgeryVideo assisted thoracic surgery
Video assisted thoracic surgery
 
INTRAUTERINE DEATH CME ON INDUCTION OF LABOUR ON 8TH NOVEMBER 2016, Dr sharda...
INTRAUTERINE DEATH CME ON INDUCTION OF LABOUR ON 8TH NOVEMBER 2016, Dr sharda...INTRAUTERINE DEATH CME ON INDUCTION OF LABOUR ON 8TH NOVEMBER 2016, Dr sharda...
INTRAUTERINE DEATH CME ON INDUCTION OF LABOUR ON 8TH NOVEMBER 2016, Dr sharda...
 
Single incision laparoscopic Surgery-SILS
Single incision laparoscopic Surgery-SILSSingle incision laparoscopic Surgery-SILS
Single incision laparoscopic Surgery-SILS
 
Preimplantation genetic diagnosis
Preimplantation genetic diagnosisPreimplantation genetic diagnosis
Preimplantation genetic diagnosis
 
1 op jrccth11
1 op jrccth111 op jrccth11
1 op jrccth11
 
Sentinel Lymph Node Biopsy for Patients with Early Stage Breast Cancer. Updat...
Sentinel Lymph Node Biopsy for Patients with Early Stage Breast Cancer. Updat...Sentinel Lymph Node Biopsy for Patients with Early Stage Breast Cancer. Updat...
Sentinel Lymph Node Biopsy for Patients with Early Stage Breast Cancer. Updat...
 

Similar to Intra uterine fetal surgery

An ohss – free clinic salide share
An ohss – free clinic salide shareAn ohss – free clinic salide share
An ohss – free clinic salide share
Lifecare Centre
 
Fluid electrolytes bablance_150308
Fluid electrolytes bablance_150308Fluid electrolytes bablance_150308
Fluid electrolytes bablance_150308
Nandini Naskar
 

Similar to Intra uterine fetal surgery (20)

The un-named lecture
The un-named lectureThe un-named lecture
The un-named lecture
 
Estradiol Valerate in Fertility Care: New Vistas
Estradiol Valerate in Fertility Care: New VistasEstradiol Valerate in Fertility Care: New Vistas
Estradiol Valerate in Fertility Care: New Vistas
 
Neonate Bath Brochure
Neonate Bath BrochureNeonate Bath Brochure
Neonate Bath Brochure
 
An ohss – free clinic salide share
An ohss – free clinic salide shareAn ohss – free clinic salide share
An ohss – free clinic salide share
 
INNOVATIONS IN ART
INNOVATIONS IN ARTINNOVATIONS IN ART
INNOVATIONS IN ART
 
Lecture_8_-_Preterm_Labour_PROM presentation.ppt
Lecture_8_-_Preterm_Labour_PROM presentation.pptLecture_8_-_Preterm_Labour_PROM presentation.ppt
Lecture_8_-_Preterm_Labour_PROM presentation.ppt
 
Eilish hardiman planning and designing the new children’s hospital
Eilish hardiman planning and designing the new children’s hospitalEilish hardiman planning and designing the new children’s hospital
Eilish hardiman planning and designing the new children’s hospital
 
Induction and augmentation of labour by dr jograjiya
Induction and augmentation of labour by dr jograjiyaInduction and augmentation of labour by dr jograjiya
Induction and augmentation of labour by dr jograjiya
 
Fluid electrolytes bablance_150308
Fluid electrolytes bablance_150308Fluid electrolytes bablance_150308
Fluid electrolytes bablance_150308
 
Endometrial scratch final converted
Endometrial scratch final convertedEndometrial scratch final converted
Endometrial scratch final converted
 
Motto : Save Mothers PREVENT PPH : Dr. Sharda Jain
Motto : Save Mothers  PREVENT PPH  : Dr. Sharda Jain Motto : Save Mothers  PREVENT PPH  : Dr. Sharda Jain
Motto : Save Mothers PREVENT PPH : Dr. Sharda Jain
 
induction of labor - A Clinical Case Discussion
induction of labor - A Clinical Case Discussioninduction of labor - A Clinical Case Discussion
induction of labor - A Clinical Case Discussion
 
MECONIUM STAINED AMNIOTIC FLUID
MECONIUM STAINED AMNIOTIC FLUIDMECONIUM STAINED AMNIOTIC FLUID
MECONIUM STAINED AMNIOTIC FLUID
 
Critical Illness in Pregnancy.ppt
Critical Illness in Pregnancy.pptCritical Illness in Pregnancy.ppt
Critical Illness in Pregnancy.ppt
 
Ectopic pregnancy? watch out for pelvic inflammatory disease!
Ectopic pregnancy? watch out for pelvic inflammatory disease!Ectopic pregnancy? watch out for pelvic inflammatory disease!
Ectopic pregnancy? watch out for pelvic inflammatory disease!
 
Care approached by square fertility centre for infertile couples
Care approached by square fertility centre for infertile couplesCare approached by square fertility centre for infertile couples
Care approached by square fertility centre for infertile couples
 
Cervical ripening in iol in scarred uterus
Cervical ripening in iol in scarred uterusCervical ripening in iol in scarred uterus
Cervical ripening in iol in scarred uterus
 
UTEROTONIC Drugs for ATONIC PPH Prevention in India Dr Sharda Jain , Dr San...
UTEROTONIC Drugs for  ATONIC PPH  Prevention in India Dr Sharda Jain , Dr San...UTEROTONIC Drugs for  ATONIC PPH  Prevention in India Dr Sharda Jain , Dr San...
UTEROTONIC Drugs for ATONIC PPH Prevention in India Dr Sharda Jain , Dr San...
 
Prevace 2
Prevace 2Prevace 2
Prevace 2
 
Prevace 2
Prevace 2Prevace 2
Prevace 2
 

Recently uploaded

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
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
adilkhan87451
 

Recently uploaded (20)

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 Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
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...
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
 
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
 
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...
 
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
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
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
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...
 
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableTrichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
 

Intra uterine fetal surgery