12 dr mg-bhat-risks-and-fears-ambulatory-surgery_ncas_2011

Health & Medicine Education

Risks and Fears in Ambulatory Surgery

Greetings From…
Dr. M G Bhat
MS, FRCS(England), FRCS ( Edinburgh), FICS,
DMLE (Law), DMIRCSEd (Informatics)

Consultant Surgeon, Bangalore
Medical Director, Nova Medical Centers Ltd, India

drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
1

©2009. Nova Medical Centers. Strictly private and confidential

Risks and Fears in Ambulatory Surgery

The Ambulatory Surgery
(Day Surgery & Short Stay Surgery)

Ambulatory Surgery in USA, in the last two
decades has become the most efficient form of
Surgical Healthcare Delivery.

This delivery system is growing in the Europe.
And we in India are in the process of Developing
and Popularizing the Ambulatory Surgery.

2
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011

Risks and Fears in Ambulatory Surgery

Reasons for the Popularity

•Progress in Anesthesia
•Improved Surgical Techniques
•Fast Tracking Approach
•Post Operative Management
•Pain Management
•Doctors Mindset
•Patients Mindset

3
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011

Risks and Fears in Ambulatory Surgery

From Patient’s Point
• Surgery is a major stressor for all Patients.
• Anxiety and fear are normal.
• Fear of the unknown is the most prevalent
fear prior to surgery and is the fear that is
the easiest for all the staff to help the
patient to overcome.

4
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011

Risks and Fears in Ambulatory Surgery

Small Stand Alone Centers
With State of the Art Facilities
•Efficient
•Attractive
•Cost Effective
• Financial and organizational Benefits
• Multispecialty Procedures performed
On fit patients (Minor to Supramajor)
• Discharged in a Short Period

5
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011

Risks and Fears in Ambulatory Surgery

Safety is the key for Success

The only way Ambulatory Surgery
will become Popular and Accepted
is if the Healthcare delivery is safe
and effective

6
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011

Risks and Fears in Ambulatory Surgery

Total Surgeries 2009-11 (2470)

803

560
432
378

138 110
42 4

7
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2 Sept 2011

Risks and Fears in Ambulatory Surgery

Experience From One Center
Untoward Events

• Complications
• Transfer to Hospital
• Readmission

8
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011

Risks and Fears in Ambulatory Surgery

Patients Requiring Transfer
5 Transfers and One Treatment/2470

• Post Lap Chole – Chest Problems
• Post Adenoidectomy- Bleeding Managed in
center with Blood Transfusion
• Post Septoplasty- Bleed –
• Post Adenoidectomy- Breathing Problem-
• Post TURP- Urinary Retention
• Intestinal Tear during surgery-
shifted for Hospitalization
Compared to 1-2% in USA
9
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2 Sept 2011

Risks and Fears in Ambulatory Surgery

Factors for Safety

• Analyze the Risks and Fears & Solve them
• Qualified and Skilled Doctors & Staff
• Comply with All Regulatory Rules
• Ensure Quality of Service ( Accreditation)
• Comply with All Legal Requirements
• Incident Reporting & Corrective Measures

10
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011

Risks and Fears in Ambulatory Surgery

Provide Good Care

• Availability of Continuous Care
• Good Selection of Patient
• Patient well informed
• Good Post Op Care
• Home Support
• Shift Patient if required

11
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011

Risks and Fears in Ambulatory Surgery

Thank you

12
drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011

What's hot

161st publication jamdsr- 3rd name

CLOVE Dental OMNI Hospitals Andhra Hospital

UHS_GWU_S06_final - Copy

Mercedes Ott

Changes in Bone Levels Around Mini-Implants in Edentulous Arches

BHU VARANASI

INNOVATION IN RETINAL IMAGING: OPPORTUNITIES & CHALLENGES - History of Intrao...

Healthegy

International Journal of Modern Engineering Research (IJMER) is Peer reviewed, online Journal. It serves as an international archival forum of scholarly research related to engineering and science education. International Journal of Modern Engineering Research (IJMER) covers all the fields of engineering and science: Electrical Engineering, Mechanical Engineering, Civil Engineering, Chemical Engineering, Computer Engineering, Agricultural Engineering, Aerospace Engineering, Thermodynamics, Structural Engineering, Control Engineering, Robotics, Mechatronics, Fluid Mechanics, Nanotechnology, Simulators, Web-based Learning, Remote Laboratories, Engineering Design Methods, Education Research, Students' Satisfaction and Motivation, Global Projects, and Assessment…. And many more.

Prospective Evaluation of Intra operative Nucleus 22-channel cochlear implant...

IJMER

Endodontic implants

Neeraj1980

20160222 Neobiotech article collection.

Kei Lim

164th publication jamdsr- 7th name

CLOVE Dental OMNI Hospitals Andhra Hospital

Hospital & EMS – real time information SOGRO

Global Risk Forum GRFDavos

201601001 Guide seminar

Kei Lim

Epus march april14_vol7-2

RPCendo

Implants & prosthetics / /certified fixed orthodontic courses by Indian denta...

Indian dental academy

When technology meets biology

Mile Churlinov

Certis Preclinical Slideshare | PDF

ArthurHolmes2

Certis Preclinical Slideshare | PDF 02

ArthurHolmes2

The Value of Multimedia-Enhanced Radiology Reporting

Carestream

The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope). All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay. This Journal publishes original research work that contributes significantly to further the scientific knowledge in pharmacy.

D044011016

iosrphr_editor

Mini dental implants (MDI) have become increasingly popular in the past decade and have been approved for many long-term uses in dentistry. There are many advantages of the use of mini dental implants from both a practitioner and patient perspective. For the general dentist starting out in implant dentistry, their placement can be more challenging than conventional implants. It requires a different skill set, but one which can be learned with proper guidance and practice.In the study are presented clinical cases with mini implants with spherical joints for retention of removable overimplant mandibular dentures. Key words: mini dental implants, immediate loading implants Prosthetics, overdenture

IMMEDIATE LOADING WITH MINI DENTAL IMPLANTS IN THE FULLY EDENTULOUS MANDIBLE

Abu-Hussein Muhamad

The International Journal of Engineering & Science is aimed at providing a platform for researchers, engineers, scientists, or educators to publish their original research results, to exchange new ideas, to disseminate information in innovative designs, engineering experiences and technological skills. It is also the Journal's objective to promote engineering and technology education. All papers submitted to the Journal will be blind peer-reviewed. Only original articles will be published.

The International Journal of Engineering and Science (The IJES)

theijes

David Johnson updated resume

david johnson

What's hot (20)

161st publication jamdsr- 3rd name

UHS_GWU_S06_final - Copy

Changes in Bone Levels Around Mini-Implants in Edentulous Arches

INNOVATION IN RETINAL IMAGING: OPPORTUNITIES & CHALLENGES - History of Intrao...

Prospective Evaluation of Intra operative Nucleus 22-channel cochlear implant...

Endodontic implants

20160222 Neobiotech article collection.

164th publication jamdsr- 7th name

Hospital & EMS – real time information SOGRO

201601001 Guide seminar

Epus march april14_vol7-2

Implants & prosthetics / /certified fixed orthodontic courses by Indian denta...

When technology meets biology

Certis Preclinical Slideshare | PDF

Certis Preclinical Slideshare | PDF 02

The Value of Multimedia-Enhanced Radiology Reporting

D044011016

IMMEDIATE LOADING WITH MINI DENTAL IMPLANTS IN THE FULLY EDENTULOUS MANDIBLE

The International Journal of Engineering and Science (The IJES)

David Johnson updated resume

Viewers also liked

Chaimae's family helping environment

amadrigalenglish

Weight Loss (Bariatric Surgery): Myths, facts and frequently asked questions

Nova Specialty Hospitals

6 ben mathias-healthcare-sector-investment-in-india_ncas_2011

5. How did you attract/address your audience?

caitlinhulse

1 mahesh reddy-evolution-and-healthcare_ncas_2011

4º primaria : pasatiempos matematicas

Maria Trujillo

Viewers also liked (6)

Chaimae's family helping environment

Weight Loss (Bariatric Surgery): Myths, facts and frequently asked questions

6 ben mathias-healthcare-sector-investment-in-india_ncas_2011

5. How did you attract/address your audience?

1 mahesh reddy-evolution-and-healthcare_ncas_2011

4º primaria : pasatiempos matematicas

Similar to 12 dr mg-bhat-risks-and-fears-ambulatory-surgery_ncas_2011

12 dr mg-bhat-risks-and-fears-ambulatory-surgery_ncas_2011

Nova Specialty Hospitals

6 dr mg-bhat-ambulatory-hernia-surgery_ncas_2011

CMG - The Digital Transformation Association

6 dr mg-bhat-ambulatory-hernia-surgery_ncas_2011

Nova Specialty Hospitals

Team A Robotic Surgery Presentation.pptx

Ciara D. Bryant

Daycare thyroidectomy surgery – Our experience

Apollo Hospitals

Business model for single port robotic surgery

Jaya lakshmi Mekala

Gynaecology robotic surgery procedure

Dr Preeti Jindal

5. patricia kathleen black

vinhvd12

5. patricia kathleen black

vinhvd12

Minor Surgery

james whyman

Convergence to mHealth

Pankaj Vaish

Mark Dente's Presentation

Evidence based medicine is the gold standard for clinical care. It implies the integration of best research evidence with clinical expertise and patient values. There is still a wide gap between availability of evidence and its incorporation into routine practice in our country. Barriers to implementation could be personal, social, institutional, financial and legal barriers. True practice of evidence based care can only occur where evidence based decisions coincide with patients’ beliefs and clinicians’ preferences. Continuing medical education programs should be set with integrating evidence based medicine teaching and learning within clinical training. The importance of presence of local national guidelines which need to take into account variation in expertise, resources and patient preferences across our geographical and cultural contexts . Customisation of a guideline to meet the local needs of a target patient population is critical to successful implementation.

How evidence affects clinical practice in egypt

Wafaa Benjamin

165th publication jamdsr- 7th name

CLOVE Dental OMNI Hospitals Andhra Hospital

Objectives: 1.To review the need for increased efforts to implement research evidence into bedside practice. 2.To review the need for measurement to identify gaps between best practice and actual practice. 3.To demonstrate why there is a need for increased knowledge translation efforts in critical care and how aCKTION Net proposes to fill this need. Click the link to view the video http://bit.ly/YpJWTC

Webinar - Knowledge Translation Network

Canadian Patient Safety Institute

The Challenge of Adoption: A Nurse's View of EMR and the Road Ahead - A Nurse's View of the EMR -- Kathy English, Kris Hanke - Closed Loop Pharmacy Safety Demo -- Kris Hanke - Clinical Coordinator -- Carol Blair, Midland Memorial - Questions and Discussion - Medsphere.org: Tip of the Month The December call will center on a Nurse's perspective of the EMR and will feature a demonstration of the closed loop medication capabilities of OpenVista. This would be an excellent call for any clinical application coordinators, specialists and nurses to join. Please feel free invite any colleagues that might find this topic relevant. When: December 18, 12:30 - 2pm Pacific Where: Dial-in: (888) 346-3950 // Participant Code: 1302465 Web conference: http://www.medsphere.com/infinite/ Details and Recording available here: http://medsphere.org/blogs/events/2008/12/18/community-call-december-2008

The Challenge of Adoption

Medsphere

Diagnostics: Challenges and Opportunities in the East Midlands

NHS Improving Quality

Crossing the-quality-chasm-briefing-1208

joannebohn99

The Institute of Medicine’s 1999 report, To Err is Human, set a goal to help remedy a healthcare system compromised by preventable patient errors. One of their major recommendations to reduce medical error frequency encouraged the use of medical informatics and electronic record systems (Kohn LT, 2000). Bates and Gawande stated, “If medicine is to achieve major gains in quality, it must be transformed, and information technology will play a key part, especially with respect to safety” (Bates, 2003). The American College of Obstetricians and Gynecologists’ continuing commitment to patient safety led them to classify seven objectives in 2003 (updated in 2009), two of which focused on improving communication between medical staff and patients including incorporation of technological solutions (American College of, 2003; American College of, 2009).

Driving enterprise efficiency through interoperability

GE Healthcare - Specialty Solutions

Quality in Critical Care_١١٣١٠١.pptx

Bassam411094

Similar to 12 dr mg-bhat-risks-and-fears-ambulatory-surgery_ncas_2011 (20)

12 dr mg-bhat-risks-and-fears-ambulatory-surgery_ncas_2011

6 dr mg-bhat-ambulatory-hernia-surgery_ncas_2011

Team A Robotic Surgery Presentation.pptx

Daycare thyroidectomy surgery – Our experience

Business model for single port robotic surgery

Gynaecology robotic surgery procedure

5. patricia kathleen black

Minor Surgery

Convergence to mHealth

Mark Dente's Presentation

How evidence affects clinical practice in egypt

165th publication jamdsr- 7th name

Webinar - Knowledge Translation Network

The Challenge of Adoption

Diagnostics: Challenges and Opportunities in the East Midlands

Crossing the-quality-chasm-briefing-1208

Driving enterprise efficiency through interoperability

Quality in Critical Care_١١٣١٠١.pptx

Recently uploaded

Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Varanasi Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Varanasi Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Varanasi Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available

Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details WhatsApp Chat : +91-8250077686 Get More Information About Pune Escorts Service Pune Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available ★> Whatsapp Number-9521753030 <★ ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service in • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available

Janvi Singh

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426 Call Girls in Call\\Us))),(Delhi) We are Provide best Genuine Normal, High class call girls. escort service at affordable price. We Are One Of The Oldest Escorts and Call girls Agencies in Delhi You Will Find That Our Female Escorts Are Full Of Fun, Sexy And They Would Love Enjoy Your Company. We Have A Fantastic Selection Of Callo Girls Ladies Available For In-Calls As Well As Out-Calls. Our Escorts Are Not Only Beautiful But All Have Great Personalities Making Them The Perfect Companion For Any Occasion. In-Call: — You Can Come at Our Location in Delhi Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — You have To come and Pick Girl From My Place We are Also Provide Door Step Services in Delhi , Gurgaon, Noida. Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hour In Delhi NCR, We Are Providing : — all Types of girls Indian, North East , Foreigner , Airhostess, many More. Service type — In-call Shot 1500, 2,000– In — Call Night /Out-call Night 6,000, to 7,000 — Hi-Fi Rates Shot — 2,000 to 4,000 Full Night 8,000 to 10,000 More Details, Call//WhatsApp, 97111 🔝 ⇛47426

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426

jennyeacort

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Available Our agency presents a selection of young, charming call girls #J11 available for bookings at Oyo Hotels. Experience high-class escort services at pocket-friendly rates, with our female escorts exuding both beauty and a delightful personality, ready to meet your desires. Whether it's Housewives,#J11 College girls, Russian girls, Muslim girls, or any other preference, we offer a diverse range of options to cater to your tastes. We provide both in-call and out-call services for your convenience. Our in-call location in Lucknow ensures cleanliness, hygiene, and 100% safety, while our out-call services offer doorstep delivery for added ease. We value your time and money, hence we kindly request pic collectors, time-passers, and bargain hunters to refrain from contacting us. Our services feature various packages at competitive rates: One shot: ₹2000/in-call, ₹5000/out-call Two shots with one girl: ₹3500/in-call, ₹6000/out-call Body to body massage with sex: ₹3000/in-call Full night for one person: ₹7000/in-call, ₹10000/out-call Full night for more than 1 person: Contact us at 🔝 7877925207 🔝. for details Operating 24/7, we serve various locations in Lucknow, including Green Park, near metro stations. For premium call girl services in Lucknow 🔝 7877925207 🔝. Thank you for considering us!

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...

adilkhan87451

☑️░ 9630942363 ░ CALL GIRLS ░ VIP ░ ESCORT ░ SERVICES ░ AGENCY ░ 9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363

Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available

Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Coimbatore Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Coimbatore Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Coimbatore Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Coimbatore Just Call 8250077686 Top Class Call Girl Service Available

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Celebrity for 5* Hotels Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...

parulsinha

9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service

Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalore Karnataka Booking Details Are here: just visit website: https://girlsinbangalore.com #Call Girl In Bangalore, #Bangalorecallgirls #CallgirlserviceBangalore, #CallgirlsinBangalore 07-May-2024( Mj) Click On WhatsApp Chat +91-7304373326 Bangalore Escorts Make You Feel Like Royalty Bangalore Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...

Sheetaleventcompany

Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Service Available Call Mrs Leela Ji +91-8005736733 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Kolkata Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In Kolkata C010524HD Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 8005736733 !! Thank you for Visiting.

Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...

Namrata Singh

💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lonely Housewife In Top Rated Hotel WhatsApp Chat : +91-9257276172 Get More Information About Jaipur Escorts Service Jaipur Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...

khalifaescort01

Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts | 100% verified Why you Choose Us- +91-7427069034 Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . A060524ST ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...

chennailover

8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad

Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Service Number Mohali Call Girls Mohali Just Call 6367187148 Top Class Call Girl Service Available ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* #S07 5* 7*Hotels Service in • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...

karishmasinghjnh

Top Rated Bangalore Call Girls Mg Road ⟟ ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore

Most Beautiful Call Girl in Bangalore Contact on Whatsapp

Inaaya Sharma

Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash Payment 9004268417 Call Girls Booking Contact Details WhatsApp Chat: +91-9004268417 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant;$S2 making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more.

Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...

Anamika Rawat

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋 Call Mr Chirag Ji +91-7877925207 NORTH/SOUTH INDIANS HIGH CLASS MODELS/COLLEGE GIRLS/ HOUSEWIVES/BODY TO BODY MASSAGE, SANDWICH MASSAGE, SHOWER BATHING, BLOW JOB, LICKING, FRONT AND BACK SHOT, RUBBING, KISSING SMOOCHING ETC ETC... UNLIMITED FUN Call 24/7. Your assistance for your service... ☛ ✔✔ secure✔✔ 100% safe ✔✔ Vip Callgirl Service offers you the most beautiful High Profile sexy independent female Escorts in genuine ✔✔✔ To enjoy with hot and sexy girls ✔✔✔ A03524SW ★providing:- • Models • vip Models • Russian Models • Foreigner Models • TV Actress and Celebrities • Receptionist • Air Hostess • Call Center Working Girls/Women • Hi-Tech Co. Girls/Women • Housewife • Collage Going Girls. • Travelling Escorts. • Ramp-models • Foreigner And Many More.. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)

VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋

TANUJA PANDEY

Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Rishikesh Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Rishikesh Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Rishikesh Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available