14.8.2006

Nephrectomy in a 50 years old female with a history of right renal pain and persistent UTI – IVP showing non-functioning kidney. At operation the kidney difficult to locate, being abnormal, small and dysmorphic with no well defined vessels and ureter. However , once located, it was easily removed.

Left colectomy in a 55 years old man for a rectosigmoid stricturing carcinoma causing obstruction and for which a proximal transverse colostomy had been done at Tohana a month back (referred by Dr Kanwarjit Singh, anesthesia). At operation, a big tumour was found to be palpable in the whole of upper and middle rectum, adherent with urinary bladder anteriorly. The tumor was mobilised with difficulty and excised along with sigmoid and left colon upto the colostomy in transverse colon to enable an anastomosis of the right colon with the rectal stump. A stapled circular anastomosis was made. Unfortunately the patient had an anastomotic leak, ending up with an ileostomy on 21.8.06 with resuturing of the leaked anastomosis.