Archive for November 2006
23.11.2006
Open CBD Exploration with cholecystectomy was performed in a 60 years old female from Kurukshetra ; shifted from medical ward with jaundice due to stones – ERCP and ES at GMCH sector 32 CHD with 25 stones removed but still bilirubin was 4, so open exploration was decided; found one big stone still in the CBD. It was removed and a T-tube kept in the CBD.
2. Dr Grover did his first hernia TEP repair that I had to assist.
16.11.06
A 50 years old patient with a big 45 g prostate with severe prostatic symptoms wanted open surgery for the same; he had been refused TUR by urologists on the grounds of no (0) residual urine. Did a suprapubic transvesical SPTV (freyer’s) after a long time. Ligated the vessels in the prostatic bed and used supraheal (feracrylum) solution on the area to achieve instant hemostasis!
17.11.06
A 50 years old female with rheumatic arthritis presented with a small lump in the breast (L) with nipple discharge, A microdochectomy excision of the duct with its duct papilloma was performed.
6.11.2006
A lap chole on a male doctor from Amritsar (Dr Amandeep Singh from SGRDMC) was a difficult one due to thick walls; the port dilated to remove the big gall bladder and so the sheath in that port had to be closed.
A pantaloon hernia in a 65 years old male was repaired with mesh. Both big sacs of the direct type and the indirect type were present.
Conference
Posted on: November 5, 2006
3,4,5 November
Ludhiana conference of association of surgeons of India north chapter
attended.
Dr RCG Russell from UK and Dr Henri Bismuth from France were present.
Participated in panel discussion on hernia on 4.11.06 while presenting my view on the ‘posterior approach’ to hernia repair.
Dr Mohinder Singh's blog 