Dr Mohinder Singh's blog

30.4.07

Six lap choles.

16.4.07

Appendicectomy in a 10 years old male child, s/o dr Tejinder Singh Dhillon our ex-house surgeon, now in Khanna.

2 lap choles.

12.4.07

AH Pyeloplasty in a 10 years old male child with hydronephrosis.

A nephrectomy (R) for a big intrarenal staghorn stone ; the renal hilum bled badly, clamped with vascular clamp and closed over with silk sutures.

Emergency in the evening: cancer rectosigmoid obese 55 F; admitted for more than two weeks in medicine with intestinal obstruction; CT done very late showed nothing but colonoscopy showed the rectosigmoid tumor. An emergency colostomy for obstruction was done by the senior resident (Dr Bharti) two days back but this had retracted and was not working, hence an emergency surgery had been fixed. At operation, an extended right hemicolectomy for a big exophytic tumour in the rectosigmoid with extensive adhesions was performed; the prolonged surgery ended up in a Hartmann’s procedure. However, the patient died on 22nd in the ICU, allegedly of MI.

9.4.07

Another bad colon cancer case: A 50 years old Mr Bahadur had been operated in Malerkotla civil hospital, where the local surgeon (ex PG from this college under Dr Bandlish) did a laparotomy (thru RPM incision!) for perforation of the ileum which was closed; this closure leaked and the patient referred to Rajendra Hospital; our SR reclosed the perforation and found a tumor in the splenic flexure; He did a transverse colostomy.

On exploration by me, dense adhesions were found all around; through a midline laparotomy, an extended right hemicolectomy was performed and an ileosigmoid anastomosis made.

5.4.07

A rectosigmoid cancer in a 50 years old female presented with intestinal obstruction; colostomy 2 weeks back in emergency had been done for obstruction. A sigmoid resection was done today and a colorectal anastomosis performed.

2.4.07

TVGJ for nonhealing ulcer and GOO ; obese 50 M

29.3.07

GJ for GOO: An 80 years old female presented with a short history of gastric outlet obstruction (GOO) and a CT showing a mass (Ca?) in the gall bladder. At operation ,the dense mass in RUQ causing GOO was not disturbed, but a palliative gastrojejunostomy was performed.

26.3.07

5 lap choles one after the other.

22.3.07

APR in a 22 years old male with a low rectal cancer extending into the upper anal canal.