Dr Mohinder Singh's blog

9.7.07

A total thyroidectomy for a Hurthle cell tumor in a 45 years old female ended up badly. At the end of the operation, the patient had a breathing problem, the vocal cords not moving well; was reintubated and sent to ICU. On 9.8.07, was reported to be doing fine after tracheostomy which was done in the ICU, and patient sent home with the tracheostomy tube after a few days when she insisted on going home. The tube was changed for a smaller tube today.

10.7.07

A diagnostic laparoscopy was performed in a young unmarried woman of 20 years of age for pain lower abdomen and a rudimentary uterus on ultrasound. The diagnostic laparoscopy showed uterus as 2 rudimentary horns with a connecting fibrous bar in the middle. Both were excised laparoscopically considering the possibility of presence of endometrial tissue in one or both of them ( patient presenting with occasional pain in the lower abdomen). In view of the uterine and vaginal hypoplasia, the final diagnosis made was – mullerian agenesis (Mayer-Rokitansky-Kuster-Hauser syndrome).

10.5.07

Sistrunk’s operation for a thyroglossal cyst in a 15 years old.

 

Mandibulectomy (partial):  Right anterior part of the mandible and symphysis menti removed, for tumor involving all this part of the mandible. 20 years of female, mentally retarded with epilepsy and sebaceous adenomas of the face (tuberous sclerosis). After excision, malleable wire was used to stabilize the mandible. Biopsy was reported as sclerosing fibroma.

 

 

14.5.07

Very difficult lap chole. Bile leak postop persisted for 3 days, then dried up.

 

15.5.2007

A 40 years old male heavy alcohol addict (Dr Jagga’s case) had a part of a denture stuck in upper esophagus for nearly 3 weeks now, could not be removed by repeated endoscopic attempts here in Patiala and then in Chandigarh. This was removed through cervical esophagotomy made on the left side.

 

17.5.2007

Ureteroneocystostomy left side for hydronephrosis and hydroureter; 7 years old male child with stricture lower end of ureter.

 

7.6.07

Big ovarian tumor with ascites in a 17 years old female. Cut section showed hair and calcified areas. Biopsy report was benign teratoma.

 

11.6.07

2 lap choles and one lap appy.

 

18.6.07

TEP. clinically direct hernia was actually indirect, difficult dissection, had a pseudorecurrence ?seroma. resolved after 20 days.

 

25.6.07

Called to participate in a nephrectomy R for NFK. Patient in prolonged shock still bleeding from IVC tears and tears of multiple lumbar veins, all sutured but the patient succumbed, having been in prolonged shock!

 

 

2.7.07

TEP