Archive for September 2007
21.9.07
Got the mole (dark black) on my hand excised with 1 cm margin at Patiala surgical centre. Biopsy later came out to be benign (lentigo simplex).
24.9.07
India won the inaugural 20-20 world cup in south Africa defeating Pakistan.
Two femoral hernias
Posted on: September 20, 2007
4.9.07
Femoral hernia after a long time. An old lady 65 years of age presented with obstructed hernia; at operation, the obstructed loop of ileum was found to be dusky in colour but recovered. A Low repair (Lockwood) was performed; only sutures, no mesh. The postoperative Ileus persisted for 4 days
6.9.07
Lap chole, an expectedly easy one, became difficult. A 35 years old rural male patient; thick walled GB; wide neck and cystic duct endlooped twice with vicryl. Drained. Next morning had severe upper abdominal pain, and distension and fever with TLC 17900. LFTs normal. US normal. X-ray no free air, but distended colon and minimal bilateral pleural effusion. Became rapidly normal by 2nd and 3rd postoperative day. Discharged on 4th POD. What happened? possibly ?? pancreatitis.
13.9.07
Another femoral hernia in a 70 years old asthmatic lady from Rajpura. Another low operation (Lockwood) was performed. Contents only omentum, easily reduced; small onlay mesh to bolster sutures.
17.9.07
TEP repair for a RIH. Unexpectedly became difficult due to wrong plane of dissection and loss of space.
MRM
Posted on: September 2, 2007
30.8.07
MRM for a 3X2 cm ca invasive ductal
pt preference
Dr Mohinder Singh's blog 