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.