Archive for November 2007
8.11.07
GJ for GOO (actually a benign stricture at D2 on UGIE and barium study). 50 years old male patient, a bhukki addict (relative of son of Mehnga Singh from village). GJ done.
19.11.07
TEP26 : after a long time. Young man (30) with a small indirect hernia clinically. At operation, was found to have a direct sac too. The indirect sac got torn ; perhaps the dissection was done too low. Otherwise easy.
25-28 October
Attended ICS-IS conference at Agra.
Very poorly attended conference.
acquired viral fever there too.
29.10.07
Out of 3 lap choles, had to convert 2 to open:
In the first one, after the gallbladder had been removed, bleeding continued alarmingly, could not be located. On opening up, the bleeding was found to be from the liver bed, which was sutured with catgut.
In the second one (60 years old female, mother of a class IV employee here), there was a CCD (cholecystoduodenal fistula) at the fundus of the gallbladder. Laparoscopic dissection had led to a tear in duodenum. On conversion to open surgery, the fistula was divided and repaired, besides repairing the iatrogenic injury too. She presented 2 weeks later with epigastric pain, S Alk Phos > 700 units. The plan of an ERCP was deferred for some time due to the repaired duodenum. However, in May 2008, at ERCP, 2 stones were extracted from the bile duct.
2.11.07
A congenital diaphragmatic (Bochdalek) hernia (CDH) in a 10 days old male child was repaired with prolene sutures. Its contents included a lot of small bowel loops, the splenic flexure of colon as well as the spleen.
Dr Mohinder Singh's blog 