Good list after a long time at Patiala; parotidectomy and CBDE
Posted on: April 1, 2008
1. Small umbilical hernia PUH, Dr Karnail Singh’s pt. 55 M. Mesh repair.
2. IGTN both sides of right big toe. Yadwinder Singh 20 M from bakrana
3. chole and CBDE open. 60F diabetic with jaundice due to CBD stones. c/o hardam OT employee. ERCP scope in GMC Chandigarh out of order, so decided to go open. Right decision in the end; big stone in neck ( mucocele) as well as 5 big stones in common duct. All extracted. Very wide cystic duct. Fogarty tried in the end to confirm clearance. T-tube put in.
4. Presumably simple parotidectomy became very difficult. 60 M Dr Karnail Singh’s patient. All tumour under the nerve trunk and its branches. Very big bossellated tumour, extending up to the right parapharyngeal space and right submandibular area. difficult procedure. The trunk of the facial N was longer than expected (possibly had become longer due to chronic stretching over the big tumour); its upper division was saved nicely but a branch from the lower division was avulsed.
4. Presumably simple parotidectomy became very difficult. 60 M Dr Karnail Singh’s patient. All tumour under the nerve trunk and its branches. Very big bossellated tumour, extending up to the right parapharyngeal space and right submandibular area. difficult procedure. The trunk of the facial N was longer than expected (possibly had become longer due to chronic stretching over the big tumour); its upper division was saved nicely but a branch from the lower division was avulsed.
Dr Mohinder Singh's blog 
Leave a comment