22.4.08

1. diagnostic laparoscopy: 45M fed up with no diagnosis being made for non-specific abdominal pain. the urologist had diagnosed a small ureteric stone which was allegedly removed (no record available). pain still continuing. At laparoscopy, had adhesions in both iliac fossae with abdominal wall; these were easily divided. Appendicectomy too carried out.

 

2. a quick, easy and neat lap chole

 

3. a submuscular lipoma left lower chest wall excised under local anaesthesia 25M

 

4. an extended right hemicolectomy for big tumor transverse colon. Young 25 M with family history of cancer, neglecting his symptoms for 2 years; now reported with bleeding per rectum and at Hb level of 4G%. had 5 blood transfusions.

ascites small amount present. liver clear. but the tumour was locally adherent with omentum and nearly encroaching upon the greater curve of the stomach. was also adherent with the very first part of jejunum being stuck in the DJ flexure. Palliative resection carried out with ileotransverse anastomosis.