Archive for May 2008
lap heller’s; french lap chole!
Posted on: May 19, 2008
13.5.08
35F with cardiac achalasia. Did a Heller’s but the oesophagus got perforated; closed with 4-0 vicryl. Took a long time; nearly 3 hours. was my first lap heller’s.
two easy lap choles; but the first one was done the french way.
2 TEPs and an obese lap chole
Posted on: May 6, 2008
1. TEP for left inguinal hernia. actually turned out to be a big lipoma of cord. accidental pneumoperitoneum continues to occur.
2. Lap chole; obese 35F with gallstones. Dr Karnail Singh’s patient. turned out to be easy.
3. another TEP. 60 m, bilateral direct defects, bigger on left. Got lost in anatomy for some time. making space laterally continues to be a problem, as is unintentional pneumoperitoneum. took a long time (>2 h).
Noted on 8th to have bilateral pseudorecurrences.
Dr Mohinder Singh's blog 