Archive for July 2008
went to ludhiana along with many others to attend meeting called by Dr Kuldip Singh in PAU campus where the president and secretary of ASI had come to inspect the preparations for the forthcoming ASICON 2008 in december.
2 lap choles
Posted on: July 8, 2008
two lap choles
first routine
second : w/o OTA jaswant singh, repeated attacks of pain continuing.
previous LSCS vertical incision, and a big open appendicectomy scar.
so umbilical port made supraumbilical, but it went to left of the long falciform and remaimed there, so port and telescope had to go under the ligament and lift it to enter the right side every time telescope was cleaned.
Lots of adhesions too. Big impacted stones in a Phrygian cap like thing in the fundus, their removal at the end was not possible in the usual manner; spilled in the peritoneal cavity and removed later with cup forceps.
open chole
Posted on: July 5, 2008
4.7.08
open chole after a long time.
40M admitted as acute cholecystitis, with palpable gall bladder. Recent impaction of stone at neck causing distended big oedematous gall bladder, aspirated nearly 150 cc of dark biliary contents. Big Hartmann pouch. Big stone at neck very close to CBD. Stone removed first and the neck of gall bladder suture ligated.
Dr Mohinder Singh's blog 