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.
Dr Mohinder Singh's blog 
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