Archive for June 2009
Joining govt service again, and some surgeries (including an adult intussuception and a hymenectomy).
Posted on: June 21, 2009
24.5.09
Acute gangrenous appendix removed laparoscopically urgently at 10 pm (c/o dr parminder from barnala). Young 12 male child.
27.5.09
A twisted ovarian cyst clinically and radiologically diagnosed, excised laparoscopically. 15 years old female with severe unremitting pain for 5 days (c/o milkman). However ovary was seen separate from the mass, and therefore it was surmised the mass was arising from the tube.
1.6.09
12 male child with a preoperative diagnosis of varicocele, causing pain. At inguinal exploration, had an indirect hernial sac which was the most likely cause of pain. Herniotomy and ligation of varicocele done.
4.6.09
Joined GMC patiala again as professor after the notice of premature retirement given in february was allowed to be withdrawn by the government.
5.6.09
Laparotomy for intestinal obstruction of some days standing. Remained admitted with medicine department with lots of investigations – including CT and BMFT but not operated. At operation, had intussusception – ileoileal. REEA done. A tumour within the lumen seen on cut section of the specimen.
7.6.09
day case lap chole 5. postop fever upto 101, settled in evening.
11.6.09
TLH satisfactory and complete.
12.6.09
TEP repair of left inguinal hernia. Very satisfactory and clean at last. 50 M with small direct hernia.
14.6.09
TLH satisfactory. Obese female 45 y o with posterior fundal fibroid.18.6.09
18.6.09
Hymenectomy for imperforate hymen. 17 F with big haematocolpos and haematometra.
21.6.09
a possible CBD injury:
an easy looking lap chole became difficult. 35F. while creating the posterior window and dividing the peritoneum posteriorly, bile leak noticed, presumable due to accessory duct. The patient was later found to have a RHD injury. Sad.