a month later, some difficult cases and a nephrectomy
Posted on: October 23, 2009
25.9.09
3 difficult cases –
1. TAHSOP
2. Appy lap : 30 M handicapped (RLLPPP) with h/o burst mass appx 6 months back. Tip of appendix still badly stuck retroperitoneally.
3. Laparotomy for neglected intestinal obstruction. Poor young (30) female, with previous 2 LSCS. At op, gangrenous loop of jejunum (thick omental band in pelvis from previous CSs) resected and EEA done.
27.9.09
Lap chole in 55 M (brother of Dr Ravinder Singh ex-prof orthopedics), difficult. Thick walled gall bladder and the thick short CD end-looped.
5.10.09
Lap chole converted to open. 70F with previous ERCP and ES for CBE stones. Dense adhesions with stomach. Calot’s triangle not clear even at open. Big stone impacted in neck removed and the neck ligated.
7.10.09
Laparoscopy for right ectopic tubal pregnancy which had already aborted thru fimbria. Thus tube could be saved after securing haemostasis from the fimbrial margins.
17.10.09
diwali
19.10.09
seminar on small bowel tumours.
20.10.09
Tried removal of a big chocolate cyst left ovary (dr jagbir’s patient) but had to convert due to the big size of the cyst (reaching upto above the umbilicus) and adhesions due to previous surgeries (CS and TAH). Even at open, was a tedious job.
22.10.09
Lap chole, day case, 52 F with acute cholecystitis, and thick walled gall bladder.
Nephrectomy (L): 30F with non-functioning kidney from long-standing PUJO. Calcified hydronephrosis. Retrospectively, could well have been done laparosocopically.
Dr Mohinder Singh's blog 
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