15.12.09

La chole: ward worker, obese hypertensive lady 55 yr old.

Lap chole: 65 F admitted last week with gallstone pancreatitis which had resolved by now. Readmitted 25.12.09 with severe abdominal pain.

 

18.12.09

Lap repair of paraumbilical hernia.

Lap varicocelectomy 20 M.

 

19.12.09

Irreducible direct left inguinal hernia which had sigmoid colon nearly strangulated. 60M. Cord divided and mesh repair done.

 

 20.12.09 

TAHbSOP with sacrocolpopexy and mesh fixation of rectum to sacrum too for rectal prolapse. 65F from the hills with uterine and rectal prolpase. Had postop SBO due to adhesions for which laparotomy and adhesiolysis had to be done.

 

22.12.09

TLH for big fibroids made handling of uterus difficult. Took nearly 3 hours.

 

23.12.09

lap appy 25M, easy.

TEP for direct left inguinal hernia. 25M. Neat despite pneumoperitoneum and despited avulsion of inferior vascular pedicle which was simply coagulated and divided.

 

24.12.09

Laparotomy for suspected appendicitis which turned out to be biliary peritonitis in a 6 years old male child. The cause of bile leak traced to CBD the anterior wall of which had necrosed (cause??)and oozing bile. Repaired with cystic duct flap over a T rube.

 

28.12.09

TLH for huge uterus due to huge fibroids reaching upto above the umbilicus. Took nearly 5 hours. The uterus had to be cut into 4 pieces to be removed per vagina (morcellator not available).