26.2.10

Lap chole in a 30 years old male (a surgeon himself, assistant professor, GSMedical college). Turned out to have a rather prominent accessory bile duct arising from the middle of the liver bed and draining directly into the gall bladder. After much deliberation and hesitation, this was doubly clipped and divided. Concerned at the prominent size of this duct though. Postoperative OK so far.

 

 

Right parotidectomy for chronic sialadenitis, causing pain and swelling during eating for last 10 years. 30 years old male. At operation,  small pockets of pus in the parotid tissue. Dense fibrosis at places, making dissection of facial nerve branches difficult. Nonetheless all branches displayed and protected. Biopsy – chronic parotitis.

 

2.3.10

Easy male gall bladder in a 60 years old patient! Pleasant surprise.

 

Psoas abscess drained in patient with history of nepherectomy for RCC, followed by radiotherapy. Radiation induced myonecrosis?

 

3.2.10

TEP for bilateral inguinal herniae. Initial entry into preperitoneal space too superficial, nearly avusling  the inferior epigastric vessels, which were coagulated eventually because of the continous bleeding.

 

17.3.10

Sacrocolpopexy for vault prolapse. Mesh strip buried under the peritoneum.