26.3.10

Swelling left upper arm excised under GA. ?STS

 

28..3.10

Lap chole for acute cholecystitis, supposed to be routine. 35 F. US – polyp or sludge?

Actually a mass in fundus palpable at lap chole. Aspiration yielded dark blood!

Tense oedematous cholecystitis. Routine lap chole done. Biopsy adenocarcinoma.

 

30.3.10

Pilonidal sinus excised with primary closure. Did well. No recurrence.

 

31.3.10

Abdominal wall right flank incisional hernia repaired with mesh. 35F  Sikh lady from Pakistan!!,  with a history of RPM laparotomy (for what ?) with right flank drain in Pakistan. Hernia had developed at the drain site.

 

2.4.10

35M with previous h/o admission for appendix mass 3 months back. Hard mass still palpable. Ba enema reporting a filling defect. At right hemicolectomy, mass found to be posterior to cecum,  but fixed to cecem and immobile. Could not be completely removed. Biopsy – inflammatory cells in one area behind the caecum – giant cells and fibroblasts. ?diagnosis.?bony. To be reassessed later.

 

5.4.10

To Simla to attend a second review committee to review the questions of MS/MD examination conducted by Simla university. Himachal high court had ordered to review the questions after students challenged some questions. The first review committee had only local faculty, so court asked for additional members from outside Himachal.

 

 

6.4.10

Thick walled empyema in 60 M. Lap chole.

 

7.4.10

Huge hydatid cyst superior half of right lobe of liver. 14 years old boy. Membranes removed intact and in toto. Huge cavity had to be capitonnaged and introflexed. Omentum not developed enough to bring into it.

 

9.4.10

Had to atttend to summons from SP(D) (superintendent of police, detective) enquiring into complaint by relatives of a patient Manjit Kaur who had died of septic complications after left hemicolectomy for obstructing large splenic flexure adenocarcinoma; the patient had a leak and was reexplored 3 days later. Patient’s mother alleged that her kidneys had been removed!. What a change of times!

 

10.4.10

Imperforate hymen in 14 years old girl incised and dark blood (200 ml) drained.

 

11.4.10

TAH in a 12 years old girl!!. Mentally retarded with cerebral palsy and urinary and fecal incontinence. Mother’s insistence for the operation.