Archive for June 2010
VVF repair and summer vacation
Posted on: June 20, 2010
18.5.10
50F with a right thigh swelling, twice recurred and now causing excruciating pain. Previous biopsy fibrous histiocytoma. Now again excised, but with wide (2 cm) margins. Skin closed under tension. Wound gaped after 7 days.
21.5.10
1. Young female (16 Kammo’s daughter). Two fibroadenomas apparently looking like one, excised under GA.
2. a big preauricular swelling (possibly dermoid) on right side in a 10 year old female child, excised under GA.
25.5.10
1. 50 year old obese female with varicose veins right leg. Trendelenburg + stripping + multiple phlebectomies.
2. VVF repair in a poor 60 year old lady who had the fistula for 15 years following a hysterectomy. Abdominal repair after splitting the bladder anteriorly. Fistula rather low down and between the two ureteric orifices which were identified and protected.
28.5.10
3 lap choles one after the other. The first two were easy. The third, Alka Rani (c/o Dr Suman from Phagwara), 50 F, hypertensive and diabetic, had a thick walled empyema. 200 ml thick pus aspirated. Difficult dissection in Calot’s triangle. Had fever postop for some days. Then gradually settled.
1.6.10 to 7.7.10
Summer vacation
6.6.10PMT test for binu and ginu at faridkot. binu got 17 rank and ginu 531.
MRM left breast for a big tumour (looked like cystosarcoma phyllodes, bosselated). Just one or two lymph nodes in the axilla.
19.6.10
Went to delhi with binu and Dr Jagga for binu’s CBSE counseling. Binu selected Patiala medical college. Returned late in the evening to Patiala.
