13.11.2010
Misidentification of anatomy at lap chole caused panic. The lymphatics and fat with the cystic lymph node on top were identified as cystic artery and clipped and divided as such. Next the cystic artery was misidentified as cystic duct and divided as such after clipping. When the real cystic duct came into view, there was panic all around in view of the consideration that the main bile duct may already have been clipped and divided below having been misidentified as the cystic duct.

23.11.2010
Sternocleidomastoid tenotomy for severe torticollis in a 20 years old male.

25-28 nov. 2010
ICS conferenced attended in Pune.

30.11.2010
TEP using a light weight mesh. The sac had to be endlooped.

16-17 dec. 2010
ASI annual conference Delhi attended.

3.1.2011
Open cholecystectomy and CBD exploration after an unsuccessful attempt at endoscopic CBD clearance. Jaundiced patient. 55F. wife of Mr Jit Singh Virk. Sessile gall bladder, so the CBD stone could be milked up into gallbladder and removed without opening the CBD.

3.2.2011
Lap chole in an HIV positive 40-yr-old male, turned out to be very difficult. Dense adhesions and almost obliterated Calot’s triangle. The cystic duct could not be defined, so the gallbladder neck was endlooped and ligated.

12.2.2011
OPD pictures of giant condylomata acuminata.