Archive for May 2011
9.4.11
After a long time, a clinical meeting was held in the college ME cell (medical educaition cell). I presented NMS (neuroleptic malignant syndrome) there.
11.4.11
A most difficult lap chole in a 55 M, gallbladder ligated at neck. POD 2 – bili 6, raised enzymes too. Sent to PGI for MRCP and nuclear scan, which were normal!. Remained remarkably fit and normal clinically. Reason for the raised bilirubin and enzymes??
12.4.11.
TLH.
19.4.11
A very difficult lap chole again in a young female. Thick walled empyema. Gallbladder cut into 5 pieces to remove.
30.4.11
Second clinical meeting. Dr Mohi presented a germ cell tumour arising from abdominal wall!!.
2.5.11
Another very difficult lap chole. Very dense adhesions, their separation resulted in stripping of serosa of duodenum. Converted. A tear in duodenal mucosa had to be sutured.
4.5.11
Nephrectomy (left) for a huge pyonephrosis in 60 y o male. Dense vascular adhesions with left colon and spleen and pancreas.
5.5.11
TEP for RIH. Previous left inguinal open repair already done. Peritoneum breached and the sac too got opened up!.
ASI NC conference at Simla attended from 6 to 8 may.
12.5.11
3 lap choles and a TEP RIH repair.