1.8.11

An obese 50 F with a big right thyroid swelling; at operation, the big cystic swelling removed had actually no connection with the thyroid. Biopsy reported as colloid goitre!!

4.8.11 A big swelling in the floor of mouth as well as under it – diagnosed as big ranula; at operation turned out to be a big dermoid cyst!!

6.8.11 Went ot kurukshetra to attend MACT; saw dr subhash too.

17.8.11 A difficult lap chole for thick walled gallbladder and a big impacted stone in neck, making grasp difficult. The stone extracted first, then grasp was possible.

28.8.11 A big ovarian cyst removed laparoscopically- biopsy was reported as endoetrioma!

1.9.11 A satisfactory TEP at last. Small indirect sac and a lipoma of cord.

5.9.11 TEP converted to open because space could not be created after the first trocar went intraperitoneal.

6.9.11 Laparoscopic gonadectomy for testicular feminization syndrome. Interesting case.

12.9.11 A neat TEP repair of a small indirect hernia.

19.9.11 Another easy and quick TEP repair for bilateral hernias; heavy mesh on one side and lightweight mesh on the other side.

20-24 september: Attended the ICS conference at Srinagar.

9.10.11 A combined lap chole and lap excision of ovarian cysts bilateral – difficult chocolate cysts on both sides. Took more than 2 hours.

13.10.11 A displaced cu-T enmeshed in omentum removed laparoscopically.

17.10.11 An unusual GOO – GJ done. 55M with GOO. CT showed mass outside stomach. At operation, a matted mass wedged in D2 and head of pancreas.To be planned later a possible whipple.

23.10.11 A sad case of a young (30) female, with advanced rectal cancer causing intestinal obstruction. At operation, diffuse carcinomatosis in whole of peritoneal cavity and a big fixed recal tumour. Even small bowel loops matted in the lower abdomen. One upper loop brought out as ileostomy.

6.11.11 Another strange case diagnosed as pleomorphic adenoma of parotid on FNAC and CT. At operation, superficial parotidectomy was done but the two cystic masses present in front of and adherent with the parotid tissue and removed with parotid turned out to be tuberculous on biopsy.

7.11.11 Cone excision of breast ducts (Hadfield). 50F, relative of OT staff nurse Surinder. Had two operations for nipple discharge earlier.

10.11.11 A planned lap chole in a 60 years old man with pain abdomen and US showing gallstones, postponed on finding an umbilical nodues from which an FNAC was done. This showed adenocarcinoma.

30.11.11 A planned femoral hernia repair in a young man of 20 years was postponed on finding his BP to be 210/110. To be investigated for hypertension first.

1.12.11 A laparotomy for gastric cancer turned out to be futile on finding the whole stomach fixed with no available area for a GJ. Omentum full of deposits.