25.10.12

Re-exploration laparotomy for an obstructed gastric outlet, after laparotomy 3 weeks earlier by residents, in a young (20) male, with transection of duodenojejunal junction following trauma in a RTA. After the duodenal continuity was restored with a sutured anastomosis, a GJ had been added!. The patient continued to have more than 500 ml of bilious NG aspirate, and on removing the tube once, had some bilious leak from the abdominal wound, suggesting anastomotic leak, so the tube was put back in. At operation, the the DJ anastomosis was found to be strictured, and was dilated through an enterotomy with foley balloon and metal dilators, and the GJ was converted to RYGJ.

1.11.12

At lap chole, measured the dimensions of a Rouviere’s sulcus with the help of a feeding tube marked in centimeters, as a part of studying the anatomy of Rouviere’s sulcus as seen during laparoscopic cholecystectomy.