Dr Mohinder Singh's blog

15.1.13

A lap chole in a 60 years old man with empyema tested skills. GB cut open and removed in pieces after removing the stones. The gallbladder ligated at its neck without identifying the cystic duct which could not be identified. The neck ligated again with preformed catgut loop (ethicon), but leaked bile for some days through the drain, eventually drying up.

28.1.13

MRM of mother-in-law’s cancer (medullary) of breast. L nodes reported negative.

4.2.13

Abdominoperineal resection for an anal canal cancer which did not respond to Nigro’s chemoradiation therapy. 60 years old man. The perineal wound had apparently healed nicely when he was discharged after 25 days. However,  a week later, the perineal wound gaped (previous radiotheray, delayed healing?), and was resutured.

5.2.13

GB agenesis in a 25 years old male (bhukki addict) presenting with pain upper abdomen and US reporting gallbladder stones. No gallbladder could be found, after removing adhesions of omentum and colon mesentery in the gallbladder fossa.

11.2.13

Vasovasostomy in a 50 y o man who wanted to have children again.

18.2.13

Open CBD exploration in a 50 y o female (relative of dr Rama, my classfellow) for a big calculus (primary) in the CBD .Had an earlier endoscopic papillotomy but the stone could not be removed, and a stent had been placec. Today, a single big stone removed from CBD. No stone was found  in the gallbladder removed.