22.2.13
A laparoscopic attempt to find a displaced copper-T failed. Later found at open surgery to be concealed in the omentum, which had completely wrapped itself around the copper-T.
4.3.13
A wrongly diagnosed ovarian cyst (young unmarried woman 22 years old) went for a laparoscopic removal, but at operation, it was found to be too big and more solid than cystic, so converted to open removal. Path report – Leydig Sertoli tumour.
7.3.13
Bilateral TEP repair of inguinal hernia in 45 years old man, smooth and simple.
Laparoscopic excision of symtomatic renal cyst in a 62 years old man was easy.
Lap chole in a 50 years old Ducth lady was difficult. The gallbladder was packed with big stones, all had to be removed first, then chole was easy.
14.3.13
Laparotomy in 60 years old woman with appendix abscess and an autoamputated appendix. Pus drained, and appendix removed.
18.3.13
Most difficult lap chole. 50 years old female, dense omental adhesions took more than half an hour, dense adhesions with duodenum took more than one hour, then a big stone in neck had to be removed to gain access to calots triangle, stones removed but cystic duct was misidentified for dense adhesions in middle of gallbladder fossa and cauterised to leave a hole in it, which drained bile postoperatively for a long time. ERCP failed to identify CBD and stent it. The bile duct injury was repaired by Roux-en-Y hepaticojejunostomy (left duct approach) on 25.4.13. The upper CBD had disappeared (cautery damage?), leaving the two hepatic ducts open at the hilum. Postoperative recovery was entirely satisfactory, so was the follow-up.
4.4.13
Intraperitoneal and retroperitoneal hydatids in a 55 years old woman, all excised over a period of more than 2 and 1/2 hours.