Dr Mohinder Singh's blog

25.4.13
BDI (at lap chole 18.3.13) repaired by Roux-en-Y hepaticojejunostomy. High (type III) injury at hilum, both ducts (right and left hepatic) exposed at hilum, left duct exposed further by lowering the hilar plate and enlarging its lumen to avoid stricture later. Follow up so far satisfactory.
6.5.13
A 25 years old female, with a CT diagnosis of hepatic hydatid taken up for laparotomy. Turned out to have a retroperitoneal cyst on exploration, and on further dissection was found to be arising from the head of pancreas (?cystic neoplasm of pancreas). A large amount of haemorrhagic fluid aspirated and a lot of degenerated material evacuated from within the cavity, the walls of which were also excised. May need resection of pancreas later, depending on the biopsy report.
9.5.13
A difficult lap chole in a young Nigerian (undertrial here for drug trafficking) male, with a thick walled empyema, neck of gallbladder ligated, and the gallbladder removed piecemeal.
13.5.13
Lap chole in a young (20 y o) male with spherocytosis. Will have splenectomy later.
16.5.13
A young unmarried girl from gynae (dr khushpreet’s case) with bilateral ovarian cysts, for laparoscopic removal. Large left cyst had twisted, the thick walls removed piecemeal, the right one was a small paratubal cyst, removed intact.
17.3.13
Attended the annual ABSI conference at PGI Chandigarh. Lectures mainly on breast reconstruction.
30.5.13
TEP repair of right inguinal hernia in a tall young (25) rural man, addicted to bhukki and alcohol. Complete sac, transected and reduced.
2.6.13
A free medical camp organized by Akal academy, held at Cheema sahib in Mansa district. Examined more than 50 patients with surgical problems. Will be taken up for free surgery.
6.6.13
Displaced Cu-T found, at laparotomy, to lie embedded in the omentum part of which was excised. An earlier attempt to find the Cu-T at laparoscopy had failed on 22.2.13.
Lap chole 45 F, easy. Small Rouviere’s sulcus.