Dr Mohinder Singh's blog

28.7.13

Ruptured left tubal pregnancy,  lap salpingectomy with bipolar forceps.

29.7.13 A similar tubal pregnancy, similarly dealt with.

3.8.13

Right tubal ectopic this time, looked like a solid tumour inside of which were the products – could this be the result of methotrexate treatment which had been given to the patient?

5.8.13

Difficult lap chole (Dr Mohi’s patient 50 F), converted to open due to a big impacted stone in the neck of gallbladder and the calot’s triangle frozen.

8.8.13

Another conversion of lap chole to open, this time a 50 years old male patient admitted with acute cholecystitis last week. At operation, a thick walled empyema and Calot’s triangle could not be dissected. Had a stormy postop period. First 4 days normal , but had pain and distension of abdomen on 5th PO day. ERCP showed CBD stones, which could not be removed (?impacted), and CBD was stented. Then had pneumonitis which gradually settled with antibiotics.

20.8.13

Massive gangrene small bowel. A poor gardener, 50 years old, was admitted with 7 days old history of intestinal obstruction, kept on conservative treatment at Rajan NH, was found, at laparotomy, to have distension and gangrene of nearly whole of the small bowel, excepting nearly 2 inches of proximal jejunum and 2 inches of terminal ileum, which were anastomosed after resection. Was referred to PGI for TPN and further care, then was lost to follow-up.

A chronic ectopic ruptured tubal pregnancy, forming a solid mass, removed piecemeal.

2.9.13

MRM for an advanced (skin fixity) cancer of left breast. Lymph nodes (not palpable clinically) were a fixed mass adherent with axillary vein.

Anterior resection for a rectal cancer middle rectum (60 M, dr Jagga’s case). Shocking start of the operation because of the nick (with cautery) to the left iliac artery while beginning the mobilization of the sigmoid! Closed with 4-0 prolene. Then smooth sailing. Total mesenteric excision and stapled anastomosis of the descending colon to lower rectum.