Dr Mohinder Singh's blog

10.3.14 An incisional hernia gone wrong. A young man with incisional hernia (following laparotomy for ileal perforation) had a mesh repair of the same. However, postoperatively, the suction drain started discharging darkish brown content. At relaparotomy, a loop of small bowel had been caught in the suture meant to fix the mesh. Ileostomy was carried out along with peritoneal lavage.

20.3.14 An attempted TEP hernia repair had to be converted to open repair due to poor creation of space and poor muscle relaxation.

24.3.14 A nephrectomy (anterior approach) for renal cell cancer of the left kidney in an obese 60 years old lady, c/o Dr Walia our assistant professor.

31.3.14 A difficult lap chole in a 50 year old female admitted for acute cholecystitis 3 days back. Surgery very difficult due to thick-walled empyema. The gallbladder was removed piecemeal, after ligating its neck with vicryl.

3.4.14 An open prostatectomy after a long time in a 70 years old man, with the prostate more than 120 grams in weight.

4 and 5 April, 2014 Attended the AMASI conference in Simla.

7.4.14 An easy TEP hernia repair in a direct right inguinal hernia.

10.4.14 A lap chole for acute cholecystitis turned out to be very easy!

12.4.14 Presented a case of ‘mesenteric fibromatosis’ in the clinical meeting held in the medical education cell of the college. An 11 years old child was shifted from paediatrics ward, with a history of fever but was found to be having a big palpable mass in the right iliac fossa. A CT scan showed a 10 cm big well-defined mass in the peritoneal cavity. At operation, the mass was found to be arising from the mesentery of the distal ileum. The mass and the adherent loop of ileum were resected. Biopsy revealed an aggressive fibromatosis of the mesentery.

Mesenteric fibromatosis presenting as a diagnostic dilemma: a rare differential diagnosis of right iliac fossa mass in an eleven year old-a rare case report.Mahajan A¹, Singh M¹, Varma A¹, Sandhu GS¹, Singh M¹, Nagori R¹.

18.4.14 A VVF (poor 45 years old lady) following an abdominal hysterectomy in UP, was repaired abdominally. The fistula was high in the fundus of the bladder.

1.5.14 Huge sebaceous cysts on the scalp removed painstakingly, taking more than 2 hours!.

published in:

Journal of Clinical and Diagnostic Research. 2015 Nov, Vol-9(11): PJ01-PJ02