8.5.14

An anomalous bile duct encountered at lap chole and clipped.

Incidentally, the Rouviere’s sulcus in this patient was jus a slit.

12.5.14

An old man (65 years old) reported to have a mass in the caecum (on CT scan) turned out, at operation, to have an appendix abscess with gangrene  of the wall of the caecum, for which resection of the caecum and an end-to-end leocolic anastomosis had to be done.

19.5.14

A difficult lap chole in an obese 55 years old hypertensive lady (dr SK Jindal’s relative). The gallbladder was almost entirely intrahepatic, thick-walled and packed with large stones. the stones were removed first to empty the gallbladder and helping to grasp the thick walls of the gallbladder. Since the Calot’s triangle was obliterated, the gallbladder neck was ligated with vicryl, and the gallbladder removed in pieces since it would not otherwise come out through the 10 mm port. The patient remained in ICU for one day, but recovered very well.

6,7,8 june, 2014

Attended the free medical camp at Baru Sahib. Performed 12 open cholecystectomies (laparoscopic equipment not available), 2 PUH repairs, one hydrocelectomy, one cystolithotomy, and 2 inguinal hernia repairs, besides excision of a couple of lipomas.