Dr Mohinder Singh's blog

27.11.14

TEP repair of right inguinal hernia performed on a 70-year-old man referred from Khanna by Dr Bhasin. Needed to have a urethral meatotomy and bladder catheterization also  for narrow meatus associated with a glandular hypospadias.

1.12.14

TEP repair of right inguinal hernia in a young 20-year-old resulted in a pneumothorax and collapse of left lung. Kept in ICU for a few days after chest intubation for expansion of the lung.

10.12.14

A big sliding hernia (right inguinal) in a 60-year-old, contained cecum, appendix and omentum, repaired with a mesh.

29.12.14

MRM for a multicentric tumor in right breast in a 76-year-old lady (mother of dr Vinod, ex resident) from Sangrur.

Laparoscopic orchiectomy for undescended testis in a 20-year-old male.

TEP repair of bilateral inguinal herniae, 45-y-old male, worker in the hostel mess.

6.1.15

A very difficult open CBD exploration (55-year-old female) after a previous failed attempt at cholecystectomy at some civil hospital. Dense adhesions all around the shrunken gallbladder, eventually the GB and CBD were identified, a cholecystectomy was performed, a big stone found and removed from the bile duct and a T-tube inserted.

A wrongly diagnosed appendicitis (burst with diffuse peritonitis) in a very sick toxic patient (60-year-old female) actually turned out to be a caecal perforation due to a palpable tumour in the cecum. A right hemicolectomy was performed and the ileum and colon exteriorized after thorough peritoneal lavage. The patient stayed in ICU for 4 days and then recovered.

21.1.15

A hemorrhoidectomy (70-year-old female wit big prolapsed piles, mother of Dr Girish Sahni, ortho) performed with harmonic scalpel turned out to be neat and bloodless.

24.1.15

An anal fistula, diagnosed wrongly as a sinus only because its inner opening was not demonstrated clinically and even on a sinography and MRCP, was found to he a fistula, the whole tract of which was excised. The patient a government servant, 45-year-old male and a diabetic.

31.1.15

Two TEP repairs with harmonic scalpel very satisfactory and bloodless, one had a thin sac and the other a thick sac, both sacs ligated with an endo-loop and excised.

2.2.15

At lap chole, a RHD or the CHD was already found to be  injured (small hole) by  the diathermy hook before I reached the scene. Dissection completed by me and a drain left in the sub-hepatic space.

4.2.15

A difficult lap chole , started by dr Walia (A P), had to e completed by me.

5.2.15

An 11-year-old child (dr Jagga’s case), diagnosed wrongly with burst appendix (based on US report) actually turned out to have no appendix (agenesis) , but had some fluid in the pelvis, which was sampled for culture and microscopy.

7.2.15

A total thyroidectomy with lymphadenectomy in a 35-year-old-female for FNAC diagnosed papillary carcinoma (dr Usha Chhbra, HOD anatomy’s case). Strangely, biopsy was reported as Hashimoto’s thyroiditis!.