Dr Mohinder Singh's blog

16.5.15

An unexpected finding at an apparently routine lap chole. The gallbladder was found to be perforated and gangrenous with lot of bile in the peritoneal cavity. Postoperatively patient continued to have tachycardia and some fever for 2 days, then settled.

27.5.15

An attempted lap chole  in a 45 years old lady failed due to dense adhesions from previously laparotomy (long midline incision going right up to xiphoid, done for liver laceration 2 years back). Even at open cholecystectomy, the procedure was difficult.

3.6.15

Disseminated intraperitoneal hydatid cysts in an 85 years old male presenting with abdominal masses and fever. The cysts had become infected and developed thick walls which were densely adherent all around. All cavities cleaned of pus, debris and grape-skin like small cysts, and drained with wide bore tubes on both sides. postoperatively, drained thick dark bile on second day, and continued to drain for many days.

10.6.15

Neurilemmoma of the thigh, recurred after excision twice. 50 years old female. The big tumor was excised along with sacrifice of the medial cutaneous nerve of the thigh from which it was arising, and along with some of the fascia lata with which it was adherent.