28.3.21

An obese man, Tejinder Singh (c/o Balwinder OTA) thought to have inguinal hernia gave great difficulties at inguinal exploration, the fluid of hydrocele present in the cord itself gave the appearance of a big direct or possibly sliding inguinal hernia and the cord dissection took a very long time. Eventually a small indirect sac was found but some more cord dissection led to a lot of fluid appearing in the field. It was all sucked out and the mesh repair performed. More than two months later the patient presented with a large hydrocele refilling and venereal warts on his prepuce and glans. So, after treatment of his genital warts, hydrocelectomy with epididymoorchiectomy had to be done on 23.6.21.

2.4.21

A monopolar diathermy small bowel injury during laparoscopic tubectomy (by gynae) about 5 days back resulted in peritonitis and gas under the diaphragm on x-rays. At urgent laparotomy by the assistant professor (Dr Abhishek), a thorough wash of the peritoneal cavity was done and the perforation exteriorized.

3.6.21

MRM for lobular carcinoma of breast (Dr Jagga’s case). Small tumor (less than 4 cm) and not expected to have metastases in axillary lymph nodes (which were not palpable) actually turned out to have a mass of several enlarged lymph nodes during axillary exploration.