Dr Mohinder Singh's blog

19.5.23

A 76 years old rural lady had undergone brain aneurysm clipping at PGI in 2010, when the craniectomy bones were kept in a subcutaneous pocket in the thigh. She never reported back there for removal of these bones from the thigh, and forgot about them. Now after 13 years she presented at TNH with a large palpable swelling over the thigh with a discharging sinus. The bones were removed and the wound which had a large collection of serosanguinous fluid cleaned and debrided of several areas of inflammatory granulations, drained and sutured.

27.5.23

A large paraumbilical hernia (supraumbilical) repaired with mesh in a 62 years old hypertensive, diabetic and obese lady (w/o Ranjit S Bhullar). The incarcerated omentum looked like gut loops, eventually dissected out completely and excised. Drain removed after 5 days, but the wound continued to discharge and took exactly a month (till 27 June) to dry up.

An attempted APR (case of Dr Sukhpreet) was abandoned in favour of palliative sigmoid loop colostomy in a 60 years old male patient, who had a big mass in the rectum diagnosed as GIST (spindle cell type) on biopsy. At exploration, the mass was found to be immobile, with vascular angry-looking surface; and the resection was abandoned. The sigmoid colon was found to be large and fixed in the right side; so had to be mobilised and and a loop colostomy made in the RIF.