Dr Mohinder Singh's blog

27.9.23

A 28 years old male patient (related to an employee of saket hostpital) presented with torticollis since childhood, with severe deformity of neck and face. The neck X-ray revealed scoliosis, making intubation for anesthesia difficult.

A bipolar sternocleidomastoid tenotomy was performed, and a cervical collar given.

21.10.23

During dissection for a big right inguinal hernia, it was found that the big omentocele was adherent to the testis and appeared to be going into the testis. And indeed, the capsule of the testis had to be incised to deliver the omentum from within the testis.

28.11.23

During a difficult dissection in a lap chole, cautery dissection lower down on the Hartmann pouch resulted in a tiny perforation which resulted in a bile leak for a week.

19.6.2023

RIH indirect hernia repaired in an obese 50 years old male patient. The indirect which was ligated and excised as usual. Also had a big lipoma in the canal quite free from the cord – unusual. This was excised too.

20.6.23

Urethral caruncle in an elderly 65 years old female had caused urinary obstruction and stricture of the distal urethra. Was catheterized after excision of the caruncle and urethral dilatation.

30.6.23

Mesh removal in a 67 years old male (brother of Cheema Sahib Singh) following meshalgia and a chronic sinus developing after a hernia repair in 2022. The mesh was removed with difficulty. The wound developed a hematoma and infection for which the nonhealing wound was laid open on 16.7.23. After this, the wound gradually healed.

9.7.23

A difficult lap chole in a diabetic and hypertensive 55 years old male took more than 2 hours but was eventually successful when the gall bladder was emptied of the big stones first, and the big Hartmann pouch was lifted high up to reveal a fibrotic calot’s triangle. Dissection starting higher up from the left could achieve a plane of dissection behind the neck of gallbladder, at which level it was ligated with vicryl. Earlier attempts at dissecting from the right on the H. pouch were not successful.