Dr Mohinder Singh's blog

6.6.26

A 72-year-old lady who had an abdominal hysterectomy in 1998 developed a vault prolapse a couple of years later and this prolapse had gradually grown into a complete prolapse, distressing her greatly. An abdominal sacrocolpopexy was done and the result was very satisfactory and gratifying for the patient.

11.5.26

An easy lap chole in a 45-year-old female for cholelithiasis in a gall bladder with cholesterosis.

18.5.26

Spigelian hernia in an elderly (85-year-old) female, with a big irreducible painful omentocele through a small defect in the Spigelian fascia. Repaired with mesh after excision of omentum.

9.4.26

Asked to remove a lipoma on the shoulder area of a 35-year-old lady, looked for the slip sign just to confirm clinically but the sign could not be elicited. The ultrasound report showed the lipoma deeper to the deltoid muscle sheath, from where it was easily removed after getting deeper under the deltoid fascia and through its muscle fibres.

24.11.25

Lap chole in 72 years old lady (c/o Gurmukh Singh of Dhamo Majra) with gall stones in a fibrosed gall bladder resulted in a duodenal injury due to hubris and overconfidence in continuing to dissect despite unclear anatomy. Converted to open to repair the injury. Later had a wound infection which took more than 2 weeks to clear.

A 50-year-old lady posted for surgery for a TO mass diagnosed clinically and on ultrasonography. At operation the right sided big solid and cystic mass just presented out of the surgical incision – attached to the mesentery of terminal ileum close the gut. It was excised with a small segment of ileum. Histopathology reported it to be a spindle cell gastrointestinal stromal tumor (GIST) of mesenchymal origin.

15.4.25

A 50 years old man presented with a slowly growing mass in the right side of upper chest and towards the axilla for the last 5 months. On examination it was irregular and hard to palpation; USG showed it to be 118x57x19 mm in dimensions along with a few lymph nodes in axilla, largest being 42×18 mm. FNAC showed cutaneous lymphoid hyperplasia with axillary lymph nodes being reactive. The whole mass was excised along along with some enlarged lymph nodes. Biopsy revealed a rare type of diagnosis – follicular lymphoma which was found to be very rare to occur isolated in the chest wall.

6.2.25

A lap chole in a 62-year old female went very smooth in the Calot’s triangle and lower half of gall bladder but separation of the upper half of gallbladder from its liver bed led to a considerable ooze of bile. Converted to open to ligate and underrun the oozing RPS duct in the liver bed with 2-0 vicryl. Drain remained dry and was removed the next day.

24.12.24

A 42 years old female from Chouhat presented with undiagnosed firmness of the breast which she had noted. Her mother had earlier been treated for breast cancer in our unit more than 25 years earlier. On examination, the nipple retraction was obvious, but FNAC had reported no malignancy. This was perhaps because on palpation no discrete hard mass (as one would find typically) was palpable and so the needle missed the target.

8.12.24

A 66-year-old female was admitted on 6.12.24 with severe abdominal pain and some distension. X-ray showed multiple air-fluid levels.

CT scan the next day showed SBO at mid-level.

Soon after the CT, the patient’s condition had rapidly improved, with resolution of all symptoms. Neither the patient nor her consultant physician wanted surgery, and so had to withhold the knife, and the patient was discharged.

8.12.24

A 50-year-old female presented with severe acute appendicitis. At operation the tip of the turgid appendix was found to be gangrenous and so was clicked by the kind anesthetist.