Dr Mohinder Singh's blog

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17.12.2007: 3 lap choles
Lap chole in a 50 years old female from Ghagga. Easy.
Another lap chole in a 50 years old female from medical ward.
Lap chole and lap appy in a 55 years old female with persistent pain of appendicitis for more than a week and a previous history of attack of biliary pancreatitis (c/o pharmacist in store, Charanjit Singh).
TEP for bilateral inguinal hernias in a 50 years old male, apparently direct, but turned out to be both indirect sacs, right bigger than left. Quite satisfactory dissection at last. Took nearly 1.5 hours.
8.11.07
GJ for GOO (actually a benign stricture at D2 on UGIE and barium study). 50 years old male patient, a bhukki addict (relative of son of Mehnga Singh from village). GJ done.
19.11.07
TEP26 : after a long time. Young man (30) with a small indirect hernia clinically. At operation, was found to have a direct sac too. The indirect sac got torn ; perhaps the dissection was done too low. Otherwise easy.
11.1.07
Lipoma oral cavity diagnosed as mucus cyst.
Called to help at nephrectomy for big upper pole renal cancer adherent with the liver. The exposure was inadequate.. Improved exposure led to an easy nephrectomy.
RCC11.1.07
RCC11.1.07.6

RCC11.1.07.9

16.11.06
A 50 years old patient with a big 45 g prostate with severe prostatic symptoms wanted open surgery for the same; he had been refused TUR by urologists on the grounds of no (0) residual urine. Did a suprapubic transvesical SPTV (freyer’s) after a long time. Ligated the vessels in the prostatic bed and used supraheal (feracrylum) solution on the area to achieve instant hemostasis!
 
17.11.06
A 50 years old female with rheumatoid arthritis presented with a small lump in the breast (L) with nipple discharge, A microdochectomy excision of the duct with its duct papilloma was performed.

3,4,5 November
Ludhiana conference of association of surgeons of India north chapter
attended.
Dr RCG Russell from UK and Dr Henri Bismuth from France were present.
Participated in panel discussion on hernia on 4.11.06 while presenting my view on the ‘posterior approach’ to hernia repair.

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