Dr Mohinder Singh's blog

16.5.22

A routine cholecystectomy was easily performed in a 55 years old lady. The ultrasound interestingly reported a ‘comet tail sign’ and cholelithiasis. After the operation the cut section of the gall bladder revealed a strawberry gall bladder.

11.4.22

An obstructed paraumbilical hernia (dilated bowel loops with air-fluid levels on X-ray), was explored under spinal anesthesia in a 45 years old male, addicted to opium. The obstructed small bowel loop was found to be strangulated with changes of gangrene in it. The strangulated loop was released, the gangrenous part was resected and an end-to-end anastomosis performed. The hernial defect was then repaired without a prolene mesh.

9.4.22

A 50 years old female (wife of Tirath singh of Harry studios) had been having a groin hernia for more than 2 years, diagnosed as inguinal hernia on ultrasound. At operation it was found to be actually an obstructed femoral hernia. The hernia was reduced and a mesh repair performed.

5.3.22

Lap chole in a 60 years old female, previously diagnosed 2 years back with biliary sludge and small stones but advised not surgery but conservative treatment by a physician. Now admitted with acute pancreatitis, CT showing swollen head of pancreas with some areas of necrosis. Treated conservatively, got better in 5 days and then an uneventful lap chole performed even though the swollen head of pancreas did come in the way.

28.2.22

Bilateral varicocelectomy in a 35 years old male with big left and small right varicocele; previously operated in Ludhiana and now had a recurrence in both sides.

10.3.22

MRM in LABC

MRM left breast in a 60 years old lady from Maharashtra, investigated in Pune. Big mass of lymph nodes in axilla, also removed along with the specimen.

11.3.22

Summoned urgently at 5 AM for a CS for obstructed labor (Shalley hospital). At LSCS the baby was found to be dead. A very unsettling experience. No satisfactory answer from the consulting obstetrician.

16.1.2022

An open ureterolithotomy was performed for a right ureteric stone but it appeared a fragment of the stone migrated up into the dilated system. The ureter was stented and the wound closed. The patient recovered uneventfully but will need endoscopic urological assistance in removing the stent at which time the migrated stone fragment may also be removed.

17.1 2022

My NOF (neck of femur) screws that had been placed there in 2016 for the fracture but were now causing pain were removed under spinal anesthesia.

11.12.2021

Medical college Patiala (GOMCO) batch of our class reunion held in mandi gobindgarh desh bhagat university. Enjoyed.

28.12.2021

A big phyllodes tumor of the right breast removed at a simple total mastectomy (Dr Jagga’s case).

27.11.21

An appendicectomy in a 45 years old man was found to be difficult, the appendix being high up and retrocecal, necessitating the enlarged muscle-cutting incision. A big fecolith was palpable in the appendix and its tip had begun to be gangrenous.

29.11.21

A large sebaceous cyst on the back of an employee of Shalley hospital was found to be highly inflamed, so was put on antibiotics for the present.

A chronic swelling in the right forearm of a 7 years old child was was excised from within the forearm flexor muscles. Cut section revealed thick walls and small lumen, possibly cysticercosis cellulosae.

A facial abrasion, sustained from a fall from the bicycle, healed well in five days.

27.10.21

A lap chole presumed to be easy in a 45 years old female took quite a while to clear the anatomy of the cystic pedicle. Just under the small Hartmann’s pouch, a peritoneal band looked exactly like the cystic duct. And above it what was actually the cystic duct was therefore taken to be the cystic artery. But in view of dense adhesions around it, dissection was stopped here, and started again from the middle of the gallbladder downwards, and this cleared the confusion. The cystic artery was later found on the right side.

13.10.21

A 65 years old lady from Rajpura had lumpectomy done at Rajpura (biopsy not done), and then again (possibly wide local excision, biopsy phyllodes) at Patiala, underwent MRM and AC (small shotty lymph nodes palpable in axilla).

17.8.21

Rekha Rani, 45 years old female, presented with the diagnosis of gastric outlet obstruction (GOO) (on ultrasound!) at Shalley hospital, and was referred to Chandigarh GMCH. There a CT scan showed high SBO (in jejunum), pneumobilia and a stone impacted in proximal jejunum causing the obstruction (Rigler’s triad). At laparotomy, an enterotomy was done to remove the stone and enterotomy closed.