32nd & 12th lap chole

Again it was a relative of Dr P R Datta. Moderately built pt. Level 1 GB. Everything was okay but cystic artery was torn and coagulated. I must do something about cystic artery. Rest was uneventful. It was a high profile pt. Wife of a rice mill owner.

Total penectomy

This is another operation which I always wanted to do but I didn't get chance. Today I performed one in BMCH. This also justifies my joining MES.

Mes review

About 3 years ago, I took a decision to join mes. I was not very sure at that time whether it was a correct decision . let me review.
First the bad...
1. Chance of bad posting
2. Chance of bad unit posting.
3. regular travelling.
Now the good...
1. I have become a confident surgeon.
2. I am doing lap confidently
3. Even VIP pts are coming to me.
4. Practice is up.
5. No work related tension.
6. Theoretically I am also learning a lot.
7. I am happy.

31st and 11th lap chole

It was a distant relative of Dr p R Datta. It was level 4/5 gall bladder. Gallbladder could not be seen at first. Dense adhesion all around. they were teased off. calot's triangle dissected. Duct identified and clipped. Aretery coagulated. Liver bed dissection was gentle. Mild oozing here and there. Gallbladder was removed without any spillage.

Reeling of head

Whenever I talk about wt loss or health I have reeling of head. I can walk for about 40 mins without any chest pain, so things must be okay. Oh! God' can't I become normal again. pls help.

30th lap chole

I am back in my old unit. I did a lap chole on the first day. It was a hefty male. There was adhesion all around. I teesed off all the adhesion. Did a good job by dissecting the calot's. Duct and artery dissected and clipped. Liver bed dissection was done. But unfortunately bleeding started after that. After all the effort we could not find the source.we waited, put gall bladder in liver bed, tried to cauterize live bed. At the end bleeding was acceptable. Bwe put a wide bore drain and came out. Post operatively no blood was coming in the drain, pt was stable.
Less ion: one should have a good look at liver bed and stumps before removing last attachment of GB from liver. Because after removing GB from liver bed it is difficult to see the calot's.