Friday, May 2, 2014

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.

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