Wednesday, July 29, 2009

Extradural hemaotoma

A tourist was found unconscious in his hotel room after two days and brought to the hospital. A CT scan showed a huge frontal extradural hematoma. A frontal craniotomy was done and the hematoma evacuated. The patient was ventilated and later transferred to a tertiary hospital where he was succesfully extubated. He recovered consciousness.

DSC00354 (768 x 576)

 

IMG_0744 (912 x 684)

Thursday, July 23, 2009

Choleduodenostomy

A sixty year  old presented with history of jaundice and sudden abdominal pain for which she was admitted in a hospital outside. She had a cholecystectomy and cbd stone removed in 2003. Imaging had shown a huge cbd stone and hugely dilated cbd.

On exploration the entire right hypochondrium was sealed off with adhesions. The CBD was 3 cms across.

A choledochoduodenostomy was done.  IMG_6745 (648 x 486) IMG_6766 (600 x 450)

Tuesday, July 21, 2009

Sarcoma leg operated on

A man had come with a slowly growing tumour of the right thigh. It was about 10 cm circumferentially and stuck to the muscle and skin. Excision and grafting were done.

Friday, July 17, 2009

Fracture penis repaired

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A young Nepali male came with the history of turning in bed with an erection when he heard a snapping sound. He had ruptured his corpora cavernosa. His urethra was also found ruptured. He underwent repair and urethroplasy and is recovering uneventfully. 

Thursday, July 16, 2009

Fracture penis repaired



A young Nepali male came with the history of turning in bed with an erection when he heard a snapping sound. He had ruptured his corpora cavernosa. His urethra was also found ruptured. He underwent repair and urethroplasy and is recovering uneventfully. 

Thursday, July 9, 2009

Saturday, July 4, 2009

Our boast

The world structure as we know it is built on self glorification. All our systems, regardless of the field are built on building up oneself. The kernel of rebellion is right here. Following god would have to shake the very foundation of established structures, whose philosophy often creeps unwittingly into the fibre of our being. A very conscious choice has to be exerted to go against the grain, and re establish the right order of things, in which is His delight. The very struggle to know and understand, fundamental distinctions of the human race lead to towers of Babylon that stand in open defiance to the Lords order of things. Yet, the tower never started of with that intention. The process of knowledge and discovery will deviate unless trained by the undergirding to consciously always boast in the Lord. Every area of our lives, internal and external has to follow this runner at the risk of becoming a creeping vine that strays away from the source of all life. Can we truly say all our discoveries, and all our aspirations are rooted in Him? Can we say our every attempt at life has this undergirding? Help me to know and understand this. Let us be able to say "We boast in the Lord".