Laparoscopic hernia repair

Last week I had a case of a 54-year-old obese woman who went to the Emergency Room with right lower quadrant/groin pain. She is a medical biller who used to work in my office. She thought she

Recurrent Metastatic Breast Carcinoma

Medical Summary Mrs. ARC was first seen at the Tata Memorial Hospital on 18.5.10 with complaints of lump in the left breast. She was investigated and diagnosed as a case of carcinoma left breast and underwent left

Sclerosing peritonitis

Is sclerosing peritonitis a foreign body response? This week I (plus two colleagues) operated a case of sclerosing peritonitis. It is an unusual entity of which I have previously operated 3 or 4 cases. Viewing it as

Anopexia – stapled hemorrhoidectomy

I wish to find out how many of you have heard of stapled hemorrhoidectomy, or have done it yourself.  A short introduction follows.

Why I talk to comatose patients

Why I talk to comatose patients By James J. McCague, MD The news of Henry Baker’s admission to intensive care distressed me. Henry, a retired executive whom I’d treated for a neurogenic bladder, had been my patient

Рatient declining operation

I would like to share with you rather an incredible experience I had during my last on-call weekend and would like to invite some comments on ethical issues regarding the case.

Best method of diagnosing appendicitis

Appendicitis is many diseases: recent posts on one best method of diagnosing appendicitis ignore something basic, which applies to surgical conditions generally. Here are some varieties of appendicitis which I hope others will recognise. [Level 5 or

Complicated hepatectomies

I crossed the East River and went to Sloan Kettring to see how Dr. Blumgart does “complicated hepatectomies”. A few of you may be interested in the following:

Biliary Colic, No Stones

I recently saw a 36 year old woman who has a 7 month history of “classic” biliary colic: recurrent post-prandial right upper quadrant pain radiating through to the back, associated with nausea but no vomiting, exacerbated by

Duodenal Varices

65 year old man with a history of chronic pancreatitis. 15 years ago he had gallstone induced pancreatitis, originally treated with cholecystectomy. Had a prolonged course, eventually developing infected pancreatic necrosis. This was treated with multiple debridements