excellence in surgery & critical care

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63 years male admitted on March 29, 2012; Registration. No: 422436 Complaints: Abdomen pain & Jaundice: 3-4 months. Suffered from calculus in the Gall Bladder which was removed in Feb, 2012. USG suggested Ampullary CA. Taken up for surgery, March 30, 2012, which lasted for 8 hours. Post Op, the patient was in ITU and discharged on April 7, 2012. Currently undergoing Chemotherapy Par operative: Classical Whipple’s Pancreatoduodenectomy was done Reconstruction was done by end to side pancreaticoduodenostomy – double layered Hepaticojejunostomy – single layered, Gastrojejunostomy (Ante colic) – double layered, Feeding jejunostomy was added. Biopsy confirmed the diagnosis Surgeons: Dr. Sumit Gulati & Dr. Supriyo Ghatak Anesthetist: Dr. Anjula Banerjee

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Page 1: Excellence in Surgery & Critical care

63 years male admitted on March 29, 2012; Registration. No: 422436

Complaints: Abdomen pain & Jaundice: 3-4 months. Suffered from calculus in the Gall Bladder which was removed in Feb, 2012. USG suggested Ampullary CA.

Taken up for surgery, March 30, 2012, which lasted for 8 hours.

Post Op, the patient was in ITU and discharged on April 7, 2012. Currently undergoing Chemotherapy

Par operative:

Classical Whipple’s Pancreatoduodenectomy was done

Reconstruction was done by end to side pancreaticoduodenostomy – double layered

Hepaticojejunostomy – single layered, Gastrojejunostomy (Ante colic) – double layered, Feeding jejunostomy was added. Biopsy confirmed the diagnosis

Surgeons: Dr. Sumit Gulati & Dr. Supriyo Ghatak Anesthetist: Dr. Anjula Banerjee

EXCELLENCE IN SURGERY

Page 2: Excellence in Surgery & Critical care

IPD no. 20124512 Consultant – Dr. M. Batin & Dr. S. S. Das

A 52 year old patient was admitted in Critical care with complaints of fever and breathing difficulty. He is aknown case of COPD, IHD, DM & Hypertension.

The next day his condition suddenly deteoriated in the morning when he became comatose with acidotic breathing. His sensorium was poor and he was not responding to painful stimuli.

ABG recorded a Pco2 of 155.9. He was immediately put on Mechanical Ventilator following Intubation and a Central line was also introduced. At that point of time his BP was not recordable and he had very feeble peripheral pulse.

He was initially put on infusion Dopamine @3ml/hr. which was upgraded to 5ml/hr . With great difficulty Co2 Narcosis was corrected.

Our team of Critical Care Specialists, Medical Officers & Nurses could avert a grave crisis. He gradually improved and was discharged in a stable condition.

EXCELLENCE IN CRITICAL CARE

Dr. S. S. Das Dr. M. Batin

Page 3: Excellence in Surgery & Critical care

IPD no. 20124791 Consultant – Dr. S. S. Das, Dr. Sanjiv Dhanuka & Dr. Kishore Gandhi

A 10 year old boy was admitted in our Critical Care unit in a unconscious condition following a fall from the roof of his house. He had suffered a severe head injury with bleeding from nose and mouth. He was also vomiting and examination also revealed a fracture of the (L) Radius of hand.

This boy had suffered the accident in the district of Howrah and by the time we received him in the ITU his condition had become extremely critical. He was put on Mechanical Ventilation after intubation.

A cross functional team of consultants headed by our Critical Care In charge, a Pediatrician & a Neuro surgeon toiled day & night to save the boy’s life. His condition deteoriated further and the prognosis appeared to be grave.

The dedication and talent of this team helped the child survive the ordeal. He has also undergone K-wire fixation for displaced fracture of (L) Radius .

He was discharged in stable condition.

EXCELLENCE IN CRITICAL CARE

Dr. S. S. Das Dr. Dhanuka Dr. Gandhi

Page 4: Excellence in Surgery & Critical care