Milestones

Gangrenous Perforated Appendix:

• A 50-year-old lady presented with a lump and pus discharge, diagnosed via CECT at Baro Ma Hospital, Paskura. The surgical procedure involved careful finger dissection to remove the appendix and evacuate pus, followed by sending pus for culture and sensitivity testing (C&S), and the removed appendix for histopathological (H.P.) examination.

Duodenal Perforation in a Lady with Neurological Deformity:

• Operated at Baro Ma Hospital, Paskura, this case involved a rare duodenal perforation in a lady with a neurological deformity. The Roscoe Graham technique was utilized during surgery.

RTA with Right Below Knee Amputation and Blunt Abdominal Injury:

• The patient, who had previously undergone surgery at IPGMER, required extensive surgery including double barrel ileostomy, segmental resection of the ileum and caecum, and subsequent revision due to ileostomy prolapse.

Duodenal Perforation Cases:

• Multiple cases of duodenal perforations were encountered at Baro Ma Hospital, Paskura, requiring immediate surgical intervention to manage peritonitis and ensure patient recovery.

Complicated Tumor Removal and Adhesiolysis:

• Surgical cases involving extensive tumor removal, adhesiolysis, and reconstruction procedures, such as choledochojejunostomy, were successfully performed despite challenges like cirrhotic liver conditions and obesity.

Other Surgical Procedures:

• Various other surgical procedures were performed, including subtotal gastrectomy for stomach carcinoma, transvesical prostatectomy, cholecystectomy, choledochostomy, and colorectal surgeries like Hartmann’s procedure.

Colonic Perforation Due to Obstruction:

• A case of colonic perforation due to obstruction was managed surgically at Baro Ma Hospital, Paskura. The patient presented with signs of peritonitis and underwent an emergency laparotomy with segmental resection and primary anastomosis.

Intestinal Obstruction Requiring Exploratory Laparotomy:

• A patient with signs of intestinal obstruction underwent an exploratory laparotomy at Baro Ma Hospital, Paskura. The surgery involved adhesiolysis, resection of the obstructed segment, and primary anastomosis.

Appendicular Mass with Localized Peritonitis:

• A case of appendicular mass with localized peritonitis was managed surgically at Baro Ma Hospital, Paskura. The surgical procedure involved appendectomy, drainage of the abscess, and peritoneal lavage.

Postoperative Complications in a Subtotal Gastrectomy Patient:

• A patient who underwent subtotal gastrectomy developed postoperative complications, including anastomotic leak and intra-abdominal collection. The management included re-exploration, drainage of the collection, and supportive care.

Laparoscopic Cholecystectomy in a High-Risk Patient:

• A high-risk patient with multiple comorbidities underwent a laparoscopic cholecystectomy at Baro Ma Hospital, Paskura. The surgery was challenging due to the patient’s medical condition but was successfully completed with meticulous surgical techniques.

Complex Hernia Repair with Mesh:

• Cases of complex hernia repair using mesh were performed at Baro Ma Hospital, Paskura. The surgeries involved careful dissection, mesh placement, and closure of the defect to prevent recurrence.

Perforated Peptic Ulcer with Sepsis:

• A patient presented with a perforated peptic ulcer complicated by sepsis. Emergency surgery was performed at Baro Ma Hospital, Paskura, involving ulcer repair, peritoneal lavage, and intensive postoperative care to manage sepsis.

Acute Pancreatitis with Necrosis:

• A case of acute pancreatitis with necrosis was managed at Baro Ma Hospital, Paskura. The patient underwent a combination of medical management, including fluid resuscitation, pain control, and nutritional support, along with close monitoring for complications such as pancreatic abscess or pseudocyst formation.

Complicated Hernia with Bowel Incarceration:

• A patient with a complicated hernia presenting with bowel incarceration underwent emergency surgery at Baro Ma Hospital, Paskura. The surgical intervention involved reduction of the hernia contents, hernia defect repair, and assessment of bowel viability.

Pancreaticoduodenectomy (Whipple Procedure) for Pancreatic Cancer:

• A patient diagnosed with pancreatic cancer underwent a pancreaticoduodenectomy (Whipple procedure) at Baro Ma Hospital, Paskura. The multidisciplinary team managed the case with preoperative optimization, surgical resection, and postoperative oncological care.

Acute Cholecystitis with Empyema:

• A case of acute cholecystitis complicated by empyema was treated at Baro Ma Hospital, Paskura. The patient underwent urgent cholecystectomy and drainage of the empyema, followed by antibiotic therapy and supportive measures.

Rectal Cancer Resection and Colostomy Formation:
Patients with rectal cancer underwent surgical resection and colostomy formation at Baro Ma Hospital, Paskura. The surgeries aimed at achieving oncological clearance while maintaining quality of life for the patients postoperatively.Traumatic Brain Injury (TBI) with Intracranial Hemorrhage:

19. Traumatic Brain Injury (TBI) with Intracranial Hemorrhage:

• A patient with severe traumatic brain injury and intracranial hemorrhage was admitted to Baro MA Hospital, Paskura. The neurosurgical team performed emergency craniotomy and hematoma evacuation, followed by intensive neurological monitoring and rehabilitation.

20. Severe Acute Respiratory Distress Syndrome (ARDS) Secondary to Pneumonia:

• A case of severe acute respiratory distress syndrome secondary to pneumonia was managed at Baro MA Hospital, Paskura. The patient required mechanical ventilation, advanced respiratory support, and targeted antibiotic therapy to address the underlying infection.

21. Complicated Diabetic Foot Ulcer with Osteomyelitis:

• A diabetic patient presented with a complicated foot ulcer and osteomyelitis, requiring surgical debridement and antibiotic therapy at Baro MA Hospital, Paskura. The multidisciplinary team collaborated to promote wound healing and prevent further complications.

22. Coronary Artery Bypass Graft (CABG) Surgery for Ischemic Heart Disease:

• Patients with ischemic heart disease underwent coronary artery bypass graft (CABG) surgery at Baro MA Hospital, Paskura. The cardiac surgical team performed revascularization procedures to improve myocardial perfusion and cardiac function.

23. Acute Appendicitis with Perforation and Abscess Formation:

• A case of acute appendicitis complicated by perforation and abscess formation was treated at Baro MA Hospital, Paskura. The patient underwent appendectomy and drainage of the abscess, followed by antibiotic therapy and close monitoring for resolution.

24. Liver Transplantation for End-Stage Liver Disease:

• Patients with end-stage liver disease underwent liver transplantation at Baro MA Hospital, Paskura. The transplant team coordinated preoperative evaluation, donor selection, surgical transplantation, and postoperative care to ensure optimal outcomes for the patients.

25. Severe Sepsis and Septic Shock Management:

• Patients presenting with severe sepsis and septic shock were managed at Baro MA Hospital, Paskura. The critical care team initiated early goal-directed therapy, appropriate antimicrobial treatment, fluid resuscitation, and hemodynamic support to stabilize patients and improve outcomes.

26. Chronic Kidney Disease (CKD) Management:

• Cases of chronic kidney disease (CKD) requiring renal replacement therapy, such as hemodialysis or peritoneal dialysis, were managed at Baro MA Hospital, Paskura. The nephrology team provided comprehensive care, including dialysis sessions, medication management, and lifestyle interventions to slow disease progression and improve quality of life.

27. Rheumatoid Arthritis (RA) with Joint Deformities:

• Patients with rheumatoid arthritis (RA) and significant joint deformities received specialized care at Baro MA Hospital, Paskura. The rheumatology and orthopedic teams collaborated to manage pain, preserve joint function, and consider surgical options like joint replacement when necessary.

28. Spinal Cord Injury (SCI) Rehabilitation:

• Individuals with spinal cord injuries (SCI) underwent comprehensive rehabilitation programs at Baro MA Hospital, Paskura. The rehabilitation team focused on mobility training, functional independence, assistive device prescription, and psychological support to enhance recovery and promote long-term well-being.

29. Congenital Heart Defect Repair in Pediatric Patients:

• Pediatric patients with congenital heart defects underwent surgical repair procedures at Baro MA Hospital, Paskura. The pediatric cardiology and cardiac surgical teams performed corrective surgeries to address structural abnormalities and improve cardiac function in infants and children.

30. Advanced Cancer Care and Palliative Support:

• Patients with advanced-stage cancers received multidisciplinary cancer care and palliative support at Baro MA Hospital, Paskura. The oncology team implemented personalized treatment plans, including chemotherapy, radiation therapy, and symptom management strategies, to enhance quality of life and provide compassionate end-of-life care when needed.