Dr Muhammad Aamir Shahzad

13/07/2025

Interesting case importance of on table cholangiogram and wide good Drainge
Pt history of open chole at periphery developed biliary peritonitis was explored at tertiary care hospital abdominal.lavage was done with wide drain pt became stable with drain .bile was coming from drain MRCP done showed cut of CBD .Gastroenterologist opinion sough advised to go for surgery .Hepaticojejunostomy was planned pt explored .on exploration it was found cut end is cystic duct stump and cbd is intact.On table cholangiogram performed which showed intact cbd contrast going into gut .stump.was closed.drain kept removed after 14 days .lfts normal drain output nil.So it is lesson some time c d shows cut due to some pressure on it .t tube cholangiogram should be used routinely in difficult and doubtful cases

13/07/2025

Female pt pain on off pian rt iliac fosaa.severe tenderness and ultrasonic finding of acute appendicitis .diagnostic laprscopy was planned on laprscopy there was omentum adherent to uterus and anterior abdominal wall acutely inflamed appendix and caecum adherent to abdominal wall forming a mass with omentum and rt fallopian tube fallopian tube was swollen .Adhenolysis done appendectomy done .fallopian tube tube released from caecum.which also released from abdominal
Wall. Alhamdolillah pt is fine on follow up.
Pt with pain rt ilac fossa has too much differentials.so.it is always best to go laproscopic approach than open approach for appendectomy so not to miss the other things .

13/07/2025

Challenging case Diabetic pt with pain rt hypochondrium high grade fever history of CABAG taking progril optimized after optimizing lap chole done gantenous gall bladder cystic duct stup.also gangrenous sloughed off laproscopic intracorporeal knotting done at stumpmsite .Alhamdolillah pt discharged after 12 hrs.

30/06/2025

Laproscopic appendectomy

23/06/2025

23/06/2025

Superfecial parotidectomy for pleomorphic adenoma Alhamdolillah pts fine after surgery no sign of facial nerve injury postoperatively .

23/06/2025

Axilla after axillary clearance for low grade B cell lymphoma.

23/06/2025

Complete axillary clearance of low grade B cell lymphoma advised by oncologist

23/06/2025

Laproscopic cholecystectomy and Transcystic CBD lavage alhamdolillah pt discharged after 12 hr .pt fine on followup visit

06/06/2025

Lumpectomy with axillary dissection Breast conservation pt was not willing for pre-op neoadjuvant therapy .alhamdolillah all margin negative referred back to oncologist for adjuvant therapy.

06/05/2025

Laproscopic cholecystectomy for morbid obese pt with gangrenous gall bladder and gangrenous cystic duct can't be clipped stump closed with intracorporial suturing .Alhamdolillah.

06/05/2025

Excision of large pilonidal sinus with multiple sinuses and flap coverage.