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Dr Rohit Thakur - Surgeon

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Dr Rohit Thakur - Surgeon

Only a life lived for others is a life worthwhile..!! "strength in the scalpel"

03/12/2025

"High-risk surgeries reveal courage — both in the surgeon and the patient."

Last week, a 75-year-old malnourished lady was brought to our casualty at Pt JLNGMC Chamba with clear signs of a closed-loop obstruction, and her colon was visibly distended. Diagnosis further confirmed by xray abdomen and CECT abdomen.

Her condition was extremely high-risk due to advanced age, anemia, and very low protein levels, but delaying surgery was not an option.

During surgery (laparotomy):
We discovered a stricture-forming growth in the sigmoid colon, which had caused massive proximal dilation upto caecum — nearly 12 cm. Considering the severity, a Hartmann’s procedure was performed to relieve the obstruction and remove the diseased segment safely.

Post-operative Outcome:
Despite her frail condition, the patient is recovering well. Her strength and willpower continue to inspire us.

This case reminds us that timely intervention, skilled surgical judgment, and coordinated teamwork can save even the most high-risk patients.

28/11/2025

“Paraduodenal hernia - When anatomy surprises, surgeons must be ready".

A 53-year-old male presented in the casualty with clear signs of acute intestinal obstruction. On examination, a firm lump of size app 15*15 cm could be felt on the right side of his abdomen. The suspicion was strong: something unusual was going on inside.

A CT scan confirmed the rare diagnosis—Right Paraduodenal Hernia (incidence < 1%), a condition where a portion of the small intestine slips behind the Waldeyer’s fascia, getting trapped in a hidden pocket. These hernias are uncommon, but when they strike, they can quickly become life-threatening.

Intra op findings —
clustered, dilated bowel loops tightly trapped behind Waldeyer’s fascia.
With careful dissection, we reduced the trapped intestines back to their normal position, excised the sac, and closed the defect to prevent future herniation.

The best part -
His post-operative recovery was completely uneventful. He walked out smiling, relieved and pain-free.

25/11/2025

"Small gallstones are the biggest culprits of pancreatitis — choose surgery, not emergencies.”

Most people think only big gallstones cause trouble. But the truth is — small and multiple gallstones are actually more dangerous.
They can easily slip into the bile duct and trigger acute pancreatitis, a painful and potentially life-threatening condition.

Why timely laparoscopic cholecystectomy matters:
• Prevents gallstone pancreatitis
• Avoids emergency admissions
• Short hospital stay
• Quick recovery
• Safe and effective treatment

If you have gallstones, don’t ignore them.
Consult early. Treat early. Stay safe.

23/11/2025

“Adult intussusception:- uncommon, unexpected, unforgettable in surgery.”

Surgery teaches us: even rare entities deserve rapid recognition.

20/11/2025

A Story About Pain You Can't Ignore (Perianal Abscess)

For 5 days, pt was convinced it was just a bad hemorrhoid, maybe a bit of muscle strain.

Day 1-2: The Annoyance. Just a little discomfort when sitting. "I'll try some over-the-counter cream," he thought.

Day 3-4: The Fire Starts. The pain intensified with fever, the area felt hot, throbbing, and firmly swollen. It hurt to walk, to sit, and even to lie down. Embarrassment was a huge barrier so he checked Google (bad idea!) .

Day 5: The Breaking Point. Pt couldn't sleep. He realized this is a serious, escalating problem that demanded professional help.

Finally, he came to us, diagnosed with perinanal abscess. Immediate I &D done under regional anesthesia.

The Lesson -
1.If you experience persistent, severe pain and swelling near your a**s, DO NOT WAIT.
2.Embarrassment kills. Doctors see this all the time. Your modesty is less important than your health.
3.Abscesses won't heal themselves. I &D is the only treatment.

👉 Be brave. Be smart. Get checked out.
Share this story to encourage others to prioritize their health over embarrassment!

18/11/2025

Never ignore a small pain — sometimes the tiniest wound hides the biggest trouble.

Act early, stay safe..!!

16/11/2025

The 30-Minute Miracle: When Every Second Counted ⏰

We often talk about the importance of speed in emergency care, and last week, we saw that principle save a young patient's future.

A 14-year-old boy arrived in our Emergency Department at Pt JLNGMC Chamba with sudden severe intensity pain in his right testicle for last 4 hours.

The diagnosis was immediate and critical: Testicular Torsion (one of the most time-sensitive surgical emergencies, If not corrected quickly, the result can be irreversible damage and loss of the testicle).

Based on clinical judgement patient immediately shifted to OT within 30 minutes.

In the OT, we found what we hoped for: although severely twisted, the testicle was still viable!
We successfully untwisted the te**is and performed a bilateral orchidopexy (securing both testicles) to ensure this painful and dangerous situation never happens again.

This successful outcome is a perfect example of why Time is the Key in cases of testicular torsion.

A Critical Takeaway for Parents and Guardians:-
Sudden, severe scrotal pain is an absolute emergency.
Do not wait. Do not apply home remedies.
It needs immediate evaluation.

Please share this message—awareness saves organs.

08/11/2025

“Recurrent abdominal pain should never be ignored — sometimes, it’s the body’s way of asking for timely surgical help.”

A 26-year-old woman presented to the casualty with features of acute intestinal obstruction. She had a history of recurrent abdominal colic and distension for the past one year, and had been admitted three times previously with similar complaints, each time managed conservatively.

After necessary investigations, she was taken up for exploratory laparotomy.

Intraoperatively -
two strictures were found in the ileum, about 100 cm apart, with the intervening segment grossly dilated and edematous, forming a closed loop obstruction.

About 100 cm of diseased bowel was resected, and an end-to-end hand-sewn anastomosis was performed.

The patient had an uneventful postoperative recovery and was discharged on the 5th postoperative day, tolerating diet well and pain free.

Final histopathology (HPR) will reveal the underlying cause of the strictures and guide further management if required.

20/10/2025

The most satisfying view for a surgeon — when meticulous planning, precision, and teamwork come together beautifully.

Every step in this complex surgery is a reminder of the balance between skill and patience — where millimeters matter and outcomes change lives.

Learning under great mentors is what shapes us into better surgeons — and better humans.

13/10/2025

“From open to laparoscopic — a decade later, a smooth recovery story.”

Recently, we managed a rare and technically demanding case — a 35 -year-old female who had undergone partial (open) cholecystectomy about 10 years ago. She presented with persistent upper abdominal pain.

On evaluation, imaging revealed a residual gallbladder, about 2×2 cm in size — a condition that can occasionally occur after incomplete removal during prior surgery.

We planned a completion laparoscopic cholecystectomy, and despite dense adhesions with the abdominal wall due to previous surgery, the procedure was successfully completed using a 3-port technique.

Intra-op: -
Dense adhesions carefully released
Residual gallbladder (2×2 cm) completely excised

Post-op: Uneventful recovery, patient discharged on 1st POD.

Such cases remind us that even after previous open surgeries, laparoscopy remains a safe and effective option in expert hands.

Grateful for the teamwork and the trust of our patients 🙏

28/09/2025

"Giant gall stone - a Surgical necessity"

🔹 Gallstones >3 cm carry a significant risk of malignancy — early removal is strongly advised even if it is asymptomatic.

12/09/2025

"NELS Training at DRPGMC Tanda"

It was an excellent academic experience, with valuable insights shared by senior faculty members from all the medical colleges of Himachal Pradesh.

Truly enriching and inspiring!

Address

Pt. JLNGMC&Hospital
Chamba
176310

Telephone

+917807283512

Website

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