This is an empyema GB and a very bad case in a obese male patient. Two weeks ago another experienced senior surgeon tried a lap procedure and failed. He did not go for open, just abandoned the procedure. The patient then came to me on 3rd POD with abdominal pain. I gave conservative treatment and told him to wait for 4-6 weeks. He developed pain again on yesterday and I was compelled to give a trial and could do it laparoscopically. MaashAllah.
|