Case log Lilongwe Central Hospital Prostatectomy Left inguinal hernia Small bowel perforation s/p trauma: sb rxn TB peritonitis, LOA Hartman’s procedure, sb resection: sigmoid volvulus with ileal knotting Fasciotomy wound closure with rubber bands Mesosigmoidpexy: recurrent sigmoid volvulus Debridement of foot wound Incarcerated umbilical hernia Hartman’s procedure: Sigmoid volvulus Excision of submandibular cyst Drainage of submandibular abscess Drainage of buttock abscess Pedi hernia repair Plantar biopsy for possible melanoma Closure of fasciotomy incision Excision of gluteal lipoma Mesosigmoidpexy: sigmoid volvulus Incarcerated inguinal hernia repair Pedi perforated appendectomy Incarcerated hernia repair, orchiopexy Fournier’s gangrene debridement Incarcerated incisional hernia with small bowel resection Lysis of adhesions, drainage of abdominal abscess after uterine perforation Mesosigmoidpexy: sigmoid volvulus Fournier’s gangrene debridement Incarcerated inguinal hernia repair, orchiopexy Evisceration with small bowel enterotomy, resection and closure Colostomy closure Fournier’s gangrene debridement Diverting loop colostomy Hartman’s procedure, sb resection, sigmoid volvulus w/ ileal knot, damage control Colostomy closure, pediatric Right hemicolectomy, ileotransverse anastamosis, end colostomy, 2nd look lap Tracheostomy, pediatric Hartman’s procedure: sigmoid volvulus Hartman’s procedure, ileo-ileostomy: sigmoid volvulus with ileal knotting Small bowel resection: midgut volvulus Gastrostomy tube Small bowel resection: postoperative adhesive band Appendectomy Hartman’s procedure, ileo-ileosomy, temporary closure: sigmoid volvulus, ileal knot, Pediatric removal of laryngeal warts Hartman’s procedure: sigmoid volvulus Excision of AV malformation of foot Small bowel resection, incarcerated femoral hernia and repair Left thoractomy and decortication Repair hugh epigastric hernia Repair of bladder and ureters Planned re-exploration, anastamotic leak, end ileostomy, end colostomy (pregnant, sigmoid volv) Planned re-exploration, s/p mid gut volvulus Re-exploration, s/p ureteral ligation, ureterocytostomy, repair of ureter Small bowel resection, small bowel perforation s/p trauma Gastrostomy feeding tube STSG: s/p mastectomy Debridement and dressing change: Fournier’s gangrene Repair incarcerated RIH Ex-lap, s/p abdominal trauma w/ splenic injury Ligation of palmar arch vessel: s/p cut to hand Ileoileostomy with Hartmans: ileosigmoid knot Incarcerated hernia repair Excision of oral polyp, pediatric Anoplasty: imperforate anus Tracheostomy Parotidectomy Thyroidectomy Silo for gastroschesis Ovarian cystectomy Ex-lap: internal hernia Imperforate anus Penectomy Lysis of adhesions BKA Ex-lap: appendectomy Ex-lap: sigmoid colostomy, rectal cancer Incarcerated inguinal hernia repair I&D psoas abscess Gastroschesis: silo Small bowel resection: intussusception Inguinal hernia repair Ex-lap for primary peritonitis Burr hole: epidural Modified radical mastectomy Burr holes: head injury, pediatric Ex-lap: splenic injury Colostomy closure Ex-lap: stab wound Ex-lap: stab wound Small bowel resection, lysis of adhesions Feeding gastrostomy: esophageal cancer Excision of thyroglossal duct cyst Ex-lap: typhoid perforation, repair Circumcision Circumcision Prostatectomy I&D hand/forearm abscess I&D hand abscess Toe amputation Squamous cell ca of leg, excision Transcarpal amputation Right hemicolectomy, end ileostomy, mesosigmoidopexy: sigmoid volvulus, cecal volvulus. Graham patch:  perforated duodenal ulcer Ex’lap: TOA Pediatric small bowel resection, colostomy: Hirschprung’s Small bowel resection: strangulated inguinal hernia