Dr Rohit Thakur - Surgeon

Dr Rohit Thakur - Surgeon General & Laparoscopic Surgeon
GI | Cancer | Emergency Surgery
📍 JLNGMC Chamba | Patient Education

"strength in the scalpel"

19/05/2026

“Even the smallest abdomen can hide a big surgical emergency.”

A 2-year-old child was brought to the Emergency Department at Pt. JLNGMC Chamba with severe abdominal pain, vomiting, and signs of sepsis. Evaluation revealed a perforated appendicitis — a rare but life-threatening surgical emergency at this age.

Without wasting crucial time, An emergency appendectomy was successfully performed, and the postoperative recovery remained uneventful.

Although uncommon in toddlers, appendicitis in a 2-year-old is clinically important because:-
1. Diagnosis is often delayed due to nonspecific symptoms.
2. Children cannot localize pain well.
3. It has a very high perforation rate:
Often 70–90% perforated at presentation in children under 3 years.

“Appendicitis has no age limit.”



18/05/2026

“Small parasite, big disease.”

Today at Pt. JLNGMC Chamba, we successfully operated on a 58-year-old gentleman suffering from multiple hydatid cysts of the liver.
The patient had two cysts — one in Segment V (5×6 cm) and another large cyst in Segment VI (10×8 cm). A successful partial cystopericystectomy of both cysts was performed.

Hydatid disease is caused by a parasitic infection and commonly affects the liver. Many patients remain asymptomatic for years, while others may present with abdominal pain, swelling, fever, or complications due to rupture or infection of the cyst.

Large liver hydatid cysts can become dangerous if left untreated and may lead to serious complications.
Early diagnosis with ultrasound/CT scan and timely surgical management can prevent morbidity and save lives.

Take-home message:
1.Maintain proper hygiene
2.Wash vegetables and hands regularly
3.Deworm pet dogs periodically
4.Seek medical evaluation for persistent abdominal symptoms

Surgery, when done timely and carefully, offers excellent outcomes even in complex hydatid liver disease.

"Multiple defects, one durable solution"65 years old female patient presented with a complex Swiss cheese ventral hernia...
25/04/2026

"Multiple defects, one durable solution"

65 years old female patient presented with a complex Swiss cheese ventral hernia with multiple fascial defects.

Definitive repair performed using Posterior Component Separation with Transversus Abdominis Release (TAR), allowing tension-free midline closure and durable abdominal wall reconstruction.

Complex hernias demand meticulous planning, sound anatomy, and advanced reconstructive techniques for the best outcomes.



WHEN THE ABDOMEN CAN’T HOLD BACK ANYMORE…Incisional Hernia with Loss of DomainA silent progression. A complex challenge....
07/04/2026

WHEN THE ABDOMEN CAN’T HOLD BACK ANYMORE…

Incisional Hernia with Loss of Domain
A silent progression. A complex challenge.
But not unbeatable.

Managed with Advanced Reconstruction
Posterior Component Separation + Bilateral TAR

➡️ Restoring anatomy
➡️ Reclaiming domain
➡️ Rebuilding lives

⚠️ DELAY MAKES IT DANGEROUS
What starts as a swelling can turn into:
• Loss of abdominal domain
• Respiratory compromise
• Difficult, high-risk surgery

MESSAGE -
“Hernias don’t heal with time — they grow, complicate, and challenge life. Early repair saves more than just the abdominal wall.”


“Femoral hernia: rare in occurrence, ruthless in complication.”
05/04/2026

“Femoral hernia: rare in occurrence, ruthless in complication.”



29/03/2026

“A ‘little old lady’s hernia’ — small in name, massive in impact.”

At 82 years of age, when most would attribute abdominal pain to “just age,” she walked into our emergency with severe discomfort, vomiting, and absolute constipation.

A — rare, silent, and often missed — was the culprit. Diagnosed on CECT abdomen with obstructed obturator hernia, a life-threatening situation.

Time was critical.

She was taken up for an emergency laparotomy. Despite her age and frailty, the surgery was successful. The obstructed bowel was relieved, and the hernia repaired.

Today, she recovered well — a reminder that age is not a barrier when timely diagnosis and decisive surgical intervention come together.

In surgery, every minute matters. Every decision counts. And sometimes, even the rarest diagnoses can lead to the most rewarding outcomes.

Why known as little old lady hernia-

It typically occurs in:
Elderly women (usually >70 years)
Thin, frail, multiparous females
Due to loss of protective fat in the obturator canal.


“Perforated ulcer: a small hole with life-threatening consequences.”
15/03/2026

“Perforated ulcer: a small hole with life-threatening consequences.”









07/03/2026

“When a tumor grows with frightening speed, surgery must move with equal courage and precision.”

A young female patient presented with a rapidly growing lump in her left breast, which had increased to nearly 15 × 15 cm in size within just two weeks.

On clinical assessment, the possibility of a Phyllodes tumour was considered. These tumors are rare breast tumors known for their rapid growth and large size, especially in younger patients.

Considering the size and aggressive progression of the lump, the patient underwent wide local excision of the tumor with adequate margins. The surgery was performed successfully.

The final Histopathology Report (HPR) is awaited, which will confirm the exact nature of the tumor and guide further management if required.

This case highlights the importance of early medical consultation for any rapidly enlarging breast lump, as timely surgical intervention can lead to excellent outcomes.

Excellence in patient care is never a solo effort.77 major surgeries, 2,500 patients in 3 weeks — made possible by a ded...
21/02/2026

Excellence in patient care is never a solo effort.
77 major surgeries, 2,500 patients in 3 weeks — made possible by a dedicated team of surgeons, anesthetists, OT staff, ward staff, and exceptional interns who stood strong throughout.

"Committed to service, dedicated to every life"🙏

18/02/2026

“A perforated ulcer doesn’t wait. Neither should you.”

In the last one month, I operated on 5 patients with duodenal ulcer perforation at Pt JLNGMC Chamba.
Surprisingly, 3 of them were below 35 years of age (Youngest was 23 years old).

Traditionally, this condition is considered more common in older individuals. However, we are now seeing an increasing number of young patients presenting with this life-threatening emergency.

Why are younger patients at risk?
1.Helicobacter pylori infection
2.Frequent painkiller (NSAID) use
3.Smoking
4.Alcohol
5.Irregular food habits
6.Stress

❗ Important Message-
1. Severe sudden abdominal pain is never ‘just gas’ — especially if it doesn’t settle.
2. Duodenal Ulcer Perforation – Not Just a Disease of the Elderly.











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Pt. JLNGMC&Hospital
Chamba
176310

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