AIIMS GI 2023

Blunt colon injury

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Q) A 45-year-old male presents 24 hours after sustaining a blunt colonic injury. At laparotomy, there is a localized colonic injury with minimal fecal contamination and no other intra-abdominal injuries. The patient is hemodynamically stable and has received 3 units of packed red blood cells. What is the ideal surgical management?

Source: INI GI Surgery | Sabiston, p. 422

a) Resection and primary anastomosis
b) Resection with anastomosis and loop ileostomy
c) Resection with Hartmann’s procedure
d) Diverting ileostomy alone
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THE vs TTE

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Esophagus Surgery
Esophagus Mock Test 1
Q) Trans Hiatal Esophagectomy (THE) vs Trans Thoracic Esophagectomy (TTE) – which is not true?
(Question asked in all AIIMS and INI exams since 2017)
a) Leak rates are more with TTE
b) Pulmonary complication is more with TTE
c) Side to side stapler anastomosis has less leaks than open two layer suturing
d) THE can be done through minimally invasive surgery
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