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Yadav SK, Lal G, Jain SB, Jha CK, Corwin C, Van Gorp B, Sharma CK, Kumar A, Sinha DK. Indian surgery Trainee's perspective on surgical ergonomics principles and education: A long road ahead. Am J Surg 2023; 226:735-740. [PMID: 37308348 DOI: 10.1016/j.amjsurg.2023.05.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 05/24/2023] [Accepted: 05/29/2023] [Indexed: 06/14/2023] [Imported: 08/29/2023]
Abstract
INTRODUCTION This study aimed to determine the baseline knowledge and beliefs, along with the impact of incorporating surgical ergonomics lectures during a residency. METHODS A cohort of 123 Indian surgical residents participated in this educational intervention, which consisted of two educational webinars on ergonomics. Both pre- and post-intervention surveys were electronically sent to the participants. These included questions related to their demographics, prevalence of musculoskeletal (MSK) symptoms, and factors affecting participant awareness of ergonomic recommendations. RESULTS Seventy-one residents responded to the pre-webinar survey. Eighty-five percent of respondents reported MSK symptoms, with the most common being pain (70%) and stiffness (40%), which the residents attributed to their surgical training. Forty-six residents completed the post-webinar survey. The majority of respondents strongly agreed or agreed that surgical ergonomic educational sessions improved their understanding of the fundamental causes of MSK symptoms and increased their awareness of options available for prevention MSK injuries. CONCLUSION The rate of MSK symptoms and/or injury was high among this cohort of surgical residents. These surveys and educational session demonstrated there is limited awareness of the comprehension of ergonomics related to surgical procedures. Our study shows that a simple surgical ergonomic educational intervention can lead to improved understanding of prevention and ergonomic changes.
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Affiliation(s)
| | - Geeta Lal
- Adult Inpatient, Division of Surgical Oncology and Endocrine Surgery, University of Iowa, USA
| | - Sapana Bothra Jain
- Consultant (Endocrine and Breast Surgery), Mahatma Gandhi Institute of Medical Sciences, Jaipur, India
| | - Chandan Kumar Jha
- Department of Surgery, All India Institute of Medical Sciences, Patna, India
| | - Claudia Corwin
- Department of Internal Medicine, Carver College of Medicine, University of Iowa Employee Health, University of Iowa Hospitals and Clinics, USA
| | - Barbara Van Gorp
- Iowa Orthopedic Sports Medicine and Rehabilitation, Iowa Carver College of Medicine, Dept of Physical Therapy and Rehabilitation Science, University of Iowa, USA
| | - Chitresh Kumar Sharma
- Department of Surgical Oncology, All India Institute of Medical Sciences, Bilaspur, India
| | - Amit Kumar
- Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr RML Hospital, New Delhi, India
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Dehariya P, Agarwal N, Yadav SK, Agarwal P, Sharma D. Impact of Topical Epinephrine with Xylocaine on Drainage After Axillary Lymph Node Dissection: A Randomized Controlled Trial. World J Surg 2023; 47:2761-2766. [PMID: 37581639 DOI: 10.1007/s00268-023-07139-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/17/2023] [Indexed: 08/16/2023] [Imported: 08/29/2023]
Abstract
INTRODUCTION We evaluated the impact of topical epinephrine with xylocaine on drainage after axillary lymph node dissection. METHODS Fifty-two women were randomized into two groups, epinephrine with xylocaine drainage (ED) and conventional drainage group (CD). The amount of drainage, duration of drainage catheter, incidence of seroma formation and wound infection were noted. RESULTS The mean total drainage volume was less in ED group as compared to CD group (195 ml vs. 353 ml; p = .002). Drainage catheter was removed earlier in ED group as compared to CD group (5.07 + / - 0.99 days vs. 6.65 + / - 1.07 days; p = 0.0001). The incidence of seroma and wound infection was similar in two groups. CONCLUSION Topical epinephrine with xylocaine after axillary lymph node dissection results in significantly decreased drainage volume and duration of drainage.
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Affiliation(s)
- Prerna Dehariya
- Department of Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh, 482003, India
| | - Namrata Agarwal
- Department of Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh, 482003, India
| | - Sanjay Kumar Yadav
- Department of Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh, 482003, India.
| | - Pawan Agarwal
- Department of Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh, 482003, India
| | - Dhananjaya Sharma
- Department of Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh, 482003, India
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Bharath S, Yadav SK, Sharma D, Jha CK, Mishra A, Mishra SK, Shekhar S. Total vs less than total thyroidectomy for benign multinodular non-toxic goiter: an updated systematic review and meta-analysis. Langenbecks Arch Surg 2023; 408:200. [PMID: 37204607 DOI: 10.1007/s00423-023-02941-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 05/14/2023] [Indexed: 05/20/2023] [Imported: 08/29/2023]
Abstract
BACKGROUND We have performed an updated meta-analysis of randomized controlled trials (RCT) comparing total thyroidectomy (TT) with less than total thyroidectomy (LTT) for benign multinodular non-toxic goiter (BMNG). OBJECTIVES The objective was to evaluate the effects and outcomes of TT as compared to LTT. METHODS Eligibility criteria: RCTs comparing TT vs LTT. INFORMATION SOURCES PubMed, Embase, Cochrane Library and online registers were searched for articles comparing TT with LTT. Risk of bias: Articles were assessed for risk of bias using the Cochrane's revised tool to assess risk of bias in randomized trials (RoB 2 tool). SYNTHESIS OF RESULTS The main summary measures were risk difference using a random effects model. RESULTS Five randomized controlled trials were included in the meta-analysis. Recurrence rate was lower for TT compared to LTT. Adverse events like temporary or permanent recurrent laryngeal nerve (RLN) palsy and permanent hypoparathyroidism were similar in both groups except for the rate of temporary hypoparathyroidism which was lower in the LTT group. DISCUSSION All studies had unclear risk of bias for blinding of the participants and personnel and high risk of bias for certain selective reporting. This meta-analysis did not show any clear benefit or harm of either procedure (TT vs LTT) for goiter recurrence and re-operation rates (for both recurrence and incidental thyroid cancer). However, re-operation for goiter recurrence was significantly higher in the LTT group based on a single RCT. Evidence suggests increased rates of temporary hypoparathyroidism with TT but there was no difference in the rate of RLN palsy and permanent hypoparathyroidism between the two methods. The overall quality of evidence was low to moderate.
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Affiliation(s)
- S Bharath
- Department of Surgery, NSCB Medical College, Jabalpur, India
| | - Sanjay Kumar Yadav
- Department of Surgery, NSCB Medical College, Jabalpur, India.
- Netaji Subhash Chandra Bose Medical College, Jabalpur, India.
| | | | | | - Anjali Mishra
- Department of Endocrine Surgery, SGPGIMS, Lucknow, India
| | - Saroj Kanta Mishra
- Gangwal School of Medical Science and Technology, Indian Institute of Technology, Kanpur, India
| | - Saket Shekhar
- Department of PSM and Biostatistics, Rama Medical College, Kanpur, India
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Jain A, Yadav SK, Silodia A, Khandare M. Gastric Gastro-intestinal Stromal Tumour Presenting as an Acute Perforation Peritonitis in a Young Male. Indian J Surg Oncol 2022; 13:905-906. [PMID: 36687256 PMCID: PMC9845469 DOI: 10.1007/s13193-022-01600-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Accepted: 07/19/2022] [Indexed: 01/25/2023] [Imported: 08/29/2023] Open
Affiliation(s)
- Ankur Jain
- Department of Surgery, NSCB Medical College, Jabalpur, India
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Verma A, Sharma DB, Yadav SK, Sharma D. Open-Label Three Arm Trial Comparing Ormeloxifene, Gamma Linolenic Acid With Methylcobalamine + Vitamin C and Placebo in Mastalgia. Eur J Breast Health 2022; 18:248-251. [DOI: 10.4274/ejbh.galenos.2022.2022-2-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 03/18/2022] [Indexed: 12/01/2022] [Imported: 08/29/2023]
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Chavda J, Mishra A, Silodia A, Yadav SK, Sharma DB, Sharma D, Khandare M. Validation sentinel lymph node biopsy study in cN0 axilla using low-cost dual dye technique: potential solution for resource poor settings. Breast Cancer Res Treat 2022; 193:105-110. [PMID: 35246773 DOI: 10.1007/s10549-022-06556-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Accepted: 02/22/2022] [Indexed: 01/26/2023] [Imported: 08/29/2023]
Abstract
BACKGROUND Sentinel lymph node biopsy (SLNB) using radio-pharmaceutical and a blue dye is gold standard for axillary staging in clinically node-negative breast cancer. High costs and limited availability of radio-pharmaceutical and/or gamma probe are major deterrents in performing SLNB in developing countries. In this study, we evaluated feasibility of SLN identification (SLN-IR) of fluorescein-guided (FG) SLNB in combination with methylene blue dye (MBD). METHODS This was a prospective cross-sectional non-randomized validation study in patients with clinically node-negative axilla. Patients underwent validation SLNB using fluorescein (and blue LED light) and MBD. Axillary dissection was performed irrespective of SLNB histology. SLIN-IR and False Negative Rate (FNR) were assessed for both groups. RESULTS The SLNs were identified in 29 (96.6%) pre-chemotherapy patients and 23 (82%) post Neoadjuvant Chemotherapy (NACT) patients. The median number of sentinel lymph nodes identified was 3 (range of 1-5) in pre-chemotherapy patients and 1 (range of 1-3) in post NACT patients. The SLN-IR using MBD was 90%, FD was 86.7% and combined MBD FD was 96.7% in pre-chemotherapy patients. The SLN-IR using MBD was 82%, FD was 71% and combined MBD FD was 82% in in post NACT patients. The false negative rate (FNR) in pre-chemotherapy group was 8.0% (MBD), 8.3% (FD) and 7.4% (MBD + FD). The FNR in post NACT group was 8.7% (MBD), 10% (FD) and 8.7% (MBD + FD). CONCLUSION This prospective validation study showed adequate SLN-IR and FNR using low-cost dual dyes in early breast cancer patients and can be used in low resource settings. However, SLNB in post NACT axilla though viable along with a satisfactory FNR, is associated with low identification rate and needs further evaluation.
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Affiliation(s)
- Jayesh Chavda
- Department of Surgery, Netaji Subhash Chandra Bose (NSCB) Medical College, Jabalpur, India
| | - Arpan Mishra
- Department of Surgery, Netaji Subhash Chandra Bose (NSCB) Medical College, Jabalpur, India
| | - Ashutosh Silodia
- Department of Surgery, Netaji Subhash Chandra Bose (NSCB) Medical College, Jabalpur, India
| | - Sanjay Kumar Yadav
- Department of Surgery, Netaji Subhash Chandra Bose (NSCB) Medical College, Jabalpur, India.
| | - Deepti Bala Sharma
- Department of Surgery, Netaji Subhash Chandra Bose (NSCB) Medical College, Jabalpur, India
| | - Dhananjaya Sharma
- Department of Surgery, Netaji Subhash Chandra Bose (NSCB) Medical College, Jabalpur, India
| | - Muktesh Khandare
- Department of Pathology, Netaji Subhash Chandra Bose (NSCB) Medical College, Jabalpur, India
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Yadav SK, Carpenter A, Rai R, Jha CK, Sharma D. Low-Cost Vacuum Assisted Core Needle Biopsy Technique for Breast Lumps. World J Surg 2022; 46:1445-1450. [PMID: 35166879 DOI: 10.1007/s00268-022-06475-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/22/2022] [Indexed: 11/25/2022] [Imported: 08/29/2023]
Abstract
BACKGROUND Core biopsy has replaced fine needle aspiration cytology in the assessment of breast lumps to diagnose malignancy and is now standard of care in developed countries. Unfortunately, cost of core biopsy system is a major limitation in low-and middle-income countries (LMICs). This prompted us to devise and appraise a low-cost technique of core biopsy using negative pressure. METHODS We devised and prospectively evaluated a simple model of core biopsy (vacuum assisted core needle biopsy-VACNB) using a 50 ml syringe, a 10 ml syringe and a 14G needle. RESULTS 57 consecutive women (median age 42.66 years) with breast lumps (median diameter 5.2 cm) underwent VACNB. The sensitivity for diagnosing malignancy was 92%, specificity was 100%, and diagnostic accuracy was 92.98%. The positive predictive value of this technique was 100%, and negative predictive value was 63.64%. The cost (~ 5.5 USD) of the system was significantly less than the cost of core biopsy needle (~ 41.00 USD) and vacuum assisted breast biopsy needle (~ 341.00 USD) in India. CONCLUSION Frugal innovations are needed to overcome cost constraints in LMICs. Our low-cost VACNB technique is easy to use and accurate.
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Affiliation(s)
| | | | - Roshni Rai
- Department of Surgery, NSCB Medical College, Jabalpur, India
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Yadav SK, Johri G, Jha CK, Jaiswal SK, Shekhar S, Kumar VV, Mishra SK. Pre-Operative Selective vs Non-Selective α-Blockade in Pheochromocytoma-Paraganglioma Patients Undergoing Surgery: A Meta-Analysis. Indian J Endocrinol Metab 2022; 26:4-12. [PMID: 35662758 PMCID: PMC9162260 DOI: 10.4103/ijem.ijem_469_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 02/02/2022] [Accepted: 02/06/2022] [Indexed: 11/04/2022] [Imported: 08/29/2023] Open
Abstract
The main objective of this systematic review and meta-analysis was to review, assess and report on the studies that have evaluated selective alpha blockade (SAB) vs. non-selective alpha blockade (NSAB) therapy in patients undergoing surgery for pheochromocytomas and paragangliomas (PPGL). We performed a systematic search of electronic databases. A meta-analysis was conducted to examine the effectiveness of the two blockades. RevMan 5.3 was used for the meta-analysis. Of the eight articles that met the inclusion criteria, there was only one randomized control trial. Meta-analysis showed that there was no significant difference between the groups SAB and NSAB with regard to intra-operative systolic blood pressure (SBP) >160 mm Hg (relative risk (RR) 0.95 [95% CI 0.57, 1.56] P = 0·83) and intra-operative vasopressor requirement (RR 1.10 [95% CI 0.96, 1.26] P = 0·16). Meta-analysis revealed that there was a significant difference between the groups (SAB vs NSAB) with respect to post-operative vasopressor requirement (RR 1.66 [95% CI 1.0, 2.74] P = 0·05). There was no significant difference between the groups with respect to post-operative complications (RR 0.84 [95% CI 0.58, 1.22] P = 0·36). In conclusion, as patients blocked selectively may have a higher incidence of vasodilator requirement intra-operatively, NSAB offers some haemodynamic advantage over SAB. However, NSAB's real clinical benefit cannot be ascertained with the current studies as this difference did not result in any significant advantage over SAB with regard to morbidity or mortality.
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Affiliation(s)
- Sanjay K. Yadav
- Department of Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh, India
| | - Goonj Johri
- Department of Breast Surgery, Wythenshawe Hospital and Nightingale Breast Centre, Manchester University Foundation Trust, United Kingdom
| | - Chandan K. Jha
- Department of Surgery, All India Institute of Medical Sciences, Patna, Bihar, India
| | | | - Saket Shekhar
- Department of Biostatistics, All India Institute of Medical Sciences, Patna, Bihar, India
| | - Vivek V. Kumar
- Department of Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh, India
| | - Saroj K. Mishra
- Department of Endocrine Surgery, SGPGIMS, Lucknow, Uttar Pradesh, India
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Yadav SK, Luwaga RK, Hambardzumyan V, Yadav N, Jaiswal SK. Cancer Care in the Era of COVID-19: Changing Rules of Engagement of Social Media Applications to Support Cancer Patients in LMICs. Indian J Surg Oncol 2021; 12:117-118. [PMID: 32982107 PMCID: PMC7508631 DOI: 10.1007/s13193-020-01238-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 09/17/2020] [Indexed: 12/14/2022] [Imported: 08/29/2023] Open
Affiliation(s)
- Sanjay Kumar Yadav
- grid.413233.40000 0004 1767 2057Department of Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, India
| | - Ronald Kintu Luwaga
- grid.416252.60000 0000 9634 2734Mulago National Referral Hospital, Kampala, Uganda
| | | | - Nishtha Yadav
- grid.413233.40000 0004 1767 2057Department of Radiology, NSCB Medical College, Jabalpur, India
| | - Sanjeet Kumar Jaiswal
- grid.414807.e0000 0004 1766 8840Department of Endocrinology, KEM Hospital, Mumbai, India
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Agrawal V, Yadav SK, Agarwal P, Sharma D. Strategies for Optimizing the Use of PPE During Surgery in COVID-19 Pandemic: Rapid Scoping Review of Guidelines. Indian J Surg 2021; 83:17-27. [PMID: 33424182 PMCID: PMC7785932 DOI: 10.1007/s12262-020-02713-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Accepted: 12/30/2020] [Indexed: 12/30/2022] [Imported: 08/29/2023] Open
Abstract
Personal protective equipment (PPE) plays a fundamental role in the prevention of spread to Health Care Professionals (HCP) ; especially in a surgical setting. This scoping review of surgery guidelines was performed to appraise the quality of appropriate PPE recommendations and propose a strategy to optimize the PPE usage. This rapid scoping review of guidelines on surgery during COVID-19 was conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews protocol. Important databases were searched from January 1, 2020 to July 31, 2020, for relevant studies produced by a national/international academic association/organization, in English literature, using relevant keywords. Quality of evidence was graded according to GRADE guidelines. The searches yielded a total of 1725 studies, out of these 41 guidelines on surgery during COVID-19 matching with pre-defined criteria were evaluated. The level of evidence was uniformly rated "low," as assessed by GRADE guidelines and recommendations provided by them were mostly non-specific covering a narrow range of items. The crucial issue of optimization of PPE was not addressed at all. Economic implications demand optimization of PPE and conservation of resources. A simple decision-making algorithm addressing all the limitations of guidelines can be constructed, which allows HCPs to safeguard themselves and at the same time optimize/ conserving resources.
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Affiliation(s)
- Vikesh Agrawal
- Pediatric Surgery Division, Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Nagpur Road, Jabalpur, 482002 India
| | - Sanjay Kumar Yadav
- Pediatric Surgery Division, Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Nagpur Road, Jabalpur, 482002 India
| | - Pawan Agarwal
- Pediatric Surgery Division, Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Nagpur Road, Jabalpur, 482002 India
| | - Dhananjaya Sharma
- Pediatric Surgery Division, Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Nagpur Road, Jabalpur, 482002 India
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Yadav SK, Yadav N. Continuity of cancer care in the era of COVID-19 pandemic: Role of social media in low- and middle-income countries. World J Clin Cases 2021; 9:291-295. [PMID: 33521097 PMCID: PMC7812886 DOI: 10.12998/wjcc.v9.i2.291] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Revised: 11/22/2020] [Accepted: 12/06/2020] [Indexed: 02/06/2023] [Imported: 08/29/2023] Open
Abstract
A novel coronavirus (severe acute respiratory syndrome coronavirus 2) first detected in Wuhan, China, has spread rapidly since December 2019, causing more than 1.4 million confirmed infections and 15000 fatalities (as of April 9, 2020). The outbreak was declared a pandemic by the World Health Organization on March 11, 2020. Isolation, quarantine, social distancing, and community containment measures were rapidly implemented in China, which helped in containing the disease. However, other low- and middle-income countries lack such extensive infrastructural capacities and resources. Cancer patients are particularly at high risk of infection and mortality due to immunosuppression. Hence self-quarantine is recommended for them. Additionally, it is becoming impossible to maintain the continuity of care when cancer patients have to avoid physical visits. Social media applications, e.g., Facebook and WhatsApp, can provide educational group program and psychosocial support to these patients while maintain social distancing. We have analyzed their use in this review article and how it could change the follow-up of cancer patients during this pandemic.
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Affiliation(s)
- Sanjay Kumar Yadav
- Department of Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur 482003, Madhya Pradesh, India
| | - Nishtha Yadav
- Department of Radiology, Super-specialty Hospital, Netaji Subhash Chandra Bose Medical College, Jabalpur 482003, Madhya Pradesh, India
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Agrawal V, Yadav SK, Agarwal P, Sharma D. "GRASP" Module of Self-assessment with Virtual Mentoring for Uninterrupted Surgical Training During COVID-19 Pandemic. Indian J Surg 2020; 82:1334-1335. [PMID: 33041564 PMCID: PMC7532927 DOI: 10.1007/s12262-020-02613-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 09/29/2020] [Indexed: 11/26/2022] [Imported: 08/29/2023] Open
Abstract
Disruption in surgical training during the COVID-19 pandemic has prompted many innovative "virtual" modules to address the loss of learning exposure during these difficult times. We suggest "GRASP" (Gain, Recognize, Analyze, Simulate, and Perform) module of self-assessment with virtual mentoring for uninterrupted surgical training. This idea merges the advantages of self-assessment and mentoring for the benefit of surgical trainees. Its embedded continuous close individualized mentoring can change the surgical training culture by initiating an assessment of surgical learning and skills right from the beginning of surgical training.
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Affiliation(s)
- Vikesh Agrawal
- Pediatric Surgery Division, Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Nagpur Road, Jabalpur, MP 482003 India
| | - Sanjay Kumar Yadav
- Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, MP 482003 India
| | - Pawan Agarwal
- Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, MP 482003 India
| | - Dhananjaya Sharma
- Department of Surgery, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, MP 482003 India
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Chandra G, Shekhar A, Kumar RR, Yadav SK. Comment on article entitled "The RIPASA score is sensitive and specific for the diagnosis of acute appendicitis in a western population". Int J Colorectal Dis 2017; 32:761. [PMID: 28130591 DOI: 10.1007/s00384-017-2764-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/12/2017] [Indexed: 02/04/2023] [Imported: 08/29/2023]
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Jha CK, Bichoo RA, Johri G, Yadav SK. Letter to editor in response to article entitled "The clinical implication of the number of lymph nodes harvested during sentinel lymph node biopsy and its effects on survival outcome in patients with node-negative breast cancer". Am J Surg 2017; 214:162. [PMID: 28069107 DOI: 10.1016/j.amjsurg.2016.12.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2016] [Accepted: 12/26/2016] [Indexed: 11/26/2022] [Imported: 08/29/2023]
Affiliation(s)
- Chandan Kumar Jha
- Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, India
| | - Raouef Ahmed Bichoo
- Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, India
| | - Goonj Johri
- Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, India
| | - Sanjay Kumar Yadav
- Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, India.
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Yadav SK, Yadav J, Anand A, Kumar RR. Ileal non-Hodgkin's lymphoma presenting as perforation. Int J Colorectal Dis 2015; 30:1741. [PMID: 25682071 DOI: 10.1007/s00384-015-2151-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/01/2015] [Indexed: 02/04/2023] [Imported: 08/29/2023]
Affiliation(s)
- Sanjay Kumar Yadav
- Department of General Surgery, Rajendra Institute of Medical Sciences, Hostel No. 03, Room No. 50, Rims, Ranchi, Jahrkhand, 834009, India.
| | - Jitin Yadav
- Department of General Surgery, Rajendra Institute of Medical Sciences, Hostel No. 03, Room No. 50, Rims, Ranchi, Jahrkhand, 834009, India
| | - Abhinav Anand
- Department of General Surgery, Rajendra Institute of Medical Sciences, Hostel No. 03, Room No. 50, Rims, Ranchi, Jahrkhand, 834009, India
| | - Rajeev Ranjan Kumar
- Department of General Surgery, Rajendra Institute of Medical Sciences, Hostel No. 03, Room No. 50, Rims, Ranchi, Jahrkhand, 834009, India
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Gaurav K, Chandra G, Neelam K, Kumar S, Singla H, Yadav SK. A pre-pubertal girl with giant juvenile fibroadenoma: A rare case report. Int J Surg Case Rep 2015; 16:87-9. [PMID: 26433926 PMCID: PMC4643459 DOI: 10.1016/j.ijscr.2015.09.026] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Revised: 09/20/2015] [Accepted: 09/21/2015] [Indexed: 10/25/2022] [Imported: 08/29/2023] Open
Abstract
INTRODUCTION Fibroadenomas are benign neoplasms usually arising between the ages of 15-25 years. Approximately 0.4% fibroadenomas arise in juvenile age group. Usually the diagnosis is straightforward by clinical examination and FNAC. But sometimes rapid growth and giant size may pose difficulty in clinical approach. CASE PRESENTATION In this paper we are presenting a rare case of giant juvenile fibroadenoma in a 10 years old girl which was diagnosed by FNAC and treated by excision. Diagnosis was confirmed by histopathology. DISCUSSION Giant juvenile fibroadenomas are over 5cm in diameter and tend to show rapid growth mimicking a carcinoma. But histological features are similar to smaller fibroadenomas and can be enucleated. CONCLUSION Through this case we want to emphasize that these giant benign neoplasms should be suspected in any pre-pubertal girl with breast lump and should always be treated with breast conserving surgery.
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Affiliation(s)
| | | | - Kumari Neelam
- Dept. of Surgery, Rajendra Institute of Medical Sciences Ranchi, Jharkhand 834009, India
| | | | | | - Sanjay Kumar Yadav
- Dept. of Surgery, Rajendra Institute of Medical Sciences Ranchi, Jharkhand 834009, India.
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Yadav J, Yadav SK, Gaurav K, Ahmed A, Reddy KA, Prakash O. Primary signet ring cell carcinoma of rectum: a rare entity with unusual presentation. Int J Colorectal Dis 2015; 30:709-10. [PMID: 25319935 DOI: 10.1007/s00384-014-2034-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/09/2014] [Indexed: 02/04/2023] [Imported: 08/29/2023]
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Yadav J, Yadav SK, Kumar S, Baxla RG, Sinha DK, Bodra P, Besra RC, Baski BM, Prakash O, Anand A. Predicting morbidity and mortality in acute pancreatitis in an Indian population: a comparative study of the BISAP score, Ranson's score and CT severity index. Gastroenterol Rep (Oxf) 2015; 4:216-20. [PMID: 25733696 PMCID: PMC4976677 DOI: 10.1093/gastro/gov009] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2014] [Accepted: 02/03/2015] [Indexed: 12/20/2022] [Imported: 08/29/2023] Open
Abstract
OBJECTIVE Our aim was to prospectively evaluate the accuracy of the bedside index for severity in acute pancreatitis (BISAP) score in predicting mortality, as well as intermediate markers of severity, in a tertiary care centre in east central India, which caters mostly for an economically underprivileged population. METHODS A total of 119 consecutive cases with acute pancreatitis were admitted to our institution between November 2012 and October 2014. BISAP scores were calculated for all cases, within 24 hours of presentation. Ranson's score and computed tomography severity index (CTSI) were also established. The respective abilities of the three scoring systems to predict mortality was evaluated using trend and discrimination analysis. The optimal cut-off score for mortality from the receiver operating characteristics (ROC) curve was used to evaluate the development of persistent organ failure and pancreatic necrosis (PNec). RESULTS Of the 119 cases, 42 (35.2%) developed organ failure and were classified as severe acute pancreatitis (SAP), 47 (39.5%) developed PNec, and 12 (10.1%) died. The area under the curve (AUC) results for BISAP score in predicting SAP, PNec, and mortality were 0.962, 0.934 and 0.846, respectively. Ranson's score showed a slightly lower accuracy for predicting SAP (AUC 0.956) and mortality (AUC 0.841). CTSI was the most accurate in predicting PNec, with an AUC of 0.958. The sensitivity and specificity of BISAP score, with a cut-off of ≥3 in predicting mortality, were 100% and 69.2%, respectively. CONCLUSIONS The BISAP score represents a simple way of identifying, within 24 hours of presentation, patients at greater risk of dying and the development of intermediate markers of severity. This risk stratification method can be utilized to improve clinical care and facilitate enrolment in clinical trials.
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Affiliation(s)
- Jitin Yadav
- Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Sanjay Kumar Yadav
- Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Satish Kumar
- Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Ranjan George Baxla
- Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Dipendra Kumar Sinha
- Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Pankaj Bodra
- Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Ram Chandra Besra
- Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Babu Mani Baski
- Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Om Prakash
- Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Abhinav Anand
- Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
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Yadav SK, Sinha DK, Ahmed A, Azhar T, Sinha M. Primary Intra-Abdominal Rhabdomyosarcoma in an Adult: an Unusual Presentation and Review of Literature. Indian J Surg Oncol 2015; 6:119-22. [PMID: 26405418 DOI: 10.1007/s13193-015-0376-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2014] [Accepted: 01/06/2015] [Indexed: 10/24/2022] [Imported: 08/29/2023] Open
Abstract
Rhabdomyosarcomas, the commonest soft tissue sarcoma in paediatric age group, represent 5-10 % of all solid tumors in childhood. These tumors are rare in adult population. There are sporadic case reports of intra-abdominal rhabdomyosarcoma, but mostly in paediatric age group. Here we are reporting an unsual case of intra abdominal rhabdomyosarcoma in an elderly which presented with acute intestinal obstruction. CECT abdomen showed a solid mass in retroperitoneum compressing adjacent bowel loops. Upon emergency exploratory laparotomy a hard mass was found to be compressing the ascending colon and infiltrating into duodenum, pancreas and liver. No specific organ of origin could be identified. Biopsy was taken, as the mass was unresectable and ileostomy was done. Histopthological examination revealed embryonal rhabdomyosarcoma. Rarity of this disease and unusual presentation prompted us to report this case.
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Affiliation(s)
- Sanjay Kumar Yadav
- Department of General Surgery, Rims, Ranchi, Jharkhand India 834009 ; Hostel No. 03, Room No. 50 Rims, Ranchi, Jharkhand India 834009
| | | | | | - T Azhar
- Rims, Ranchi, Jharkhand India 834009
| | - Mini Sinha
- Department of General Surgery, Rims, Ranchi, Jharkhand India 834009
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Sartelli M, Abu-Zidan FM, Catena F, Griffiths EA, Di Saverio S, Coimbra R, Ordoñez CA, Leppaniemi A, Fraga GP, Coccolini F, Agresta F, Abbas A, Abdel Kader S, Agboola J, Amhed A, Ajibade A, Akkucuk S, Alharthi B, Anyfantakis D, Augustin G, Baiocchi G, Bala M, Baraket O, Bayrak S, Bellanova G, Beltràn MA, Bini R, Boal M, Borodach AV, Bouliaris K, Branger F, Brunelli D, Catani M, Che Jusoh A, Chichom-Mefire A, Cocorullo G, Colak E, Costa D, Costa S, Cui Y, Curca GL, Curry T, Das K, Delibegovic S, Demetrashvili Z, Di Carlo I, Drozdova N, El Zalabany T, Enani MA, Faro M, Gachabayov M, Giménez Maurel T, Gkiokas G, Gomes CA, Gonsaga RAT, Guercioni G, Guner A, Gupta S, Gutierrez S, Hutan M, Ioannidis O, Isik A, Izawa Y, Jain SA, Jokubauskas M, Karamarkovic A, Kauhanen S, Kaushik R, Kenig J, Khokha V, Kim JI, Kong V, Koshy R, Krasniqi A, Kshirsagar A, Kuliesius Z, Lasithiotakis K, Leão P, Lee JG, Leon M, Lizarazu Pérez A, Lohsiriwat V, López-Tomassetti Fernandez E, Lostoridis E, Mn R, Major P, Marinis A, Marrelli D, Martinez-Perez A, Marwah S, McFarlane M, Melo RB, Mesina C, Michalopoulos N, Moldovanu R, Mouaqit O, Munyika A, Negoi I, Nikolopoulos I, Nita GE, Olaoye I, Omari A, Ossa PR, Ozkan Z, Padmakumar R, Pata F, Pereira Junior GA, Pereira J, Pintar T, Pouggouras K, Prabhu V, Rausei S, Rems M, Rios-Cruz D, Sakakushev B, Sánchez de Molina ML, Seretis C, Shelat V, Simões RL, Sinibaldi G, Skrovina M, Smirnov D, Spyropoulos C, Tepp J, Tezcaner T, Tolonen M, Torba M, Ulrych J, Uzunoglu MY, van Dellen D, van Ramshorst GH, Vasquez G, Venara A, Vereczkei A, Vettoretto N, Vlad N, Yadav SK, Yilmaz TU, Yuan KC, Zachariah SK, Zida M, Zilinskas J, Ansaloni L. Global validation of the WSES Sepsis Severity Score for patients with complicated intra-abdominal infections: a prospective multicentre study (WISS Study). World J Emerg Surg 2015; 10:61. [PMID: 26677396 PMCID: PMC4681030 DOI: 10.1186/s13017-015-0055-0] [Citation(s) in RCA: 92] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Accepted: 12/10/2015] [Indexed: 02/07/2023] [Imported: 08/29/2023] Open
Abstract
BACKGROUND To validate a new practical Sepsis Severity Score for patients with complicated intra-abdominal infections (cIAIs) including the clinical conditions at the admission (severe sepsis/septic shock), the origin of the cIAIs, the delay in source control, the setting of acquisition and any risk factors such as age and immunosuppression. METHODS The WISS study (WSES cIAIs Score Study) is a multicenter observational study underwent in 132 medical institutions worldwide during a four-month study period (October 2014-February 2015). Four thousand five hundred thirty-three patients with a mean age of 51.2 years (range 18-99) were enrolled in the WISS study. RESULTS Univariate analysis has shown that all factors that were previously included in the WSES Sepsis Severity Score were highly statistically significant between those who died and those who survived (p < 0.0001). The multivariate logistic regression model was highly significant (p < 0.0001, R2 = 0.54) and showed that all these factors were independent in predicting mortality of sepsis. Receiver Operator Curve has shown that the WSES Severity Sepsis Score had an excellent prediction for mortality. A score above 5.5 was the best predictor of mortality having a sensitivity of 89.2 %, a specificity of 83.5 % and a positive likelihood ratio of 5.4. CONCLUSIONS WSES Sepsis Severity Score for patients with complicated Intra-abdominal infections can be used on global level. It has shown high sensitivity, specificity, and likelihood ratio that may help us in making clinical decisions.
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Affiliation(s)
| | - Fikri M. Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates
| | - Fausto Catena
- Department of Emergency Surgery, Maggiore Hospital, Parma, Italy
| | - Ewen A. Griffiths
- General and Upper GI Surgery, Queen Elizabeth Hospital, Birmingham, UK
| | | | - Raul Coimbra
- Department of Surgery, UC San Diego Medical Center, San Diego, USA
| | | | - Ari Leppaniemi
- Abdominal Center, University Hospital Meilahti, Helsinki, Finland
| | - Gustavo P. Fraga
- Division of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinas, Campinas, Brazil
| | - Federico Coccolini
- General and Emergency Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy
| | | | - Asrhaf Abbas
- Department of Surgery, Mansoura University Hospital, Mansoura, Egypt
| | - Saleh Abdel Kader
- Department of General Surgery, Al Ain Hospital, Al-Ain City, United Arab Emirates
| | - John Agboola
- Department of Surgery, Kwara State General Hospital, Ilorin, Nigeria
| | - Adamu Amhed
- Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Kaduna, Nigeria
| | - Adesina Ajibade
- Department of Surgery, LAUTECH Teaching Hospital, Osogbo, Nigeria
| | - Seckin Akkucuk
- Department of General Surgery, Training and Research Hospital of Mustafa Kemal University, Hatay, Turkey
| | - Bandar Alharthi
- Depatment of Surgery, King Fahad Medical City, Riyadh, Saudi Arabia
| | | | - Goran Augustin
- Department of Surgery, University Hospital Center, Zagreb, Croatia
| | - Gianluca Baiocchi
- Clinical and Experimental Surgery, Brescia Civil Hospital, Brescia, Italy
| | - Miklosh Bala
- Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel
| | | | - Savas Bayrak
- Department of General Surgery, Istanbul Training and Research Hospital, Istanbul, Turkey
| | | | - Marcelo A. Beltràn
- Department of General Surgery, Hospital San Juan de Dios de La Serena, La Serena, Chile
| | - Roberto Bini
- Department of General and Emergency Surgery, SG Bosco Hospital, Turin, Italy
| | - Matthew Boal
- General and Upper GI Surgery, Queen Elizabeth Hospital, Birmingham, UK
| | - Andrey V. Borodach
- Emergency Surgery Department, 1st Municipal Hospital, Novosibirsk State Medical University, Novosibirsk, Russian Federation
| | | | | | - Daniele Brunelli
- Chirurgia Generale, Ospedale di Città di Castello, Città di Castello, Italy
| | - Marco Catani
- Department of Emergency Surgery, Umberto I Hospital, “La Sapienza” University, Rome, Italy
| | - Asri Che Jusoh
- Department of Surgery, Kuala Krai Hospital, Kelantan, Malaysia
| | | | | | - Elif Colak
- Department of General Surgery, Samsun Education and Research Hospital, Samsun, Turkey
| | - David Costa
- Department of General and Digestive Tract Surgery, Alicante University General Hospital, Alicante, Spain
| | - Silvia Costa
- Department of Surgery, CHVNG/E, EPE, Vila Nova de Gaia, Portugal
| | - Yunfeng Cui
- Department of Surgery, Tianjin Nankai Hospital, Tianjin, China
| | - Geanina Loredana Curca
- Department of General Surgery, Emergency Municipal Hospital Pascani, Pascani, Iasi Romania
| | - Terry Curry
- Department of Surgery, UC San Diego Medical Center, San Diego, USA
| | - Koray Das
- Department of Surgery, Numune Training and Research Hospital, Adana, Turkey
| | - Samir Delibegovic
- Department of Surgery, University Clinical Center, Tuzla, Bosnia and Herzegovina
| | - Zaza Demetrashvili
- Department General Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia
| | | | - Nadezda Drozdova
- Department of Surgery, Riga East Clinical University Hospital, Riga, Latvia
| | - Tamer El Zalabany
- Department of Surgery, Bahrain Defence Force Hospital, Manama, Bahrain
| | | | - Mario Faro
- Division of General and Emergency Surgery, Hospital Estadual Mario Covas, ABC School of Medicine, Santo André, Brazil
| | - Mahir Gachabayov
- Department of Surgery 1, Vladimir City Clinical Hospital of Emergency Medicine, Vladimir, Russian Federation
| | | | - Georgios Gkiokas
- 2nd Department of Surgery, Aretaieio University Hospital, Athens, Greece
| | - Carlos Augusto Gomes
- Department of Surgery, Hospital Universitário Terezinha de Jesus, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, Juiz de Fora, Brazil
| | | | | | - Ali Guner
- Department of General Surgery, Trabzon Kanuni Training and Research Hospital, Trabzon, Turkey
| | - Sanjay Gupta
- Department of Surgery, Government Medical College and Hospital, Chandigarh, India
| | - Sandra Gutierrez
- Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia
| | - Martin Hutan
- 2nd Surgical Department of Medical Faculty Comenius University, University Hospital Bratislava, Bratislava, Slovakia
| | | | - Arda Isik
- Department of Surgery, Mengucek Gazi Training Research Hospital, Erzincan, Turkey
| | - Yoshimitsu Izawa
- Department of Emergency and Critical Care Medicine, Jichi Medical University, Shimotsuke, Japan
| | | | - Mantas Jokubauskas
- Department of Surgery, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania
| | | | - Saila Kauhanen
- Division Digestive Surgery and Urology, Turku University Hospital, Turku, Finland
| | - Robin Kaushik
- Department of Surgery, Government Medical College and Hospital, Chandigarh, India
| | - Jakub Kenig
- 3rd Department of General Surgery, Jagiellonian Univeristy Collegium Medium, Kraków, Poland
| | - Vladimir Khokha
- Department of Emergency Surgery, City Hospital, Mozyr, Belarus
| | - Jae Il Kim
- Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea
| | - Victor Kong
- Department of Surgery, Edendale Hospital, Pietermaritzburg, South Africa
| | - Renol Koshy
- Department of Surgery, Hamad General Hospital, Doha, Qatar
| | - Avidyl Krasniqi
- Department of Surgery, University Clinical Center of Kosovo, Pristina, Kosovo
| | | | - Zygimantas Kuliesius
- Department of General Surgery, Republican Vilnius University Hospital, Vilnius, Lithuania
| | | | - Pedro Leão
- General Surgery/Coloretal Unit, Braga Hospital, Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal
| | - Jae Gil Lee
- Department of Surgery, Yonsei University College of Medicine, Seoul, South Korea
| | - Miguel Leon
- Department of Surgery, Hospital La Paz, Madrid, Spain
| | | | - Varut Lohsiriwat
- Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | | | | | - Raghuveer Mn
- Department of General Surgery, Mysore Medical College and Research Institute, Government Medical College Hospital Mysore, Mysore, India
| | - Piotr Major
- 2nd Department of Surgery, Jagiellonian University Medical College, Krakow, Poland
| | | | - Daniele Marrelli
- Department of General Surgery and Surgical Oncology, Le Scotte Hospital, Siena, Italy
| | | | - Sanjay Marwah
- Department of Surgery, Post-Graduate Institute of Medical Sciences, Rohtak, India
| | - Michael McFarlane
- Department of Surgery, Radiology, University Hospital of the West Indies, Kingston, Jamaica
| | - Renato Bessa Melo
- General Surgery Department, Centro Hospitalar de São João, Porto, Portugal
| | - Cristian Mesina
- Second Surgical Clinic, Emergency Hospital of Craiova, Craiova, Romania
| | - Nick Michalopoulos
- 3rd Department of Surgery, Haepa University Hospital, Thessaloniki, Greece
| | | | - Ouadii Mouaqit
- Surgery Department, University Hospital Hassan II, Fez, Morocco
| | - Akutu Munyika
- Department of Surgery, Onandjokwe Hospital, Ondangwa, Namibia
| | - Ionut Negoi
- Department of Surgery, Emergency Hospital of Bucharest, Bucharest, Romania
| | | | | | - Iyiade Olaoye
- Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria
| | - Abdelkarim Omari
- Department of Surgery, King Abdalla University Hospital, Irbid, Jordan
| | | | - Zeynep Ozkan
- Department of Surgery, Elazig Training and Research Hospital, Elazig, Turkey
| | | | - Francesco Pata
- Department of Surgery, Sant’Antonio Abate Hospital, Gallarate, Italy
| | | | - Jorge Pereira
- Surgery 1 Unit, Centro Hospitalar Tondela Viseu, Viseu, Portugal
| | - Tadeja Pintar
- Department of Surgery, UMC Ljubljana, Ljubljana, Slovenia
| | | | - Vinod Prabhu
- Department of Surgery, Bharati Medical College and Hospital, Sangli, India
| | - Stefano Rausei
- Department of Surgery, Insubria University Hospital, Varese, Italy
| | - Miran Rems
- Abdominal and General Surgery Department, General Hospital Jesenice, Jesenice, Slovenia
| | - Daniel Rios-Cruz
- Department of Surgery, Hospital de Alta Especialidad de Veracruz, Veracruz, Mexico
| | - Boris Sakakushev
- General Surgery Department, Medical University, University Hospital St George, Plovdiv, Bulgaria
| | | | - Charampolos Seretis
- Department of Surgery, Good Hope Hospital, Heart of England NHS Foundation Trust, Birmingham, UK
| | - Vishal Shelat
- Department of General Surgery, Tan Tock Seng Hospital, Novena, Singapore
| | - Romeo Lages Simões
- Division of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinas, Campinas, Brazil
| | - Giovanni Sinibaldi
- Departement of Surgery, Fatabenefratelli Isola Tiberina Hspital, Rome, Italy
| | - Matej Skrovina
- Department of Surgery, Hospital and Comprehensive Cancer Centre Novy Jicin, Novy Jicin, Czech Republic
| | - Dmitry Smirnov
- Department of General Surgery, Clinical Hospital at Chelyabinsk Station of OJSC “Russian Railroads”, Chelyabinsk, Russian Federation
| | | | - Jaan Tepp
- Department of Surgery, North Estonia Medical Center, Tallin, Estonia
| | - Tugan Tezcaner
- Department of Surgery, Baskent University Ankara Hospital, Ankara, Turkey
| | - Matti Tolonen
- Abdominal Center, University Hospital Meilahti, Helsinki, Finland
| | - Myftar Torba
- General Surgery Service, Trauma University Hospital, Tirana, Albania
| | - Jan Ulrych
- 1st Department of Surgery - Department of Abdominal, Thoracic Surgery and Traumatology, General University Hospital, Prague, Czech Republic
| | | | - David van Dellen
- Department of Renal and Pancreas Transplantation, Manchester Royal Infirmary, Manchester, UK
| | | | - Giorgio Vasquez
- Emergency Surgery, Arcispedale S.Anna Azienda Ospedaliero-Universitaria di Ferrara, Ferrara, Italy
| | | | - Andras Vereczkei
- Department of Surgery, Medical School University Pecs, Pecs, Hungary
| | - Nereo Vettoretto
- Department of Surgery, Montichiari Hospital, Ospedali Civili Brescia, Brescia, Italy
| | - Nutu Vlad
- 1st Surgical Clinic, St. Spiridon Hospital, Iasi, Romania
| | - Sanjay Kumar Yadav
- Department of Surgery, Rajendra Institute of Medical Sciences, Ranchi, India
| | - Tonguç Utku Yilmaz
- Department of Surgery, Kocaeli University Training and Research Hospital, Kocaeli, Turkey
| | - Kuo-Ching Yuan
- Trauma and Emergency Surgery Department, Chang Gung Memorial Hospital, Taoyuan City, Taiwan
| | | | - Maurice Zida
- General and Digestive Surgery Department, Teaching Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso
| | - Justas Zilinskas
- Department of Surgery, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Luca Ansaloni
- General and Emergency Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy
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Jha NK, Yadav SK, Sharma R, Sinha DK, Kumar S, Kerketta MD, Sinha M, Anand A, Gandhi A, Ranjan SK, Yadav J. Characteristics of Hollow Viscus Injury following Blunt Abdominal Trauma; a Single Centre Experience from Eastern India. Bull Emerg Trauma 2014; 2:156-160. [PMID: 27162889 PMCID: PMC4771291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2014] [Revised: 09/24/2014] [Accepted: 09/28/2014] [Indexed: 06/05/2023] [Imported: 08/29/2023] Open
Abstract
OBJECTIVE To determine the presentation, anatomical distribution, diagnostic method, management and outcome of hollow viscus injury (HVI) from blunt abdominal trauma. METHODS This was a retrospective cross-ecnal study including patients with blunt abdominal trauma leading to HVI admitted at Rajendra Institute of Medical Sciences, Ranchi, over a period of 4.5 years (January 2009 to July 2014). Data were retrieved from patients' medical records. Total 173 patients with HVI due to blunt abdominal trauma, who underwent laparotomy at our institute, were reviewed. Data regarding clinical presentation, anatomical distribution, management and outcome were recorded and analysed. RESULTS Out of 173 patients 87.1% were men and 12.9% were women. Mean age of patients was 29±14.02 years. The most common site of injury was ileum (46.2%) followed by jejunum (44.5%). There were 5 gastric perforations (2.9%), 2 (1.15%) duodenal, 2 (1.15%) colonic, 2 (1.15%) sigmoidal and 2 (1.15%) rectal injuries. One caecal injury was also recorded. Road traffic accident was the most common mechanism of injury (57.2%) followed by fall from height (36.4%) and assault (6.4%). Free gas under diaphragm on erect abdomen radiography was seen in 85.5% of cases while preoperative CT Abdomen was done in 11.6% of cases. Treatment consisted of simple closure of the perforation (66.5%), resection and anastomosis (11.0%) and stoma (22.5%). Major complication was anastamotic leak which was recorded in 6.4% cases and 15.6% patients developed burst abdomen. Average hospital stay was 13±6 days. Overall mortality rate was 12.7%. CONCLUSION Although early recognition of intestinal injuries from blunt abdominal trauma may be difficult in all cases, it is very important due to its tremendous life threatening potential. Age of the patient, anatomical site and time of presentation are probably main prognostic factors.
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Affiliation(s)
| | | | | | | | - Sandip Kumar
- Department of Surgery, Rims, Ranchi, 834009, Jharkhand, India
| | | | - Mini Sinha
- Department of Surgery, Rims, Ranchi, 834009, Jharkhand, India
| | - Abhinav Anand
- Department of Surgery, Rims, Ranchi, 834009, Jharkhand, India
| | - Anjana Gandhi
- Department of Surgery, Rims, Ranchi, 834009, Jharkhand, India
| | | | - Jitin Yadav
- Department of Surgery, Rims, Ranchi, 834009, Jharkhand, India
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22
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Jha NK, Sinha DK, Anand A, Rai MK, Gandhi A, Yadav J, Yadav SK. Mucinous cystadenoma of the appendix with enterocutaneous fistula: a therapeutic dilemma. Gastroenterol Rep (Oxf) 2014; 3:86-9. [PMID: 25100799 PMCID: PMC4324863 DOI: 10.1093/gastro/gou052] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] [Imported: 08/29/2023] Open
Abstract
Mucinous cystadenoma of appendix is a rare clinical entity with very few reported cases in the literature. Consensus on optimal surgical management has not been reached. We report the case of a 65-year-old female patient who presented with fistula over the right iliac fossa. Computed tomography (CT) of the abdomen suggested abscess of the parietal wall. Upon exploration, a mass was found to be arising from the tip of the retroperitoneal appendix and the retroperitoneum was studded with mucoid material. Appendectomy was carried out and final histopathology revealed mucinous cystadenoma with no evidence of malignancy. The patient was discharged uneventfully. The unusual presentation of this disease, as retroperitoneal psuedomyxoma without any intraperitoneal pathology, prompted us to report this case.
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Affiliation(s)
- Nawal K Jha
- General Surgery, Rajendra Institute of Medical Sciences, Ranchi, India
| | - Dipendra K Sinha
- General Surgery, Rajendra Institute of Medical Sciences, Ranchi, India
| | - Abhinav Anand
- General Surgery, Rajendra Institute of Medical Sciences, Ranchi, India
| | - Mrigendra K Rai
- General Surgery, Rajendra Institute of Medical Sciences, Ranchi, India
| | - Anjana Gandhi
- General Surgery, Rajendra Institute of Medical Sciences, Ranchi, India
| | - Jitin Yadav
- General Surgery, Rajendra Institute of Medical Sciences, Ranchi, India
| | - Sanjay K Yadav
- General Surgery, Rajendra Institute of Medical Sciences, Ranchi, India
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Sinha DK, Jha NK, Yadav SK, Yadav J, Sinha R. Ewing's Sarcoma of Mandible: A Very Rare Disease and Review of Indian Literature. Indian J Surg Oncol 2014; 5:81-4. [PMID: 24669171 DOI: 10.1007/s13193-014-0293-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2013] [Accepted: 01/21/2014] [Indexed: 10/25/2022] [Imported: 08/29/2023] Open
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