Krishna Kumar Govindarajan

15 Questions 113 Answers 0 Followers

Questions related from Krishna Kumar Govindarajan

How is the needle driver held during suturing ?

1. Fig 1 : 2 fingers (thumb & ring finger) into the needle driver's rings 2. Fig 2 : no fingers within and the needle driver held in the palm 3. combination of both, one finger in the ring...

28 September 2020 1,958 2 View

What are the likely causative factors of Aphthous ulcer? How can it be treated?

Is it linked to the toothpaste with lauryl sulfate? What about the role of Zinc & Vitamin deficiencies ?

08 May 2020 9,936 3 View

What is the role of antibiotic prophylaxis during or after chemotherapy administration in children ?

White cell counts drop after chemotherapy

04 April 2020 8,255 3 View

After Pyeloplasty, is there an actual increase in function, as demonstrated by Nuclear Scintigraphy?

Renal function is based on the fixed number of nephrons, which may not be newly formed

04 April 2020 6,085 3 View

In Infantile retroperitoneal Immature Teratoma (gr III), does chemotherapy play a definitive role given the context of post surgical status ?

No conclusive evidence exists for the role of chemotherapy in the management of immature teratoma high grade involving the retroperitoneum.

16 December 2016 1,662 4 View

What is the role of Interval Appendicectomy in children, who were treated for Appendicular mass ?

Interval appendicectomy has been considered obsolete in view of studies quoting the recurrence rate of Appendicitis is too low to warrant surgery for Appendicular mass.

07 August 2015 2,153 5 View

How would you rate staplers for bowel anastomosis? What were the complications, if any?

Staplers and hand sewn anastomosis work equally well.

05 May 2014 8,139 8 View

How promising is negative pressure assisted wound closure?

"vacuum assisted closure helps to reduce bacterial burden, promotes perfusion / granulation leading to faster healing"

05 May 2014 6,877 15 View

Does anyone use neonatal pain assessment?

Neonatal pain is recognized to alter stress hormone levels and in turn influences neural development.

16 April 2014 5,433 1 View

What is the current validity of dopamine usage in increasing urine output after adequately resuscitating the patient?

Dopamine is no longer advocated as an 'output improving' agent.

15 April 2014 1,857 1 View

Can an oral antibiotic be combined with an intravenous antibiotic?

Rational antibiotic usage...

25 March 2014 9,860 9 View

Phimosis in a child?

1 year old boy with parents complaining of ballooning of prepuce. No UTI episodes. What examinations does he need ? What will be the management ?

25 March 2014 3,774 14 View

What is the rationale behind the usage of Chymotrypsinogen for post surgical edema such as in circumcision?

Is it recommended and how effective is it on a practical basis?

25 March 2014 8,393 1 View

Is bowel prep a must for colonic procedures (stoma closure/Hirschsprung's) in children?

Fast-track surgery has come in a big way to say that bowel prep is not required

19 March 2014 852 25 View

Do you have any comments on the utility of investigations in the management of PUJ obstruction in children?

Sonography measures TPD, parenchymal thickness. Do any other parameters such as real resistive index have a role? Nuclear scan usually looks at curve pattern and split function. Can transit time...

17 March 2014 9,309 15 View