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Questions related from Prasanna Kumar Reddy
https://youtu.be/5XFEdYYz3d0 young man who had open appx first and reexploration later(cause is not known) presented with a caeco cutaneous fistula discharging faecal fluid.
18 April 2021 4,021 0 View
excellant papers,still Nissen fundoplication is the treatment of choice for GERD world wide.
28 December 2018 3,473 2 View
colo rectal surgery is being done by open,Laparoscopic and Robotic methods.But my interest is to teach and train in colorectal surgery in particular Laparoscopically.
10 December 2018 625 4 View
21yr female underwent reduced port Lap chole in her Home town,post operatively she developed large Biloma which was drained by percutanious pig tail cathter elsewhere,now the bile out put is...
04 September 2018 2,839 13 View
58yrs who had open anatomical repair fro umbelical hernia was done, wound got infected, treated about 5 years ago.He developed recurrence after 2 yrs.12 months ago Lap mesh hernioplasty/IPOM was...
28 June 2018 7,734 19 View
7o yr old obese male presented with DM,Hypertension high fever,he was Hospitalised and investigated. CBC-wbs count and ESR are elevated,Bl sugar was high,slight raise in the creatinine level ,...
01 June 2018 1,711 4 View
58 yr female wha had Lateral pancreatico jejunostomyover 10 years ago presented with dyspepsia and on and off abd pain for an year.She is a diabetic and hypertensive.clinical exam is not...
24 February 2018 5,799 0 View
Inspite of all the benefits of minimal access surgery,colo rectal MAS has not reached same level like Lap chole even in the west.I am not able to understand the reasons-cost,learning curve and the...
14 February 2018 7,419 6 View
42 yr old nulliparous women presented with signs of Hypo protenimia with pedal edema,Ascitis, breathlessness with an Albumin level of 1.2,Total proteins are low other LFTs are normal,Hb is 11...
19 September 2017 3,120 4 View
42 yrs who was treated for lymphoma 5yrs ago and is completely resolved developed symptomatic Gall bladder stones and small stones in the CBD(MRCP).He underwent diagnostic laparotomy and...
01 August 2017 550 2 View
52 year old woman with a BMI of 50,Known Hypertensive for over 10 years,dyslipedemia and joint pains underwent MGB/OAGB 7 months ago.she has been on the standard Diet schedule but no exercise at...
06 July 2017 3,565 6 View
56year old male presented to his local physician for dry cough,clinical exam was nil significant.CBC is N except ESR 40,blsugar ,urea,creatinine, LFT were N,X Ray chest N,U/S mass in the R lobe of...
31 May 2017 5,613 6 View
70 year old diabetic with long standing Gall stones underwent Lap Chole following a severe Biliary colic/Ac cholecystitis with Uneventful recovery 5 weeks ago.LFT were normal and u/s scan showed...
19 April 2017 8,853 15 View
43 yr old male with Rectal bleeding diagnosed to have a moderately differentiated adenocarcinoma muscularis mucosa was involved but no nodal or distant mets.CRM is clear.Pt does not want preop...
04 April 2017 6,055 16 View
Perhaps one of the recent additions in open/Lap colonic surgery is ICG test to check the vascularity of the edges of the colonic resection and also anastamosis.I found it to be useful as the ICG...
11 March 2017 8,230 1 View
44year old woman of 43 BMI who was recently detected to have Type 2 DM proved by GTT with a HBA1C of 8.U/S showing grade 2 fatty liver.NO joint pains or sleep apnoea.or Hypertension.She is not...
12 December 2016 5,046 6 View
Gastro esophageal reflux disease is a common problem in Gastroenterology practice.we have excellent proton pump inhibitors and in this part of the Globe they are very cost effective and relatively...
01 November 2016 4,102 5 View
42 years, female presented to the emergency department with fever for 2 days along with acute onset pain in the right iliac fossa for the duration of 1 day associated with three episodes of...
25 October 2016 9,715 13 View
Aman of 70 years DM, Hypertension and CAD had CBD partial injury(3/4 of circumference) during a difficult lap chole with frozen callots.No energy source was used.Corners were secured with 4o...
22 October 2016 9,001 8 View
stapler hemorroidopexy for 3 and 4 degree Haemorroids is an interesting innovation.Easy to learn and practice with with similar results.pain is one of the important symptom all patients are...
16 October 2016 9,168 7 View
58 year man with Achalasia cardia who underwent Trans thoracic Heller"s cardio myotomy in 1962, started c/o of regurgitation of liquids from nose and mouth mostly at night for over one...
15 October 2016 2,553 3 View
A Beaurocrat 62 years on his annual checkup found to have a cystic leision in the pelvis reaching up to the Right Iliac fossa on U/S.Suspected as a case of Enteric duplication cyst, hence he was...
13 September 2016 6,435 27 View
A man of 49years presented with a history of constipation for over 5years, bleeding,feeling of mass per rectum on straining and used various methods to regulate his bowel habits with out...
08 September 2016 1,801 8 View
52 years non diabetic non hypertensive, underwent laparoscopic cholecystectomy 2 weeks ago. Post operatively developed biliary leak. MRCP showed complete clipping of the CBD and leak from the CHD....
06 September 2016 6,939 16 View
29 years old with Type 1 Diabetes Mellitus for over 5 years is on countinous insulin infusion . But for malabsorbtion he has no other problems. He is very keen for any alternative form of...
18 August 2016 648 5 View
The dictom goes by saying "Medical treatment never fails".These days we have excellent PPIs are available and new ones are being introduced.I have always been under the impression that...
16 August 2016 7,299 10 View
32 year old women with a BMI of 60 presented with severe Gallstone disease.ERCP was performed to clear the Bile duct 2days prior to her admission.GallBladder was gangrenous and full of pus.Lap...
14 August 2016 4,284 6 View
66 year old who had Liver transplant in 2011 presented with a blow out at the left edge of the Bilateral subcoastal incision for 6 months. Immunosuppression has been titrated and antiplatlet...
10 August 2016 2,219 15 View
We have a a good choice of composite meshes for use.whenever i conduct a training programme,first question of participants is what mesh do you deploy /advice.As such there is no ideal mesh in my...
28 July 2016 5,676 5 View
60 yr diabetic ,Hypertensive,Hyperlipedemia,sleep apnoea with a BMI of 58 had sleeve with a weight loss of 35kgs with resolution of comorbities,with in three years he regained weight and wanted a...
23 July 2016 4,051 6 View
62 yrs old, no h/o HTN , DM underwent EMR for rectal polypoid lesion about 2 yrs ago, HPE was high grade dysplasia following which he underwent Anterior resection. 6-8 months later he developed...
23 May 2016 1,587 21 View
36 year old male underwent Laparoscopic sleeve gastrectomy 2 year ago and his BMI was 43.4. After the surgery his BMI was 36.2 . He is Diabetic but insulin requirement did not come down...
08 April 2016 8,487 27 View
56 year old hypertension with severe upper abdominal pain and vomiting for 1 week and on alternative medicine for hypertension . His USG scan showed Chronic cholecystitis with stones . CECT ...
23 March 2016 2,230 4 View
58 year old gentleman with longstanding Diabetes Mellitus , presented with history of abdominal pain and vomiting for 4 days . He was having recurrent episodes of pain in abdomen and vomiting...
11 March 2016 9,487 7 View
24 year old female consumed corrosive along with food 3 and 1/2 weeks ago. OGD shows esophagitis but no strictures, gastritis and duodenal obstruction. 320 Slice CT shows Esophagitis, Gastritis,...
16 January 2016 5,651 11 View
52 yrman presented with dysphagia of 6months and acid peptic symtoms for 3years. Now he drinks a glass of water to swallow solid food. He has lost 4 kgs of weight. Upper GI endoscopy showed...
10 December 2015 7,950 7 View
A man of 72years with rectal cancer at 9cms from the anal verge planned for Lap low ant resection.He was sent to the Endoscopy suite for tattooing.Procedure went on well.On exploratory laparoscopy...
08 December 2015 3,064 13 View
45 yrs male with a BMI of 50,Diabetic for 8years presented with severe malena for 3days.On admission his Hb was 8gr/dl bl sugar was 200mgs,dyslipedimia other Biochemical parameters were normal...
05 December 2015 8,106 13 View
25 year young man with a BMI of 41 consulted for Bariatric surgery.But for the snoring and fatty liver,He has no comorbidities.He tried diet and exercise but was not successful .He travels widely...
26 November 2015 4,420 11 View
several innovations have been incorporated in the repair of ventral Hernias-open anatomical/retrorectus,Lap,Robotic,catgut repair to dual mesh, sutres to nonabsorbable tacs to absorbable devices...
14 October 2015 470 4 View
Fixation of the mesh is an important step in hernia repair . We started with sutures , staples , metallic tacks , absorbable tacks and now self gripping meshes . Does it help in reducing the...
28 September 2015 9,781 9 View
41 year old man presented with severe melena for 2 days . He was transfused as his Hb dropped to 5.1 g/dl . Earlier he had a similar episode when he was investigated . Upper G.I Scopy was normal...
28 September 2015 6,028 5 View
We have anterior and posterior methods of repairing inguinal hernia. Inspite of more sophistication, still there exists a percentage of recurrence (Lap Vs Open) varying from 3-6%.
21 September 2015 4,196 6 View
Lap inguinal hernia repair is gaining popularity ,even though not comparable to Ventral Abdominal Wall Hernias. A section of surgeons feel transgressing the peritoneal cavity is not an issue.Time...
11 September 2015 1,914 19 View
One of the commonly performed minimal access procedure is Lap mesh ventral hernia repair.we started with plain polypropylene grafts and now we are using composite mesh grafts.The market is flooded...
07 September 2015 1,975 3 View
laparoscopic inguinal and ventral hernia repair is slowly gaining popularity.Now a variety of meshes ,fixation devices and surgeons are adopting various modified steps in the standard...
19 August 2015 8,854 3 View
Laparoscopic Incisional/ventral hernia repair for suitable cases has become the procedure of choice. Mesh fixation is integral part of the procedure in addition to the size of the mesh. Stapples...
08 August 2015 6,658 3 View
46year old with a BMI of 61, hypertensive,Diabetic,hypothyroid who underwent MGB developed abdominal pain ,drop in the Hb from 10 to 6 gr/dl with a drainage of 300 mls of blood 24hours...
08 August 2015 4,003 2 View
46year old woman who underwent open resection of Fundus for GIST 4years ago with recurrence at the site and two peritoneal nodules near the spleen.Ever since surgery she is being followed by a...
07 August 2015 866 10 View
36 years old male with advanced splenic flexure carcinoma with involvement of the anterior abdominal wall, stomach and small bowel. HPE revealed moderately differentiated (Greade 2 to 3)...
14 July 2015 6,936 8 View
In patients with GIST of body of stomach, now a days laparoscopic sleeve resection has become a common procedure, but the adequacy of it Vs full resection is debatable.
01 July 2015 4,452 8 View
68 years old hypertensive for 2 years presented with a increasing mass in the epigastric region for over one and half years. CT is showing large hemangioma in left lobe of the liver. Is...
30 June 2015 1,618 15 View
44 years old male presented with panproctocolitis (symptoms of bleeding, anaemia, weight loss). Total proctocolectomy and ileal pouch anal anastomosis was performed. Now, He is well, put on 10 kgs...
26 June 2015 8,479 8 View
Please see my vedio,thankyou https://youtu.be/NTEaYj9pDnM
01 April 2015 4,728 11 View
Our approach to R Hemicolectomy is starting from mid point of Transverse colon Gastro colic ligament using an articulating Enseal,Entire t colon can be mobilized with out frequent change of...
14 January 2015 2,765 5 View
30 year old who under went an attempted lap chole converted to open,also underwent a diagnostic Lap 8months ago,presented with complaints of abdominal pain,feels full with small quantity ,no...
01 January 2015 6,252 6 View
49 yr old diabetic underwent Lap TV+GJ for Gatric outlet obstruction due to chronic DU.60 blue load was used for GJ.It was anterior, horizontal and stapler openings closed with 3 0vicryl single...
22 December 2014 1,544 12 View
CA19-9 is a commonly performed tumour marker in pancreatico -biliary malignancy,but the levels keeps varying ? depending on the severity of obstruction causing cholangitis.In these circumstances...
13 December 2014 451 14 View
I have been using 3DMax Bard for over 100 cases of direct,indirect and femoral hernia in both Tapp and Tep, I found it easy,faster to deploy,easy to orient and spread the mesh.Fixation was done...
11 November 2014 3,454 10 View
38 year old non alcoholic diagnosed to have recurrent pain due to chronic tropical pancreatitis underwent PJ(longitudinal) 8 months ago.Relapse of his symptoms in 3to4 months after...
04 November 2014 5,396 4 View
Gone were the days that open cholecystectomy in this part of the Globe was not a common procedure. Now Lap chole is a household name and Gold standard technique for Gallstone disease. However...
27 October 2014 6,830 18 View
75 year old obese man presented with difficulty in Bowel movements, No bleeding or mucous discharge. His General condition is otherwise well apart from he is a diabetic and Hypertensive. Along...
04 October 2014 2,358 14 View
32years with nearly 5 years history of confirmed ulcerative colitis(pan colitis) who is on pentosa,mesalamine ,steroids and other supportive measures presented with daily rectal bleeding ,loss of...
23 September 2014 9,362 5 View
67 year old woman with a recent H/O Rectal tenesmus, no blood or mucous.Otherwise no other GI findings clinically.Had CAG and stenting 7 years ago. Now upper GI and colonoscopy and biopsy from...
02 September 2014 367 9 View
Two pts were ref recently who had Lap Apx,one had emergency procedure and the other Elective.Both presented with acute Appendicitis.CECT showed 2cms appedicular stump with an abscess.one underwent...
24 August 2014 8,935 15 View
A 35 year old underwent radical cholecystectomy for large Ca Gallbladder with resection of seg 5 and 4A. HP resection margins and periductal and perivascular tissues negative for tumour. Noticed...
20 August 2014 2,237 11 View
A 19 year old who was operated for Heirshprung's disease (Ileoanl anstamosis) 2years ago elsewhere presented with subacute small bowel obstruction. Abdomen is distended and small bowel loops are...
20 August 2014 2,902 12 View
Suture hernia is a new entity, noticed after laparoscopic incisional ventral hernia repair. We came across two cases following Lap incisional ventral hernia repair. One pt underwent umbilical...
04 August 2014 6,469 15 View
Pts would ask for lap incisional hernia mesh repair in the same sitting along with Hysterectomy. The problem is the chances of mesh infection.
17 June 2014 6,446 6 View
A 47 year old women underwent Total Abdominal Hysterectomy and Bilateral salpingo oophorectomy in 2011. Histopatholgy shows it was Krukenberg tumour. She had oral chemotherapy for carcinoma in the...
15 June 2014 3,115 5 View
38 year old man, Hotelier by profession (desk job) whose BMI is 87. He has no comorbid factors. He has had the same BMI for over 8 years and wants to reduce his weight, in particular in the...
09 June 2014 4,217 2 View
A 45 year old woman with a BMI of 45 with Type2 DM underwent Lap sleeve 7months ago. She presented two weeks later with sepsis due to a leak. She was treated initially with NBM,TPN and...
25 May 2014 1,143 4 View
52 year old male presented with acute abdominal pain, vomiting. History of similar episodes 2 to 3 times earlier settled spontaneously. This episode was severe hence attended ER at their own...
10 May 2014 8,214 9 View
24 yr presented with pain in the(L)Hypochondrium. No h/o trauma. Clinical exam of abdomen is normal.U/S scan showed a large splenic cyst. A cect showed that the cyst was occupying most of the...
07 May 2014 6,169 3 View
A 58 yr old had an MR for back ache. An accidental finding was a mass in the mid rectum. Subsequent investigations showed two left liver lobe mts and a paracaval lymph node met. Histopathology...
20 April 2014 2,307 3 View
