Publications by authors named "Niranjan Ashutosh"

8 Publications

  • Page 1 of 1

Giant male fibroadenoma: a rare benign lesion.

Indian J Surg 2013 Jun 27;75(Suppl 1):353-5. Epub 2012 Jul 27.

A-45, Sector-41, Noida, U.P. India.

Fibroadenoma, the most common breast tumor in adolescent women, usually arises in the terminal duct lobular unit, but is exceedingly rare in the male breast. The usual presentation is a painless, firm, mobile, and slow-growing lump in the breast of a woman of childbearing age. Its diagnosis is usually made by clinical examination, but ultrasound, mammography, and fine-needle aspiration often help in its confirmation. We are presenting here a rare but interesting case of a large fibroadenoma, which was present in a male breast.
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http://dx.doi.org/10.1007/s12262-012-0566-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693349PMC
June 2013

Ileal obstruction: a rare complication due to appendicular band.

J Indian Med Assoc 2010 Sep;108(9):604-5

Department of Surgery, Subharti Medical College, Meerut 250002.

Acute intestinal obstruction as a result of inflammed appendix resulting in band formation in a 50-year-old male is being reported due to its rarity. The purpose of this paper is to draw attention to this rare complication of appendicitis as a cause for presenting as intestinal obstruction-delayed diagnosis of which results in intestinal strangulation and subsequent gangrene of the bowel loop. In this case, after diagnosis of intestinal obstruction, the patient was selected for exploratory laparotomy. The constricting band, incidentally the inflamed appendix along with the strangulated portion of the ileum was dissected out. The patient was discharged after 8 days without having any complications.
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September 2010

Retrospective analysis of duodenal injuries: a comprehensive overview.

Saudi J Gastroenterol 2011 Mar-Apr;17(2):142-4

Department of Surgery, Subharti Medical College, Meerut, India.

Background/aim: Duodenal injury is an uncommon finding, accounting for about about 3-5% of abdominal trauma, mainly resulting from both penetrating and blunt trauma, and is associated with significant mortality (6-25%) and morbidity (30-60%).

Patients And Methods: Retrospective analysis was performed in terms of presentation, management, morbidity and mortality on 14 patients of duodenal injuries out of a total of 172 patients of abdominal trauma attending Subharti Medical College.

Results: Epigastric pain (100%) along with vomiting (100%) is the usual presentation of duodenal injuries in blunt abdominal trauma, especially to the upper abdomen. Computed tomography (CT) was diagnostic in all cases. Isolated duodenal injury is a rare finding and the second part is mostly affected.

Conclusion: Duodenal injury should always be suspected in blunt upper abdominal trauma, especially in those presenting with epigastric pain and vomiting. Investigation by CT and early surgical intervention in these patients are valuable tools to reduce the morbidity and mortality.
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http://dx.doi.org/10.4103/1319-3767.77247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3099062PMC
July 2011

Secrets of safe laparoscopic surgery: Anaesthetic and surgical considerations.

J Minim Access Surg 2010 Oct;6(4):91-4

Department of Anaesthesiology, Subharti Medical College, Meerut, India.

In recent years, laparoscopic surgery has gained popularity in clinical practice. The key element in laparoscopic surgery is creation of pneumoperitoneum and carbon dioxide is commonly used for insufflation. This pneumoperitoneum perils the normal cardiopulmonary system to a considerable extent. Every laparoscopic surgeon should understand the consequences of pneumoperitoneum; so that its untoward effects can be averted. Pneumoperitoneum increases pressure on diaphragm, leading to its cephalic displacement and thereby decreasing venous return, which can be aggravated by the position of patient during surgery. There is no absolute contraindication of laparoscopic surgery, though we can anticipate some problems in conditions like obesity, pregnancy and previous abdominal surgery. This review discusses some aspects of the pathophysiology of carbon dioxide induced pneumoperitoneum, its consequences as well as strategies to counteract them. Also, we propose certain guidelines for safe laparoscopic surgery.
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http://dx.doi.org/10.4103/0972-9941.72593DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992667PMC
October 2010

Deep vein thrombosis: review and update.

J Indian Med Assoc 2010 Apr;108(4):248-51

Department of Surgery, Subharti Medical College, Meerut 250002.

Deep vein thrombosis is a common and serious medical condition, which frequently complicates the postoperative recovery of surgical patients with recognised/unrecognised risk factors. The pathophysiology of formation of blood clots in veins of lower extremities has now come in light after development of newer investigations. Newer imaging techniques allow the evaluation of peripheral venous system, which was previously unavailable. Pulmonary embolism remains the major early complication of deep vein thrombosis, although postphlebitic syndrome and recurrent deep vein thrombosis are other major complications. The risk of both pulmonary embolism and postphlebitic syndrome escalates in patients with recurrent deep vein thrombosis. Thus a correct evaluation of patients at high risk and proper management is mandatory. With the development of low molecular weight heparin, the incidence of postheparin bleeding has been reduced.
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April 2010

True vestigeal tail with lumbosacral meningomyelocoel: a rare case report.

Br J Neurosurg 2010 Oct;24(5):597-9

Department of Surgery, Subharti Medical College, Meerut, India.

A human tail is a rare congenital anomaly with a prominent lesion from the lumbosacro-coccygeal region. It is usually classified either as a true tail or as a pseudo-tail. All the lumbosacro-coccygeal protrusions without the evidence of mesenchymal tissue are classified as pseudo-tail. The association of this rare vestigial entity along with meningomyelocele is rarer still.
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http://dx.doi.org/10.3109/02688691003777931DOI Listing
October 2010

Enigma of forgotten double J stent.

Saudi J Kidney Dis Transpl 2010 Jan;21(1):157-9

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January 2010

Unusual complication of ventriculoperitoneal shunt surgery.

J Pediatr Neurosci 2009 Jul;4(2):122-3

Department of Surgery, Subharti Medical College, Meerut, India.

Ventricular shunts are commonly employed in the management of hydrocephalus, and numerous complications such as dissection or migration have been reported in the literature besides shunt malfunction. We present a case of the migration of the peritoneal catheter into the scrotum who attended at our institute. He was managed successfully, but subsequently developed intraabdominal cystic swelling for which he was reoperated.
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http://dx.doi.org/10.4103/1817-1745.57340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3162779PMC
July 2009
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