Explanipedia

Asymptomatic gallstone disease: Re-evaluating the threshold for surgical options in the era of precision medicine Open

Prakash Kumar Sasmal, Ankit Sahoo, Tanmay Dutta · 2025

Incidental asymptomatic gallstone disease (AGD) is prevalent, but its management remains contentious. Old-fashioned conservative care is under scrutiny today with precision medicine and artificial intelligence (AI) on the horizon. Unlike p…

Enhanced recovery after surgery versus conventional approach in peptic perforation- a Randomized Controlled Trial- “ERASE trial” Open

Swastik Mishra, Tushar Subhadarshan Mishra, Pankaj Kumar, Pradeep Kumar Singh, Prakash Kumar Sasmal , et al. · 2025

The ERAS protocol helped shorten the time needed to attain the preoperative physiological parameters, including bowel functions and reduced the LOHS in patients operated for peptic perforation.

OUTCOMES OF VACUUM-ASSISTED CLOSURE THERAPY IN POSTOPERATIVE ABDOMINAL WOUND DEHISCENCE: A STUDY IN A TERTIARY CARE UNIT Open

V. K E, Sheik Manwar Ali, Prakash Singh, Prakash Kumar Sasmal · 2025

Purpose: Post operative abdominal wound dehiscence is a significant complication of surgery that often leads to increased morbidity, extended hospital stays and increased costs. Vacuum assisted-closure therapy (V.A.C) is utilized for heali…

Assessment of response to total neoadjuvant therapy in carcinoma rectum: A real-world prospective observational study from eastern India Open

P. Mukherjee, Sandip Kumar Barik, S Majumdar, Debasis Das, Mathan Kumar Ramasubbu , et al. · 2025

Background: Preoperative chemoradiotherapy and subsequent surgery is the standard of care for locally advanced rectal cancer. This has resulted in good local control, but without a significant survival benefit. Multiple randomised trials h…

High-end Workshop Training on Perioperative Surgical Competencies among the Nurses Working in Operation Theatres (HEWON) at Selected Centres: A Participatory Action Research Open

A Serma Subathra, Prakash Kumar Sasmal, Pankaj Kumar, Tushar Mishra, Asha P Shetty , et al. · 2025

Nurses constitute the largest healthcare professionals globally. Their knowledge, skills and competency levels impact the health outcomes. Competency is a multifaceted issue that includes a vision, specialised skills, and the capacity to f…

Rescue Transsplenic Gastric Varices Embolization in a Patient of Massive Gastric Variceal Bleed Secondary to Complete Splanchnic Portal Venous System Thrombosis Open

Biswajit Sahoo, Manas Kumar Panigrahi, Manoj Kumar Nayak, Prakash Kumar Sasmal, Arunprakash Pitchaimuthu · 2024

Endoscopic sclerotherapy is the first-line modality to manage gastric variceal bleeding; however, knowledge of other treatment options is also essential, especially in case of failure of the endoscopic approach. We are reporting a rare cas…

Outcome of Secondary Interval Rheolytic Thrombectomy after Localized Intra-Arterial Catheter-Directed Thrombolysis through Power-Pulse Spray Technique in Cases of Partially Successful or Failed Primary Rheolytic Thrombectomy Open

Biswajit Sahoo, Satyapriya Mohanty, Siddhartha Sathia, Rudra Pratap Mahapatra, Manoj Kumar Nayak , et al. · 2024

Objectives The aim of this study was to evaluate the safety and effectiveness of secondary interval AngioJet rheolytic thrombectomy after localized intra-arterial catheter-directed thrombolysis (CDT) through power-pulse spray (PPS) techniq…

Chronic abdominal wall sinus secondary to missed spilled gallstones in laparoscopic cholecystectomy: a harrowing experience Open

Saikrishna Aitha, Prakash Kumar Sasmal, Pankaj Kumar, Rutuja Challawar, M. P. Sinha · 2024

Gallbladder perforation with spillage of gallstones is not uncommon during laparoscopic cholecystectomy. Stone spillage can cause several complications. We report a case of recurrent discharging sinuses on the right back 4 years after lapa…

Referee report. For: Identification of predictive factors for surgical site infections in gastrointestinal surgeries: A retrospective cross-sectional study in a resource-limited setting [version 2; peer review: 1 approved, 1 approved with reservations] Open

Prakash Kumar Sasmal · 2024

Comparison of surgical site infection (SSI) between negative pressure wound therapy (NPWT) assisted delayed primary closure and conventional delayed primary closure in grossly contaminated emergency abdominal surgeries: a randomized controlled trial Open

Pradeep Kumar Singh, Mahesh Kumar Sethi, Tushar Subhadarshan Mishra, Pankaj Kumar, Sheik Manwar Ali , et al. · 2023

NPWT has been tried in many surgical fields, including colorectal, thoracic, vascular, and non-healing wounds, for the prevention of SSI. However, its efficacy in the prevention of SSI-grade IV closed abdominal wounds is yet to be explored…

Delayed appearance of hepatic artery pseudoaneurysm and an arterio-biliary fistula secondary to biliary leakage and bilioma formation in a liver trauma patient and its management through transarterial embolization Open

Biswajit Sahoo, Pankaj Kumar, Pradeep Kumar Singh, Prakash Kumar Sasmal, Manoj Kumar Nayak , et al. · 2023

Background Pseudoaneurysm and arterio-biliary fistulas are infrequent complications of surgery or iatrogenic trauma, accidental trauma, tumors, vascular malformations, infection, and inflammation of the biliary tract. In a liver trauma pat…

Statins abrogate gemcitabine-induced PD-L1 expression in pancreatic cancer-associated fibroblasts and cancer cells with improved therapeutic outcome Open

Aliva Prity Minz, Debasish Mohapatra, Madhuri Dutta, Manisha Sethi, Deepti Parida , et al. · 2023

OC-109 ONE-YEAR FOLLOW-UP ANALYSIS OF WOUND VS SUTURE LENGTH RATIO AS A PREDICTOR OF INCISIONAL HERNIA - A COHORT STUDY (WISER) Open

Rahul Kumar Gupta, Prashant Kumar, Kallol Kumar Das Poddar, S Shastri, Tushar Subhadarshan Mishra , et al. · 2023

Background The purpose of the study was to determine if the recommended wound to suture length ratios of 1:4 and 1:6 were followed during midline laparotomy closure with loop PDS and 2–0 PDS, respectively, and whether this affected the dev…

OC-112 OUTCOMES OF EMERGENCY INGUINAL HERNIA SURGERIES PERFORMED BY TRAINEES AT A TERTIARY CARE HOSPITAL- AN AUDIT OF 43 CASES Open

S Shastri, Kallol Kumar Das Poddar, Prashant Kumar, Tushar Subhadarshan Mishra, Prakash Kumar Sasmal , et al. · 2023

Background An audit was performed to identify the outcomes after emergency inguinal hernia surgeries performed by trainees at our hospital from April to December 2022. Methods The prospectively maintained database of a single clinical unit…

Surgical Site Infections in Patients of Periampullary Carcinoma Undergoing Delayed Bile Duct Division (COMBILAST) in Whipple’s Procedure: A Prospective Cohort Study Open

Prakash Kumar Sasmal, Kallol Kumar Das Poddar, Tushar Subhadarshan Mishra, Pankaj Kumar · 2023

Surgical site infections (SSIs) following a pancreaticoduodenectomy have been a significant cause of morbidity and even mortality. A modified sequence of the Whipple procedure, using the COMBILAST technique, may reduce SSIs and the patient…

Laparoscopic excision of a large adrenal pseudocyst: diagnostic dilemma and technical challenges Open

Ankit Shettar, Prakash Kumar Sasmal, Manas Chalamalasetty Venkata Sai, Pankaj Kumar · 2022

A woman in her 40s attended the hospital with worsening left upper abdominal dull aching pain for the past 6 months. Clinical examination and radiological investigations with ultrasonography and contrast-enhanced CT of the abdomen confirme…

Impact of personal protective equipment on patient safety and health care workers Open

Pankaj Kumar, Mantu Jain, G. Amirthavaali, Tushar Subhadarshan Mishra, Prakash Kumar Sasmal , et al. · 2021

Epidemiology and patterns of road traffic fatalities in India pre- and post-motor vehicle (Amendment) act 2019 Open

Manas Ranjan Sahu, Manoj Kumar Mohanty, Prakash Kumar Sasmal, Rakesh Vadakkethil Radhakrishnan, Chitta Ranjan Mohanty , et al. · 2021

Background: Road traffic accidents (RTAs) are a preventable cause of death. The government of India enacted the motor vehicle amendment (MVA) act on September 01, 2019, to curtail the alarming trend of RTAs and their associated fatality. T…

CT Imaging in Predicting Ovarian Torsion: Report of Two Cases, With and Without Infarction Open

Sweta Singh, Prakash Kumar Sasmal, Krishnan Nagarajan · 2021

Mesh hernioplasty in emergency repair of traumatic abdominal wall hernia following bull horn injury Open

Arvind Kumar Bodda, Prakash Kumar Sasmal, Swastik Mishra, Ankit Shettar · 2021

Traumatic abdominal wall hernia (TAWH) is uncommon, mostly following motor vehicle accidents, fall from height and bullfighting. Bullhorn injury, common in rural areas, presents as either penetrating injuries to the abdomen or blunt injuri…

Pure primary ovarian carcinoid tumor with carcinoid syndrome and cervical carcinoma Open

Pritinanda Mishra, Prakash Kumar Sasmal, Saubhagya K. Jena, Swagatika Senapati, Susama Patra · 2021

Carcinoid tumors are defined as rare slow-growing neuroendocrine tumors. A majority of primary ovarian carcinoids occur in association with mature cystic teratoma or are metastatic to the ovary. A 48-year-old post-menopausal woman presente…

Lithotomy versus prone position for perianal surgery: a randomized controlled trial Open

Pankaj Kumar, Tushar Subhadarshan Mishra, Siddhant Sarthak, Prakash Kumar Sasmal · 2021

Purpose: Studies objectively comparing lithotomy and prone positions regarding surgeon comfort, ergonomics, patient comfort, and position related complications are scarce.Methods: The patients posted for surgery of either fistula in ano, h…

Iatrogenic injury of duodenum: malady of a therapeutic misadventure Open

Swastik Mishra, Pankaj Kumar, Prakash Kumar Sasmal, Tushar Subhadarshan Mishra · 2021

Endoscopic procedures are the front-runner of the management of bleeding duodenal ulcer. Rarely, surgical intervention is sought for acute bleeding, not amenable to endoscopic procedures. Oversewing of the gastroduodenal artery at ulcer cr…

Nicolau Syndrome: An Unforeseen Yet Evadable Consequence of Intramuscular Injection Open

Prakash Kumar Sasmal, Ankit Sahoo, Pradeep Kumar Singh, Vikram VS · 2021

An intramuscular (IM) injection is one of the common routes for administering drugs, commonly analgesics and vaccines. Nicolau syndrome refers to the rapid-onset painful, extensive cutaneous discoloration progressing to necrosis and ulcera…

Laparoscopic colectomy in idiopathic colonic varices: a safe endeavour Open

Prakash Kumar Sasmal, Ankit Sahoo, Hemanta Kumar Nayak, Suvradeep Mitra · 2020

A 32-year-old man presented to the emergency department with recurrent episodes of haematochezia and haemodynamic instability. He had no complaints of alteration in bowel habits or mucus discharge in the stool. He was a non-smoker and does…

Cystic lymphangioma of the stomach with marked reactive changes: a rare cause of gastric outlet obstruction in adult Open

Mamita Nayak, Suvendu Purkait, Prakash Kumar Sasmal, Pradip Singh · 2020

Cystic lymphangiomas are benign lymphatic tumours which usually affect the paediatric population and are predominantly located in the head and neck region. Its occurrence during adulthood and an intra-abdominal location are both extremely …

A Surgical Resident’s Perspective about COVID-19 Pandemic: Unique Experience and Lessons Learnt Open

Madhuri Chaudary, Prakash Kumar Sasmal · 2020

Discussion Points. Experience of a surgical trainee to manage COVID-19 patients along with surgical emergencies. In spite of managing high-risk seropositive cases during non-COVID-19 times with impunity, there is always a sense of appr…

Corrigendum to “Role of Biomarkers in Diagnosis and Prognostic Evaluation of Acute Pancreatitis” Open

Susanta Meher, Tushar Subhadarshan Mishra, Prakash Kumar Sasmal, Satyajit Rath, Rakesh Sharma , et al. · 2019

Malignant Extra-Gastrointestinal Stromal Tumor of the Mesentery Open

Prakash Kumar Sasmal, Rakesh Sharma, Susama Patra, Tushar Subhadarshan Mishra, Pritinanda Mishra , et al. · 2019

Gastrointestinal stromal tumors (GISTs), the commonest mesenchymal tumors of gastrointestinal tract are often described to take origin from the interstitial cells of Cajal (ICC) or its precursor cells. Rarely these tumors do arise in struc…

Melioidosis in Odisha: A Clinico-Microbiological and Epidemiological Description of Culture-Confirmed Cases over a 2-Year Period Open

Bijayini Behera, Srujana Mohanty, Ashoka Mahapatra, Vinaykumar Hallur, Baijayantimala Mishra , et al. · 2019

Melioidosis is an emerging infectious disease in India mostly reported from South-western coastal Karnataka and North-eastern Tamil Nadu. We speculate the existence of another major hidden focus in Odisha, one of the eastern coastal states…

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