Rikki Singal
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View article: Comparison of three port laparoscopic cholecystectomy with four port laparoscopic cholecystectomy
Comparison of three port laparoscopic cholecystectomy with four port laparoscopic cholecystectomy Open
Objective: Laparoscopic cholecystectomy, gold standard treatment for cholelithiasis, has traditionally been done using 4 ports. We compared four port procedure with newer 3-port cholecystectomy. Methods: Sixty patients were operated by equ…
View article: Role of Dual Energy X-ray Absorptiometry (DEXA) Scan in the Diagnosis of Chronic Low Back Pain - a Prospective Randomized Controlled Study in Osteoporotic Patients Hospitalized in a Tertiary Care Institute.
Role of Dual Energy X-ray Absorptiometry (DEXA) Scan in the Diagnosis of Chronic Low Back Pain - a Prospective Randomized Controlled Study in Osteoporotic Patients Hospitalized in a Tertiary Care Institute. Open
Low back pain is highly prevalent in postmenopausal women. DEXA is a widely accepted radiological tool used to detect osteoporotic changes in bones earlier, with a higher accuracy than plain radiographs of skeletal system. It is relatively…
View article: A critical role of ultrasonography in management of liver abscesses
A critical role of ultrasonography in management of liver abscesses Open
Aims and objectives: to see the efficacy of ultrasonography in the management of amoebic liver abscess. We assessed whether patient required surgery or can be managed with drainage procedure on ultrasonography basis.Materials and Methods: …
View article: Role of Multidetector Computed Tomography (MDCT) in Evaluation of Gallbladder Malignancy and its Pathological Correlation in an Indian Rural Center
Role of Multidetector Computed Tomography (MDCT) in Evaluation of Gallbladder Malignancy and its Pathological Correlation in an Indian Rural Center Open
Multidetector computed tomography is also reliable in detection of extension of tumor and lymph nodes. multidetector computed tomography plays a major role in evaluating and staging of carcinoma gallbladder. It also guides the surgeons for…
View article: The Safety and Efficacy of Clipless versus Conventional Laparoscopic Cholecystectomy – our Experience in an Indian Rural Center
The Safety and Efficacy of Clipless versus Conventional Laparoscopic Cholecystectomy – our Experience in an Indian Rural Center Open
In laparoscopic cholecystectomy, ligation of cystic duct and cystic artery with clips takes less time than by silk suture. We conclude that both ligation techniques can be safely and effectively used. Training for junior surgeons is necess…
View article: Plasma Prolactin and Total Lipid Levels and Subsequent Risk of Breast Cancer in Pre- and Postmenopausal Women: Experience from an Indian Rural Centre.
Plasma Prolactin and Total Lipid Levels and Subsequent Risk of Breast Cancer in Pre- and Postmenopausal Women: Experience from an Indian Rural Centre. Open
It was observed that significantly increased prolactin levels were found among patients with breast cancer. Serum lipids in carcinoma of the breast had higher levels of VLDL and LDL cholesterol and elevated triglyceride concentrations. Ser…
View article: An Antenatal Diagnosis: Congenital High Airway Obstruction
An Antenatal Diagnosis: Congenital High Airway Obstruction Open
Congenital high airway obstruction (CHAOS) is a rare lethal fetal malformation characterised by obstruction to the fetal upper airway, which can be partial or complete. Antenatal diagnosis of CHAOS is important due to recent management opt…
View article: To compare the efficacy of tamsulosin and alfuzosin as medical expulsive therapy for ureteric stones
To compare the efficacy of tamsulosin and alfuzosin as medical expulsive therapy for ureteric stones Open
Aims and Objectives: This study aims to evaluate the efficacy of tamsulosin and alfuzosin for the distal ureteral stone. This study assessed the spontaneous passage and expulsion of the stone. Materials and Methods: The study was conducted…
View article: RETROPERITONEAL LAPAROSCOPIC PYELOLITHOTOMY IN RENAL PELVIC STONE VERSUS OPEN SURGERY - A COMPARATIVE STUDY
RETROPERITONEAL LAPAROSCOPIC PYELOLITHOTOMY IN RENAL PELVIC STONE VERSUS OPEN SURGERY - A COMPARATIVE STUDY Open
Background. The introduction of endourological procedures such as percutaneous nephrolithotomy and ureterorenoscopy have led to a revolution in the the management of urinary stone disease. The indications for open stone surgery have been n…
View article: Unusual Entities of Appendix Mimicking Appendicitis Clinically - Emphasis on Diagnosis and Treatment.
Unusual Entities of Appendix Mimicking Appendicitis Clinically - Emphasis on Diagnosis and Treatment. Open
BACKGROUND: Abdomen is considered a magic box or a Pandora box where you will get different, unexpected pathologies along with rare entities. Appendicitis is the commonest emergency in surgery which presents challenges to surgeons because …
View article: Effect of Duration of Surgery on Liver Enzymes After Cholecystectomy: Safety or Duration
Effect of Duration of Surgery on Liver Enzymes After Cholecystectomy: Safety or Duration Open
Background: An elevation of serum liver enzymes after laparoscopic cholecystectomy (LC) occurs due to transient decrease in splanchnic blood flow. The changes are attributed to CO 2 gas inside the abdominal cavity for a prolonged period as…
View article: Identification of Foramen of Huschke with Reversible Herniation of Temporomandibular Joint Soft Tissue Into the External Auditory Canal on Multidetector Computed Tomography
Identification of Foramen of Huschke with Reversible Herniation of Temporomandibular Joint Soft Tissue Into the External Auditory Canal on Multidetector Computed Tomography Open
The foramen of Huschke, or foramen tympanicum, is a developmental defect in the bony part of the external auditory canal (EAC) due to a defect in ossification of normal bone in the first 5 years of life. Seen in the anteroinferior part of …
View article: Concomitant Lung and Liver Hydatid Cyst Managed as One-Stage Surgery.
Concomitant Lung and Liver Hydatid Cyst Managed as One-Stage Surgery. Open
We believe that simultaneous management of pulmonary and hepatic cysts through the thoracic route and by laparotomy is convenient and should be encouraged in patients because this approach decreased morbidity and mortality by deferring sec…
View article: Complications of Urinary Catheterization
Complications of Urinary Catheterization Open
Urinary catheters are used to manage urinary incontinence and retention, reducing postoperative bladder dysfunction related to anesthesia, surgery and immobility. Objective of our study was to study the complications of urinary catheteriza…
View article: Tuberculous Abdominal cocoon in childern– A Single Centre Study in remote area in northern India
Tuberculous Abdominal cocoon in childern– A Single Centre Study in remote area in northern India Open
Background. Amongst the numerous causes of intestinal obstruction listed in the literature, sclerosing encapsulating peritonitis also called Abdominal Cocoon (AC) is one of the rarest entities. Its characteristic feature is a thick fibroti…
View article: Comparative Evaluation of Ultrasonography and Computed Tomography in Pancreatic Lesions
Comparative Evaluation of Ultrasonography and Computed Tomography in Pancreatic Lesions Open
Background: Aims and Objectives - 1) to do a comparative evaluation of ultrasonography and computed tomography in pancreatic lesions and assess their role as a useful diagnostic tool. 2) To correlate the USG and CT findings with fine needl…
View article: Partial Annular Pancreas
Partial Annular Pancreas Open
Annular pancreas is a developmental anomaly that can be associated with other conditions such as Down syndrome, duodenal atresia, and Hirschsprung disease. A band of pancreatic tissue, in continuity with the pancreatic head, completely or …
View article: Spectrum of Perforation Peritonitis in a Rural Medical College
Spectrum of Perforation Peritonitis in a Rural Medical College Open
Aim: Perforation peritonitis is the most common surgical emergency encountered by surgeons in India. The etiology and sites of perforation shows wide geographical variation. The objective of the study was to find the spectrum of perforatio…
View article: A Giant Splenic Hydatid Cyst
A Giant Splenic Hydatid Cyst Open
A 16-year-old girl presented with pain in the left hypochondrium, which had been progressing for 5 months. Examination revealed large splenomegaly, and ultrasonography showed a huge hydatid cyst in the spleen. Preoperative planning and pos…
View article: A Study of Evaluation and Management of Rare Congenital Breast Diseases
A Study of Evaluation and Management of Rare Congenital Breast Diseases Open
As breast swellings either fibroadenoma or carcinoma are common entities to come across everywhere but accessory breasts are rarely encountered especially in rural areas because of less awareness. The study found that there was tendency to…
View article: Comparative evaluation of the role of ultrasonography & magnetic resonance cholangiopancreatography in obstructive jaundice
Comparative evaluation of the role of ultrasonography & magnetic resonance cholangiopancreatography in obstructive jaundice Open
View article: No Need of Fascia Closure to Reduce Trocar Site Hernia Rate in Laparoscopic Surgery: A Prospective Study of 200 Non-Obese Patients
No Need of Fascia Closure to Reduce Trocar Site Hernia Rate in Laparoscopic Surgery: A Prospective Study of 200 Non-Obese Patients Open
In both groups, blunt trocar was introduced into the abdomen. We concluded that this is safe, without visceral injury, and no bleeding was seen in both the groups. We had not encountered any case with PSH formation in follow-up of 6 - 8 mo…
View article: A Comparative Study of Polydioxanone and Nylon for Abdominal Wall Closure With Interrupted Figure of Eight in Peritonitis Cases
A Comparative Study of Polydioxanone and Nylon for Abdominal Wall Closure With Interrupted Figure of Eight in Peritonitis Cases Open
Background: In emergency and elective settings, some surgeons prefer continuous or interrupted closure of abdominal fascia, because in a continuous suturing, cutting out of even a single bite of tissue leads to opening of the entire wound …
View article: Giant acanthomatous epithelial tumor of the mandible: A rare entity
Giant acanthomatous epithelial tumor of the mandible: A rare entity Open
Ameloblastoma is a rare benign odontogenic tumor which arises from the odontogenic epithelium. It usually exhibits a range of histopathologic features, such as follicular, plexiform, acanthomatous, granular, basal cell, and desmoplastic va…
View article: Two port laparoscopic assisted appendicectomy versus three port laparoscopic appendicectomy: A prospective study of 50 cases
Two port laparoscopic assisted appendicectomy versus three port laparoscopic appendicectomy: A prospective study of 50 cases Open
Background: To compare the operative time, intra-operative complications, hospital stay after surgery in patients undergoing appendicectomy with two port laparoscopic assisted appendicectomy versus three port appendicectomy considering all…