Rohin Mittal
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View article: Acute Mesenteric Ischemia during the COVID-19 Pandemic – An Observational Study
Acute Mesenteric Ischemia during the COVID-19 Pandemic – An Observational Study Open
Background and Purpose: COVID-19 infection has been associated with arterial and venous thrombosis, including acute mesenteric ischemia (AMI). Information on AMI during the COVID-19 pandemic is very limited; coagulopathy related to the gas…
View article: Imaging Findings and Treatment Outcomes of Pediatric Rectal Cancers: A Two-Decade Single-Center Retrospective Cohort Study from South India
Imaging Findings and Treatment Outcomes of Pediatric Rectal Cancers: A Two-Decade Single-Center Retrospective Cohort Study from South India Open
Colorectal cancers are rare in the pediatric population. The aim of the study was to describe the imaging findings and staging at presentation in pediatric rectal cancers and to assess the final treatment outcome. Imaging findings, demogra…
View article: Validation of nutritional screening tools in patients undergoing cancer surgery in low- and middle-income countries
Validation of nutritional screening tools in patients undergoing cancer surgery in low- and middle-income countries Open
Approximately one-third of patients are severely malnourished prior to surgery in low- and middle-income countries (LMICs). Identifying the most appropriate tool for detecting malnutrition is a critical first step toward enabling effective…
View article: Role of the Multidisciplinary Team (MDT) Meetings in Rectal Cancer Management
Role of the Multidisciplinary Team (MDT) Meetings in Rectal Cancer Management Open
The management of rectal cancer is complex and requires the expertise of multiple disciplines and various treatment modalities. Multidisciplinary team (MDT) discussions are essential for the optimal management of patients with rectal cance…
View article: Transforming Health Advocate Initiatives in Punjab and beyond through Surgical Community Engagement
Transforming Health Advocate Initiatives in Punjab and beyond through Surgical Community Engagement Open
The provision of healthcare in rural India faces multifaceted challenges, including limited access to specialized services, a shortage of skilled professionals, and inadequate infrastructure. Surgical care and cancer treatment particularly…
View article: A Three-Year Retrospective Analysis: Do Nutritional and Immunological Indices Predict Postoperative Complications After Rectal Resection?
A Three-Year Retrospective Analysis: Do Nutritional and Immunological Indices Predict Postoperative Complications After Rectal Resection? Open
View article: Accuracy of the Wound Healing Questionnaire in the diagnosis of surgical-site infection after abdominal surgery in low- and middle-income countries
Accuracy of the Wound Healing Questionnaire in the diagnosis of surgical-site infection after abdominal surgery in low- and middle-income countries Open
Introduction Telemedicine is being adopted for postoperative surveillance but requires evaluation for efficacy. This study tested a telephone Wound Healing Questionnaire (WHQ) to diagnose surgical site infection (SSI) after abdominal surge…
View article: Can pre-treatment MRI and CT radiomics improve prediction of complete pathological response in locally advanced rectal cancer following neoadjuvant treatment?
Can pre-treatment MRI and CT radiomics improve prediction of complete pathological response in locally advanced rectal cancer following neoadjuvant treatment? Open
Objective(s): The treatment response to neoadjuvant chemoradiation (nCRT) differs largely in individuals treated for rectal cancer. In this study we investigated the role of radiomics to predict the pathological response in locally advance…
View article: Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries Open
Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement int…
View article: Predicting Positive Radial Margin on Restaging MRI of Patients with Low Rectal Cancer: Can We Do Better?
Predicting Positive Radial Margin on Restaging MRI of Patients with Low Rectal Cancer: Can We Do Better? Open
Objective The aim of this study was to characterize the tissue involving the margin and study if this information will affect margin prediction on restaging magnetic resonance imaging (MRI) in low rectal adenocarcinoma (LRC) patients treat…
View article: MRI Staging of Anorectal Malignancy—A Reporting Dilemma: Is It Adenocarcinoma or Squamous Cell Carcinoma?
MRI Staging of Anorectal Malignancy—A Reporting Dilemma: Is It Adenocarcinoma or Squamous Cell Carcinoma? Open
Aim Magnetic resonance imaging (MRI) of anorectal malignancy is often reported assuming low rectal adenocarcinoma (LRC). The biopsy may, however, reveal squamous cell carcinoma (SCC). Thus, the aim was to compare the imaging findings of SC…
View article: Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries Open
Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted…
View article: Adaptation of the Wound Healing Questionnaire universal-reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis
Adaptation of the Wound Healing Questionnaire universal-reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis Open
Background The Bluebelle Wound Healing Questionnaire (WHQ) is a universal-reporter outcome measure developed in the UK for remote detection of surgical-site infection after abdominal surgery. This study aimed to explore cross-cultural equi…
View article: Imaging Recommendations for Diagnosis, Staging, and Management of Peritoneal Malignancies
Imaging Recommendations for Diagnosis, Staging, and Management of Peritoneal Malignancies Open
Peritoneum is a serosal membrane lining the solid viscera and the hollow viscus of the abdomen and is made of a single layer of mesothelial cells. The most common primaries that spread to the peritoneum include gastrointestinal, ovarian, c…
View article: Imaging Recommendations for Diagnosis, Staging, and Management of Small Bowel and Colorectal Malignancies
Imaging Recommendations for Diagnosis, Staging, and Management of Small Bowel and Colorectal Malignancies Open
Small bowel malignancies are rare, though colorectal cancers are common. This article reviews the current imaging recommendations for small bowel and colorectal malignancies. Contrast-enhanced computed tomography (CT) is the imaging modali…
View article: Total neoadjuvant therapy (TNT) using 5FU and oxaliplatin followed by higher dose concurrent 5FU in locally advanced high-risk rectal adenocarcinoma including signet ring and mucinous cancers resulting in good complete response rates
Total neoadjuvant therapy (TNT) using 5FU and oxaliplatin followed by higher dose concurrent 5FU in locally advanced high-risk rectal adenocarcinoma including signet ring and mucinous cancers resulting in good complete response rates Open
PURPOSE Preoperative long course chemoradiation (LCCRT) followed by total mesolectal excision (TME) results in excellent local control but distant failure rates remain high. Total neoadjuvant therapy (TNT) with pre-operative delivery of sy…
View article: Study protocol: ‘a large cohort study of postnatal events in a not-for-profit referral centre in Vellore, South India’
Study protocol: ‘a large cohort study of postnatal events in a not-for-profit referral centre in Vellore, South India’ Open
Introduction In a large developing country, with diverse population characteristics and differential access to healthcare, it is important to identify factors that influence postnatal health. This knowledge will help frame recommendations …
View article: MRI of Recurrent Fistula-in-Ano: Is it Different from Treatment-Naïve Fistula-in-Ano and How Does it Correlate with Anal Sphincter Morphology?
MRI of Recurrent Fistula-in-Ano: Is it Different from Treatment-Naïve Fistula-in-Ano and How Does it Correlate with Anal Sphincter Morphology? Open
Objectives The main aim of this study was to compare magnetic resonance imaging (MRI) findings of recurrent and treatment-naïve fistula-in-ano and to correlate imaging findings with anal sphincter morphology in recurrent fistula-in-ano. Me…
View article: Catastrophic expenditure and treatment attrition in patients seeking comprehensive colorectal cancer treatment in India: A prospective multicentre study
Catastrophic expenditure and treatment attrition in patients seeking comprehensive colorectal cancer treatment in India: A prospective multicentre study Open
This research was funded by the National Institute for Health Research (NIHR) (NIHR 16.136.79) using UK aid from the UK Government to support global health research, by the India Institute of the University of Birmingham and by the Global …
View article: Communicating imaging findings in peritoneal mesothelioma: the impact of ‘PAUSE’ on surgical decision-making
Communicating imaging findings in peritoneal mesothelioma: the impact of ‘PAUSE’ on surgical decision-making Open
The peritoneal cavity is the second commonest site of mesothelioma after the pleural cavity. There are five histological types of peritoneal mesothelioma with variable symptomatology, clinical presentation and prognosis. Cystic mesotheliom…
View article: SF003/#661 Total pelvic exenteration and perineal reconstruction for recurrent cervical cancer
SF003/#661 Total pelvic exenteration and perineal reconstruction for recurrent cervical cancer Open
Background and Introduction Salvage procedures for recurrent and residual cervical cancer following radical chemo radiation can be offered to patients with motivation and willingness to undergo massive operative procedures. It needs the sk…
View article: Delphi prioritization and development of global surgery guidelines for the prevention of surgical-site infection
Delphi prioritization and development of global surgery guidelines for the prevention of surgical-site infection Open
Background Most clinical guidelines are developed by high-income country institutions with little consideration given to either the evidence base for interventions in low- and middle-income countries (LMICs), or the specific challenges LMI…
View article: Diffusion weighted imaging improves diagnostic ability of MRI for determining complete response to neoadjuvant therapy in locally advanced rectal cancer
Diffusion weighted imaging improves diagnostic ability of MRI for determining complete response to neoadjuvant therapy in locally advanced rectal cancer Open
Complete response to neoadjuvant chemoradiotherapy can be determined with excellent accuracy, substantial interobserver agreement and high level of confidence by combined interpretation of DWI and T2 high resolution MRI.
View article: 320 Starting a hipec programme in a low resource setting
320 Starting a hipec programme in a low resource setting Open
Objectives Hyperthermic IntraPeritoeneal Chemotherapy (HIPEC) after maximal cytroreduction is a promising modality of treating women with ovarian cancer. In order to determine the feasibility of setting up a HIPEC programme in India, we do…
View article: Pseudomyxoma peritonei: natural history and treatment
Pseudomyxoma peritonei: natural history and treatment Open
Pseudomyxoma peritonei (PMP) is an uncommon disease characterised by mucinous ascites, classically originating from a ruptured low grade mucinous neoplasm of the appendix. The natural history of PMP revolves around the "redistribution phen…