Publications (18) View all
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Article: Insulin site wound in a renal allograft recipient
Saudi Journal of Kidney Diseases and Transplantation. 01/2011; -
Article: Video. Magnetic retraction for NOTES transvaginal cholecystectomy.
Santiago Horgan, Yoav Mintz, Garth R Jacobsen, Bryan J Sandler, John P Cullen, Adam Spivack, David W Easter, Alana Chock, Michelle K Savu, Sonia Ramamoorthy, Julie Bosia, Sanjay Agarwal, Emily Lukacz, Emily Whitcomb, Thomas Savides, Mark A Talamini[show abstract] [hide abstract]
ABSTRACT: Natural orifice translumenal endoscopic surgery (NOTES) has the potential to decrease the burden of an operation on a patient. Limitations of the endoscopic platform require innovative solutions to provide retraction and create an operation comparable with the gold standard, laparoscopic cholecystectomy. Four patients underwent transvaginal cholecystectomy. All procedures were performed under laparoscopic vision to ensure safety. The endoscope and a long articulating RealHand instrument were placed via a 15-mm vaginal trocar. A magnetic retraction system was used to retract the gallbladder safely. Laparoscopic clips were used to ligate the cystic duct and artery. All four gallbladders were successfully removed. No complications occurred. The mean operating time was 102 min. All four procedures were completed without complications. The four patients all were discharged shortly after surgery and reported normal sexual activity without pain. Transvaginal cholecystectomy can be completed safely using current technology. Further studies are needed to determine the safety of the procedure and to determine whether it confers any benefits other than cosmesis.Surgical Endoscopy 02/2010; 24(9):2322. · 4.01 Impact Factor -
Article: Carotid body tumor and amyloidosis: An uncommon association
Saudi Journal of Kidney Diseases and Transplantation. 01/2010; -
Article: Response to iron sucrose in dialysis patients sensitive to iron dextran
Saudi Journal of Kidney Diseases and Transplantation. 01/2010; -
Article: Transient IgA nephropathy with acute kidney injury in a patient with dengue fever
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ABSTRACT: Dengue virus infection can clinically manifest as dengue fever, dengue shock syn-drome and dengue hemorrhagic fever. Acute kidney injury as a result of dengue virus infection can occur due to various reasons including hypotension, rhabdomyolysis, sepsis and rarely immune complex mediated glomerular injury. However, glomerulonephritis associated with IgA Nephropathy in dengue virus infection has not been reported previously. We report a case of 15-year-old boy who was admitted with dengue fever and dialysis dependant acute kidney injury. Urine examination showed microscopic glomerular hematuria and proteinuria. Kidney biopsy showed mesangial proliferation with mesangial IgA dominant immune complex deposits and acute tubular necrosis. A repeated kidney biopsy 6 weeks after clinical recovery showed reversal of glomerular changes as well as resolution of mesangial IgA deposits.Saudi Journal of Kidney Diseases and Transplantation. 01/2010;