Sharad Dodia

Publications (8)12.59 Total impact

• Article: Retroperitoneoscopic left donor nephrectomy: use of Hem-o-Lok clips for control of renal pedicle.

  Pranjal Modi, Rajiv Goel, Sharad Dodia
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  ABSTRACT: To assess the safety of transplantation with the use of Hem-o-lok clips to control the renal vessels during retroperitoneoscopic donor nephrectomy (RDN). From September 2004 to August 2005, we performed 45 left RDNs. Forty-one patients had a single renal artery, whereas four had double arteries. All patients had a single renal vein. Both the renal artery and the vein were controlled by 10-mm Hem-o-lok clips (Weck Closure Systems, Research Triangle Park, NC). Two clips for each artery and vein were applied on the patient side. The technical difficulty in obtaining vascular control, transfusion requirement, and clinical outcome were evaluated. Sufficient length of renal vessels for transplantation was available in all patients. One patient required conversion to open surgery because of an injury to the renal artery during withdrawal of the clip applicator. The mean operative time was 206 minutes, and two patients required blood transfusion. The mean warm ischemia time was 254 seconds (range 134-520 seconds). Postoperatively, one patient had pneumopericardium. The mean postoperative stay was 3.5 days (range 1-8 days). Hem-o-lok clips provide reliable vascular control in RDN and yield sufficient vessel length for transplantation.
  Journal of Endourology 10/2007; 21(9):1029-31. · 1.85 Impact Factor
• Article: Scrotal extension of emphysematous pyelonephritis.

  Pranjal Modi, Rajiv Goel, Sharad Dodia
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  ABSTRACT: We report an extensive form of emphysematous pyelonephritis (EPN) in the right kidney extending from the anterior abdominal wall to the scrotum in a patient with renal calculi with obstructive uropathy and describe the progression route of infection from retroperitoneum to scrotum. Such an extensive occurrence of EPN is very rare. The patient succumbed after 48 h despite aggressive treatment.
  International Urology and Nephrology 02/2007; 39(2):405-7. · 1.47 Impact Factor
• Article: Case report: laparoscopic Boari flap.

  Pranjal Modi, Rajiv Goel, Sharad Dodia, Amit Devra
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  ABSTRACT: A Boari flap may be required to bridge long defects of the middle and lower ureter to the bladder. Laparoscopic construction of a Boari flap was performed in a patient with a ureteral stricture secondary to iatrogenic injury. The salient steps performed were spatulation of the transected ureteral end, fashioning of a Boari flap from the bladder, end-to-side anastomosis of the ureter to the flap, placement of a stent with the aid of a suction cannula, and closure of the flap over the stent. A Boari flap can be accomplished laparoscopically with minimal morbidity.
  Journal of Endourology 10/2006; 20(9):642-5. · 1.85 Impact Factor
• Article: Case report: retroperitoneoscopic nephrectomy in pyonephrotic nonfunctioning moiety of horseshoe kidney.

  Pranjal Modi, Suhag Patel, Sharad Dodia, Rajiv Goel
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  ABSTRACT: Laparoscopic removal of the pyonephrotic moiety of a horseshoe kidney is challenging because of inflammation, aberrant vasculature, abnormal kidney location, and the renal isthmus. We herein report retroperitoneoscopic nephrectomy of the nonfunctioning pyonephrotic right moiety of a horseshoe kidney.
  Journal of Endourology 06/2006; 20(5):330-1. · 1.85 Impact Factor
• Article: Retroperitoneoscopic pre-transplant native kidney nephrectomy.

  Rajiv Goel, Pranjal Modi, Sharad Dodia
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  ABSTRACT: Laparoscopic nephrectomy has become a standardized procedure for removal of benign non-functioning kidneys. We present our experience of retroperitoneoscopic pre-transplant native kidneys nephrectomy. Comparison of 40 patients who underwent retroperitoneoscopy with 40 open simple pre-transplant nephrectomy patients was done. Forty retroperitoneoscopic nephrectomies were done between June 2003 and April 2005. The mean operative time was similar in the two groups; however, the mean blood loss, postoperative analgesic requirement, complication rate, hospital stay and convalescence period were significantly less in the retroperitoneoscopic group. Retroperitoneoscopic nephrectomy should be offered as the primary treatment modality to patients requiring pre-transplant native kidney nephrectomy, except in patients where it is contraindicated.
  International Journal of Urology 05/2006; 13(4):337-9. · 1.75 Impact Factor
• Article: Case report: laparoscopic pyeloplasty with pyelolithotomy in crossed fused ectopia.

  Pranjal Modi, Rajiv Goel, Sharad Dodia
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  ABSTRACT: An 8-year-old boy with right flank pain was found on ultrasonography and intravenous urography to have hydronephrosis secondary to ureteropelvic junction obstruction with calculi in the lower pole of the right kidney and a fusion anomaly. Transperitoneal laparoscopic dismembered pyeloplasty and removal of calculi was carried out. The patient had uneventful recovery and is doing well at 6 months' follow-up. To our knowledge, this is the first reported case of laparoscopic pyeloplasty with pyelolithotomy in crossed fused ectopic kidneys in the pediatric population.
  Journal of Endourology 04/2006; 20(3):191-3. · 1.85 Impact Factor
• Article: Laparoscopic repair of vesicovaginal fistula.

  Pranjal Modi, Rajiv Goel, Sharad Dodia
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  ABSTRACT: Vesicovaginal fistula (VVF) may be a complication of prolonged repair or urogynecologic surgery. Failing conservative management, it may be repaired using an abdominal or vaginal approach. We herein report laparoscopic repair of VVF following vaginal hysterectomy and detail the operative steps.
  Urologia Internationalis 02/2006; 76(4):374-6. · 0.99 Impact Factor
• Article: Maintenance of pneumoperitoneum in retroperitoneoscopy: point of technique.

  Rajiv Goel, Pranjal Modi, Sharad Dodia
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  ABSTRACT: Retroperitoneoscopic surgery has become an established armamentarium in the hands of urologist. We present a simple and cost-effective technique that aids in the maintenance of pneumoretroperitoneum. Between June 2003 and December 2004, 150 retroperitoneal nephrectomies were performed with maintenance of the pneumoretroperitoneum using our technique. The retroperitoneal space was maintained in all patients with minimal or no leakage of carbon dioxide from the port site. Our simple, cost-effective technique is highly reliable for the maintenance of pneumoretroperitoneum.
  Urologia Internationalis 02/2005; 75(4):298-9. · 0.99 Impact Factor