Paryush Lakhtaria

• Fellow at Staten Island University Hospital

Up to 40% patients with chronic fissure-in-ano require operative intervention. As of today, antibiotics, local or oral, have no role in the treatment of chronic fissure-in-ano. In a prospective study, fissure-in-ano was classified as follows: acute <6-week duration, chronic >6-week duration with normal/low anal tone, and acute-on-chronic >6-week du...

Aim: To test the efficacy of lay open (deroofing, not excision) with curettage under local anesthesia (LOCULA) for pilonidal sinus as an outpatient procedure. Methods: LOCULA procedure was done for all types of pilonidal disease. The primary outcome measure was cure rate. The secondary outcome measures were hospital stay, operating time, return...

Tocilizumab, known as biologic disease modifier, is a humanized monoclonal antibody against the interleukin-6 (IL-6) receptor, which is used to treat adult onset rheumatoid arthritis (RA). It blocks the IL-6 binding to cell surface receptor reducing the inflammatory change associated in RA. As a result, it alleviates the symptoms of RA such as pain...

We studied the fate of staples after stapled haemorrhoidectomy (SH) and reviewed the complications they may cause. A survey was carried among 16 surgeons experienced at performing SH to assess their knowledge regarding retained staples. In addition, plain pelvic radiology was used to visualize residual staples at different time intervals after SH i...

The balance between abdominal and perineal approaches for rectal prolapse is always the higher morbidity but better outcome in the former setting. Therefore, perineal approaches have been preferred for the treatment of full-thickness rectal prolapse (FTRP) in elderly patients. However, laparoscopic rectopexy with or without resection also may be us...