Ramanuj Mukherjee

• MBBS(HONS) MS(GENERAL SURGERY) DNB MNAMS MRCS(ENGLAND) FMAS
• R. G. Kar Medical College and Hospital

Chapter on Head and Neck Cancers, Approach and Management for Post Graduate MS/DNB/MCh Trainees

Post Graduate MS/DNB Level Textbook with Chapter on Peritoneal Surface Malignancy

Introduction: This is the first study aimed at objectively quantifying the benefit of virtual education using WhatsApp-based discussion groups. Methods: A prospective, non-randomised interventional study was undertaken in the Department of General Surgery, at a tertiary care centre in Kolkata, India, with 200 undergraduate students over a period...

INTRODUCTION: Lichtenstein’s Repair is an easy technique to master during residency, with reproducible results. However, the onset of Mesh repairs masks a sinister complication, Inguniodynia, or Iatrogenic Denervations that is quite common with Residents. A ´ lvarez et al developed a Dermatome Mapping technique. This was later modified into the Der...

Role of preoperative ultrasound and it's efficacy in prediction of difficulties in laparoscopy cholecystectomy

A non randomised trial of combination of injection sclerotherapy and banding together in treatment of hemorroid

Introduction: This is the first study aimed at objectively quantifying the benefit of virtual education using WhatsApp-based discussion groups. Methods: A prospective, non-randomised interventional study was undertaken in the Department of General Surgery, at a tertiary care centre in Kolkata, India, with 200 undergraduate students over a period...

Sterilization in Minimal access surgery evidence and recommendation

Primary neuroendocrine carcinoma of the breast (NECB) is a rare disease with an incidence of approximately 1-5%. The World Health Organization classified them as a separate subtype of breast carcinoma. It is often confused with neuroendocrine differentiation of an invasive ductal carcinoma which may lead to an erroneous management, since there are...

Right hepatic artery pseudoneurysm (HAPA) is a rare but potentially lethal complication following laparoscopic cholecystectomy. Its incidence is as low as 0.6%-0.8% and usually presents within the first month following the surgery due to iatrogenic injury to the concerned artery. A high index of suspicion is essential since it may often be missed l...

Undergraduate problem cards in surgery outlines

Problems faced by patients in adapting to life after stoma surgery can be affected by a multitude of factors including socioeconomic and clinical parameters. In India, a huge number of stoma surgeries are performed everyday with limited facility of specialised stoma care. Hence, this study seeks to explore and proportionally weigh the challenges fa...

clinical methods in breast

The aim of this study is to achieve 100% compliance in surgical hand antisepsis along with identification of areas of worst compliance and efficacies of various interventions best suited to deal with them. This audit was performed over 6 days in a tertiary care hospital in Calcutta, India, with 42 surgical internees. Compliance to ideal hand washin...

A clinical case presentation with discussion of a rare entity called Xiphoid syndrome

The continuous diaphragm sign is a radiological sign seen on either upright or supine views of chest radiographs as reported by Levin (Clin Radiol 24:337–338, 1973). It is indicative of pneumomediastinum or pneumopericardium if radiolucency is present above the diaphragm, or of pneumoperitoneum if radiolucency is present below the diaphragm. Pneumo...

Is a brief summary of salient points undergraduate students miss about Obtaining history from patients in surgery

post graduate class on Rt lower quadrant lump

and Aesthetic Surgery is a comprehensive and illustrated work for students, teachers, and practicing surgeons. It is a six-volume set with the topics of the volumes based on the clinical needs of plastic surgeons in developing countries. Along with latest developments, these volumes incorporate landmark contributions, innovations, and techniques us...

Background: Surgical adverse events due to negligence are increasingly recognized as an important aspect for preventing morbidity and mortality in healthcare system. WHO Safe Surgical Checklist provides an opportunity for surgical teams to minimize surgical adverse events by following just a simple checklist. The aim of this study is to assess the...

A compendium of Guidelines for management of surgical emergency for general surgeons as relevant in india

A detailed read on safe use of energy source Do and don't

consensus as herniasurg group

a summary of post op complications

the sequential presentation of the evolution with trials

A review of lap chole complications

Background: Being one of the most commonly performed surgery in the modern era, post-operative complications following laparoscopic cholecystectomy deserve special mention. Though not very life threatening, they are quite common. Considering these aspects, this study aims to identify them and possibly a potential remedy for decreasing the incidence...

preoperative patient preparation

The detailed pictorial and evidence based management of Common bile duct in laparoscopy era with no controversy approach algorithm for diagnosis and treatment

Cer San D (J Surg Arts): 2012;5(2): 42-44. ABSTRACT Intussusceptions are highly uncommon in adults and accounts for only 5% of all reported cases and causes only 1% of bowel obstruction. The growing use of computed tomography (CT) for abdominal imaging has led to increased detection of transient intussusceptions with no underlying disease. Intussus...

this presentation describes old and new methods of video documentation with video retrieval in MIS

Open label trial comparing two standard treatment modality for fissure in Ano

This is the list of Presentation done at various ASI conference till April 2018

Background: Informed consent is needed to be full-proof but many discrepancies arise as it is subjected to individualization for each patient depending on their IQ, personality etc. Considering all aspect, the study aims to identify the issues and seek for potential remedies through “FILTER” model.Methods: This is a retrospective, Institution-based...

Pregnancy can be complicated with different surgical emergencies which may potentially endanger the mother as well as foetus. In the modern era of advanced diagnostics and treatments, neither of them in response to a surgical emergency in a pregnant woman should be delayed. Appropriate early intervention is essential to decrease the morbidity and m...

Actie gastric dilatation

Images in surgery

Image in surgery

Images in surgery

Introduction: Emergency laparotomy, though lifesaving, may result in significant morbidity and mortality. In an attempt to clinically evaluate patients undergoing emergency laparotomy and predict their mortality using the worldwide accepted Portsmouth Predictor equation for mortality (P POSSUM), the present study was undertaken in the Surgery depar...

Introduction: Tobacco consumption is an important cause of deaths and post-operative complications the world over. This study analyses tobacco usage patterns of in hospital patients, the secondary exposure of obstetric patients to tobacco smoke, and whether or not appropriate counselling regarding tobacco use was offered to the patients by their do...

Mesenteric ischaemia

Piles treatment

Introduction Ideal closure of the abdomen after laparotomy is still a matter of great debate. It should be free from complications like wound dehiscence, incisional hernia and persistent sinuses. In any wound closure despite the personal skills of surgeon, the correct suture materials and its correct application are of immense importance. The commo...

Intra abdominal abscess

Appendicular lump

Liver trauma management

MMP.2 in prognostication of breast cancer and feasibility as tumor marker

a step by step approach on implementation of safe surgical checklist as should be done in Operation theatre.This slide set is to be used y trainers and trainees for the successful implementation of the safe surgial checklist

Answer: The patient has Peutz–Jeghers syndrome. Intussusception (left image) was caused by the jejunal polyps Q3 found in this syndrome. Peutz–Jeghers syndrome is a rare autosomal dominant disorder in which there are multiple hamartomatous polyps in gastrointestinal tract, especially the jejunum, duodenum, stomach and, sometimes, the ileum and colo...

Weobservealargedropincapacitancewhensmallvolumefractionofcopper as metallic fillers is embedded into Fe3O4 dielectric matrix system. On furtherinclusionajumpincapacitanceisobservedabovepercolationthresholdwhichisnotinaccordwiththeconv entionalpercolationphenomenon.To understand the nature of this dielectric response we have also measured dc conduct...

Background: Surgical site infections (SSI) are major complications following laparotomy for perforative peritonitis largely affecting the quality of life, increasing morbidity and mortality. The study conducted seeks the factors that may be associated with post-operative surgical site infection.Methods: A comprehensive observational and prospective...

Background: Uretero-Pelvic Junction Obstruction (UPJO) is an important cause of hydronephrosis in pediatric age group. The choice of treatment could be conservative or surgical. Commonly Anderson-Hynes pyeloplasty is practiced with internal, external or partly internal partly external stent.Methods: This was a prospective study of 40 patients with...

Prolonged stay after laparoscopic gall bladder surgery

AIMS AND OBJECTIVES-In this study we were observing the adverse events following laparoscopic cholecystectomy in post operative period , the timing of their appearance and the percentages of the cases they are occurring .

Tension pneumoperitoneum is very rare complication for trauma abdomen

This poster is a compilation of damage control surgery initial diffuculties

Over the past three decades, management of blunt splenic trauma has changed radically. Use of improved diagnostic techniques and proper understanding of disease pathology has led to nonoperative management being chosen as the standard of care in patients who are haemodynamically stable. This review was undertaken to assess available literature rega...

Aims: To identify and estimate salivary VEGF of breast cancer patients using non invasive method. Methods: ELISA, Zymography, Immunoblot. Results: We observed that saliva of breast cancer patients express appreciably high VEGF compare to non breast cancer saliva samples. Conclusion: The findings indicate salivary VEGF as a potential breast cancer m...

Answer: The man has acute haemorrhagic pancreatitis. He presented with acute onset of severe epigastric pain that spread to the rest of his abdomen, associated with nausea and vomiting. Examination revealed a haemorrhagic area around the flanks (Grey Turner's sign), and around the umbilicus (Cullen's sign). These are signs of severe pancreatitis. T...

An illustrated guide to Axillary dissection

Manual for staging of cancer published by the American Joint Committee on Cancer (AJCC) is the most widely used for cancer staging throughout the world. AJCC has published the 8th edition of the manual in 2016, which is currently the latest edition. This review article is a comparison of important changes in TNM and prognostic staging of surgical c...

Bluish discolouration of the flanks 24–48 h after an acute attack of pancreatitis is known as Grey Turner’s sign. It is caused by subcutaneous haemorrhage from retroperitoneal blood vessels damaged by pancreatic enzymes released during an acute attack of pancreatitis. The image shows a classical presentation of Grey Turner’s sign involving a large...

a PICTORIAL DESCRIPTION OF STEPS IN FORMING A STOMA WITH COMPLICATIONS

INTRODUCTION Hollow viscus injury (HVI) following abdominal trauma is a clinical diagnostic challenge resulting in delayed intervention and poor outcomes. The specific aims were to determine patterns of abdominal trauma and factors determining outcome in patients of HVI. METHODS An observational study was performed in a tertiary care hospital from...

A very rare case series of Tuberculosis of Gall.bladder masqurading as chronic cholecystitis.

Objective: Cancer is a disease of uncontrolled division of cells in any part of the body. Breast cancer most common in women accounts for 13% of the death worldwide. The objective of the present study was to evaluate the drug prescription pattern of breast carcinoma patients in a tertiary care hospital of West Bengal.Methods: This was a cross-secti...

Port site infections have emerged to become an important post laparoscopic morbidity. Several studies have been conducted till now related to port site infections and revealed that the most common bacteria isolated from those port-site infection were Non-tuberculous mycobacterium. However the treatment protocol, including the drug regimen and durat...

Seminoma in undescended testis may present as an inguinal lump. We present a case of a 32 year old gentleman who presented with a tender right inguinal lump diagnosed to be as Seminoma in an undescended testis. Serological and imaging studies were done for staging. PET-CT scan showed metastasis to retroperitoneal lymph nodes. High radicle orchidect...

Scabbard is the sheath used for covering swords, knives or other large blades. A scabbard trachea is called so because of its resemblance of shape (Fig. 1) caused by lateral compression usually by thyroid enlargement. Here we present such a case depicting the radiological findings of a scabbard trachea.

this summary of presentation is about an instructional course in safe use of electrosurgical units

Basal cell carcinoma (BCC) is the most common skin cancer, mostly affecting areas of the skin exposed to UV radiation. Though metastasis is rare, the tumour may be locally invasive with a high recurrence rate. Pathophysiology involves neoplastic transformation of the pluripotent cells of the epidermis and follicular epithelium. ‘Field fire BCC’ is...

It has been reported that Matrixmetalloproteinase-2 (MMP-2) is involved in the pathogenesis of cancer. The over expression of MMP-2 is associated with the progression of malignancy of several types of carcinoma. Human saliva is a biological fluid with several advantages for non-invasive diagnosis and prognosis of diseases. The aim of this study was...

Trichobezoar Extension to illeum

Tension pneumoperitoneum is a very rare consequence of acute gangrenous appendicitis. We report a case of a 32-year-old woman who presented with abdominal pain, progressively increasing abdominal distension, profound hemodynamic instability and ventilatory compromise. The diagnosis of tension pneumoperitoneum was confirmed by computed tomography, w...

Traumatic abdominal wall hernia (TAWH) is a rare clinical entity in terms of aetiology. It occurs following a blunt abdominal injury with energy high enough to cause disruption of the musculoaponeurotic layer but not the elastic skin layer. It is often associated with underlying intra-abdominal injuries, which can be diagnosed either clinically or...

A detailed description of etiology and epidemiology of secondary peritonitis

Quantitative phase composition and morphological characterization of 12 human gallbladder stones (GS1–GS12) retrieved from patients of eastern India have been carried out using IR-spectroscopy, powder X-ray diffraction (PXRD) and scanning electron microscopy (SEM). The FTIR spectra indicated that the primary composition of gallstones studied was ch...

Penile fracture is so called uncommon but real urosurgical emergency. Penile fracture is defined as traumatic rupture of the tu-nica albuginea of one or both corpora cavernosa of an erect penis. There may be an associated injury to the corpus spongiosum or urethra. Sudden direct trauma to the penis or an abnormal bending of the penis in an erect st...