Vasanth Mark

• Christian Medical College & Hospital

Background The PRECINCT (Pattern of peritoneal dissemination and REsponse to systemic Chemotherapy IN Common and uncommon peritoneal Tumors) is a prospective, multicenter, observational study. This report from phase I of PRECINCT outlines variations in recording the surgical peritoneal cancer index (sPCI) at experienced peritoneal malignancy center...

The presence at diagnosis, or development of, colorectal peritoneal metastases (CPM) is common in colorectal cancer. Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) show promising results in selected patients with CPM. The current study aimed to describe oncologic outcomes of patients with CPM, focusing on recurren...

The role of gastrectomy to achieve complete cytoreduction (CCR) for pseudomyxoma peritonei (PMP) is controversial due to uncertain risk/benefit ratio. The outcomes of patients who gastrectomy over a twenty-year period in a high-volume unit are reported. All patients requiring gastrectomy to achieve CCR for appendiceal PMP between 2000 and 2020 were...

Aims Characteristics of diabetes-related foot ulcers(DFU), association with recurrence and amputation are poorly described in the Asian Indian population. Methods A prospectively maintained database was reviewed to characterize DFU and its association with amputation and recurrence. Results Of 200 patients, 63.5% were male, the median age was 62...

Regional lymph nodes metastases (RLNM) can occur secondary to peritoneal metastases (PM). Considering the potentially curative nature of cytoreductive surgery, the role of resection regional nodes needs to be better defined Introduction Objectives Results Table 2 Comparison of patients with and without regional lymph node metastases In the group wi...

strategies of minimizing errors during a trial

To report a case series of patients with pseudomyxoma peritonei (PMP) from urachal mucinous neoplasm (UMN) treated with CRS and HIPEC at a high-volume referral centre, along with an updated literature review. Retrospective review of cases treated between 2000 and 2021. A literature review using MEDLINE and Google Scholar databases was performed. Cl...

Background Surgical site infection (SSI) remains the most common complication of surgery around the world. WHO does not make recommendations for changing gloves and instruments before wound closure owing to a lack of evidence. This study aimed to test whether a routine change of gloves and instruments before wound closure reduced abdominal SSI.

Background Surgical site infection (SSI) remains the most common complication of surgery around the world. WHO does not make recommendations for changing gloves and instruments before wound closure owing to a lack of evidence. This study aimed to test whether a routine change of gloves and instruments before wound closure reduced abdominal SSI. Met...

To compare inter-rater, intra-rater and inter-system reliability of modified House-Brackmann and Sunnybrook grading systems. The study was conducted in a tertiary care hospital with a single cohort of 20 patients and 3 raters. The patients, eligible to be included for the study, were those over 18 years of age planned for nerve sparing parotidectom...

Phyllodes tumour is a rapidly growing neoplasm with a propensity to involve the entire breast tissue. In large tumours, the treatment comprises a wide local excision or a mastectomy. A woman in her 20s from rural India presented with complaints of a recurrent left breast lump. The lump progressed to a large size, limiting her social activities and...

SARS-CoV-2 has been associated with an increased rate of venous thromboembolism in critically ill patients.Since surgical patients are already at higher risk of venous thromboembolism than general populations, thisstudy aimed to determine if patients with peri-operative or prior SARS-CoV-2 were at further increased risk ofvenous thromboembolism. We...

Background Laparoscopy is a minimally-invasive surgical procedure that uses long slender instruments that require much smaller incisions than conventional surgery. This leads to faster recovery times, fewer post-surgical wound infections and shorter hospital stays. For these reasons, laparoscopy could be particularly advantageous to patients in low...

BACKGROUND Salivary gland diseases are rare but an important group of disorders. Following surgeries involving the parotid gland, facial nerve paresis is a common postoperative complication. The reported worldwide incidence of facial nerve paresis following parotidectomy is approximately 20 - 60 %. We need to determine the incidence of facial nerve...

Surgeons often encounter patients with advanced carcinoma of the stomach that necessitate urgent operative interventions. The presentations include perforation-peritonitis, bleeding, and gastric outlet obstruction. Carcinoma of the stomach is known to invade surrounding organs such as the transverse colon, pancreas, spleen, liver, and rarely, the a...

Background Laparoscopy is a minimally-invasive surgical procedure that uses long slender instruments that require much smaller incisions than conventional surgery. This leads to faster recovery times, fewer infections and shorter hospital stays. For these reasons, laparoscopy could be particularly advantageous to patients in low to middle income co...

Peri-operative SARS-CoV-2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Su...

Figure 1: Axial and coronal sections of contrast enhanced CT of the abdomen post oral and intravenous contrast showing an ill-defined abscess along the right anterior abdominal wall with multiple air foci and adjacent inflammatory changes (yellow arrow-heads). The abscess has an intraperitoneal extension and is seen communicating with the pyloric r...

Abdominal wall hematomas are an uncommon cause of acute abdominal pain and are often misdiagnosed as intra-abdominal pathologies. Elderly individuals and those on anticoagulation are more prone. Rectus sheath hematomas are more common as compared to internal oblique hematomas, which are rare. Case Report: We are reporting a rare case of internal ob...

Amyand’s hernia is an extremely rare condition, often misdiagnosed as a strangulated inguinal hernia, in which the inguinal hernial sac contains the vermiform appendix. It is often a surgical surprise. The reported incidence is approximately 1% of all adult inguinal hernia cases. Acute appendicitis in the Amyand’s hernia is even less common. We rep...