Jitendra P Ray’s research while affiliated with Himalayan Institute of Medical Sciences and other places

ackground: Varicose veins of the lower extremities are the most common peripheral vascular disease and their treatment is as old as mankind.This prospective clinical study of varicose veins was conducted to assess clinical grade, an indication of surgery at the time of presentation, andoutcomes of surgery in terms of symptom relief and short-term complications. Prospective study was conducted in our institution fromMethods:July 2018 to July 2019 and 60 patients with varicose veins were studied. With a total of 83 limbs. Clinical grade at the time of presentation, theindication of surgery, surgery performed, and the outcome was noted. Out of 60 patients 77% were males with middle age being theResults:commonest. Unilateral presentation (62%) was more common than bilateral presentation (38%).57% of patients had an occupation history ofprolonged standing. Dull aching pain was the most common presenting complaint. 32% of cases had skin changes or venous ulcers. The mostcommon surgery was a SFJ ligation. About 68% of patients were satised,12% of patients were somewhat satised & 20% of patients were notsatised with their surgery. Duration of hospital stay was signicantly higher (9.5 days) in ulcers as compared to patients without ulcers (3 days).Conclusions: Most patients were in 2nd or 3rd decade of life with cosmesis and physical tness being their main considerations. Patients withbilateral disease can be operated on in a single sitting without any added morbidity. The most commonly done operation is either a SFJ ligation ormultiple phlebectomy or a combination of the two (PDF) INDICATIONS AND OUTCOMES OF SURGERY IN VARICOSE VEINS -A PROSPECTIVE OBSERVATIONAL STUDY. Available from: https://www.researchgate.net/publication/383665927_INDICATIONS_AND_OUTCOMES_OF_SURGERY_IN_VARICOSE_VEINS_-A_PROSPECTIVE_OBSERVATIONAL_STUDY [accessed Mar 13 2025].

INTRODUCTION: Road traffic accidents form a major epidemic in the current century. The economic loss estimated to our country due to accidents amounts to Rs.5000 crores annually. Chest trauma estimates at about 50% of the total victims and 25% causative agent of mortality. Less than 10% of the blunt chest injuries and only 15 to 30 % of penetrating chest injuries require operative intervention. MATERIALS & METHODS: The present study is a prospective observational study that emphasizes on the epidemiology and the clinical profile of chest trauma patients that presented to the Himalayan Hospital over a period of 1 year. RESULTS: Chest Injury was encountered in about 20% of all trauma admissions with RTA (61%) being the major cause followed by Fall from height (30%). Fracture of the ribs was the most common chest injury. Blunt trauma abdomen and Neuro trauma were the most common associated injuries in polytrauma cases. Inter costal tube drainage (ICD) was the main stay of treatment in 84 % of the cases. CONCLUSION: Epidemiologically thoracic injuries are one of the major causes of death in the younger age group. These injuries may present at varied timeframes and with vast variety of signs. Early identification and Prompt emergency management have proven to be of positive value in curing patients and decreasing their hospital stay.

Portal vein thrombosis is an unusual complication of acute pancreatitis. It occurs in some cases of severe acute pancreatitis particularly those associated with pancreatic necrosis. A review of relevant literature suggests a role of anticoagulants in such cases but further studies are needed to establish the advantage of such therapy conclusively. We present a case of acute necrotizing pancreatitis complicated by portal and splenic vein thrombosis managed with anticoagulants. This resulted in recovery without development of portal hypertension and its complications.