Joel Arudchelvam | University of Colombo, Sri Lanka (original) (raw)

Joel Arudchelvam

Dr Joel Arudchelvam. Currently works as a senior lecturer, at the department of surgery Faculty of Medicine University of Colombo.He passed out from the faculty of Medicine University of Colombo in 2004. He obtained first class Honours in the final MBBS examination with distinction in Surgery, Medicine, Anatomy and Parasitology. He also obtained Chalmers gold medal for Anatomy, the Dhunjishaw Dadabhoy Gold medal for Medicine, the Rockwood Gold medal for Surgery, Dr.M.N.Burhan Gold medal for Surgery. He also obtained the Flora and Wilson Bandaranayake memorial book token.He obtained his post graduate qualifications i.e. MD (surgery) in 2010 with Dr.P.R.Anthonis Gold medal for MD (surgery) part one examination held in January 2007. He passed Member of the Royal College of Surgeons of England (MRCS (Eng.)) examination in 2011.He is a consultant vascular and transplant surgeon. He worked as a consultant at the teaching in hospital Anuradhapura from 2015 to 2020. The teaching hospital Anuradhapura was the only vascular and transplant unit in this part of the country. The hospital covered the needs of the north central, northern, eastern and half of the north western provinces of the country. Here all ranges of vascular surgeries, dialysis related surgeries and transplantations were offered (including kidney, pancreas and liver transplantations).He performed the first simultaneous Pancreas Kidney Transplantation (SPK) in Sri Lanka in 2016, and the first enbloc dual kidney transplantation in Sri Lanka in 2016. He also performed the first limb transplantation in 2017 in Sri Lanka. The first Limb transplantation was lower limb transplantation. This was only the fifth in the world at that time. He also performed the first liver transplantation at the Teaching Hospital Anuradhapura in 2019.The CAPD team of Anuradhapura received an International Award, “Excellence in patient care awards 2020, Awarded by the Royal College of Physicians, England.He joined the faculty of medicine as a senior lecturer in 2021.Dr Joel Arudchelvam has also published many articles in both local and international journals.He was awarded with the Sri Lankan national honours “Vidya Nidhi” in 2019.

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Papers by Joel Arudchelvam

Research paper thumbnail of The first simultaneous pancreas kidney transplantion in Sri Lanka

Diabetes Mellitus (DM) is a common disease in Sri Lanka with a prevalence of 10.3 % in individua... more Diabetes Mellitus (DM) is a common disease in Sri Lanka
with a prevalence of 10.3 % in individuals of more than 20
years of age [1]. Although, most of these patients can be
managed with oral hypoglycaemics and insulin (both type 1
and 2) in about 15 % of patients this becomes difficult [2].
When renal failure develops in these patients Simultaneous
Pancreatic Kidney Transplantation (SPK) becomes an option.
Such transplantation has not been done in Sri Lanka before.
The aim of this article is to report the first successful SPK in
Sri Lanka which is also the first dual organ transplantation in
this country.

Research paper thumbnail of Extremity vascular injuries following skeletal fractures, a tertiary care centre experience from Sri Lanka

Sri Lanka Journal of Surgery/Sri Lanka journal of surgery, Mar 31, 2024

Research paper thumbnail of Severe liver injuries; a case series and review of the literature

Deleted Journal, Mar 1, 2024

Research paper thumbnail of Fasciotomy done for vascular trauma at a tertiary care centre in Sri Lanka

Deleted Journal, Mar 1, 2024

Research paper thumbnail of High bifurcation of the brachial artery and its implications for arteriovenous fistula construction

Türk plastik cerrahi dergisi, Dec 31, 2022

Research paper thumbnail of Leiomyosarcoma of the Inferior Vena Cava and its tributaries, a case series and review of the literature

Sri Lanka Journal of Surgery, Nov 30, 2023

Research paper thumbnail of Abdominal aortic dimensions in Sri Lankan patients: a computed tomography imaging based preliminary study

Sri Lanka Journal of Surgery, Mar 31, 2023

Research paper thumbnail of Outcome of thigh arterio venous fistulae for haemodialysis in end stage renal failure

Sri Lanka Journal of Surgery, Aug 31, 2018

A well-functioning arterio venous fistula (AVF) is an essential need in patients with End Stage R... more A well-functioning arterio venous fistula (AVF) is an essential need in patients with End Stage Renal Failure (ESRF). However, due to the lack of suitable veins and central venous stenosis, this may not be always possible in the upper limb. We present a case series of 10 such patients who underwent thigh arterio venous fistulae (TAVF). The initial success rate of such TAVF in this series is 71.4%. We believe that this is an acceptable result in this cohort of patients and also better than having a tunnelled line or a synthetic graft which can be associated with higher rates of infection.

Research paper thumbnail of Successful pregnancy after abdominoperineal resection for rectal carcinoma in a young patient

Sri Lanka Journal of Surgery, Jan 27, 2013

Research paper thumbnail of Renal allotransplantation in retroperitoneal fibrosis: technical aspects

Ceylon Medical Journal, 2018

Research paper thumbnail of A case of acquired diaphragmatic hernia presenting with pneumothorax

Sri Lanka Journal of Surgery, 2010

Research paper thumbnail of Outcomes of venous reconstruction for pancreaticobiliary malignancies from a HPB surgery unit in low income country

Annals of Hepato-Biliary-Pancreatic Surgery

Research paper thumbnail of The teaching of anatomy in the modern world – The role of human cadaveric dissection

Sri Lanka Anatomy Journal

The teaching of anatomy in the modern world-The role of human cadaveric dissection 4 distribution... more The teaching of anatomy in the modern world-The role of human cadaveric dissection 4 distribution and reproduction in any medium, provided the original work is properly cited.

Research paper thumbnail of Adrenal gland encircling renal artery - a rare variation

Sri Lanka Journal of Surgery, 2016

Research paper thumbnail of Acute onset severe ischaemic pain at rest of the lower limbs and buttocks caused by severe anaemia: lessons from 2 cases

Sri Lanka Journal of Surgery, 2016

Research paper thumbnail of Early Post-Transplant Urinary Tract Infections; Impact on Graft and Patient Survival

Transplantation Journal, 2012

Research paper thumbnail of Live Donor Renal Transplantation in Sri Lanka; Factors Affecting Overall Outcome in a Resource Limited Setting

Transplantation Journal, 2012

Research paper thumbnail of Coeliomesenteric trunk - a rare variation to be aware of

Sri Lanka Journal of Surgery, 2019

Research paper thumbnail of Outcome after revascularisation of marginally viable limbs and dead limbs following lower limb arterial injuries

Ceylon Medical Journal, Sep 25, 2017

Research paper thumbnail of Single Centre Review of Hepatoblastoma Over 20 Years in New Zealand

Pediatric Blood & Cancer, Dec 1, 2014

Research paper thumbnail of The first simultaneous pancreas kidney transplantion in Sri Lanka

Diabetes Mellitus (DM) is a common disease in Sri Lanka with a prevalence of 10.3 % in individua... more Diabetes Mellitus (DM) is a common disease in Sri Lanka
with a prevalence of 10.3 % in individuals of more than 20
years of age [1]. Although, most of these patients can be
managed with oral hypoglycaemics and insulin (both type 1
and 2) in about 15 % of patients this becomes difficult [2].
When renal failure develops in these patients Simultaneous
Pancreatic Kidney Transplantation (SPK) becomes an option.
Such transplantation has not been done in Sri Lanka before.
The aim of this article is to report the first successful SPK in
Sri Lanka which is also the first dual organ transplantation in
this country.

Research paper thumbnail of Extremity vascular injuries following skeletal fractures, a tertiary care centre experience from Sri Lanka

Sri Lanka Journal of Surgery/Sri Lanka journal of surgery, Mar 31, 2024

Research paper thumbnail of Severe liver injuries; a case series and review of the literature

Deleted Journal, Mar 1, 2024

Research paper thumbnail of Fasciotomy done for vascular trauma at a tertiary care centre in Sri Lanka

Deleted Journal, Mar 1, 2024

Research paper thumbnail of High bifurcation of the brachial artery and its implications for arteriovenous fistula construction

Türk plastik cerrahi dergisi, Dec 31, 2022

Research paper thumbnail of Leiomyosarcoma of the Inferior Vena Cava and its tributaries, a case series and review of the literature

Sri Lanka Journal of Surgery, Nov 30, 2023

Research paper thumbnail of Abdominal aortic dimensions in Sri Lankan patients: a computed tomography imaging based preliminary study

Sri Lanka Journal of Surgery, Mar 31, 2023

Research paper thumbnail of Outcome of thigh arterio venous fistulae for haemodialysis in end stage renal failure

Sri Lanka Journal of Surgery, Aug 31, 2018

A well-functioning arterio venous fistula (AVF) is an essential need in patients with End Stage R... more A well-functioning arterio venous fistula (AVF) is an essential need in patients with End Stage Renal Failure (ESRF). However, due to the lack of suitable veins and central venous stenosis, this may not be always possible in the upper limb. We present a case series of 10 such patients who underwent thigh arterio venous fistulae (TAVF). The initial success rate of such TAVF in this series is 71.4%. We believe that this is an acceptable result in this cohort of patients and also better than having a tunnelled line or a synthetic graft which can be associated with higher rates of infection.

Research paper thumbnail of Successful pregnancy after abdominoperineal resection for rectal carcinoma in a young patient

Sri Lanka Journal of Surgery, Jan 27, 2013

Research paper thumbnail of Renal allotransplantation in retroperitoneal fibrosis: technical aspects

Ceylon Medical Journal, 2018

Research paper thumbnail of A case of acquired diaphragmatic hernia presenting with pneumothorax

Sri Lanka Journal of Surgery, 2010

Research paper thumbnail of Outcomes of venous reconstruction for pancreaticobiliary malignancies from a HPB surgery unit in low income country

Annals of Hepato-Biliary-Pancreatic Surgery

Research paper thumbnail of The teaching of anatomy in the modern world – The role of human cadaveric dissection

Sri Lanka Anatomy Journal

The teaching of anatomy in the modern world-The role of human cadaveric dissection 4 distribution... more The teaching of anatomy in the modern world-The role of human cadaveric dissection 4 distribution and reproduction in any medium, provided the original work is properly cited.

Research paper thumbnail of Adrenal gland encircling renal artery - a rare variation

Sri Lanka Journal of Surgery, 2016

Research paper thumbnail of Acute onset severe ischaemic pain at rest of the lower limbs and buttocks caused by severe anaemia: lessons from 2 cases

Sri Lanka Journal of Surgery, 2016

Research paper thumbnail of Early Post-Transplant Urinary Tract Infections; Impact on Graft and Patient Survival

Transplantation Journal, 2012

Research paper thumbnail of Live Donor Renal Transplantation in Sri Lanka; Factors Affecting Overall Outcome in a Resource Limited Setting

Transplantation Journal, 2012

Research paper thumbnail of Coeliomesenteric trunk - a rare variation to be aware of

Sri Lanka Journal of Surgery, 2019

Research paper thumbnail of Outcome after revascularisation of marginally viable limbs and dead limbs following lower limb arterial injuries

Ceylon Medical Journal, Sep 25, 2017

Research paper thumbnail of Single Centre Review of Hepatoblastoma Over 20 Years in New Zealand

Pediatric Blood & Cancer, Dec 1, 2014

Research paper thumbnail of Jaffna Medical Association Annual Scientific Sessions September, 2022 Professor C.Sivagnanasundaram memorial oration

Vascular trauma Jaffna Medical Association Annual Scientific Sessions September, 2022 Professor C.Sivagnanasundaram memorial oration, 2022

Vascular injuries are potentially life or limb threatening. Vascular trauma occurs in 1.6% of civ... more Vascular injuries are potentially life or limb threatening. Vascular trauma occurs in 1.6% of civilian injuries (1) and 6.8% to 10.8% in war related injuries (Afghanistan, Iraq and Lebanon war). In a study done at the National hospital of Sri Lanka Colombo (NHSL) out of 5802 trauma admissions there were 93 patients with vascular injuries (VI). Therefore the incidence of VI in civilian trauma is 1.6% (1). After the end of civil war in Sri Lanka in 2009 there is a reduction in the number of war related vascular injuries. But due to the increase in the number of Road Traffic Accidents (RTA), the number of vascular trauma also increased (i.e. from 1938 to 2013 road traffic injuries increased from 35.1 to 98.6 per 100 000 population in Sri Lanka). One of the reasons for this is the increased number two and three wheeled vehicles which are involved more with accidents (2). Trauma and vascular injuries often involve young males. They are the breadwinners of the family. In one study done at the Teaching Hospital Anuradhapura (THA) among patients presenting with popliteal arterial injuries, 18 (90%) were males with a mean age of 38.7 years (2). And in another study done at the same institution among patients with major lower limb arterial injuries, 22 (87.5%) were males and the mean age was 36.9 years (3). These studies confirm the fact of young males often getting involved with vascular injuries.
“Vascular injury” is a nonspecific term. Because this is used to describe the injuries to blood vessels in all parts of the body and injuries to the arteries and veins. Injuries to the blood vessels of the limbs are called extremity vascular injuries (EVI).

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