Chetna Khanna - Academia.edu (original) (raw)

Papers by Chetna Khanna

Research paper thumbnail of Negative Pressure Wound Therapy versus Conventional Wound Therapy in Pressure Sores

Aim: To assess the feasibility and efficacy of Topical Negative Pressure (TNP) dressing using TNP... more Aim: To assess the feasibility and efficacy of Topical Negative Pressure (TNP) dressing using TNP device and comparing it with regular gauze dressings for pressure sores. Materials and Methods: 50 patients were included in the study who attended OPD/IPD in departments of general surgery, plastic surgery, neurosurgery and orthopedics in SMC Meerut during the period September 2015january 2017. Of these 25 patients received TNP dressings and 25 were treated with regular saline dressing. Results: The use of vacuum therapy in pressure sores resulted in improved wound healing as evidenced by improved WBS, faster healing, shorter hospital stay and improved flap uptake compared to conventional dressing. Conclusion: Topical Negative Pressure (TNP) dressing is a safe, economical, better and faster method for treatment of pressure sores from conventional dressing.

Research paper thumbnail of Delayed presentation of anorectal malformations in a tertiary care hospital in India

To study delayed presentation of ARMs, management and its effect on surgical and functional compl... more To study delayed presentation of ARMs, management and its effect on surgical and functional complications. It is a retrospective study from March 2015 to March 2020. All the patients satisfying the criteria of delayed ARMs, i.e., presenting 7 days after birth were included. Information regarding type of ARM, mode of presentation, time of presentation, associated anomalies, management strategy, postoperative complications and functional outcome was noted. Minimum follow-up period was 6 months. Out of 102 patients with ARM, 44 patients presented late. Among the 44 patients, 9 were males and 35 were females. Associated comorbidities observed are low birth weight (n = 9) and preterm (n = 13). Associated anomalies observed were cardiac (n = 18), renal (n = 8), other gastrointestinal (n = 5) and skeletal (n = 1). (1) Male: rectourethral fistula—2 (staged repair), anal stenosis—3 (anoplasty) and anocutaneous fistula—4 (anoplasty). (2) Female: vestibular fistula: 15 (6 primary definitive su...

Research paper thumbnail of Comparative study of single dose preoperative antibiotic versus five days antibiotic course in preventing surgical site infection for pediatric inguinal herniotomy

IP International Journal of Medical Paediatrics and Oncology

To compare single dose preoperative antibiotic versus five days antibiotic course in preventing s... more To compare single dose preoperative antibiotic versus five days antibiotic course in preventing surgical site infection for the pediatric inguinal herniotomy.The present study was conducted on 100 patients of elective inguinal herniotomy from January 2019 to April 2020 and compared on the basis of single dose preoperative antibiotic versus five days antibiotic course. All the patients were evaluated on the 3rd, 7th and 28th post-operative period and instructions were given to the guardians about wound care and to attend for early follow up if any signs & symptoms of wound infection appear.50% of the patients were treated with prophylactic single dose antibiotic, i.e. inj. Ceftriaxone (30 mg/kg/dose) at the time of induction only and rest 50% were treated with inj. Ceftriaxone(30mg/kg/dose) at the time of induction as well as postoperatively at night followed by four days of oral antibiotic with Syr/Tablet. Cephalexin (25mg/kg/day) three times daily for another 4 days.Surgical Site I...

Research paper thumbnail of Delayed presentation of anorectal malformations in a tertiary care hospital in India

Pediatric Surgery International

To study delayed presentation of ARMs, management and its effect on surgical and functional compl... more To study delayed presentation of ARMs, management and its effect on surgical and functional complications. It is a retrospective study from March 2015 to March 2020. All the patients satisfying the criteria of delayed ARMs, i.e., presenting 7 days after birth were included. Information regarding type of ARM, mode of presentation, time of presentation, associated anomalies, management strategy, postoperative complications and functional outcome was noted. Minimum follow-up period was 6 months. Out of 102 patients with ARM, 44 patients presented late. Among the 44 patients, 9 were males and 35 were females. Associated comorbidities observed are low birth weight (n = 9) and preterm (n = 13). Associated anomalies observed were cardiac (n = 18), renal (n = 8), other gastrointestinal (n = 5) and skeletal (n = 1). (1) Male: rectourethral fistula—2 (staged repair), anal stenosis—3 (anoplasty) and anocutaneous fistula—4 (anoplasty). (2) Female: vestibular fistula: 15 (6 primary definitive su...

Research paper thumbnail of Giant juvenile fibroadenoma in a young female-A diagnostic dilemma

Background: Fibroadenoma is the most common breast lesion among pediatric female population. A gi... more Background: Fibroadenoma is the most common breast lesion among pediatric female population. A giant fibroadenoma is rare, characterized by a rapidly growing tumor, with a mass >5 cm diameter in greatest dimension and/or weighing more than 500 gm. Phyllodes tumor range from benign to malignant. Both have similar presentation. Clinical Description: An 11-year-old girl presented with rapidly progressive, painless increase in the size of the left breast over 2 months. Local examination revealed a firm nontender mass involving the upper inner and outer quadrants of the left breast along with the retro-areolar region. The mass was mobile and measured approximately 11 cm × 10 cm. The overlying skin was normal, although with dilated veins and free from underlying mass. The clinical phenotype was suggestive a phyllodes tumor in view of rapid progression and large size. However, the ultrasonogram and fine-needle aspiration cytology favored a fibroadenoma. Management: It was decided to per...

Research paper thumbnail of Negative Pressure Wound Therapy versus Conventional Wound Therapy in Pressure Sores

Aim: To assess the feasibility and efficacy of Topical Negative Pressure (TNP) dressing using TNP... more Aim: To assess the feasibility and efficacy of Topical Negative Pressure (TNP) dressing using TNP device and comparing it with regular gauze dressings for pressure sores. Materials and Methods: 50 patients were included in the study who attended OPD/IPD in departments of general surgery, plastic surgery, neurosurgery and orthopedics in SMC Meerut during the period September 2015january 2017. Of these 25 patients received TNP dressings and 25 were treated with regular saline dressing. Results: The use of vacuum therapy in pressure sores resulted in improved wound healing as evidenced by improved WBS, faster healing, shorter hospital stay and improved flap uptake compared to conventional dressing. Conclusion: Topical Negative Pressure (TNP) dressing is a safe, economical, better and faster method for treatment of pressure sores from conventional dressing.

Research paper thumbnail of Delayed presentation of anorectal malformations in a tertiary care hospital in India

To study delayed presentation of ARMs, management and its effect on surgical and functional compl... more To study delayed presentation of ARMs, management and its effect on surgical and functional complications. It is a retrospective study from March 2015 to March 2020. All the patients satisfying the criteria of delayed ARMs, i.e., presenting 7 days after birth were included. Information regarding type of ARM, mode of presentation, time of presentation, associated anomalies, management strategy, postoperative complications and functional outcome was noted. Minimum follow-up period was 6 months. Out of 102 patients with ARM, 44 patients presented late. Among the 44 patients, 9 were males and 35 were females. Associated comorbidities observed are low birth weight (n = 9) and preterm (n = 13). Associated anomalies observed were cardiac (n = 18), renal (n = 8), other gastrointestinal (n = 5) and skeletal (n = 1). (1) Male: rectourethral fistula—2 (staged repair), anal stenosis—3 (anoplasty) and anocutaneous fistula—4 (anoplasty). (2) Female: vestibular fistula: 15 (6 primary definitive su...

Research paper thumbnail of Comparative study of single dose preoperative antibiotic versus five days antibiotic course in preventing surgical site infection for pediatric inguinal herniotomy

IP International Journal of Medical Paediatrics and Oncology

To compare single dose preoperative antibiotic versus five days antibiotic course in preventing s... more To compare single dose preoperative antibiotic versus five days antibiotic course in preventing surgical site infection for the pediatric inguinal herniotomy.The present study was conducted on 100 patients of elective inguinal herniotomy from January 2019 to April 2020 and compared on the basis of single dose preoperative antibiotic versus five days antibiotic course. All the patients were evaluated on the 3rd, 7th and 28th post-operative period and instructions were given to the guardians about wound care and to attend for early follow up if any signs & symptoms of wound infection appear.50% of the patients were treated with prophylactic single dose antibiotic, i.e. inj. Ceftriaxone (30 mg/kg/dose) at the time of induction only and rest 50% were treated with inj. Ceftriaxone(30mg/kg/dose) at the time of induction as well as postoperatively at night followed by four days of oral antibiotic with Syr/Tablet. Cephalexin (25mg/kg/day) three times daily for another 4 days.Surgical Site I...

Research paper thumbnail of Delayed presentation of anorectal malformations in a tertiary care hospital in India

Pediatric Surgery International

To study delayed presentation of ARMs, management and its effect on surgical and functional compl... more To study delayed presentation of ARMs, management and its effect on surgical and functional complications. It is a retrospective study from March 2015 to March 2020. All the patients satisfying the criteria of delayed ARMs, i.e., presenting 7 days after birth were included. Information regarding type of ARM, mode of presentation, time of presentation, associated anomalies, management strategy, postoperative complications and functional outcome was noted. Minimum follow-up period was 6 months. Out of 102 patients with ARM, 44 patients presented late. Among the 44 patients, 9 were males and 35 were females. Associated comorbidities observed are low birth weight (n = 9) and preterm (n = 13). Associated anomalies observed were cardiac (n = 18), renal (n = 8), other gastrointestinal (n = 5) and skeletal (n = 1). (1) Male: rectourethral fistula—2 (staged repair), anal stenosis—3 (anoplasty) and anocutaneous fistula—4 (anoplasty). (2) Female: vestibular fistula: 15 (6 primary definitive su...

Research paper thumbnail of Giant juvenile fibroadenoma in a young female-A diagnostic dilemma

Background: Fibroadenoma is the most common breast lesion among pediatric female population. A gi... more Background: Fibroadenoma is the most common breast lesion among pediatric female population. A giant fibroadenoma is rare, characterized by a rapidly growing tumor, with a mass >5 cm diameter in greatest dimension and/or weighing more than 500 gm. Phyllodes tumor range from benign to malignant. Both have similar presentation. Clinical Description: An 11-year-old girl presented with rapidly progressive, painless increase in the size of the left breast over 2 months. Local examination revealed a firm nontender mass involving the upper inner and outer quadrants of the left breast along with the retro-areolar region. The mass was mobile and measured approximately 11 cm × 10 cm. The overlying skin was normal, although with dilated veins and free from underlying mass. The clinical phenotype was suggestive a phyllodes tumor in view of rapid progression and large size. However, the ultrasonogram and fine-needle aspiration cytology favored a fibroadenoma. Management: It was decided to per...