Dr.Sangeetha Kalabhairav - Academia.edu (original) (raw)

Papers by Dr.Sangeetha Kalabhairav

Research paper thumbnail of Wandering Through the Complex Mindset of Diabetic Foot Patients

Journal of Neurology Research Reviews & Reports

When I saw Mrs. XYZ elderly female patient was brought to my OPD for my consultation by her famil... more When I saw Mrs. XYZ elderly female patient was brought to my OPD for my consultation by her family member. The patient was blissfully unaware of the fact that her foot wound had crawling maggots! Knowing that she was a diabetic for the last 15 years I decided to do a complete foot and limb evaluation as well a complete examination of the patient. I learnt that she was psychologically depressed.

Research paper thumbnail of Umbilical Hernia Factors Affecting Outcome

Journal of Evolution of Medical and Dental Sciences, 2016

Aim of this study is to compare the effectiveness of surgical technique-Mesh repair techniques ve... more Aim of this study is to compare the effectiveness of surgical technique-Mesh repair techniques versus anatomical repair techniques with respect to the parameters of complications and recurrence rate. MATERIALS AND METHODS A detailed clinical study of paraumbilical hernia treated with both Mesh repair and Anatomical repair was undertaken at Department of General Surgery from January 2015 to June 2016 at K.R. Hospital attached to Mysore Medical College and Research Institute. Sixty patients were randomly assigned to Group A-Mesh Repair and Group B-Anatomical (Mayo's Repair). The same group of patients were studied for incidence, clinical features, treatment and postoperative complications pertaining to study period. Pts with irreducibility and incarcerated hernia were excluded from the study. Median period of followup was eighteen months. RESULTS Paraumbilical hernia is more common between 3rd and 6th decade of life. It is more common in males 56.7% than in females. There is no difference in age distribution of cases between males and females. Most common presenting symptom is swelling around the umbilicus, which may or may not be associated with pain. Most common position was Supraumbilical (56.7%), post-op complications like wound infection occurred in 10% in mesh repair and 6.67% in anatomical repair. In long-term follow-up, the recurrence was higher in Mayo's suture repair (10%) compared to mesh repair (3.33%) in our studies. CONCLUSION This study concludes that mesh repair has low recurrence rate with minimum complications. Mesh repair is considered the best and more superior to anatomical repair in due consideration to recurrence; however, in certain circumstances anatomical repair holds good which is cheaper and simple procedure.

Research paper thumbnail of Efficacy and safety of ultrasound guided foam sclerotherapy with sodium tetradecyl sulphate for residual and minor varicosities

International Surgery Journal, 2017

Background: Ultrasound-guided foam sclerotherapy (UGFS) is becoming an accepted standard of treat... more Background: Ultrasound-guided foam sclerotherapy (UGFS) is becoming an accepted standard of treatment varicose veins. It is a relatively safe, effective inexpensive method in limited, small varicose veins.This study aims to assess the safety and efficacy of UGFS using sodium tetradecyl sulphate (setrol) in patients presenting with minor varicosities and residual varicosities of lower limb.Methods: 78 patients with minor varicosities or residual varicosities post-surgery who presented between January2015 and June2016 at KR hospital attached to Mysore Medical College and Research Institute, Mysuru, underwent ultrasound-guided foam sclerotherapy with 0.5ml (at a single session) setrol prepared as a foam by Tessari technique. The efficacy criterion was the disappearance of the varicosities and improvement in symptoms and signs: 1 week, and 1, 3, 6 and 12 months after the treatment. Complications of sclerotherapy were reported during follow-up.Results: Decrease or withdrawal of complaint...

Research paper thumbnail of Effect of single dose pre-operative antibiotic prophylaxis versus conventional antibiotic therapy in patients undergoing lichtenstein tension free mesh repair

International Surgery Journal, 2017

Background: Rational use of antibiotic is important as injudicious use can adversely affect the p... more Background: Rational use of antibiotic is important as injudicious use can adversely affect the patient, cause emergence of antibiotic resistance and increase the cost of health care. The efficacy of antibiotic prophylaxis in preventing surgical site infection in patients undergoing Lichtenstein tension free inguinal hernia repair still remains controversial.Methods: A randomized controlled trial was conducted in patients undergoing lichtenstein tension free inguinal hernia repair between January 2015 to June 2016, and the results were compared with the control group in whom, conventional antibiotics were given for 7 days . All patients in study group undergoing surgery were given 400 mg parenteral ciprofloxacin 30 min prior to surgery. In the control group, the patients were given 2 days parenteral ciprofloxacin 400 mg twice a day and the next 5 days the same antibiotics were given in oral route, after surgery. Total 100 patients were randomized to 50 each group. The outcome in ter...

Research paper thumbnail of Wandering Through the Complex Mindset of Diabetic Foot Patients

Journal of Neurology Research Reviews & Reports

When I saw Mrs. XYZ elderly female patient was brought to my OPD for my consultation by her famil... more When I saw Mrs. XYZ elderly female patient was brought to my OPD for my consultation by her family member. The patient was blissfully unaware of the fact that her foot wound had crawling maggots! Knowing that she was a diabetic for the last 15 years I decided to do a complete foot and limb evaluation as well a complete examination of the patient. I learnt that she was psychologically depressed.

Research paper thumbnail of Umbilical Hernia Factors Affecting Outcome

Journal of Evolution of Medical and Dental Sciences, 2016

Aim of this study is to compare the effectiveness of surgical technique-Mesh repair techniques ve... more Aim of this study is to compare the effectiveness of surgical technique-Mesh repair techniques versus anatomical repair techniques with respect to the parameters of complications and recurrence rate. MATERIALS AND METHODS A detailed clinical study of paraumbilical hernia treated with both Mesh repair and Anatomical repair was undertaken at Department of General Surgery from January 2015 to June 2016 at K.R. Hospital attached to Mysore Medical College and Research Institute. Sixty patients were randomly assigned to Group A-Mesh Repair and Group B-Anatomical (Mayo's Repair). The same group of patients were studied for incidence, clinical features, treatment and postoperative complications pertaining to study period. Pts with irreducibility and incarcerated hernia were excluded from the study. Median period of followup was eighteen months. RESULTS Paraumbilical hernia is more common between 3rd and 6th decade of life. It is more common in males 56.7% than in females. There is no difference in age distribution of cases between males and females. Most common presenting symptom is swelling around the umbilicus, which may or may not be associated with pain. Most common position was Supraumbilical (56.7%), post-op complications like wound infection occurred in 10% in mesh repair and 6.67% in anatomical repair. In long-term follow-up, the recurrence was higher in Mayo's suture repair (10%) compared to mesh repair (3.33%) in our studies. CONCLUSION This study concludes that mesh repair has low recurrence rate with minimum complications. Mesh repair is considered the best and more superior to anatomical repair in due consideration to recurrence; however, in certain circumstances anatomical repair holds good which is cheaper and simple procedure.

Research paper thumbnail of Efficacy and safety of ultrasound guided foam sclerotherapy with sodium tetradecyl sulphate for residual and minor varicosities

International Surgery Journal, 2017

Background: Ultrasound-guided foam sclerotherapy (UGFS) is becoming an accepted standard of treat... more Background: Ultrasound-guided foam sclerotherapy (UGFS) is becoming an accepted standard of treatment varicose veins. It is a relatively safe, effective inexpensive method in limited, small varicose veins.This study aims to assess the safety and efficacy of UGFS using sodium tetradecyl sulphate (setrol) in patients presenting with minor varicosities and residual varicosities of lower limb.Methods: 78 patients with minor varicosities or residual varicosities post-surgery who presented between January2015 and June2016 at KR hospital attached to Mysore Medical College and Research Institute, Mysuru, underwent ultrasound-guided foam sclerotherapy with 0.5ml (at a single session) setrol prepared as a foam by Tessari technique. The efficacy criterion was the disappearance of the varicosities and improvement in symptoms and signs: 1 week, and 1, 3, 6 and 12 months after the treatment. Complications of sclerotherapy were reported during follow-up.Results: Decrease or withdrawal of complaint...

Research paper thumbnail of Effect of single dose pre-operative antibiotic prophylaxis versus conventional antibiotic therapy in patients undergoing lichtenstein tension free mesh repair

International Surgery Journal, 2017

Background: Rational use of antibiotic is important as injudicious use can adversely affect the p... more Background: Rational use of antibiotic is important as injudicious use can adversely affect the patient, cause emergence of antibiotic resistance and increase the cost of health care. The efficacy of antibiotic prophylaxis in preventing surgical site infection in patients undergoing Lichtenstein tension free inguinal hernia repair still remains controversial.Methods: A randomized controlled trial was conducted in patients undergoing lichtenstein tension free inguinal hernia repair between January 2015 to June 2016, and the results were compared with the control group in whom, conventional antibiotics were given for 7 days . All patients in study group undergoing surgery were given 400 mg parenteral ciprofloxacin 30 min prior to surgery. In the control group, the patients were given 2 days parenteral ciprofloxacin 400 mg twice a day and the next 5 days the same antibiotics were given in oral route, after surgery. Total 100 patients were randomized to 50 each group. The outcome in ter...