Sameer Pandya - Academia.edu (original) (raw)
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Papers by Sameer Pandya
Plastic surgery, Sep 15, 2022
The advent of minimal pain tumescent local anesthesia injection has improved patient safety by el... more The advent of minimal pain tumescent local anesthesia injection has improved patient safety by eliminating the need for sedation for many wide awake operations, especially in patients with significant medical comorbidities. Modified radical mastectomy (MRM) for breast cancer is commonly performed under general anesthesia as it requires the dissection of the entire breast and an ipsilateral axillary lymph node dissection (ALND). General anesthesia has been shown to have a high risk in patients with severe medical comorbidities. We present a case of a 78-year-old male patient who was diagnosed with invasive ductal breast carcinoma, cardiac failure, and other metabolic abnormalities. Taking his comorbidities into account, we performed a wide awake MRM and ALND after tumescent minimal pain local anesthesia injection. The patient experienced the successful procedure safely with minimal discomfort.
Plastic Surgery
The advent of minimal pain tumescent local anesthesia injection has improved patient safety by el... more The advent of minimal pain tumescent local anesthesia injection has improved patient safety by eliminating the need for sedation for many wide awake operations, especially in patients with significant medical comorbidities. Modified radical mastectomy (MRM) for breast cancer is commonly performed under general anesthesia as it requires the dissection of the entire breast and an ipsilateral axillary lymph node dissection (ALND). General anesthesia has been shown to have a high risk in patients with severe medical comorbidities. We present a case of a 78-year-old male patient who was diagnosed with invasive ductal breast carcinoma, cardiac failure, and other metabolic abnormalities. Taking his comorbidities into account, we performed a wide awake MRM and ALND after tumescent minimal pain local anesthesia injection. The patient experienced the successful procedure safely with minimal discomfort.
Degree or publication. Where other people's work or my own work has been used, this has properly ... more Degree or publication. Where other people's work or my own work has been used, this has properly been acknowledged and referenced in accordance with the University of Nairobi's requirements. 3. I have not sought or used the services of any professional agencies to produce this work 4. I have not allowed, and shall not allow anyone to copy my work with the intention of passing it off as his/her own work 5. I understand that any false claim in respect of this work shall result in disciplinary action, in accordance with University Plagiarism Policy. Signature _______________________________________________ Date ___________________________________________________ vi ACKNOWLEDGEMENT I hereby acknowledge the following for their invaluable support and the role they played towards making this dissertation a success: The Almighty God for making my life graceful K.N.H administration and the patients who participated in this study All my teachers at the Department of Surgery and especially my supervisors Prof Mungai and Dr Ojuka My parents whose blessings have kept me from harm and on the path of prosperity My fellow colleagues for their undying cooperation My family for being very supporting and loving while tolerating all my faults vii
Plastic surgery, Sep 15, 2022
The advent of minimal pain tumescent local anesthesia injection has improved patient safety by el... more The advent of minimal pain tumescent local anesthesia injection has improved patient safety by eliminating the need for sedation for many wide awake operations, especially in patients with significant medical comorbidities. Modified radical mastectomy (MRM) for breast cancer is commonly performed under general anesthesia as it requires the dissection of the entire breast and an ipsilateral axillary lymph node dissection (ALND). General anesthesia has been shown to have a high risk in patients with severe medical comorbidities. We present a case of a 78-year-old male patient who was diagnosed with invasive ductal breast carcinoma, cardiac failure, and other metabolic abnormalities. Taking his comorbidities into account, we performed a wide awake MRM and ALND after tumescent minimal pain local anesthesia injection. The patient experienced the successful procedure safely with minimal discomfort.
Plastic Surgery
The advent of minimal pain tumescent local anesthesia injection has improved patient safety by el... more The advent of minimal pain tumescent local anesthesia injection has improved patient safety by eliminating the need for sedation for many wide awake operations, especially in patients with significant medical comorbidities. Modified radical mastectomy (MRM) for breast cancer is commonly performed under general anesthesia as it requires the dissection of the entire breast and an ipsilateral axillary lymph node dissection (ALND). General anesthesia has been shown to have a high risk in patients with severe medical comorbidities. We present a case of a 78-year-old male patient who was diagnosed with invasive ductal breast carcinoma, cardiac failure, and other metabolic abnormalities. Taking his comorbidities into account, we performed a wide awake MRM and ALND after tumescent minimal pain local anesthesia injection. The patient experienced the successful procedure safely with minimal discomfort.
Degree or publication. Where other people's work or my own work has been used, this has properly ... more Degree or publication. Where other people's work or my own work has been used, this has properly been acknowledged and referenced in accordance with the University of Nairobi's requirements. 3. I have not sought or used the services of any professional agencies to produce this work 4. I have not allowed, and shall not allow anyone to copy my work with the intention of passing it off as his/her own work 5. I understand that any false claim in respect of this work shall result in disciplinary action, in accordance with University Plagiarism Policy. Signature _______________________________________________ Date ___________________________________________________ vi ACKNOWLEDGEMENT I hereby acknowledge the following for their invaluable support and the role they played towards making this dissertation a success: The Almighty God for making my life graceful K.N.H administration and the patients who participated in this study All my teachers at the Department of Surgery and especially my supervisors Prof Mungai and Dr Ojuka My parents whose blessings have kept me from harm and on the path of prosperity My fellow colleagues for their undying cooperation My family for being very supporting and loving while tolerating all my faults vii