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Papers by Prabhakar Ulaganathan

Research paper thumbnail of No Drainage Tube in Duodenal Perforation Laparotomy

IP Innovative Publication Pvt. Ltd., May 15, 2020

Research paper thumbnail of Giant Intermuscular Thenar Lipoma: A Case Report and Literature Review

Journal of Clinical and Diagnostic Research, 2020

Lipoma is the most common benign tumour in hand. Lipoma in hand of size more than 5 cm is classif... more Lipoma is the most common benign tumour in hand. Lipoma in hand of size more than 5 cm is classified as Giant Lipoma. Lipoma of larger sizes is rare in hand because of accessibility and lesser subcutaneous tissues. Large lipoma interferes in the hand functions. Lipoma in dominant hand is usually noted early and gets operated. This case is of 65 year old female patient who reported with the swelling in right hand for past 25 years. The size of the lipoma was big and asymptomatic till the presentation. The swelling was investigated and surgically removed which was diagnosed histopatholoically as Intermuscular Thenar Lipoma .

Research paper thumbnail of Flaps versus skin grafts in neovagina creation for vaginal agenesis

International Surgery Journal

Background: Women with congenital uterovaginal agenesis have normal development of all secondary ... more Background: Women with congenital uterovaginal agenesis have normal development of all secondary sexual characteristics. They face the cruel fact of being unable to bear children and enjoy sexual satisfaction. Good neo vaginal reconstruction is important in improving functional and psycho social impacts to womanhood. The aim of the study was to compare the three commonly done surgical procedures for vaginal reconstruction.Methods: All the vaginal agenesis patients who attended Department of plastic surgery Madras Medical College, Chennai during the period from August 2004 to April 2007 were included in our study.Results: In Abbe McIndoe procedure, graft take was full in all 7 cases with good cosmetic appearance. Flaps survived in all 10 patients underwent pudendal thigh flap surgery. 2 patients underwent horse shoe shaped labia minora flaps. The cosmetic appearance was fair because of the distortion of the labia. The mean vaginal depth obtained was 8 cm and width was 2 cm.Conclusion...

Research paper thumbnail of Fine Needle Aspiration Cytology in the Diagnosis of Intraabdominal Malignancies

International Journal of Contemporary Medicine, Surgery and Radiology

Research paper thumbnail of Giant Intermuscular Thenar Lipoma: A Case Report and Literature Review

journal of clinical and diagnostic research, 2020

A 65-year-old lady presented with complaints of swelling in the right hand for past 25 years. The... more A 65-year-old lady presented with complaints of swelling in the right hand for past 25 years. There were no complaints of pain or loss of function. It was slow growing and gradually increased to attain this size. There was no sensory neurological deficit in the thumb. She was able to do her personal work without any difficulty. On examination, there was a well-defined lobular mass of size 8×7 cm occupying entire right thenar eminence. It was firm and non-mobile. Thumb movements were full. She was able to oppose the thumb to other fingers with difficulty but a firm grip could not be made [Table/Fig-1]. Clinical diagnosis of Lipoma was made. Prabhakar Ulaganathan ABSTRACT Lipoma is the most common benign tumour in hand. Lipoma in hand of size more than 5 cm is classified as Giant Lipoma. Lipoma of larger sizes is rare in hand because of accessibility and lesser subcutaneous tissues. Large lipoma interferes in the hand functions. Lipoma in dominant hand is usually noted early and gets operated. This case is reported as the size of the lipoma was big and asymptomatic till the presentation.

Research paper thumbnail of Flaps versus skin grafts in neovagina creation for vaginal agenesis

International Surgery Journal, 2020

Background: Women with congenital uterovaginal agenesis have normal development of all secondary ... more Background: Women with congenital uterovaginal agenesis have normal development of all secondary sexual characteristics. They face the cruel fact of being unable to bear children and enjoy sexual satisfaction. Good neo vaginal reconstruction is important in improving functional and psycho social impacts to womanhood. The aim of the study was to compare the three commonly done surgical procedures for vaginal reconstruction.
Methods: All the vaginal agenesis patients who attended Department of plastic surgery Madras Medical College, Chennai during the period from August 2004 to April 2007 were included in our study.
Results: In Abbe McIndoe procedure, graft take was full in all 7 cases with good cosmetic appearance. Flaps survived in all 10 patients underwent pudendal thigh flap surgery. 2 patients underwent horse shoe shaped labia minora flaps. The cosmetic appearance was fair because of the distortion of the labia. The mean vaginal depth obtained was 8 cm and width was 2 cm.
Conclusions: Cosmetic appearance was good in patients who underwent McIndoe procedure as the genitalia were not distorted. Contracture rate was more in patients who underwent McIndoe procedure especially who were irregular in using stents. Flap procedure especially pudendal thigh flaps which has the least contraction rate is the preferable treatment option for such patients.

Research paper thumbnail of Fine Needle Aspiration Cytology in the Diagnosis of Intraabdominal Malignancies

International Journal of Contemporary Medicine Surgery and Radiology, 2020

Introduction: The pathological diagnosis of the intraabdominal malignancy is arrived by any one o... more Introduction: The pathological diagnosis of the intraabdominal malignancy is arrived by any one of the biopsy techniques.
Such techniques have many disadvantages. FNAC of the intra abdominal malignancy is often a forgotten rather than
neglected investigation. But it can be done with confidence to arrive at the tissue diagnosis. Aim: To emphasize FNAC as a
sensitive and specific diagnostic tool for intra abdominal malignancies.
Material and methods: FNAC was done in 50 cases of palpable intraabdominal malignancies and compared with other
conventional biopsy techniques.
Results: FNAC gave positive report of malignancy in 80% of cases, specifying the type and differentiation in most cases.
FNAC of intra abdominal malignancies had a sensitivity of 86.96% and a specificity of 100%.The overall accuracy rate is 88%.
There were no false positive reports. It had no complications. It reduced cost and time for investigations.
Conclusion: FNAC was extremely helpful in arriving at a cytological diagnosis of palpable intraabdominal malignancy. This
was useful in the further management of the patients. FNAC can be safely used as first line investigation for intraabdominal
malignancies.

Research paper thumbnail of No Drainage tube in duodenal perforation laparotomy

IP Innovative Publication Pvt. Ltd, 2020

Duodenal ulcer perforation peritonitis is the commonest cause for emergency laparotomy in India. ... more Duodenal ulcer perforation peritonitis is the commonest cause for emergency laparotomy in India. Abdominal cavity is highly contaminated with bile, food particles and pathogens. It is customary to keep drainage tube on both flanks after laparotomy for duodenal perforation closure. Drainage fluid is minimal if the perforation is closed by live omental patch technique after thorough peritoneal lavage. Drainage tube itself may act as a track for skin pathogens to migrate from skin to the abdominal cavity. This comparative study was conducted between two groups of patients underwent laparotomy with and without drainage tube for duodenal ulcer perforation. Patients in our surgical unit were treated without drainage tube and compared with other surgical unit where patients were treated with drainage tube. The study reveals that the outcome was similar between the two groups. Drainage tube is unnecessary in laparotomy for duodenal ulcer perforation.

Research paper thumbnail of No Drainage Tube in Duodenal Perforation Laparotomy

IP Innovative Publication Pvt. Ltd., May 15, 2020

Research paper thumbnail of Giant Intermuscular Thenar Lipoma: A Case Report and Literature Review

Journal of Clinical and Diagnostic Research, 2020

Lipoma is the most common benign tumour in hand. Lipoma in hand of size more than 5 cm is classif... more Lipoma is the most common benign tumour in hand. Lipoma in hand of size more than 5 cm is classified as Giant Lipoma. Lipoma of larger sizes is rare in hand because of accessibility and lesser subcutaneous tissues. Large lipoma interferes in the hand functions. Lipoma in dominant hand is usually noted early and gets operated. This case is of 65 year old female patient who reported with the swelling in right hand for past 25 years. The size of the lipoma was big and asymptomatic till the presentation. The swelling was investigated and surgically removed which was diagnosed histopatholoically as Intermuscular Thenar Lipoma .

Research paper thumbnail of Flaps versus skin grafts in neovagina creation for vaginal agenesis

International Surgery Journal

Background: Women with congenital uterovaginal agenesis have normal development of all secondary ... more Background: Women with congenital uterovaginal agenesis have normal development of all secondary sexual characteristics. They face the cruel fact of being unable to bear children and enjoy sexual satisfaction. Good neo vaginal reconstruction is important in improving functional and psycho social impacts to womanhood. The aim of the study was to compare the three commonly done surgical procedures for vaginal reconstruction.Methods: All the vaginal agenesis patients who attended Department of plastic surgery Madras Medical College, Chennai during the period from August 2004 to April 2007 were included in our study.Results: In Abbe McIndoe procedure, graft take was full in all 7 cases with good cosmetic appearance. Flaps survived in all 10 patients underwent pudendal thigh flap surgery. 2 patients underwent horse shoe shaped labia minora flaps. The cosmetic appearance was fair because of the distortion of the labia. The mean vaginal depth obtained was 8 cm and width was 2 cm.Conclusion...

Research paper thumbnail of Fine Needle Aspiration Cytology in the Diagnosis of Intraabdominal Malignancies

International Journal of Contemporary Medicine, Surgery and Radiology

Research paper thumbnail of Giant Intermuscular Thenar Lipoma: A Case Report and Literature Review

journal of clinical and diagnostic research, 2020

A 65-year-old lady presented with complaints of swelling in the right hand for past 25 years. The... more A 65-year-old lady presented with complaints of swelling in the right hand for past 25 years. There were no complaints of pain or loss of function. It was slow growing and gradually increased to attain this size. There was no sensory neurological deficit in the thumb. She was able to do her personal work without any difficulty. On examination, there was a well-defined lobular mass of size 8×7 cm occupying entire right thenar eminence. It was firm and non-mobile. Thumb movements were full. She was able to oppose the thumb to other fingers with difficulty but a firm grip could not be made [Table/Fig-1]. Clinical diagnosis of Lipoma was made. Prabhakar Ulaganathan ABSTRACT Lipoma is the most common benign tumour in hand. Lipoma in hand of size more than 5 cm is classified as Giant Lipoma. Lipoma of larger sizes is rare in hand because of accessibility and lesser subcutaneous tissues. Large lipoma interferes in the hand functions. Lipoma in dominant hand is usually noted early and gets operated. This case is reported as the size of the lipoma was big and asymptomatic till the presentation.

Research paper thumbnail of Flaps versus skin grafts in neovagina creation for vaginal agenesis

International Surgery Journal, 2020

Background: Women with congenital uterovaginal agenesis have normal development of all secondary ... more Background: Women with congenital uterovaginal agenesis have normal development of all secondary sexual characteristics. They face the cruel fact of being unable to bear children and enjoy sexual satisfaction. Good neo vaginal reconstruction is important in improving functional and psycho social impacts to womanhood. The aim of the study was to compare the three commonly done surgical procedures for vaginal reconstruction.
Methods: All the vaginal agenesis patients who attended Department of plastic surgery Madras Medical College, Chennai during the period from August 2004 to April 2007 were included in our study.
Results: In Abbe McIndoe procedure, graft take was full in all 7 cases with good cosmetic appearance. Flaps survived in all 10 patients underwent pudendal thigh flap surgery. 2 patients underwent horse shoe shaped labia minora flaps. The cosmetic appearance was fair because of the distortion of the labia. The mean vaginal depth obtained was 8 cm and width was 2 cm.
Conclusions: Cosmetic appearance was good in patients who underwent McIndoe procedure as the genitalia were not distorted. Contracture rate was more in patients who underwent McIndoe procedure especially who were irregular in using stents. Flap procedure especially pudendal thigh flaps which has the least contraction rate is the preferable treatment option for such patients.

Research paper thumbnail of Fine Needle Aspiration Cytology in the Diagnosis of Intraabdominal Malignancies

International Journal of Contemporary Medicine Surgery and Radiology, 2020

Introduction: The pathological diagnosis of the intraabdominal malignancy is arrived by any one o... more Introduction: The pathological diagnosis of the intraabdominal malignancy is arrived by any one of the biopsy techniques.
Such techniques have many disadvantages. FNAC of the intra abdominal malignancy is often a forgotten rather than
neglected investigation. But it can be done with confidence to arrive at the tissue diagnosis. Aim: To emphasize FNAC as a
sensitive and specific diagnostic tool for intra abdominal malignancies.
Material and methods: FNAC was done in 50 cases of palpable intraabdominal malignancies and compared with other
conventional biopsy techniques.
Results: FNAC gave positive report of malignancy in 80% of cases, specifying the type and differentiation in most cases.
FNAC of intra abdominal malignancies had a sensitivity of 86.96% and a specificity of 100%.The overall accuracy rate is 88%.
There were no false positive reports. It had no complications. It reduced cost and time for investigations.
Conclusion: FNAC was extremely helpful in arriving at a cytological diagnosis of palpable intraabdominal malignancy. This
was useful in the further management of the patients. FNAC can be safely used as first line investigation for intraabdominal
malignancies.

Research paper thumbnail of No Drainage tube in duodenal perforation laparotomy

IP Innovative Publication Pvt. Ltd, 2020

Duodenal ulcer perforation peritonitis is the commonest cause for emergency laparotomy in India. ... more Duodenal ulcer perforation peritonitis is the commonest cause for emergency laparotomy in India. Abdominal cavity is highly contaminated with bile, food particles and pathogens. It is customary to keep drainage tube on both flanks after laparotomy for duodenal perforation closure. Drainage fluid is minimal if the perforation is closed by live omental patch technique after thorough peritoneal lavage. Drainage tube itself may act as a track for skin pathogens to migrate from skin to the abdominal cavity. This comparative study was conducted between two groups of patients underwent laparotomy with and without drainage tube for duodenal ulcer perforation. Patients in our surgical unit were treated without drainage tube and compared with other surgical unit where patients were treated with drainage tube. The study reveals that the outcome was similar between the two groups. Drainage tube is unnecessary in laparotomy for duodenal ulcer perforation.