vinod kumar | RCSI - Academia.edu (original) (raw)

Papers by vinod kumar

Research paper thumbnail of Management of concomitant umbilical hernia with laparoscopic cholecystectomy

International Surgery Journal

Background: During laparoscopic cholecystectomy (LC) procedures, umbilical abnormalities may pres... more Background: During laparoscopic cholecystectomy (LC) procedures, umbilical abnormalities may present technical challenges for general surgeons and increase the risk of incisional hernia. Objective was to identify the best repair technique to go along with LC for known or incidentally discovered umbilical hernias. Methods: In this study, retrospective review of the medical records of patients who had concurrent LC and umbilical hernia repair was done. Between January 2020 and January 2023, our institution performed LC on 600 patients, 65 (10.5%) of whom also underwent simultaneous UHR and LC. The analysis included 65 (10.5%) patients who met the inclusion requirements. Patients with umbilical hernias were identified during the preoperative phase by a clinical examination. Results: Mean age of 65 qualifying patients who underwent LC+UHR was 54.7±14.9 years (range 23-81 years) Men and women comprised 41 (65.6%) and 24 (34.4%) of these 65 patients, respectively. Median VAS pain scores m...

Research paper thumbnail of Interval appendectomy-do we need to do it in current era?

International Surgery Journal

Background: Our current treatment of an appendiceal mass is initially conservative, followed by a... more Background: Our current treatment of an appendiceal mass is initially conservative, followed by an interval appendectomy. The necessity of this routine interval appendectomy is debatable. Aim was to evaluate whether surgical factors and pathological features of the excised appendices support interval appendectomy. Methods: It was a retrospective study conducted for a period of 5 years (2017-2022). To assess the number of patients with appendicitis and a peri-appendiceal mass, all patients in both hospitals encoded for appendicitis were listed. Over this period of 5 years a total of 2,090 patients were diagnosed with acute appendicitis. Of these, 230 patients were operated through Interval appendectomy. All medical records of these patients were then reviewed and relevant variables were registered. Results: It was found that clinical findings alone were not specific enough to diagnose an appendiceal mass; 47% had a palpable abdominal mass and the median temperature was 38.2°C rangin...

Research paper thumbnail of Closure of peritoneal in inguinal hernia transabdominal preperitoneal by intracorporeal suturing versus tackers

International Surgery Journal

Background: Hernia surgeries are among the most frequently carried out surgical procedures. Minim... more Background: Hernia surgeries are among the most frequently carried out surgical procedures. Minimal recurrence rates, great patient comfort, rapid return to work, and low cost should all be characteristics of the optimal hernia treatment method. Objective of this study was to investigate whether tacker and suture materials used for peritoneal closure after mesh placement in the laparoscopic TAPP inguinal hernia repair technique. Methods: Present study is a retrospective, observational & comparative study conducted in Department of General Surgery in a tertiary care hospital from January 2021 to December 2021. Institutional ethical committee clearance was obtained. Patient identity was kept confidential. According to the type of peritoneal closure, patients were separated into two groups: group S (which underwent closure with sutures) and group T (which received closure with tackers) 48 and 52 during the study period. SPSS was used for analysis. Results: The study was male prepondera...

Research paper thumbnail of Use of mesh fixation device in inguinal hernia

International Surgery Journal

Background: With attention to patient outcome after open inguinal hernia chronic inguinal region ... more Background: With attention to patient outcome after open inguinal hernia chronic inguinal region pain and discomfort are major complains due to nerve compression by sutures used for mesh fixation. Objectives to compare outcomes of mesh fixation with metallic versus delayed absorbable suture material in inguinal hernia through laparoscopic surgery. Methods: This was prospective study conducted at department of general surgery in a Prime hospital, Dubai during the period of January 2022 to December 2022. Prior approval of local ethical committee was obtained. Total 100 male patients who underwent laparoscopic surgery were included in the study. Patients were split into two groups of 50 each. Metallic suture material (Tantallum 1-0) was used to fix the mesh in group 1 while mesh fixation was used in group 2 was completed with Vicryl 2-0, a delayed absorbable suture material. SPSS was used for analysis. Results: There was appearance of post-operative pain in 20 patients, 10 patients, an...

Research paper thumbnail of Management of concomitant umbilical hernia with laparoscopic cholecystectomy

International Surgery Journal

Background: During laparoscopic cholecystectomy (LC) procedures, umbilical abnormalities may pres... more Background: During laparoscopic cholecystectomy (LC) procedures, umbilical abnormalities may present technical challenges for general surgeons and increase the risk of incisional hernia. Objective was to identify the best repair technique to go along with LC for known or incidentally discovered umbilical hernias. Methods: In this study, retrospective review of the medical records of patients who had concurrent LC and umbilical hernia repair was done. Between January 2020 and January 2023, our institution performed LC on 600 patients, 65 (10.5%) of whom also underwent simultaneous UHR and LC. The analysis included 65 (10.5%) patients who met the inclusion requirements. Patients with umbilical hernias were identified during the preoperative phase by a clinical examination. Results: Mean age of 65 qualifying patients who underwent LC+UHR was 54.7±14.9 years (range 23-81 years) Men and women comprised 41 (65.6%) and 24 (34.4%) of these 65 patients, respectively. Median VAS pain scores m...

Research paper thumbnail of Interval appendectomy-do we need to do it in current era?

International Surgery Journal

Background: Our current treatment of an appendiceal mass is initially conservative, followed by a... more Background: Our current treatment of an appendiceal mass is initially conservative, followed by an interval appendectomy. The necessity of this routine interval appendectomy is debatable. Aim was to evaluate whether surgical factors and pathological features of the excised appendices support interval appendectomy. Methods: It was a retrospective study conducted for a period of 5 years (2017-2022). To assess the number of patients with appendicitis and a peri-appendiceal mass, all patients in both hospitals encoded for appendicitis were listed. Over this period of 5 years a total of 2,090 patients were diagnosed with acute appendicitis. Of these, 230 patients were operated through Interval appendectomy. All medical records of these patients were then reviewed and relevant variables were registered. Results: It was found that clinical findings alone were not specific enough to diagnose an appendiceal mass; 47% had a palpable abdominal mass and the median temperature was 38.2°C rangin...

Research paper thumbnail of Closure of peritoneal in inguinal hernia transabdominal preperitoneal by intracorporeal suturing versus tackers

International Surgery Journal

Background: Hernia surgeries are among the most frequently carried out surgical procedures. Minim... more Background: Hernia surgeries are among the most frequently carried out surgical procedures. Minimal recurrence rates, great patient comfort, rapid return to work, and low cost should all be characteristics of the optimal hernia treatment method. Objective of this study was to investigate whether tacker and suture materials used for peritoneal closure after mesh placement in the laparoscopic TAPP inguinal hernia repair technique. Methods: Present study is a retrospective, observational & comparative study conducted in Department of General Surgery in a tertiary care hospital from January 2021 to December 2021. Institutional ethical committee clearance was obtained. Patient identity was kept confidential. According to the type of peritoneal closure, patients were separated into two groups: group S (which underwent closure with sutures) and group T (which received closure with tackers) 48 and 52 during the study period. SPSS was used for analysis. Results: The study was male prepondera...

Research paper thumbnail of Use of mesh fixation device in inguinal hernia

International Surgery Journal

Background: With attention to patient outcome after open inguinal hernia chronic inguinal region ... more Background: With attention to patient outcome after open inguinal hernia chronic inguinal region pain and discomfort are major complains due to nerve compression by sutures used for mesh fixation. Objectives to compare outcomes of mesh fixation with metallic versus delayed absorbable suture material in inguinal hernia through laparoscopic surgery. Methods: This was prospective study conducted at department of general surgery in a Prime hospital, Dubai during the period of January 2022 to December 2022. Prior approval of local ethical committee was obtained. Total 100 male patients who underwent laparoscopic surgery were included in the study. Patients were split into two groups of 50 each. Metallic suture material (Tantallum 1-0) was used to fix the mesh in group 1 while mesh fixation was used in group 2 was completed with Vicryl 2-0, a delayed absorbable suture material. SPSS was used for analysis. Results: There was appearance of post-operative pain in 20 patients, 10 patients, an...