Amrut Basava | Rguhs Bangalore (original) (raw)
Papers by Amrut Basava
Journal of Universal Surgery
Case Series Cleft Repair Surgeries have been performed by Dr. Y. N. Irkal, who is presently headi... more Case Series Cleft Repair Surgeries have been performed by Dr. Y. N. Irkal, who is presently heading a renowned institution, Shreeya Hospital at Dharwad, Karnataka. The surgical outcomes are cosmetically satisfactory, as evident from the following photographs. Case 1 A 6-month-old male child with bilateral cleft lip underwent surgical repair. On follow-up at the age of 5 years, upper lip has developed to be cosmetically aceptable (Figure 1). Case 2 A 5-month-old male child with complaint of upper lip deformity, diagnosed to be bilateral cleft lip, underwent Cleft Repair Surgery.
Journal of Universal Surgery, 2019
Anorectal conditions are among the common diseases causing significant patient discomfort and aff... more Anorectal conditions are among the common diseases causing significant patient
discomfort and affecting their quality of life. Their prevalence is higher than
that seen in clinical practice, as people seem to avoid seeking medical attention.
Various anorectal disorders, their demographic profile, epidemiology, clinical
presentations, diagnoses, and management have been emphasized by this review
of 6 different articles. The articles are observational studies about patterns and
presentations of various anorectal disorders, with study subjects ranging from 109
to 629 patients, published between 2015 and 2019. Five articles have been studied
in India and one in Sudan. The data retrieved from each article is comparable to
the previous existing studies, although certain variations and differences can be
made out among them. The specific areas of focus include: age & sex distribution,
predisposing factors, common presenting symptoms and clinical features,
patterns of various anorectal disorders and management (surgical/conservative)
and outcomes. Anorectal diseases commonly affects the age of 15 to 50 years,
with male predominance. Common predisposing factors include mixed/nonvegetarian
diet, low fibre diet, constipation, poor anal hygiene, pregnancy and
lack of physical activity/exercise. Common anorectal symptoms include anal pain
with bleeding per rectum, difficulty in passing stools, mass per anum and pruritus.
Distribution of anorectal cases varies, with haemorrhoids being commonest
and fissure-in-ano; followed by fistula-in-ano and pruritus ani. Majority of
haemorrhoids are in 2nd or 3rd degree. Fissure-in-ano mostly occurs in posterior
midline; commonly acute type. Surgery is the most definitive management for
most perianal disorders with minimum recurrence.
International Surgery Journal
Background: Saline dressings and povidone iodine dressings have been traditionally used for the m... more Background: Saline dressings and povidone iodine dressings have been traditionally used for the management of chronic diabetic wounds Methods: Subjects attending diabetic wound clinic and surgery outpatient department/ casualty of Government Medical College and Hospital, Kozhikode, Kerala, India were divided into two groups by consecutive sampling i.e., Povidone iodine and Saline dressing group. Regular occlusive dressing was done for 6 weeks of follow-up period.Results: 3 out of 20 subjects in Saline treated group achieved complete healing by 6 weeks as compared to 1 out of 20 subjects in Povidone iodine treated group. There was a significant decrease in the wound surface area at 6th week in Saline dressing group in comparison to the povidone iodine group at P = 0.03 (<0.05) level of significance.Conclusions: Saline dressing is more effective in achieving healing in chronic diabetic wounds as compared to Povidone iodine dressing.
Case Series Cleft Repair Surgeries have been performed by Dr. Y. N. Irkal, who is presently headi... more Case Series Cleft Repair Surgeries have been performed by Dr. Y. N. Irkal, who is presently heading a renowned institution, Shreeya Hospital at Dharwad, Karnataka. The surgical outcomes are cosmetically satisfactory, as evident from the following photographs. Case 1 A 6-month-old male child with bilateral cleft lip underwent surgical repair. On follow-up at the age of 5 years, upper lip has developed to be cosmetically aceptable (Figure 1). Case 2 A 5-month-old male child with complaint of upper lip deformity, diagnosed to be bilateral cleft lip, underwent Cleft Repair Surgery.
Anal fissure is a painful anorectal disorder with a tear in the anoderm, commonly caused by const... more Anal fissure is a painful anorectal disorder with a tear in the anoderm, commonly caused by constipation. It accounts for 14-36% of anorectal disorders with lifetime risk of 11%. It causes severe discomfort and affects the quality of life. Chronic anal fissures (>6 weeks) are clinically associated with indurated margins, fibrotic base, exposed internal anal sphincter fibres, sentinel piles (skin tags) and hypertrophic anal papilla. The spasm of the internal anal sphincter leading to increased anal pressure, is the main reason for non-healing of fissure and chronicity. Treatment is aimed at relieving resting anal canal pressure and facilitating the blood flow for fissure healing. Medical treatment, termed as "chemical sphincterotomy", includes commonly used topical agents like nitrates (0.2% glyceryltrinitrate), calcium channel blockers (2% diltiazem) and botulinum toxin injections. High fiber diet, fiber supplements, stool softeners, sitz baths and plenty of fluid intake are supportive treatments. Surgical treatment includes Lateral internal anal sphincterotomy (LIS) and anal dilatation; LIS being gold standard. This review includes five comparative studies between medical and surgical treatments for chronic anal fissures. Medical treatment involved twice daily topical application of glyceryltrinitrate/diltiazem, whereas surgical treatment involved LIS under spinal anaesthesia. The duration of follow-up was about 6-8 weeks. Complete pain relief varies between 64% to 92.5% with medical treatment, whereas 96% to 100% with surgical treatment. Fissure healing rates varies between 72% to 92.5% with the medical treatment, whereas 93% to 100% with the surgical treatment. Surgical treatment (LIS) has statistically significant better pain relief and fissure healing compared to medical treatment. Medical treatment is a safe first choice, but has high recurrence/failure rates. Diltiazem is preferable to glyceryltrinitrate. LIS is the most efficacious treatment with highest healing rates and lowest failure rates, but associated with self-subsiding complications like perianal hematoma or incontinence (9%).
Journal of Universal Surgery
Case Series Cleft Repair Surgeries have been performed by Dr. Y. N. Irkal, who is presently headi... more Case Series Cleft Repair Surgeries have been performed by Dr. Y. N. Irkal, who is presently heading a renowned institution, Shreeya Hospital at Dharwad, Karnataka. The surgical outcomes are cosmetically satisfactory, as evident from the following photographs. Case 1 A 6-month-old male child with bilateral cleft lip underwent surgical repair. On follow-up at the age of 5 years, upper lip has developed to be cosmetically aceptable (Figure 1). Case 2 A 5-month-old male child with complaint of upper lip deformity, diagnosed to be bilateral cleft lip, underwent Cleft Repair Surgery.
Journal of Universal Surgery, 2019
Anorectal conditions are among the common diseases causing significant patient discomfort and aff... more Anorectal conditions are among the common diseases causing significant patient
discomfort and affecting their quality of life. Their prevalence is higher than
that seen in clinical practice, as people seem to avoid seeking medical attention.
Various anorectal disorders, their demographic profile, epidemiology, clinical
presentations, diagnoses, and management have been emphasized by this review
of 6 different articles. The articles are observational studies about patterns and
presentations of various anorectal disorders, with study subjects ranging from 109
to 629 patients, published between 2015 and 2019. Five articles have been studied
in India and one in Sudan. The data retrieved from each article is comparable to
the previous existing studies, although certain variations and differences can be
made out among them. The specific areas of focus include: age & sex distribution,
predisposing factors, common presenting symptoms and clinical features,
patterns of various anorectal disorders and management (surgical/conservative)
and outcomes. Anorectal diseases commonly affects the age of 15 to 50 years,
with male predominance. Common predisposing factors include mixed/nonvegetarian
diet, low fibre diet, constipation, poor anal hygiene, pregnancy and
lack of physical activity/exercise. Common anorectal symptoms include anal pain
with bleeding per rectum, difficulty in passing stools, mass per anum and pruritus.
Distribution of anorectal cases varies, with haemorrhoids being commonest
and fissure-in-ano; followed by fistula-in-ano and pruritus ani. Majority of
haemorrhoids are in 2nd or 3rd degree. Fissure-in-ano mostly occurs in posterior
midline; commonly acute type. Surgery is the most definitive management for
most perianal disorders with minimum recurrence.
International Surgery Journal
Background: Saline dressings and povidone iodine dressings have been traditionally used for the m... more Background: Saline dressings and povidone iodine dressings have been traditionally used for the management of chronic diabetic wounds Methods: Subjects attending diabetic wound clinic and surgery outpatient department/ casualty of Government Medical College and Hospital, Kozhikode, Kerala, India were divided into two groups by consecutive sampling i.e., Povidone iodine and Saline dressing group. Regular occlusive dressing was done for 6 weeks of follow-up period.Results: 3 out of 20 subjects in Saline treated group achieved complete healing by 6 weeks as compared to 1 out of 20 subjects in Povidone iodine treated group. There was a significant decrease in the wound surface area at 6th week in Saline dressing group in comparison to the povidone iodine group at P = 0.03 (<0.05) level of significance.Conclusions: Saline dressing is more effective in achieving healing in chronic diabetic wounds as compared to Povidone iodine dressing.
Case Series Cleft Repair Surgeries have been performed by Dr. Y. N. Irkal, who is presently headi... more Case Series Cleft Repair Surgeries have been performed by Dr. Y. N. Irkal, who is presently heading a renowned institution, Shreeya Hospital at Dharwad, Karnataka. The surgical outcomes are cosmetically satisfactory, as evident from the following photographs. Case 1 A 6-month-old male child with bilateral cleft lip underwent surgical repair. On follow-up at the age of 5 years, upper lip has developed to be cosmetically aceptable (Figure 1). Case 2 A 5-month-old male child with complaint of upper lip deformity, diagnosed to be bilateral cleft lip, underwent Cleft Repair Surgery.
Anal fissure is a painful anorectal disorder with a tear in the anoderm, commonly caused by const... more Anal fissure is a painful anorectal disorder with a tear in the anoderm, commonly caused by constipation. It accounts for 14-36% of anorectal disorders with lifetime risk of 11%. It causes severe discomfort and affects the quality of life. Chronic anal fissures (>6 weeks) are clinically associated with indurated margins, fibrotic base, exposed internal anal sphincter fibres, sentinel piles (skin tags) and hypertrophic anal papilla. The spasm of the internal anal sphincter leading to increased anal pressure, is the main reason for non-healing of fissure and chronicity. Treatment is aimed at relieving resting anal canal pressure and facilitating the blood flow for fissure healing. Medical treatment, termed as "chemical sphincterotomy", includes commonly used topical agents like nitrates (0.2% glyceryltrinitrate), calcium channel blockers (2% diltiazem) and botulinum toxin injections. High fiber diet, fiber supplements, stool softeners, sitz baths and plenty of fluid intake are supportive treatments. Surgical treatment includes Lateral internal anal sphincterotomy (LIS) and anal dilatation; LIS being gold standard. This review includes five comparative studies between medical and surgical treatments for chronic anal fissures. Medical treatment involved twice daily topical application of glyceryltrinitrate/diltiazem, whereas surgical treatment involved LIS under spinal anaesthesia. The duration of follow-up was about 6-8 weeks. Complete pain relief varies between 64% to 92.5% with medical treatment, whereas 96% to 100% with surgical treatment. Fissure healing rates varies between 72% to 92.5% with the medical treatment, whereas 93% to 100% with the surgical treatment. Surgical treatment (LIS) has statistically significant better pain relief and fissure healing compared to medical treatment. Medical treatment is a safe first choice, but has high recurrence/failure rates. Diltiazem is preferable to glyceryltrinitrate. LIS is the most efficacious treatment with highest healing rates and lowest failure rates, but associated with self-subsiding complications like perianal hematoma or incontinence (9%).