Kirthi Koushik A.S.,Msramaiah Medical College And Hospital |
Kirthi Koushik A.S.,Msramaiah Medical College |
Harish K.,Msramaiah Medical College And Hospital |
Avinash H.U.,Msramaiah Medical College And Hospital
Indian Journal of Surgical Oncology | Year: 2013
Knowledge about the radiation medicine as a whole has gained importance in the recent past due to better understanding of not only the physical and biological principles but also advancements in the technology and better understanding of oncological principles. This review will try to address some of these aspects that are considered relevant to a surgeon dealing with oncology cases. With recent advancements we are able to achieve a better therapeutic ratio, that is more dose to the tumour and lesser dose to the normal tissues. This review will help the surgeon in understanding the basics and also be aware of the recent advances in radiotherapy. © 2013 Indian Association of Surgical Oncology.
Ramaswamy V.M.C.,International Medical University |
Harish S.,Msramaiah Medical College |
Girish C.Y.P.,Msramaiah Medical College
Indian Journal of Forensic Medicine and Toxicology | Year: 2014
Deaths due to fall from height, form an important area of study due to diversity of the injuries sustained, complexity of the patterns involved and various phenomenon's associated there with. The medico-legal autopsy aims at deciding whether the death was attributed purely to the height. It also helps in ruling out the various contributing factors like drugs, alcohol and co-existing natural disease. The study of pattern of external and internal injury may together indicate the primary site of impact and height from which the fall has occurred. The determination of actual or probable anatomical site of primary impact may be useful in reconstruction of the events, which led to fatal falls. Presence of multiple blunt force injuries makes it hard to differentiate between falls induced injuries and those that have been inflicted before the fall and often disagreement predominates regarding the height at which death results. Thus a careful study of total injury pattern is of vital importance in every case. In the difficult scenario of assessing the manner of death, meticulous autopsy in combination with visit to the scene of occurrence that includes observation of ground nature and presence of any intervening object is of extreme help. © 2014, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.
Usha M.,Msramaiah Medical College |
Kumar V.,Msramaiah Medical College |
Rau A.R.,Msramaiah Medical College |
Kamath S.,Msramaiah Medical College
Journal of Clinical and Diagnostic Research | Year: 2014
Gastrointestinal stromal tumours [GISTs] are rare but they commonly arise in stomach, and small or large intestines. They are usually accompanied with gastrointestinal bleeding. We are reporting a case of GIST which occurred in a 52-year-old male,who presented with acute abdomen. On laparotomy, the entire segment of jejunum was found to be partially encased in fibrocollagenous tissue, which formed a cocoon. Moreover, the intestine showed diffuse thickening with multiple tumour masses, which is an uncommon gross finding in GIST. This case report highlights variable clinical and morphological manifestations of GIST. Awareness on its rare clinical manifestations, including abdominal cocoon, may help in making an early diagnosis and providing timely appropriate treatment.
Suma H.Y.,Post Graduate Institute of Medical Education and Research |
Roopa K.,Msramaiah Medical College
Italian Journal of Anatomy and Embryology | Year: 2011
This study reports the presence of a retro-aortic renal vein on the left side draining into the inferior vena cava. This variation was observed during routine dissection in a female cadaver aged about 55 years. This variation is of importance because of its implications in renal transplantation, renal surgery, vascular surgery, uroradiology and gonadal surgeries. The knowledge of such variations can help the clinicians for its recognition and protection. © 2011 Firenze University Press.
Narayana Swamy Chetty Y.V.,Msramaiah Medical College |
Sridhar M.,Msramaiah Medical College |
Pankaja S.S.,Msramaiah Medical College
Journal of Clinical and Diagnostic Research | Year: 2014
Transanal evisceration of small bowel is an extremely rare surgical emergency. This is the condition in which the small bowel herniates through breach in the anterior rectal wall and seen eviscerating through the anal canal. It is challenging for a surgeon to deal and manage such a case during emergency, especially if he hasn't dealt with such condition earlier. The present case reported is of 68 year old lady referred to an institution with history of transanal herniation of small bowel for three days duration, following manual reduction of chronic rectal prolapse. The case report illustrates aetiology, management & factors influencing the outcome of this rare emergency have been discussed.
Shankar V.V.,Msramaiah Medical College |
Chandrashekar D.,Msramaiah Medical College |
Chowdapurkar S.,Msramaiah Medical College
Journal of Clinical and Diagnostic Research | Year: 2012
A sound knowledge of variations of superficial and deep veins of Head & Neck region is important during operative, diagnostic and endovascular procedures of head and neck to surgeons, interventional radiologists and clinicians. The objective of this case report was to bring awareness to the clinicians about the variations in the veins of head & neck in general & the RMV specifically. The clinical, surgical and embryological significance of these variations have been emphasised.
Swamy R.M.,Sri Siddhartha Medical College |
Venkatesh G.,Sri Siddhartha Medical College |
Nagaraj H.K.,Msramaiah Medical College
Biomedical Research | Year: 2010
Drug utilization evaluation is a one time study to assess appropriateness of drug therapy. Pain is the most frequent cause of suffering and disability and impairs quality life. The management of post operative pain has long been recognized to be inadequate. Our study aims to evaluate drug utilization pattern and proper usage of analgesic to reduce the post operative pain in patients undergoing urological surgeries. A total of 208 patients underwent urological surgeries aged above 20 years were selected of which 168 were males and 40 were females. The study details were explained to the participants about the importance of pain management and also use of Visual Analog Scale (VAS). The post operative pain of the patient was assessed by VAS every 2hours on the Operative day, Post operative day 1 and Post operative day 2. We studied the analgesic utilization pattern in these patients and the intensity of pain relief with the analgesic prescribed on the Operative day, Post-operative day 1 and Post-operative day 2. The Mean pain scores were 4.29, 3.00 and 1.98 on Operative day, Post operative day 1 and Post operative day 2 respectively. Mean reduction in pain scores between males and females were almost similar. Though there was a slight higher pain scores in females on Operative day and Postoperative day 1 and slight decrease in pain scores on Postoperative day 2 compared to males. In our study, there is significant reduction in pain scores from operative day to postoperative day 2, implying that proper utilization of prescribed drugs can bring about a positive outcome.
PubMed | Msramaiah Medical College and Sri Devaraj Urs Medical College
Type: Journal Article | Journal: Journal of cancer research and therapeutics | Year: 2017
Wide variations are seen in clinical practice with respect to response to concurrent chemo radiation among cervical cancer patients. Fall in serum glutathione (GSH) level directly correlates with early response to treatment. Whether this early response translates to a better long term outcome is the subject of this prospective study.Thirty eight women with cervical cancer were treated with concurrent chemo radiation followed by brachytherapy. Serum GSH was measured before and after two fractions of radiation and first chemotherapy. Patients were followed for a median follow up of four years. Fall in GSH was correlated with response at six weeks and disease status at four years.Median fall in serum GSH was 171.16 g per ml. Fall in GSH was 170.42, 103.54 and 37.25 g per ml (P value of <0.0001, 0.05 and 0.18) in patients showing complete response, partial response and no response respectively. Among 26 patients who had no disease at six weeks, 22 women remained disease free at four years (P < 0.0001), two recurred (P < 0.05) and two died of other causes respectively. Non bulky tumours and patients more than 50 years of age showed a fall of 190.69, 265.17 g per ml respectively.Greater fall in serum GSH predicts better early response as well as long term disease control.
PubMed | Msramaiah Medical College and Msramaiah Dental College And Hospital
Type: Journal Article | Journal: Journal of maxillofacial and oral surgery | Year: 2015
Osteosarcomas are highly malignant bone tumours. Its appearance in craniofacial bones is a rare entity and accounts for only 1% of all head and neck malignancies. We present an uncommon case report of a 42year old male patient with osteosarcoma of left maxilla, which was successfully excised under general anesthesia. The patient reported to us with a history of pain, swelling, pus discharge and tooth extraction, which led to the differential diagnosis of suppurative osteomyelitis, dentoalveolar abscess, benign odontogenic tumour, an infected cyst etc. Histopathological examination of incisional biopsy was reported as chondromyxoid fibroma which is a rare benign tumour. However the excisional biopsy specimen was reported as osteosarcoma of maxilla. The clinical presentation, diagnostic challenges and its therapeutic approach are addressed. This case serves to emphasize the need to recognize osteosarcoma when it presents in unexpected locations, especially because of its rarity.
PubMed | Msramaiah Medical College
Type: Case Reports | Journal: Kathmandu University medical journal (KUMJ) | Year: 2013
The synchronous occurrence of primary renal cell carcinoma with gastric cancer is very rare. We report a case of 41 year old male who presented on 05/07/2011 to M S Ramaiah hospital, Bangalore with history of fever, pain abdomen and malena. Ultrasound abdomen and pelvis showed large heterogenous mass arising from the upper pole of left kidney. Computed tomography of the abdomen showed left renal cell carcinoma. Renal biopsy showed features consistent with renal cell carcinoma - clear cell type. Oesophagogastroduodenoscopy revealed gastric polypoidal growth. Gastric biopsy from the growth revealed poorly differentiated adenocarcinoma of stomach. We report this case to highlight a rare occurrence of synchronous malignancy of stomach and kidney.