VMMC and Safdarjung Hospital

Delhi, India

VMMC and Safdarjung Hospital

Delhi, India
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Roy M.P.,VMMC and Safdarjung Hospital
Indian pediatrics | Year: 2017

The retrospective study analyzed 1025 bacterial isolates from blood cultures collected from pediatric patients admitted in a tertiary-care hospital in New Delhi to find out drug sensitivity patterns. Staphylococcus was isolated from approximate 70% of the cultures, with 63.7% of them being methicillin-resistant. Meropenem resistance among acinetobacter was 38.6%.


Roy M.P.,VMMC and Safdarjung Hospital
Indian pediatrics | Year: 2017

Retrospective analysis was done for 3817 children aged 5-12 years admitted in a tertiary-care, public hospital in New Delhi between January to December, 2015. Mortality rate was 5.8%. About 47.1% deaths were due to central nervous system involvement; viral meningoencephalitis being the predominant cause. Overall, infectious diseases caused >80% of deaths. Public health interventions to reduce child mortality need to review such data for effective measures.


Agrawal H.-K.,VMMC and Safdarjung Hospital
Chinese journal of traumatology = Zhonghua chuang shang za zhi | Year: 2014

Difficult femoral nonunion takes account of infective nonunion and aseptic gap nonunion. Limb length discrepancy and nonunion need to be tackled simultaneously. Conventionally Ilizarov ring fixator is in vogue but it has some limitations. To overcome these, monorail fixator is an effective alternative. Persistent good results can be obtained if we can get a perfect anatomical alignment and good regeneration.


Singh V.K.,VMMC and Safdarjung Hospital
Chinese journal of traumatology = Zhonghua chuang shang za zhi | Year: 2014

Winging of scapula occurs most commonly due to injury to long thoracic nerve supplying serratus anterior muscle. Traumatic injury to serratus anterior muscle itself is very rare. We reported a case of traumatic winging of scapula due to tear of serratus anterior muscle in a 19-year-old male. Winging was present in neutral position and in extension of right shoulder joint but not on "push on wall" test. Patient was managed conservatively and achieved satisfactory result.


Vargaonkar G.,VMMC and Safdarjung Hospital
Chinese journal of traumatology = Zhonghua chuang shang za zhi | Year: 2014

OBJECTIVE: The rapid expansion of knowledge regarding the functional anatomy of hand and wrist, increasing functional demands of senior citizens and improved methodologies of achieving and maintaining anatomic restoration of distal radius fractures has generated a renewed interest in addressing these fractures in a more precise manner. The purpose of our study was to evaluate the difference in patients function among those treated by 1) closed reduction and Plaster of Paris cast, 2) distractor application, or 3) open reduction and internal fixation with a volar plate, and to assess the treatment choice for each particular fracture type.METHODS: A prospective study was carried out on 60 patients with fractures of the distal end radius. Fractures were classified according to the AO classification into type A (extra-articular), type B (partial articular) and type C (complete articular). After initial evaluation patients were taken up for either conservative or operative treatment and were followed up for two years.RESULTS: Anatomical results were evaluated according to the Sarmiento's modification of Lindstrom Criteria, which showed that excellent results were more frequent with open reduction and internal fixation using the plating technique. Clinical and functional results were evaluated according to the demerit point system of Gartland and Werley with Sarmiento modification, which was revealed to relate with the type of treatment techniques.CONCLUSION: There is no customized solution for all the fractures of the distal radius. The choice of treatment should be based on the fracture type, the patient's characteristics, the patient's demands and the treating surgeon's experience and preference.


Singh A.,VMMC and Safdarjung Hospital | Gupta A.,VMMC and Safdarjung Hospital | Suri J.,VMMC and Safdarjung Hospital
Lung India | Year: 2017

A case of 60-year-old male with acute pulmonary embolism without hypotension but signs of right ventricular dysfunction and elevated cardiac biomarkers is reported in this study. The patient comes under intermediate high-risk category and was successfully thrombolysed with alteplase infused through pulmonary artery catheter. Catheter-directed thrombolysis (CDT) can be considered as much safer and effective alternative to systemic thrombolysis in such patients with lower risk of bleeding. This novel bedside method of pulmonary artery CDT with the advantage of no radiation exposure and real time monitoring of pulmonary artery pressures as an end-point of thrombolysis can be utilized in the near future. © 2017 Indian Chest Society Published by Wolters Kluwer - Medknow.


Mehta N.,VMMC and Safdarjung Hospital | Srivastava R.K.,VMMC and Safdarjung Hospital
Journal of Plastic, Reconstructive and Aesthetic Surgery | Year: 2017

Anthropometric measurements of the nose are of great importance in planning aesthetic nasal surgery. Abundant literature is available on anthropometric analysis of Caucasians and Orientals, without similar references on the Indian nose and its regional differences. Thus, we conducted a descriptive cross-sectional epidemiological study of 1000 volunteers, with equal number of subjects derived from five geographic groups, namely North, Central, West, South, and the Himalayan region, to determine differences in nasal morphology of Indian population and among its various regions. The objective was to establish a standard Indian data for guidance in nasal surgery. All measurements were deduced using photographic analysis. The mean nasal height and width of our study population was 50.48 and 36.59 mm, respectively. Nasal profile varied among all five regions of the country. North Indians had the longest (52.69 mm nasal height) but the narrowest nose (35.01 mm width), thus having a leptorrhine nose with Caucasoid features. South Indians had the broadest nose (nasal width = 38.66 mm), whereas subjects from the Himalayan region had the shortest nose (nasal height = 47.2 mm). Indians on average had a mesorrhine nose as compared to Caucasians and Orientals who have a leptorrhine nose and Africans who have a platyrrhine nose.We thus conclude that the Indian nose should be considered a different entity in comparison to the nose of Caucasian, Oriental, and African populations. There are obvious differences in the facial architecture of people from different regions within the country. Therefore, appropriate adjustments need to be made according to different racial descents during nasal surgeries so as to give patients results that blend harmoniously with other facial features. © 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons.


Roy M.P.,VMMC and Safdarjung Hospital
Indian pediatrics | Year: 2017

195 cases of acute poisoning among children (age<12 y) in a tertiary hospital were identified over a period of one year. Two-thirds (63%) of them were males and 75% were below five years of age. Poisoning by medicines was most common (17%) followed by ingestion of corrosives/detergents (16%) and kerosene (14%).


Tiwari V.K.,VMMC and Safdarjung Hospital
Indian Journal of Plastic Surgery | Year: 2012

Management of burn injury has always been the domain of burn specialists. Since ancient time, local and systemic remedies have been advised for burn wound dressing and burn scar prevention. Management of burn wound inflicted by the different physical and chemical agents require different regimes which are poles apart from the regimes used for any of the other traumatic wounds. In extensive burn, because of increased capillary permeability, there is extensive loss of plasma leading to shock while whole blood loss is the cause of shock in other acute wounds. Even though the burn wounds are sterile in the beginning in comparison to most of other wounds, yet, the death in extensive burns is mainly because of wound infection and septicemia, because of the immunocompromised status of the burn patients. Eschar and blister are specific for burn wounds requiring a specific treatment protocol. Antimicrobial creams and other dressing agents used for traumatic wounds are ineffective in deep burns with eschar. The subeschar plane harbours the micro-organisms and many of these agents are not able to penetrate the eschar. Even after complete epithelisation of burn wound, remodelling phase is prolonged. It may take years for scar maturation in burns. This article emphasizes on how the pathophysiology, healing and management of a burn wound is different from that of other wounds.


Sarabahi S.,VMMC and Safdarjung Hospital
Indian Journal of Plastic Surgery | Year: 2012

There are a wide variety of dressing techniques and materials available for management of both acute wounds and chronic non-healing wounds. The primary objective in both the cases is to achieve a healed closed wound. However, in a chronic wound the dressing may be required for preparing the wound bed for further operative procedures such as skin grafting. An ideal dressing material should not only accelerate wound healing but also reduce loss of protein, electrolytes and fluid from the wound, and help to minimize pain and infection. The present dictum is to promote the concept of moist wound healing. This is in sharp contrast to the earlier practice of exposure method of wound management wherein the wound was allowed to dry. It can be quite a challenge for any physician to choose an appropriate dressing material when faced with a wound. Since wound care is undergoing a constant change and new products are being introduced into the market frequently, one needs to keep abreast of their effect on wound healing. This article emphasizes on the importance of assessment of the wound bed, the amount of drainage, depth of damage, presence of infection and location of wound. These characteristics will help any clinician decide on which product to use and where,in order to get optimal wound healing. However, there are no 'magical dressings'. Dressings are one important aspect that promotes wound healing apart from treating the underlying cause and other supportive measures like nutrition and systemic antibiotics need to be given equal attention.

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