Sher i Kashmir Institute of Medical science Soura

India

Sher i Kashmir Institute of Medical science Soura

India

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Mumtaz M.U.,Government Hospital for Bone and Joint Surgery Barzulla | Farooq M.A.,Government Hospital for Bone and Joint Surgery Barzulla | Rasool A.A.,Sher i Kashmir Institute of Medical science Soura | Kawoosa A.A.,Government Hospital for Bone and Joint Surgery Barzulla | And 2 more authors.
Ulusal Travma ve Acil Cerrahi Dergisi | Year: 2010

BACKGROUND Accurate open reduction and internal fixation for metacarpal and phalangeal fractures of the hand is required in less than 5% of the patients; otherwise, closed treatment techniques offer satisfactory results in most of these cases as these fractures are stable either before or after closed reduction. AO mini-fragment screws and plates, when used in properly selected cases, can provide rigid fixation, allowing early mobilization of joints and hence good functional results while avoiding problems associated with protruding K-wires and immobilization. The advantages of such internal fixation urged us to undertake such a study in our state where such hand injuries are commonly seen. METHODS Forty patients with 42 unstable metacarpal and phalangeal fractures were treated with open reduction and internal fixation using AO mini fragment screws and plates over a period of three years in a prospective manner. RESULTS The overall results were good in 78.5% of cases, fair in 19% of cases and poor in 2.5% of cases, as judged according to the criteria of the American Society for Surgery of the Hand. CONCLUSION This technique is a reasonable option for treating unstable metacarpal and phalangeal fractures as it provides a highly rigid fixation, which is sufficient to allow early mobilization of the adjacent joints, thus helping to achieve good functional results.


Khan P.S.,Sher i Kashmir Institute Of Medical science | Hayat H.,Sher i Kashmir Institute Of Medical science Soura | Mushtaque M.,Sher i Kashmir Institute Of Medical science Soura | Dar L.A.,Sher i Kashmir Institute Of Medical science Soura
Eastern Journal of Medicine | Year: 2012

Hydatid cyst is caused by infection of larvae of the parasite Echinococcus granulosus. The most common sites of hydatidosis are liver and lungs. We present a rare case of simultaneous hydatid cyst of the liver and spleen with spontaneous intraperitoneal rupture of both cysts.


Khan P.S.,SKIMS Medical College Hospital | Hayat H.,Sher i Kashmir Institute of Medical science Soura | Hayat G.,SKIMS Medical College Hospital
Surgical Innovation | Year: 2012

Avoiding a scar on the breast is an inherent feminine desire. We devised a new approach for breast fibroadenoma excision:Transaxillary approach with use of traction suture (TATS), in 50 patients with breast fibroadenoma. The swelling was present in the outer breast. The wound healed without noticeable scarring and the original shape of the breast was preserved. All the patients expressed their great satisfaction with the procedure. © The Author(s) 2012.


Iqbal Q.,Sher i Kashmir Institute of Medical science Soura | Iqbal Q.,Pediatric Hospital Government Medical College Srinagar | Bashir C.,Sher i Kashmir Institute of Medical science Soura | Mushtaq S.,Sher i Kashmir Institute of Medical science Soura | And 2 more authors.
Journal of Pediatric Infectious Diseases | Year: 2013

The study has been conducted in neonatal intensive care unit of Sher-i-Kashmir Institute of Medical Sciences, which is a tertiary care hospital. Thrombocytopenia and other hematological abnormalities are very commonly observed in neonatal infections. The objective of the study is to determine the frequency and severity of thrombocytopenia and other hematological abnormalities in neonatal sepsis of different microbiological origins, and their impact on morbidity and mortality. During a period of five years we studied all the newborn babies admitted, with the diagnosis of sepsis, in neonatal intensive care unit. In every sepsis positive patient we observed neutrophil count, micro ESR, C-reactive protein, severity and duration of thrombocy-topenia and their relation with the patient's hospital course, morbidity and mortality. Of 194 Culture positive cases 49 (25.25% cases had leucopenia with 100% mortality; 93 (47.93%) had thrombocytopenia with mortality directly proportional to severity of thrombocytopenia. In neonates with fungal and Gram-negative sepsis thrombocytopenia was comparatively severe and prolonged. Different pathogens causing sepsis have different effects on hematologic parameters. Neonatal sepsis is frequently associated with thrombocytopenia. Neonatal sepsis with neutropenia or with thrombocytopenia is associated with higher mortality. These hematological parameters constitute a simple and cost effective diagnostic tool for neonatal sepsis and guide antibiotic therapy, platelet transfusion, blood transfusion and other modalities of treatment. © 2013 - IOS Press and the authors. All rights reserved.


Chhiber S.S.,Sher i Kashmir Institute of Medical science Soura | Bhat A.R.,Sher i Kashmir Institute of Medical science Soura | Khan S.H.,Sher i Kashmir Institute of Medical science Soura | Wani M.A.,Sher i Kashmir Institute of Medical science Soura | And 5 more authors.
Turkish Neurosurgery | Year: 2011

Apoplexy in sellar metastasis is very rare with only a few case reports in literature. A case of apoplexy in sellar metastasis from follicular thyroid carcinoma is reported and the literature is briefly reviewed. The patient presented with sudden onset headache and bi-lateral loss of vision following thyroidectomy in a case of follicular carcinoma thyroid with proven sellar metastasis. CT scan showed hyperdense blood in sellar mass suggestive of apoplexy in sellar metastasis. The patient underwent early trans-sphenoidal decompression. Apoplexy in sellar metastasis, although very rare, can be clinico-radiologically indistinguishable from pituitary apoplexy and should be especially considered in the differential diagnosis of patients with known primary neoplastic disease. In view of similar patho-physiological mechanism, sellar metastasis with apoplexy should be managed in a similar manner as pituitary apoplexy.


Laway B.A.,Sher I Kashmir Institute of Medical science Soura | Mir S.A.,Sher I Kashmir Institute of Medical science Soura | Bashir M.I.,Sher I Kashmir Institute of Medical science Soura | Bhat J.R.,Sher I Kashmir Institute of Medical science Soura | And 2 more authors.
Pituitary | Year: 2011

Anemia and other hematological abnormalities are common in patients with Sheehan's syndrome. The response of these abnormalities to replacement of thyroxine and glucocorticoids is not clear. The aim of the present study was to document the profile of hematological abnormalities and response to treatment in patients with Sheehan's syndrome. Forty patients of Sheehan's syndrome and an equal number of age and parity matched healthy controls were studied for prevalence of hematological abnormalities. Hemoglobin concentration, hematocrit, red cell, white cell and platelet count were significantly decreased in patients with Sheehan's syndrome compared to controls. Frequency of anemia, leucopenia, thrombocytopenia and pancytopenia was significantly higher in these patients compared to controls. After achieving euthyroid and eucortisol state, there was a complete recovery of these hematological abnormalities. We conclude that anemia and other cytopenias are common in patients with Sheehan's syndrome and replacement with thyroxine and glucocorticoids results in complete recovery of these abnormalities. © 2010 Springer Science+Business Media, LLC.


Laway B.A.,Sher I Kashmir Institute of Medical science Soura | Mir S.A.,Sher I Kashmir Institute of Medical science Soura | Bhat J.R.,Sher I Kashmir Institute of Medical science Soura | Lone M.I.,Sher I Kashmir Institute of Medical science Soura | And 2 more authors.
Pituitary | Year: 2012

Sheehan's syndrome presents with panhypopituitarism after childbirth, usually preceded by post partum hemorrhage. Hematological abnormalities like pancytopenia with hypocellular marrow in these patients are reported rarely. Though multiple hormone deficiencies may contribute to Pancytopenia in Sheehan's syndrome, complete recovery is observed after achieving eucortisolemic and euthyroid state. The predominant role of thyroxine or glucocorticoids in reversing pancytopenia in these patients has not been studied. We present the clinical, hormonal, hematological course and response to glucocorticoids in a patient of Sheehan's syndrome presenting with pancytopenia. Complete recovery of pancytopenia was observed after achieving eucortisolemic state thus concluding that gulcocorticoid replacement is sufficient to reverse pancytopenia in these patients. © Springer Science+Business Media, LLC 2012.


PubMed | Sher I Kashmir Institute of Medical science Soura
Type: Case Reports | Journal: Pituitary | Year: 2012

Sheehans syndrome presents with panhypopituitarism after childbirth, usually preceded by post partum hemorrhage. Hematological abnormalities like pancytopenia with hypocellular marrow in these patients are reported rarely. Though multiple hormone deficiencies may contribute to Pancytopenia in Sheehans syndrome, complete recovery is observed after achieving eucortisolemic and euthyroid state. The predominant role of thyroxine or glucocorticoids in reversing pancytopenia in these patients has not been studied. We present the clinical, hormonal, hematological course and response to glucocorticoids in a patient of Sheehans syndrome presenting with pancytopenia. Complete recovery of pancytopenia was observed after achieving eucortisolemic state thus concluding that gulcocorticoid replacement is sufficient to reverse pancytopenia in these patients.


PubMed | Sher i Kashmir Institute of Medical science Soura
Type: Journal Article | Journal: International journal of endocrinology and metabolism | Year: 2013

Nelsons syndrome nowadays a rare entity results from an adrenocorticotropin (ACTH)-secreting pituitary adenoma in patients with refractory Cushings disease after a therapeutic bilateral adrenal gland removal. We report a case of 25 year old female with cushings disease who was initially managed with medical treatment, but in view of severe persistent hyper cortisol state was subjected to bilateral adrenalectomy following which she developed Nelsons syndrome after a gap of six years, which was difficult to diagnose because of limited investigations available. Patient was managed with stereotactic radiosurgery (gamma knife surgery).


PubMed | Sher I Kashmir Institute of Medical science Soura
Type: Journal Article | Journal: Pituitary | Year: 2011

Anemia and other hematological abnormalities are common in patients with Sheehans syndrome. The response of these abnormalities to replacement of thyroxine and glucocorticoids is not clear. The aim of the present study was to document the profile of hematological abnormalities and response to treatment in patients with Sheehans syndrome. Forty patients of Sheehans syndrome and an equal number of age and parity matched healthy controls were studied for prevalence of hematological abnormalities. Hemoglobin concentration, hematocrit, red cell, white cell and platelet count were significantly decreased in patients with Sheehans syndrome compared to controls. Frequency of anemia, leucopenia, thrombocytopenia and pancytopenia was significantly higher in these patients compared to controls. After achieving euthyroid and eucortisol state, there was a complete recovery of these hematological abnormalities. We conclude that anemia and other cytopenias are common in patients with Sheehans syndrome and replacement with thyroxine and glucocorticoids results in complete recovery of these abnormalities.

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