Browsing by Author "M.P. Vaidya"

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A clinico pathological study of cancer of the rectum. A review of 117 cases
(1976) M.P. Vaidya; P.P. Vaidya
A retrospective clinico pathological study of 117 cases of cancer of the rectum is presented. Problems concerning the diagnosis and management of this disease in a developing country like India are highlighted. Due to the lack of education among people and the inadequate local medical facilities most of these patients are treated for haemorrhoids or other simple lesions for a long time. By the time the patient reaches the hospital and a final diagnosis is made the disease is often quite far advanced and beyond any curative surgical procedure. Non acceptance of a permanent colostomy by the patients and the problems of cost and management of a sophisticated colostomy bag outfit are mentioned. A new, simple and cheap method for colostomy care has been described. Emphasis is laid on the education of the public and proper examinations involving rectal digital, proctoscopy and sigmoidoscopy by the physician for early detection of this disease to increase the five year or greater survival rate.
Correlation of immune and nutritional status with wound complicatons in patients undergoing abdominal surgery
(1985) V.K. Shukla; S.K. Roy; J. Kumar; M.P. Vaidya
The present study indicates the need for close scrutiny of the immune and nutritional status of patients undergoing abdominal surgery. Simple anthropometric measurements (weight and triceps skin fold thickness MAC) serologic testing (serum albumin), ALC, and skin testing are useful to identify patients with immunocompromise caused by nutritional deficiency. Early recognition and correction of immune nutritional deficits in patients undergoing abdominal surgery should lead to reduction in postoperative morbidity due to wound complication.
Enteric perforation of the gall bladder
(BMJ Publishing Group, 1983) V.K. Shukla; C. Khandelwal; M. Kumar; M.P. Vaidya
A case of enteric perforation of the gall bladder in a 20-year-old male is reported. The patient recovered after cholecystostomy with closure of the perforation. © 1983 The Fellowship of Postgraduate Medicine.
Estimation of immunoglobulins in malignancies of the gastrointestinal tract
(1979) M.P. Vaidya; B.B. Mistry; P.C. Sen
[No abstract available]
Eventration of the diaphragm
(1975) S.K. Roy; M.P. Vaidya; H.N. Singh
Four patients with eventration of the diaphragm with possible volvulus of the gastrointestinal tract are illustrated. Three were operated upon and the diagnosis confirmed two cases of volvulus of the stomach and a third of the small intestine. In the only unoperated case the possibility of a chronic gastric volvulus with the eventration could not be ruled out. The possible relationship of the volvulus to the eventration is discussed and the rationale of surgical correction of the eventration even in the symptom free patient is emphasised.
Fulminant amebic colitis
(Springer-Verlag, 1986) V.K. Shukla; S.K. Roy; M.P. Vaidya; M.L. Mehrotra
Nine patients with fulminating amebic colitis who were treated surgically from 1975 to 1982 are presented. Only those who had bowel resections with exteriorization of the cut ends survived. The pertinent literature is reviewed briefly. © 1986 American Society of Colon and Rectal Surgeons.
Gastric acid secretory studies in patients with chronic duodenal ulcer before and after surgical treatment
(1981) M.P. Vaidya; L.R. Rao
[No abstract available]
Gastric carcinoma: An entity, unitary or divisible
(1976) M.L. Mehrotra; I.M. Gupta; S. Gupta; M.P. Vaidya
Of 86 cases a retrospective analysis was made for anatomic location, gross appearance, microscopic features, age and sex distribution and correlation between these respective findings. The tumor in 60% of the cases arose in the pyloric antrum and had an ulcerating appearance. Following Lauren's criteria a histologic division into 'intestinal' and 'diffuse' types was made in 95% of the cases. The 'intestinal' type was twice more frequent than the 'diffuse' type and the ratio (I/D ratio) appeared to increase with age and was higher in men than women. There was no definite correlation between the gross presentation and the microscopic types, except that linitis plastica was more often a 'diffuse' type than the 'intestinal' type. It would appear that there are grounds to separate gastric carcinoma into these 2 divisible microscopic types. A follow-up study is essential to establish their prognostic significance.
Immunoregulatory role of stress mediators in rheumatoid arthritis
(1981) R. Kumar; L.M. Singh; M.P. Vaidya
Eighteen patients suffering from chronic rheumatoid arthritis were selected for the present study. Plasma levels of stress hormones like catecholamines and cortisol were found to be elevated. At the same time reduction in percentage of E-rosette forming lymphocytes and an elevation in levels of major serum immunoglobulins (IgG, IgA and IgM) were observed. Certain other alterations in serum protein fractions were also noted. Probable role of these factors in the pathogenesis of this disease is discussed and attempts have been made to interrelate these findings.
Lipid profile and platelets in peripheral vascular diseases
(1980) M.P. Vaidya; H.K. Malpani; H.N. Singh
[No abstract available]
Oesophageal carcinoma in India. Some epidemiologic and morphologic considerations
(1977) M.L. Mehrotra; H. Lal; G.C. Pant; M.P. Vaidya; I.M. Gupta
Oesophageal carcinoma constituted 2.39% of all malignancies, and 17.11% of gastrointestinal tract malignancies, over a period of 12 years. The highest frequency occurred in the sixth decade. The male:female ratio was 2.2:1, this ratio tended to diminish with age. Out of 202 cases the middle third of the oesophagus was involved in 104, the lower third in 72 and the upper third in 26 cases. Although squamous cell carcinoma was by far the most frequent histologic type (193 cases), genuine primary oesophageal adenocarcinoma did occur in 3, and the tumour was completely anaplastic in the remaining 6 cases. The prognostic bearing of certain morphologic features has been discussed. Oesophageal carcinoma is one of the most frequent malignancies of the gastrointestinal tract and a common tumour in elderly Indian men and women.
Primary carcinoma of the gall bladder: A review of a 16‐year period at the university hospital
(1985) V.K. Shukla; C. Khandelwal; S.K. Roy; M.P. Vaidya
A review of the most relevant clinical data of patients with primary carcinoma of the gall bladder referred to our hospital over a 16‐year‐period has indicated that this is the third most common and aggressive cancer of the gastrointestinal tract. The disease occurs predominantly in elderly females who often present with extremes of clinical symptoms indicating benign biliary disease on the one hand and incurable malignant disease on the other. Laboratory and roentgenographic data tend to confirm the clinical diagnosis of this almost entirely incurable disease. The overall 5‐year survival of the patients with primary carcinoma of the gall bladder is less than 1%; a majority of the patients are dead in less than 6 months. Copyright © 1985 Wiley‐Liss, Inc., A Wiley Company
Primary carcinoma of the lung
(1974) B.K. Kaul; M.P. Vaidya
[No abstract available]
Primary hepatic pregnancy
(1985) V.K. Shukla; S. Pandey; L.K. Pandey; S.K. Roy; M.P. Vaidya
A case of a 28 weeks primary hepatic pregnancy in a 25 year old female is reported. A live male fetus weighing 1300 g was delivered after laparotomy and the placenta was left intact. The uterus was of 8 weeks size with patent tubes. The patient made an uneventful recovery.
Prophylactic tinidazole (tiniba) in appendicectomy
(1984) V.K. Shukla; M.P. Vaidya
[No abstract available]
Relationship between prolonged hypovolaemic shock and myocardial failure
(1977) S.K. Roy; M.P. Vaidya; H.N. Singh
It is not known whether prolonged hypovolaemic shock leads to myocardial failure and whether administration of digitalis, a powerful inotropic agent, prior to volume replacement produces an improvement of the haemodynamic status or not. The present study was undertaken to observe the effect of digitalis, given prior to volume replacement, in patients with prolonged hypovolaemic shock. Twenty one acute patients were studied in three groups. In Group I, digitalisation was carried out as and when indicated; in Group II, digitalis was given in the routine way, while in Group III, it was withheld. The results as assessed by the measurement of the central venous pressure and mean arterial pressure did not show any significant difference between the groups. It is felt that digitalis or any inotropic agent may not be of much help in bringing about significant haemodynamic effects, possibly because myocardial failure per se does not, occur from prolonged hypovolaemic shock.
Surgical treatment of ileocecal tuberculosis: conservative versus radical resection
(1973) H.N. Singh; S.K. Roy; M.P. Vaidya
The result of conservative resection for a series of patients with ileocecal tuberculosis is presented. The advantages of this operation versus a standard right hemicolectomy are emphasized.
The Management of Avulsion Injuries of Penis and Scrotum
(Georg Thieme Verlag, 2024) N.N. Khanna; M.P. Vaidya
[No abstract available]