Browsing by Author "Mudit Agarwal"

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Appendicectomy under local anaesthesia
(1999) Lal B. Sharma; Mudit Agarwal; Lalit Chaudhary; Vijay K. Shukla
Objective: To analyse our results of appendicectomy under local anaesthesia. Design: Prospective study. Setting: University hospital, India Subjects: 165 patients who presented with appendicitis between January 1996 and December 1997. Intervention and main outcome measures: Appendicectomy after infiltration of local anaesthetic. No patient required general or spinal anaesthesia. Result: Five patients (3%) developed postoperative wound infections. Mean operating time was 20 minutes (range 15-30) and median hospital stay 2 days (range 1-3) Conclusion: Appendicectomy under local anaesthesia is quick, cost-effective and carries little morbidity. It can be safely used for all age groups.
Categorization and standardization of accidental risk-criticality levels of human error to develop risk and safety management policy
(Elsevier, 2016) Pramod Kumar; Suprakash Gupta; Mudit Agarwal; Umesh Singh
In addition to increasing mechanization, technology upgradation and process automation, safety enhancement in systems operation is one of the key parameters of productivity improvement. Now, it is an established fact that human error plays a crucial role in accidents and needs to be addressed adequately in risk and safety management. This paper aims at assessing, categorizing and setting standards for human error risk and criticality of system activities. Based on the classification and standardizations of human error rate, consequences of human error and criticality index of errors, different policy decisions for risk and safety management are suggested. The proposed methodology has been demonstrated with reference to the system activities of an underground coal mining system. However developed method can be equally adapted to other systems. © 2016 Elsevier Ltd.
Choledochal cyst: A changing pattern of presentation
(2001) Vedant Kabra; Mudit Agarwal; Tarun K. Adukia; V.K. Dixit; A.K. Agrawal
Background: The aim of the present paper was to study the spectrum of choledochal cysts and analyse the results of various surgical procedures. Methods: A prospective study was undertaken, at University Hospital, Varanasi, India, of 10 patients with choledochal cyst who presented between January 1996 and June 2000. The patients had a median age at presentation of 16.0 years (interquartile range (IQR): 13.75 years). All patients underwent ultrasonography and endoscopic retrograde cholangiopancreaticography for confirmation of diagnosis. Cyst excision was performed in eight patients followed by reconstruction by hepaticoduodenostomy and Roux-en-Y hepaticojejunostomy in four patients each. Two patients underwent cystoduodenostomy. Results: One patient who underwent hepaticoduodenostomy had a minor leak that responded to conservative management. All patients were asymptomatic at a median follow up of 36.5 months (IQR: 31 months). Conclusions: There is a changing trend in the commonest mode and age of presentation; fewer patients are presenting with the classical triad and the mean age of presentation is higher. Reconstruction by hepaticoduodenostomy is equally effective, more physiological and less time consuming as compared to hepaticojejunostomy, if the anastomosis can be achieved without tension.