Browsing by Author "Siddharth Lakhotia"

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Barium meal-induced gastric perforation
(2004) Siddharth Lakhotia; G.P. Shrivastava
[No abstract available]
Epidemiology of Congenital Heart Disease in India
(Blackwell Publishing Ltd, 2015) Ritu Bhardwaj; Sunil Kumar Rai; Abhishek Kumar Yadav; Siddharth Lakhotia; Damyanti Agrawal; Ashok Kumar; Bhagyalaxmi Mohapatra
Objective: Congenital heart defects (CHDs) affect a large number of newborns and account for a high proportion of infant mortality worldwide. There are regional differences in the prevalence and distribution pattern of CHDs. The aim of this study is to estimate the distribution pattern and prevalence of CHDs among the population of north-central India and to compare the results with studies in other regions of the country to get an overview of prevalence of CHDs in India. Design: We carried out a prospective study in the outpatient department of a tertiary care referral center in north-central India. This study was carried out from January 2011 to April 2014, with 34517 individuals being recruited for the study. All patients were examined by chest x-ray, electrocardiogram, and 2D echocardiography. Prevalence rate per 1000 individuals examined was calculated. Relative frequencies of individual CHD types as a proportion of total CHDs were also calculated. Results: Out of 34517 individuals examined, 661 were diagnosed with CHDs, giving a prevalence of 19.14 per 1000 individuals. The most common defect was ventricular septal defect (33%), followed by atrial septal defect (19%) and tetralogy of Fallot (16%). The majority of CHD cases (58%) diagnosed were between 0 and 5 years of age. The prevalence of CHDs in adults was 2.4 per 1000 individuals in this cohort, with atrial septal defect (44.5%) being the most frequent defect. Conclusion: The prevalence of CHDs in our cohort was high, possibly because of the power of the diagnostic methods we used and the inclusion of all age groups. Adults with CHDs may significantly contribute to the prevalence of CHDs in the next generation, and this needs to be considered when estimating prevalence rates. Although several small regional studies have been carried out in India, there is an urgent need to establish a nationwide registry/database for congenital heart defects. © 2015 Wiley Periodicals, Inc.
Penetrating injury of ascending aorta with arrow in situ
(2012) Siddharth Lakhotia; Shashi Prakash; Dinesh Kumar Singh; Ashok Kumar; Debasish Panigrahi
Penetrating injuries of the aorta are rare and highly lethal; very few patients are able to reach the hospital alive. We report a case of penetrating injury into the ascending aorta with the arrow still in situ, shot by a bow in a tribal region of India. The wound of entry into the aorta was sealed by the arrow itself. The patient came to us walking and supporting the arrow with his left hand. He was operated on, and the arrow was successfully removed from the aorta. © 2012 The Society of Thoracic Surgeons.
Pulmonary blastoma in a young adult.
(2012) Damyanti Agrawal; T.K. Lahiri; Siddharth Lakhotia; Gopalji Gupta
Pulmonary blastoma is a rare but aggressive malignancy of the lung comprising epithelial and mesenchymal elements that resemble fetal lung tissue. This report described a case of an 18-year-old male who presented with cough and weight loss for a month. Computed tomography (CT) of the thorax revealed a large mass with mixed solid and cystic lesions on the right side of chest along with pleural effusion and mediastinal lymphadenopathy. Massive debulking was performed followed by chemotherapy. A biphasic pulmonary blastoma was diagnosed on histopathology.
Surgical outcome of empyema thoracis patients with special correlation to pre-operative contrast-enhanced computerized tomography (CECT) thorax morphometry
(Springer, 2021) Narendra Nath Das; Siddharth Lakhotia; Ashish Verma
Purpose: Empyema thoracis is a very common disease. The surgical outcome of empyema patients depends upon various factors. To the best of our knowledge, there is no study in literature describing the surgical outcome of patients in relation to the contrast-enhanced computerized tomography (CECT) thorax morphometric findings. In this study, we examined the surgical outcome of empyema thoracis patients in relation to both clinical and radiological findings. Materials and methods: It is a prospective hospital-based study conducted between October 2016 and August 2018. A total of 30 patients, who underwent decortication during the study period, were included. They were divided into three performance groups (excellent performance, average performance and poor performance groups) according to the outcome. The surgical outcome was correlated with the pre-operative clinical, radiological, intra-operative and post-operative parameters. Results: Intra-operative ability to complete decortication, intra-operative expansion of the lungs and presence of broncho-pleural fistula were significantly different between the three performance groups. Duration of the disease, pre-operative duration of antitubercular therapy (ATT) intake and duration of pre-operative intercostal drain (ICD) were statistically insignificant between groups. In computed tomography (CT) morphometry, residual lung volume of the involved lung and volume of empyema were found to be significantly different between the performance groups. The residual volume of the involved lung (expressed in terms of the percentage of lung volume of the normal opposite lung) can predict the complete expansion of the lung with sensitivity of 71% and specificity of 70%. Conclusion: The pre-operative residual lung volume of the involved lung, empyema volume, completeness of decortication, intra-operative expansion of the lung and presence or absence of broncho-pleural fistula can determine the surgical outcome in empyema thoracis patients. © 2020, Indian Association of Cardiovascular-Thoracic Surgeons.
Surgical outcome of impacted artificial denture in esophagus
(Springer India, 2017) Siddharth Lakhotia; Narendra Nath Das
Introduction and objective: Foreign body getting lodged in esophagus is quite common, commonly due to ingestion of coin, pin, fish bone and meat. But accidental ingestion of artificial denture is a less often found condition. This paper studies the etiology, management, complications and final outcome of denture obstructing the esophagus. Material and methods: Fourteen patients with denture esophagus were reviewed retrospectively, admitted between Jan 2012 to Oct 2016. The clinical presentations, cause of the denture ingestion, radiological findings, surgical intervention, complication and final outcome were studied. Most common site of impaction is crico pharynx junction. Denture was removed by cervical incision in all cases. Post-operatively ryles tube was kept routinely in all patients and gastrograffin swallow was performed. After mandatory follow up of one year, patients were followed as and when needed. Results: All the patients presented with complaint of difficulty in swallowing. Five of them also had pain in neck and fever. Cause of denture ingestion was found to be very old denture, fitted by quacks, which they did not change for years. Hence they get loose and accidentally got ingested during sleeping or with the meal. Intra-operatively posterior esophageal wall ruptured in 3 cases for which repair was performed. All patients had severe periesophagitis. Post-operatively 3 patients developed esophagocutaneous fistula. Post-operative stricture was not seen in any case. Conclusion: Early surgical intervention is must to prevent complications. Sharp metallic wires in esophagus prevent their endoscopic removal. They should be regularly changed, before they get loose. Denture implants should be done by qualified dentists only. © 2017, Indian Association of Cardiovascular-Thoracic Surgeons.
Tuberculous constrictive pericarditis and atrial septal defect: Surgical challenge
(SAGE Publications Inc., 2016) Siddharth Lakhotia; Mukesh Kumawat; Sharad Kumar Mathur; Bhushan Kumar Kinge
Tuberculous constrictive pericarditis with atrial septal defect is very rare. A 23-year-old man required pericardiectomy and atrial septal defect closure under cardiopulmonary bypass by cannulating the aorta and right atrium because femoral cannulation was not possible and the venae cavae could not be visualized. He was discharged in a satisfactory condition on the 15th postoperative day, but returned one month later with swelling all over his body and dyspnea on exertion. Echocardiography showed atrial septal defect patch dehiscence and a bidirectional shunt with a collection or mass compressing the right ventricle. Subxiphoid exploration was carried out, and the swelling subsided. © The Author(s) 2014.