Browsing by Author "Vijai Datta Upadhyaya"

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Pediatric surgery during coronavirus disease lockdown: Multicenter experience from North India
(Wolters Kluwer Medknow Publications, 2020) Sandip Kumar Rahul; Manish Kumar Gupta; Digamber Chaubey; Deepak Kumar; Rupesh Keshri; Vijayendra Kumar; Vijai Datta Upadhyaya
Background: Coronavirus disease Pandemic has affected the health-care delivery at all institutions worldwide. Analysis of multi-institutional data would reflect the impact and challenges of this pandemic in managing pediatric surgical cases. To assess the impact of lockdown due to coronavirus disease 2019 (COVID-19) on the pediatric surgical cases operated at four tertiary care institutions. Materials and Methods: Retrospective data of all patients operated at four tertiary care centers in North India in three different states during the imposition of lockdown due to COVID-19 were collected and compared to the immediate prelockdown period. The impact of following the guidelines for surgery during this period was studied. Results: All the institutions involved in the study showed a significant fall in the number and nature of patients treated during the lockdown period when compared to the prelockdown data. No elective cases were operated; 100 children were operated during this period of which neonates (56%) formed the major group; most of them were cases of congenital anomalies which could not be deferred; solid tumours (3/100) were operated on semi-emergency basis; number of trauma patients fell down drastically (1/100); one patient had bronchoscopic foreign body removal; other patients were operated for different causes of acute abdomen. Several measures in the outpatient, intraoperative, and in-patient care were adopted to lessen the spread of virus to the patient and health-care team. Conclusion: Corona pandemic severely impacted both the number and types of patients operated. Strict adherence to the protocol delayed emergency treatment and increased the cost of definitive management. © 2020 Formosan Journal of Surgery.
Single-stage repair for rectovestibular fistula without opening the fourchette
(2008) Vijai Datta Upadhyaya; Ajay N. Gangopadhyay; Anand Pandey; Vijayendra Kumar; Shiv P. Sharma; Saroj C. Gopal; Dinesh K. Gupta; Ashish Upadhyaya
Background: Anorectal malformations are one of the most common congenital defects. This study is conducted to demonstrate new technique for treatment of rectovaginal fistula without disturbing the fourchette through posterior sagittal approach. Method: All the patients of rectovestibular fistula admitted after the neonatal age were treated with posterior sagittal anorectoplasty without opening the fourchette. The results were evaluated for cosmetic appearance and anal continence. Result: A total of 40 patients were included in our study. All patients were more than 1 month old. Operative time ranges from 70 to 150 minutes. The cosmetic appearance was good. Anal continence was good in 72% cases and fair in 20% cases. Fifteen percent of patients had minimal constipation and 7.5% patients had mucosal prolapse. Conclusion: Single-stage repair for vestibular anus through posterior sagittal anorectoplasty without opening fourchette has a good cosmetic appearance and good anal continence. © 2008 Elsevier Inc. All rights reserved.
Small intestinal lymphangioma presenting as an acute abdomen with relevant review of literature
(Journal of Clinical and Diagnostic Research, 2017) Basant Kumar; Ankur Bhatnagar; Vijai Datta Upadhyaya; Ajay Narayan Gangopadhyay
Cystic lymphangioma of small bowel mesentery is rare with clinical features ranging from an asymptomatic abdominal lump to acute intestinal obstruction. We discuss two cases of lymphangioma of small bowel mesentery who presented to us as acute intestinal obstruction. In the first case exploratory laparotomy revealed a large multicystic lesion arising from small bowel mesentery just distal to the duodenojejunal junction having multiple small cysts filled with milky white fluid. The involved region of the bowel was excised. The second case had a large multicystic lesion involving the mesentery of proximal jejunum, dudenojejunal junction, encasing the entire superior mesenteric vessels. For this patient, debulking was done. © 2017, Journal of Clinical and Diagnostic Research. All rights reserved.