Browsing by Author "Vivek Srivastava"

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A massive air-fluid level on abdominal skiagram: an indicator of hollow viscous perforation inside an abdominal cocoon
(Springer, 2022) Vivek Srivastava; Pratik K. Jha; Mohit Mangla; Mumtaz Ahmad Ansari
Abdominal cocoon syndrome or sclerosing encapsulating peritonitis is a rare cause of intestinal obstruction due to tuberculosis. It may be complicated further with bowel obstruction and perforation. Perforation of hollow viscera inside a cocoon may present with features of peritonitis. Treatment is by excision of the dense sclerosing membrane over the bowel loops addressing the complications if present and specific medical therapy as indicated. However, there is a high risk of recurrence. We hereby describe a case of a 28 years gentleman who presented in emergency department with acute abdomen along with the clinical features of peritonitis and a single large air-fluid level on erect abdominal skiagram. © 2021, Association of Surgeons of India.
A study of anxiety and depression in benign breast disease
(Wolters Kluwer Medknow Publications, 2020) Vivek Srivastava; Rakesh Kumar Meena; Mumtaz A. Ansari; Dheeraj Kumar; Anand Kumar
Background: To compare the prevalence of anxiety and depression levels in patients with benign breast disease (BBD) and healthy individuals using Hospital Anxiety and Depression Scale (HADS) and Brief Patient Health Questionnaire (BPHQ). Methods: This study includes 100 patients who were clinically suspected of having BBDs and were matched against 100 healthy age-matched controls from June 2016 and July 2018. The diagnosis of BBD was established on the basis of ultrasonography, fine needle aspiration cytology, and/or histopathology. For the diagnosis of anxiety and depression, BPHQ was used and the level of anxiety and depression was measured using the HADS. The questionnaire at both prediagnosis and at follow-up assessment after 3 months was done. Results: On comparing anxiety and depression using BPHQ score among cases and controls, both were significantly associated with cases than controls (P < 0.001 and P = 0.0016, respectively). On comparing anxiety and depression using HADS score, there was a significant difference (median) in both anxiety and depression level between cases and controls (P < 0.001 and P < 0.001, respectively). After 3 months of follow-up, there was a significant improvement in anxiety and depression scores by both BPHQ (P = 0.007 and P = 0.0016) and HADS (P < 0.001 and P < 0.001). The 3-month follow-up data showed a significant improvement in BPHQ (depression) score in patients with breast lump and mastalgia (P = 0.001 and P = 0.008). The HADS (anxiety score) showed significant improvement in patients presenting with diseases/aberrations other than fibroadenoma while the HADS (depression) score showed a significant improvement in all except fibroadenosis present either alone or along with fibroadenoma. The HADS (depression) score showed a significant improvement in fibroadenoma, others group, breast lump, and mastalgia (P = 0.040, P = 0.005, P < 0.001, and P = 0.025, respectively). Conclusion: Indian female patients who present with BBDs are also affected by anxiety and depression. © 2020 Wolters Kluwer Medknow Publications. All rights reserved.
Active Telephonic Follow-up During COVID-19 Lockdown: Initial Experience
(Springer, 2020) Vaibhav Pandey; Vivek Srivastava; Mohammed Imran; Akash Mishra
[No abstract available]
Aluminium phosphide poisoning with esophageal stricture and tracheoesophageal fistula
(2010) Damyanti Agrawal; Anand Kumar; Mumtaz Ahmed Ansari; Vivek Srivastava; Tapan Kumar Lahiri
Background: Aluminium phosphide tablets popularly known, as 'celphos' is a highly toxic fumigant used as insecticide for preservation of food grains. India is an agricultural country and celphos tablets are easily available to psychologically vulnerable young people. It is swallowed with suicidal intent and death comes in minutes. Patients and methods: In this series there were seven patients with tracheo esophageal complications out of 342 patients reviewed. Four patients had esophageal stricture and three had stricture plus tracheo esophageal fistulas. Types of symptoms including progressive dyshagia and extent of respiratory symptoms were evaluated. Nutrition status and success or failure of dilatation at the time of endoscopy was taken into account. The criteria for oesophageal replacement was failed dilatation and complications. They were treated with supportive treatment, antegrade esophageal dilatation, gastric bypass and colon bypass. This was a descriptive interventional study. Results: One of the two patients died before any definitive procedure could be done. Survivors were followed up for 7 months to 4 years. They were evaluated by Quantitative and Qualitative measure instrument (QQMI). QQMI showed the final out come as 'good' in one patient and 'very good', in four patients. Conclusions: Due to their psychological state, inability to swallow oral medicines, critical nature of illness these patients needed intensive individualized therapy to obtain a good outcome. © 2010 Indian Association of Cardiovascular-Thoracic Surgeons.
An invited commentary on “neo-nervegenesis in 3D dynamic responsive implant for inguinal hernia repair. Qualitative study. Int J Surg 2020;76:114-119″
(Elsevier Ltd, 2020) Vivek Srivastava; Somprakas Basu
[No abstract available]
Burden of Chronic Nonhealing Wounds: An Overview of the Worldwide Humanistic and Economic Burden to the Healthcare System
(SAGE Publications Inc., 2024) Aditya Sharma; Ravi Shankar; Ashish Kumar Yadav; Arvind Pratap; Mumtaz Ahmad Ansari; Vivek Srivastava
Chronic wounds have long been a significant public health concern, but the true impact of these wounds is unknown since research designs and measuring techniques vary, leading to inconsistent estimates. The definition of a wound is a loss of epithelial continuity caused by damage to the tissue. The following conditions can cause chronic wounds: panniculitis, pyoderma gangrenosum, traumatic, neurological, metabolic, hematologic, neoplastic, or infection-related. The growing global incidence of diabetes and the aging population necessitate greater attention to chronic wounds. Regrettably, it is sad that significant healthcare institutions have overlooked wound research. The study of health-related illnesses and occurrences in particular populations, including their distribution, frequency, and determinants, and the application of this research to control health problems. © The Author(s) 2024.
Colonic conduit for esophageal bypass in Celphos-induced tracheoesophageal fistula: Our experience of two cases
(2009) Vivek Srivastava; Mumtaz Ansari; Somprakas Basu; Damayanti Agrawal; T.K. Lahiri; Anand Kumar
[No abstract available]
Color Doppler ultrasonography for treatment response prediction and evaluation in breast cancer
(2010) Anand Kumar; Vivek Srivastava; Seema Singh; Ram Chandra Shukla
Primary systemic therapy is a well-established modality of treatment in locally advanced breast cancer. Assessment of tumor response to chemotherapy not only helps in assessing the efficacy of the regimen used but also predicts the overall outcome of the patient. The tumor vascularity is a surrogate marker of tumor burden and this can be readily assessed by color Doppler ultrasound using various indices (resistivity index, pulsatility index and maximum flow velocity). The pre- and post-chemotherapy indices can be compared with in order assess the response to chemotherapy. Among various imaging modalities, MRI and PET have the highest sensitivity in detecting the tumor response, but they are not cost effective. Color Doppler ultrasound is a promising alternative for tumor response assessment owing to its availability, reproducibility and cost-effectiveness. © 2010 Future Medicine Ltd.
Compression Therapy in Lymphoedema
(Springer International Publishing, 2018) V.K. Shukla; Vivek Srivastava
Lymphoedema is a distressing condition due to accumulation of excess of lymph into intertstitial space causing not only unsightly swelling but also its complications of skin and psychological adverse effects. Lymphoedema may be primary, as a result of a genetic abnormality, or secondary, as a result of injury, including non-accidental injury, or following treatments such as radiotherapy and/or surgery. Compression therapy is the mainstay of lymphoedema management as this condition is rarely curable and has high chances of relapse. Thus selection of appropriate compression therapy both for the amelioration of acute condition and maintenance of remission is needed. The specific indications of the type of compression required and its specific contraindication for use must be kept in mind so that treatment adherence can be ensured. © Springer Nature Switzerland AG 2019.
Duodenojejunal junction web masquerading as Wilkie's syndrome: Report of a case
(2011) Somprakas Basu; Vivek Srivastava; Pramod Kumar Singh; Arvind Srivastava; Vijay Kumar Shukla
Wilkie's syndrome (superior mesenteric artery syndrome) is a rare cause of obstruction to the third part of duodenum due to compression between the superior mesenteric artery and the abdominal aorta. Pathologies like malignant growth in the mesenteric root, the presence of a lymph nodal mass compressing the terminal duodenum, dissecting aortic aneurysm, and intestinal malrotation may mimic the condition, but are not true etiologies of the syndrome. A duodenojejunal web causing narrowing of the duodenojejunal junction and mimicking Wilkie's syndrome has not been described before in the literature. We herein report a case of gastroduodenal obstruction due to a web in the duodenojejunal junction in a young female patient, which closely mimicked Wilkie's syndrome but was finally diagnosed postoperatively. We highlight the first case of its kind in an adult and discuss the challenges in both the diagnosis and management. © Springer 2011.
Invited commentary on – “Feasibility and safety profile of posterior retroperitoneoscopic adrenalectomy in high-risk patients - A retrospective analysis” [Int J Surg. 2020; Epub ahead of print]
(Elsevier Ltd, 2020) Vivek Srivastava; Somprakas Basu
[No abstract available]
Locally Advanced Rectal Cancer: What We Learned in the Last Two Decades and the Future Perspectives
(Springer, 2023) Vivek Srivastava; Aakansha Giri Goswami; Somprakas Basu; Vijay Kumar Shukla
The advancement in surgical techniques, optimization of systemic chemoradiotherapy, and development of refined diagnostic and imaging modalities have brought a phenomenal shift in the treatment of the locally advanced rectal cancer. Although each therapeutic option has shown substantial progress in their field, it is finding their ideal amalgamation which has baffled the clinician and researchers alike. In the effort to identifying the perfect salutary treatment plan, we have even shifted our attention from the trimodal approach to non-operative “watchful waiting” to more recent individualized care. In this article, we acknowledge the scientific progress in the management of locally advanced rectal cancer and compare the opportunities as well as the obstacles while implementing them clinically. We also explore the current challenges and controversies surrounding the multidisciplinary approach and highlight the new trends and recent advances with an ultimate goal to improve the patients’ quality of life. © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Masquerades of a Traumatic Spigelian Hernia: Lessons Learnt
(Springer, 2021) Mohammad Imran; Vivek Srivastava; Vaibhav Pandey
Post-traumatic spigelian hernia is a rare entity and requires a high index of suspicion for its detection. Mostly the cases are diagnosed at the time of first presentation when a swelling is seen at the site of injury. We report a case of missed post-traumatic abdominal wall hernia at the left spigelian point in a 3-year child missed during initial exploration for traumatic jejunal perforation which led to re-exploration for incarceration of hernia. The rarity of presentation as a post-operative complication has not been reported in literature. © 2021, Association of Surgeons of India.
Massive gangrene of the stomach due to primary antiphospholipid syndrome: Report of two cases
(2010) Vivek Srivastava; Somprakas Basu; Mumtaz Ansari; Saroj Gupta; Anand Kumar
Antiphospholipid syndrome (APS) is a systemic autoimmune disease, which may be primary or secondary to other autoimmune diseases. It produces thrombosis of arteries and veins of any caliber, and no organ is immune to its insult. This report describes two cases of massive gastric gangrene due to primary APS, which presented in a span of 2 years. In the first case a multiparous, 40-year-old woman presented with acute abdominal pain, hematemesis, and progressive abdominal distension, and was in azotemia and shock. A laparotomy revealed gangrene of the stomach without any other organ involvement. She was managed with a total gastrectomy and esophagojejunal anastomosis. Postoperative serology revealed a persistent elevation of anticardiolipin antibody with no other apparent predisposing cause. The histopathological examination of the specimen revealed characteristic extensive intramural vascular thrombosis without inflammatory changes in the vessel wall, confirming antiphospholipid syndrome. The second patient was a primiparous, 26-year-old woman who had severe abdominal pain in the first trimester followed by shock. An exploratory laparotomy revealed massive gangrene of the stomach with complete loss of the posterior wall and hemoperitoneum. She also underwent a total gastrectomy with esophagogastric anastomosis and was later managed in the intensive care unit, where she succumbed within 8 days. Her serology showed a highly elevated anticardiolipin antibody titer, and histopathological examination of the stomach revealed characteristic intramural vascular thrombosis without inflammatory cellular infiltrate in the vessel wall. Patients undergoing a total gastrectomy following acute gastric necrosis have very high mortality (50%-80%). Its association with APS is rare and it has not been previously reported. The combination is a formidable challenge to the physician and a dangerous disease for the patient. The rarity of the condition and its grave prognosis is highlighted. © 2010 Springer.
Modified laparoscopic excision of choledochal cyst: Technique and early results
(Wolters Kluwer Medknow Publications, 2021) Vaibhav Pandey; Vivek Srivastava; Pranay Panigrahi; Rakesh Kumar; Shiv Prasad Sharma
Background: Choledochal cyst is a common congenital anomaly requiring surgical treatment. Nowadays, laparoscopic excision is the preferred approach. We studied a modification in the classical laparoscopic approach to facilitate the dissection of a cyst. Materials and Methods: A prospective comparative study was done on 42 Type I choledochal cyst children. One group was operated by classical laparoscopic technique, while the other group was operated by modification of classical technique by deliberately opening the cyst wall and dividing the cyst into two hemi-cups, followed by dissection and excision. The intraoperative and postoperative parameters were assessed in both the groups. Results: The age, gender ratio, clinical presentation, and cyst diameter were comparable in both the groups. There was a significantly higher success rate (95.7% vs. 73.7%, P = 0.042) and lesser time for cyst excision (96.43 ± 12.15 vs. 120.91 ± 17.38 min P < 0.001) in the modified technique when compared to the classical technique. Further in three patients, it was possible to convert the classical procedure to a modified technique and complete the cyst excision. The postoperative outcomes were similar in both the groups. Conclusion: The modified laparoscopic excision shortens the operative time with higher success rate and comparable short-term morbidity vis-a-vis classical laparoscopic technique. © 2021 Journal of Indian Association of Pediatric Surgeons.
Noninvasive biomarkers in head and neck squamous cell carcinoma
(CRC Press, 2014) Anand Kumar; Mumtaz Ahmad Ansari; Vivek Srivastava
The 5-year survival rates of head and neck squamous cell carcinomas (HNSCCs) have remained unchanged despite improved locoregional control and reduced treatment-related morbidity. This can be attributed to multiple factors like lack of suitable markers for screening, presentation of the disease at an advanced stage, failure of advanced lesions to respond to treatment, and variation in site-specific behavior of the tumor. The treatment of these cancers is most effective when the tumor burden is lowest and lymphatic spread is the least. The effective therapy for these tumors will depend on early diagnosis and intervention. Unfortunately, no strategy has yet proven to be consistent and effective with reference to its detection at an early stage. However, newer ongoing researches to detect various “biomarkers” that are biological factors within a tumor that affects the molecular process in tumor progression are in vogue. The present biomarkers for HNSCC include the p53 gene and its protein; microsatellite regions throughout the genome; human papillomavirus; proteins and its metabolites involved in cellular proliferation, apoptosis, angiogenesis, genetic information, and their expression as DNA and RNA; intracellular adhesion molecules; epithelial growth factor receptor; and various measures of immune response to cancer. Biomarkers have potential clinical applications not only in early detection of primary disease but they are also helpful in detection of recurrent cancer as well as could be exploited in selecting molecular targets for possible diagnosis and therapy. However, these tests need validation before these can be used in clinical practice. © 2014 by Taylor & Francis Group, LLC.
Reviewing the standard of care in pancreatic adenocarcinoma: A critical appraisal
(2011) Somprakas Basu; Vivek Srivastava; Vijay Kumar Shukla
Treatment of pancreatic adenocarcinoma is still a great challenge to the surgeon. Although recent investigation and treatment protocols have redefined the limits of resectability and adjuvant care, survival outcome still remains dismally low. Because surgical resection of localized disease remains the only hope for curing pancreatic adenocarcinoma, all advances in diagnostic imaging and perioperative care have been aimed at improving the surgical outcome. In the present article, we discuss new developments and the existing controversies in the diagnosis, staging, determination of resectability, and the progress in surgical technique, palliation and, importantly, adjuvant and neoadjuvant therapy, and highlight the latest standard of care wherever possible. Where consensus is lacking, available literature is discussed to narrow the debate and provide a working formula for the readers at large. It is finally understood that for the best outcome, treatment should be tailored to the patient. Although surgical outcome improves in expert hands, the overall survival remains poor irrespective of centres. © 2011 The Authors. Surgical Practice © 2011 College of Surgeons of Hong Kong.
Role of Bovine Colostrum Dressing on Chronic Non-Healing Wounds in Comparison to Conventional Dressing: A Case-Control Study
(SAGE Publications Inc., 2024) Vikas Mandloi; Tuhina Banerjee; Aditya Sharma; Arvind Pratap; Mumtaz Ahmad Ansari; Vivek Srivastava
Colostrum has been shown to be suitable for oral and/or topical applications. Colostrum decreases the amount of discharge from wounds and also accelerates healing, leading to a decrease in the number of dressings. In this study, 40 patients with chronic non-healing wounds were divided into two groups, considering the inclusion and exclusion criteria. Group I included 15 patients with conventional dressings, and Group II included 25 patients with added topical colostrum dressings. All patients were assessed at the time of presentation and after 21 days. The results of the present study indicate that colostrum powder dressings may be used as an adjunct in the management of chronic non-healing wounds. © The Author(s) 2024.
Seroma formation after breast cancer surgery: What we have learned in the last two decades
(2012) Vivek Srivastava; Somprakas Basu; Vijay Kumar Shukla
Formation of a seroma most frequently occurs after mastectomy and axillary surgery. Prolonged drainage is troublesome as it increases the risk for infection and can significantly delay adjuvant therapy. Seroma has been defined as serous fluid collection under the skin flaps or in the axillary dead space following mastectomy and/or axillary dissection. Because the true etiology of a seroma is unknown, a multifactorial-causation hypothesis has been accepted. Surgical factors include technique, extent of dissection and the surgical devices used for dissection. Obliteration of dead space with various flap fixation techniques, use of sclerosants, fibrin glue and sealants, octreotide, and pressure garments have been attempted with conflicting results and none have been consistent. Early movement of the shoulder during the postoperative period may increase the formation of seroma, although delayed physiotherapy decreases the formation of seroma. A detailed analysis of the use of drains showed that use of single or multiple drains, early or late removal, and drains with or without suction are not significantly different for the incidence of seroma. Although there is evidence for reduced seroma formation after early drain removal, very early removal within 24 hours seems to increase formation of seroma. No patient or tumor factors seem to affect seroma formation except body mass index and body weight. Consensus is lacking among studies/trials with different groups producing conflicting evidence. Besides a few established factors such as body mass index, the use of electrocautery for dissection, early drain removal, low vacuum drains, obliteration of dead space, and delayed shoulder physiotherapy, most of the hypothesized causes have not been demonstrated consistently. Thus, seroma remains a threat to both the patient and surgeon. Recurrent transcutaneous aspiration remains the only successful management. © 2012 Korean Breast Cancer Society.
Simplified Laparoscopic Suture Rectopexy for Idiopathic Rectal Prolapse In Children: Technique and Results
(W.B. Saunders, 2020) Vaibhav Pandey; Ajay K Khanna; Vivek Srivastava; Rakesh Kumar; Pranay panigrahi; Shiv P Sharma; Arj D Upadhayay
Background: Laparoscopic suture rectopexy is safe and effective treatment option for pediatric rectal prolapse. We performed this study to compare the outcome of modified laparoscopic suture rectopexy (MLSR) versus Classical Laparoscopic suture rectopexy (CLSR). Material and methods: The study was conducted between June 2015 to May 2019 including all the patients with persistent rectal prolapse who underwent surgery managed by either MLSR (Group A) or CLSR (Group B). The groups were compared for constipation, operative time, blood loss, length of stay, postoperative complications. Results: 19 patients from MLSR and 22 patients from CLSR were evaluated. The mean operative time in MLSR group was 41.5 ± 6.2 min which was significantly lesser than CLSR group with a mean operative time of 78.6 ± 14.2 (p = 0.001). The blood loss was also less in MLSR group compared to CLSR group (p = 0.013). At three months of follow up, the constipation was less in MLSR group compared to CLSR group (p = 0.041). Conclusion: The modification makes the procedure technically easy, minimizes the chances of complications and retaining all the advantages of suture rectopexy. Level OF Evidence: Level II. © 2019 Elsevier Inc.