Browsing by Author "Zaheer Hasan"

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Concavo-convex oblique anastomosis technique for jejuno ileal atresia
(2009) Zaheer Hasan; A. Gangopadhyay; Punit Srivastava; Mohammad Hussain
Aim: To evaluate the role of end-to-end oblique bowel anastomosis in bowel atresia. Methods: End-to-end oblique anastomosis was done in 25 neonates of bowel atresia and the results were compared with traditional method of end to back anastomosis in 25 cases. Results: We found less mortality and morbidity (5%) in our technique as compared to end to back technique (20%). Conclusions: We recommend this technique, as anastomosis is wide with less angulations, flow of effluent is linear, and there is less force exerted over post-anastomotic side wall.
Esophageal atresia with distal tracheoesophageal fistula with gasless abdomen: A diagnostic dilemma
(2009) Zaheer Hasan; Vijai D. Upadhyaya; Punit Srivastava; S.P. Sharma; A.N. Gangopadhyay
A "gasless abdomen" in babies with esophageal atresia (EA) has traditionally been thought to imply absence of a distal tracheoesophageal fistula (TEF). We present 2 cases with gasless abdomen and later turned out to be cases of esophageal atresia with tracheoesophageal fistula. These cases are presented because of its extreme rarity and because of ease in management if the condition is diagnosed preoperatively.
Is primary chemotherapy effective in large hydatid cyst of liver
(2009) A. Gangopadhyay; Punit Srivastava; Vijai Upadhyaya; Zaheer Hasan
[No abstract available]
Mature cystic teratoma in falciform ligament of the liver in an infant
(2009) A.N. Gangopadhyay; Punit Srivastava; Vijai D. Upadhyaya; Zaheer Hasan; K.R. Vijayendra; S.P. Sharma
[No abstract available]
Noncommunicating isolated enteric duplication cyst in childhood
(2009) Punit Srivastava; Ajay N Gangopadhyay; Vijayendra kumar; Vijay D. Upadhyaya; Shiv P. Sharma; Richa Jaiman; Zaheer Hasan
Duplications of the alimentary tract are spherical or tubular structures lined by epithelium similar to intestine that are firmly attached to or share the wall of the alimentary tract and have a common blood supply with the adjacent segment of the bowel. Completely isolated duplication cysts are an extremely rare variety of gastrointestinal duplications with their own exclusive blood supply and do not communicate with the intestine. There are only 4 cases reported in the English literature-3 in childhood and 1 in an adult, and all are male. We report a case of noncommunicating isolated ileal duplication cyst in a 3-year-old female child that presented as a mass in the right iliac fossa, mimicking an intussusception. The duplication had its own blood supply arising from the terminal ileal mesentery. This report describes the first female patient with this condition and reviews the English literature. © 2009 Elsevier Inc. All rights reserved.
Role of color Doppler ultrasound in the diagnosis of nonpalpable testes
(Lippincott Williams and Wilkins, 2011) Zaheer Hasan; Ajay Narain Gangopadhyay; Dinesh Kumar Gupta; Bindey Kumar
Purpose Color Doppler ultrasound has been used for the diagnosis of torsion of testes. The purpose of this study was to evaluate the sensitivity of this noninvasive tool in detecting impalpable testes. Patients and methods Twenty-five children with nonpalpable testes were treated at the Department of Pediatric Surgery, Institute of Medical Science, Banaras, between 2007 and 2009. Color Doppler ultrasound was used for detecting the position, size, and vascularity of nonpalpable testes. These patients were subsequently revaluated by laparoscopy. Results Out of 25 cases, 15 cases were unilateral and 10 cases were bilateral (a total of 35 nonpalpable testes). The color Doppler ultrasound study successfully localized 30 of the 35 nonpalpable testes, which were confirmed by subsequent laparoscopic examination. The sensitivity of color Doppler in locating testes was 85.71% (95% confidence interval = 0.64-0.97). Conclusion Color Doppler ultrasound is an effective noninvasive method for the initial diagnosis of impalpable testes and for planning its subsequent management. Ann Pediatr Surg 7:146-147 © 2011 Annals of Pediatric Surgery.
Sutureless skin closure with isoamyl 2-cyanoacrylate in pediatric day-care surgery
(2009) Zaheer Hasan; Ajay N. Gangopadhyay; Dinesh K. Gupta; Punit Srivastava; S.P. Sharma
Importance of day-care surgery in pediatric age group is ever increasing and nowadays bulk of surgery is performed as a day-care procedure. Day-care procedure requires short intra-operative period and less postoperative complications. The introduction of tissue adhesive has been received enthusiastically since they may result in equivalent tensile strength-improved cosmetic appearance of the scar and lower infection rate when compared to sutures, staples and adhesive tape. We have used isoamyl 2-cyanoacrylate as a tissue adhesive for skin closure in day-care surgery. Novocryl is ideal for such procedure as it is a sterile, inert, non-toxic, biocompatible and bacteriostatic liquid topical skin adhesive containing isoamyl 2-cyanoacrylate formulation. We applied isoamyl 2-cyanoacrylate glue in 100 patients over skin cut margin after stitching subcutaneous tissue. Skin margin were held together by means of skin hook for 1-2 min. The cosmesis was better as there were no suture marks or lumpiness. There were no major complications in our study. Thus, isoamyl 2-cyanoacrylate can be considered as an alternative to skin suturing in the pediatric day-care surgery. © 2009 Springer-Verlag.
Tracheoesophageal Fistula with Esophageal Atresia with Absent External Ear: A Unusual Association
(2012) Vijai D. Upadhyaya; Ajay N. Gangopadhyay; Punit K. Srivastava; Zaheer Hasan; Shiv P. Sharma
Esophageal atresia with tracheoesophageal fistula (TEF with EA) is a common disease which is associated with many other congenital abnormalities. The most common association is with VACTERL syndrome.. Various types of ear malformations have been reported in CHARGE syndrome associated with EA and TEF. However, absence of external ear has not been described which is being reported in this article. We could not found this association even on extensive search of literature. © 2012 Association of Surgeons of India.