Background: Cholecystectomy is one of the commonest, clean and contaminated surgery operations pe... more Background: Cholecystectomy is one of the commonest, clean and contaminated surgery operations performed by the surgeons worldwide. Antibiotic prophylaxis in elective cholecystectomy is a controversial issue and our study was undertaken to evaluate the rate of infection and the usefulness and efficacy of antibiotic prophylaxis in elective cholecystectomies. Methods: The study comprised of 100 patients admitted for elective cholecystectomy. The first fifty patients undergoing elective cholecystectomy were given the prophylactic antibiotic outside the operation theater in the wards and the next fifty patients were given a single dose of injection cefuroxime (1.5 gm i.v). Results: In single dose antibiotic prophylaxis group 10.52% people developed surgical site infection in open cholecystectomy group while patients developed infection in laparoscopic cholecystectomy group but in multiple dose group 16.21% patients who underwent open cholecystectomy developed a surgical site infection w...
Post electric burn sigmoid perforation is a rare but dreadful complication. It can lead to increa... more Post electric burn sigmoid perforation is a rare but dreadful complication. It can lead to increased chances of mortality/morbidity if any delay is made during diagnosis or active management. We report a case of electric current burn on left hand, forearm, arm and shoulder with perforation of sigmoid colon with successful management by primary closure.
The management of renal stone disease in current era is marked by the use of minimally invasive e... more The management of renal stone disease in current era is marked by the use of minimally invasive endourological procedures such as PCNL and RIRS. PCNL remains the gold standard treatment for renal stones with size[2.0 cm [1]. However, in the rare presence of large stones in anomalous renal moieties often make these options not universally applicable. The presence of ectopic kidney in pelvis the use of PCNL is often not possible. Hence, in such peculiar situations one need to revert back to conventional open surgical procedures such as pyelolithotomy. Conventional laparoscopic procedures have also been described in literature as a surgical management [2]. However, the robotic assistance has provided a new dimension in the minimally invasive management of these conditions. As the presence of associated abnormal vasculature is common with renal anomalies, which often poses a surgical challenge in the management. We hereby present a case of the ectopic pelvic pancake kidney with renal stone disease successfully managed with robot assisted laparoscopic pyelolithotomy. To the best of our knowledge this is first such case to be reported in literature.
Background: Cholecystectomy is one of the commonest, clean and contaminated surgery operations pe... more Background: Cholecystectomy is one of the commonest, clean and contaminated surgery operations performed by the surgeons worldwide. Antibiotic prophylaxis in elective cholecystectomy is a controversial issue and our study was undertaken to evaluate the rate of infection and the usefulness and efficacy of antibiotic prophylaxis in elective cholecystectomies. Methods: The study comprised of 100 patients admitted for elective cholecystectomy. The first fifty patients undergoing elective cholecystectomy were given the prophylactic antibiotic outside the operation theater in the wards and the next fifty patients were given a single dose of injection cefuroxime (1.5 gm i.v). Results: In single dose antibiotic prophylaxis group 10.52% people developed surgical site infection in open cholecystectomy group while patients developed infection in laparoscopic cholecystectomy group but in multiple dose group 16.21% patients who underwent open cholecystectomy developed a surgical site infection w...
Post electric burn sigmoid perforation is a rare but dreadful complication. It can lead to increa... more Post electric burn sigmoid perforation is a rare but dreadful complication. It can lead to increased chances of mortality/morbidity if any delay is made during diagnosis or active management. We report a case of electric current burn on left hand, forearm, arm and shoulder with perforation of sigmoid colon with successful management by primary closure.
The management of renal stone disease in current era is marked by the use of minimally invasive e... more The management of renal stone disease in current era is marked by the use of minimally invasive endourological procedures such as PCNL and RIRS. PCNL remains the gold standard treatment for renal stones with size[2.0 cm [1]. However, in the rare presence of large stones in anomalous renal moieties often make these options not universally applicable. The presence of ectopic kidney in pelvis the use of PCNL is often not possible. Hence, in such peculiar situations one need to revert back to conventional open surgical procedures such as pyelolithotomy. Conventional laparoscopic procedures have also been described in literature as a surgical management [2]. However, the robotic assistance has provided a new dimension in the minimally invasive management of these conditions. As the presence of associated abnormal vasculature is common with renal anomalies, which often poses a surgical challenge in the management. We hereby present a case of the ectopic pelvic pancake kidney with renal stone disease successfully managed with robot assisted laparoscopic pyelolithotomy. To the best of our knowledge this is first such case to be reported in literature.
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Papers by manjeet kumar Sharma