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Biomedical subjects

R C Tandon

Publications and source records attributed to R C Tandon.

3 recordsLinked to original sources
PubMed1988

Traumatic hernia of the abdominal wall.

Traumatic hernia of the abdominal wall is unusual and even more so the complete avulsion of muscles from the costal arch. While it is usual to search carefully for diaphragmatic hernia during laparotomy for blunt abdominal trauma, traumatic hernia of the abdominal wall of this nature can be easily overlooked. One such case in a child is presented where the diagnosis was not made at the initial laparotomy following blunt abdominal injury received in a road traffic accident. We believe bilateral avulsion of all the abdominal wall muscles from the costal arch has not been reported before.

Abdominal Injuries↗
PubMed1986

Routine or selective peroperative cholangiography.

The routine use of peroperative (pre-exploration) cholangiography was prospectively studied in 433 consecutive patients undergoing elective cholecystectomy. Satisfactory peroperative cholangiography was achieved in 396 patients using a C-arm image intensifier with image retention facility. Clinical indications for exploration of the common bile duct were noted for each patient but the decision for choledochotomy was determined by the cholangiographic results. Two hundred and forty-nine (63 per cent) patients had no clinical indications for duct exploration and cholangiographic findings were all normal. Of the 147 patients with positive clinical criteria, 39 (9.8%) had abnormal cholangiograms and required exploration of the common bile duct. In three patients duct exploration was negative giving a false positive rate of 0.73 per cent. The use of the image intensifier allowed dynamic study during cholangiography and optimum evaluation of the duct system. The results support the view that peroperative cholangiography could be restricted to patients with clinical indications for exploration of the common bile duct.

Cholangiography↗