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Robin Kaushik

Publications and source records attributed to Robin Kaushik.

4 recordsLinked to original sources

Calvarial tuberculosis.

BACKGROUND: Calvarial tuberculosis is rare, even in areas where tuberculosis is endemic. Primary calvarial tuberculosis, with no evidence of tuberculosis elsewhere in the body is a rarer entity. METHODS: Seven cases of calvarial tuberculosis are presented. The relevant clinicoradiological features and management are discussed. RESULTS: Two cases of primary calvarial tuberculosis could only be diagnosed after surgery. The other cases were diagnosed with the help of fine needle aspiration cytology (FNAC) and biopsy. CONCLUSION: A high index of suspicion and awareness of this condition may lead to more cases being diagnosed early. Surgery may be avoided in selected cases that can be treated primarily with antitubercular therapy.

Adult↗

Laparoscopic cholecystectomy: an Indian experience of 1233 cases.

BACKGROUND: Laparoscopic cholecystectomy (LC) is a well-established procedure for symptomatic cholelithiasis in India, but there are few data available regarding the procedure and its related complications. PATIENTS AND METHODS: This paper represents a retrospective review of 1233 patients who underwent LC at Government Medical College and Hospital, Chandigarh, India, over 4 years (1997-2000). The case files of all these patients were analyzed for patient particulars, intraoperative findings, reason for any open conversion, postoperative stay, and mortality. RESULTS: The overall conversion rate was 7.06% (87 patients). The commonest cause of conversion was a frozen Calot's triangle (52 patients), followed by injury to the common bile duct (8 patients). The average postoperative stay in successful LC was 1.32 days. The overall mortality rate was 0.16% (2 deaths). The quality of life after LC was good to excellent in more than 90% of patients. CONCLUSIONS: Despite multiple hands in training, the complication rates of LC are within acceptable limits. The overall conversion rate has risen because of the increase in elective conversions, but the incidence of complications has come down because of a "no hesitation" policy in converting. In spite of multiple operators, LC is the procedure of choice for symptomatic cholelithiasis at our hospital.

Adolescent↗

Splenic abscess.

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Abdominal Abscess↗

Spontaneous auto-amputation of the foot in a case of diabetes, atherosclerosis and gangrene.

Auto-amputation is the spontaneous separation of non-viable tissue from viable tissue, and is usually associated with dry gangrene, occurring in the distal portions of the lower extremities. A 68-year-old female presented with dry gangrene of both feet and subsequent loss of the right foot and digits on the left foot over a period of one and half years. After about six months disarticulation of the right foot from the ankle joint resulted. She gradually lost the digits of the left foot two months later. She had pallor and showed absence of popliteal and distal pulses on both sides. The left foot showed absence of the digits with exposed 3rd and 4th metatarsals and some areas of gangrene and sloughing. Her Hb was 5.4 g/dl and random blood sugar was 340 mg%. Doppler study of the lower limbs showed blockage at the level of the superficial femoral artery on the right side and a patent popliteal artery on the left. She was managed conservatively as she was unwilling for surgical intervention.

Aged↗