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Biomedical subjects

Senthil Kumar

Publications and source records attributed to Senthil Kumar.

4 recordsLinked to original sources

An alternative port for use in hand-assisted laparoscopic surgery: a design using a stoma ring and a glove.

Hand-assisted laparoscopic surgery (HALS) has widened the range of laparoscopic surgery. An appropriate port allowing the passage of the hand while maintaining pneumoperitoneum is mandatory for HALS to be performed. Commercially available ports are expensive and may not be universally available. An inexpensive 2-component port using the flange of a stoma appliance and a glove, which could be readily assembled at short notice, is described.

Gloves, Protective↗

Intermittent pneumatic compression as an adjuvant therapy in venous ulcer disease.

Despite improvements in healing rates venous ulcer disease still carries significant morbidity and cost. Any therapy that further improves healing rates is worthy of consideration. The recognised effects of intermittent pneumatic compression (IPC) on both arterial and venous circulation suggest that its use may confer significant benefits to venous ulcer healing. This study investigates the potential additive effects of adjuvant IPC on the healing and subsequent prevention of venous ulcers. Some improvement in the rate of healing in venous ulcers is noted. These findings are set against a background of very high healing rates in both treatment and control groups. No benefit is seen to accrue if IPC is used as an adjuvant therapy to help prevent recurrence of ulcers although the study period is very short.

Aged↗

The effects of intermittent pneumatic compression on the arterial and venous system of the lower limb: a review.

A better understanding of lower limb haemodynamics and the effects of intermittent pneumatic compression on the lower limb has led to an increasing awareness of the potential value of intermittent pneumatic compression in both venous and arterial disease. Intermittent pneumatic compression can be used in both the primary and secondary care settings, with its advantages being further enhanced by excellent patient compliance and very low rate of complications. Intermittent pneumatic compression has a proven role in the prophylaxis of deep vein thrombosis and there is some evidence that it is a useful adjunct in the management of venous ulcer disease. With laboratory and more recent clinical studies demonstrating augmentation of arterial inflow with intermittent pneumatic compression, its use in arterial diseases is being increasingly explored. Further studies are needed to define the precise role of intermittent pneumatic compression in arterial disease but any treatment regimen which reduces the need for referral or intervention in the claudicant or critically ischaemic limb will be a valuable addition to those managing arterial disease.

Equipment Design↗