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Biomedical subjects

Sridhar Rathinam

Publications and source records attributed to Sridhar Rathinam.

7 recordsLinked to original sources
PubMed2006

Dysphagia due to tuberculosis.

OBJECTIVE: Dysphagia due to tuberculosis is rare in both the developing countries with high prevalence rates and the western population following the recent upsurge linked to the AIDS and immigration. AIM: To study tuberculosis as an aetiological factor in the causation of dysphagia and to evaluate the outcome of anti-tubercular treatment and surgical results in these patients. METHODS: Retrospective review of experience with 14 cases of dysphagia due to tuberculosis encountered between 1996 and 2003. RESULTS: The duration of symptoms ranged between 3 and 18 months. All of them underwent oesophagogastroscopy, barium swallow, fiberoptic bronchoscopy and CT scan of the chest. The aetiology was subcarinal node enlargement in seven, tracheo-oesophageal fistula in four, oesophageal ulcer in two and cervical node suppuration in one. Tuberculous involvement was confirmed by pathological examination in all patients. All of them received anti-tuberculous therapy. Seven patients required surgery, transthoracic repair of tracheo-oesophageal fistula in four patients, one patient required subcarinal node excision and two needed abscess drainage. There were no mortalities and there was complete relief of dysphagia in all of them. CONCLUSIONS: Tuberculosis as a causative factor for dysphagia should be considered in regions with high incidences of tuberculosis and in immunocompromised patients. Treatment with anti-tuberculous therapy is effective. Surgery is required only for complications of tuberculosis.

Adult↗
PubMed2006

Marzouk's procedure: a novel combined cervical and anterior mediastinotomy technique to avoid median sternotomy for difficult retrosternal thyroidectomy.

Surgery for retrosternal goiter is uncommon. Most of the benign retrosternal goiters can be delivered and resected through a standard cervical incision. However, there are cases in which resection of the retrosternal goiter requires additional thoracic access to the standard transverse cervical incision in the form of partial or complete median sternotomy or even a thoracotomy. We propose and describe a novel technique of combining anterior mediastinotomy to the cervical incision as an adjunct to facilitate delivering the difficult retrosternal goiter by bi-manual manipulation. This technique avoids the trauma and postoperative morbidity of a median sternotomy or thoracotomy and proves effective in solving the technical, functional, financial, and aesthetic problems.

Aged↗
PubMed2005

Cleft mitral valve in association with anomalous left coronary artery arising from pulmonary artery.

An anomalous origin of the left coronary artery from the pulmonary artery is commonly associated with mitral valve insufficiency. Usually this is secondary to left ventricular dysfunction or papillary muscle ischemia. We describe the association of an anomalous left coronary artery from the pulmonary artery with structural abnormalities of the mitral valve (cleft mitral leaflet) in 2 children, both of whom were being investigated for primary mitral valve disease. Both underwent successful operations for coronary transfer and mitral valve repair.

Cardiac Surgical Procedures↗
PubMed2005

A technique for salvaging a critical internal mammary artery bypass graft damaged during resternotomy.

Resternotomy in the presence of a patent internal mammary artery graft poses an addition hazard to the reoperation. We describe a situation in which the patent mammary artery graft to the left anterior descending artery was severed and retracted during sternal reentry for an aortic valve replacement. We illustrate a simple technique for restoring the blood supply using a coronary artery shunt.

Aged↗
PubMed2004

Reconstruction of the chest wall and the diaphragm using the inverted Y Marlex methylmethacrylate sandwich flap.

OBJECTIVE: Chest wall resection and reconstruction is a demanding operation involving a dedicated team. It can be performed with minimal mortality with excellent cosmetic and functional results using various substitutes. However, reconstructing the lower costal margin with diaphragmatic resection is a challenging prospect needing special techniques. METHODS: We describe a technique of reconstructing the chest wall defect involving the lower costal margin and diaphragm with an Inverted Y Marlex Methylmethacrylate Sandwich Flap. RESULTS: There were no intra operative or postoperative complications and immediate extubation was possible in all six patients without the need for postoperative ventilation. There was a good functional and cosmetic result in all the patients. CONCLUSIONS: This is an easy and safe technique resulting in a stable and satisfactory reconstruction after large antero-lateral full-thickness chest wall resections involving the diaphragm.

Adult↗