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T E Udwadia

Publications and source records attributed to T E Udwadia.

8 recordsLinked to original sources

Mixed tumour of salivary gland type of the male breast.

Benign breast tumours with a mixed cartilaginous and epithelial component are distinctly rare as evident from the literature. A case of Mixed Tumour of the breast presenting pre-operatively as a hard mass in a 65 year old male is reported. Histologically, it was composed of a mixture of benign cartilage, myoepithelial cells, tubules and a myxoid stroma in fat. A brief review of cartilage bearing lesions and mixed tumour in the mammary region is discussed.

Adenoma, Pleomorphic

Primary Budd-Chiari syndrome: its significance for the choice of surgical management of a patent right inferior hepatic vein.

Budd-Chiari syndrome is still a major problem and the overall prognosis for the patients is dismal and disappointing. The case history of a patient with not only outflow obstruction of the hepatic vein but also complete obstruction of the retrohepatic inferior vena cava is presented. She had a patent right inferior hepatic vein which partially decompressed the liver via a rich network of venous collaterals. Management included an inferior vena cava to inferior vena cava shunt using a Goretex graft. The patient fared well and the postoperative course was satisfactory. The case history of this patient illustrates the importance of precise pre-operative investigations for the choice of the type of surgical management. Each patient has to be considered individually on the basis of his or her mechanical peculiarities.

Adult

Peritoneoscopy for surgeons.

Peritoneoscopy is an invasive procedure. With attention to detail and a degree of dexterity which is inherent to surgery the procedure has been found safe in over 2,500 cases. Peritoneoscopy must always be a sequel to careful clinical examination. The greatest advantage of peritoneoscopy over all other diagnostic modalities is that peritoneoscopic diagnosis is a final histological diagnosis and has no element of shadow, image or conjecture. Peritoneoscopy has its greatest value in the diagnosis of liver pathology, in ascites, jaundice, malignancy and tuberculosis especially if non-invasive scanning techniques are not available. When used with discretion, it has some value in the management of the acute abdomen. Surgeons will be gratified to find the extent to which the peritoneoscope can help arrive at an early histological diagnosis, plan surgery, reduce morbidity by avoiding unnecessary surgery and shorten hospitalisation.

Ascites

Simple ganglion.

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Adolescent

Laparoscopic cholecystectomy in India.

The first 100 cases of laparoscopic cholecystectomy carried out in a "developing country" are studied. There were 77 females and 23 males. The mean age was 48 years (24-82 years). There was no mortality and 2% morbidity. The mean operative time was two hours and 15 minutes in the first 50 cases, one hour and 50 minutes in the subsequent 50. Twelve cases were converted to open surgery, nine within the first 50 cases, three in the subsequent 50. In developing countries the challenge of financial constraints as also a different spectrum of abdominal pathology calls for greater efforts of innovation and improvization. However, the rewards of laparoscopic cholecystectomy as compared to open cholecystectomy are significant in developing countries in terms of shorter hospitalisation (3.6 vs. 13 days), early return to work (12 vs. 36 days), better hospital bed utilization, and reduced expense.

Adult