Biomedical subjects
Publications and source records attributed to Venu Chalasani.
We report a case of idiopathic pneumoperitoenum in a 75-year-old male who presented to the Emergency Department with vague left-sided abdominal pain. There was no history of recent trauma. Exploratory laparotomy was negative. He made an uneventful post-operative recovery and was discharged home 6 days after the exploratory laparotomy. A repeat chest X-ray done prior to discharge showed no evidence of a pneumoperitoneum.
BACKGROUND: Various treatment measures have been described in achieving splenic preservation following splenic injury. We describe an additional measure in achieving haemostasis during mesh splenorrhaphy. METHODS: Oxycel (BD, Franklin Lakes, NJ, USA) (topical haemostatic agent composed of oxidized cellulose) is sutured onto the inside of Dexon (Sherwood, Davis & Geck, St Louis, MO, USA) (polyglycolic acid) mesh. RESULTS: Two patients with splenic lacerations were operated on from July 2002 to February 2003 using this technique and both patients did not experience postoperative abdominal complications and were clinically well at follow up 1-2 months later. CONCLUSIONS: In our experience this technique made the Dexon mesh bulkier and easier to secure as well as more haemostatic.
BACKGROUND: Operative treatment of large hydroceles generally requires a large incision. METHODS: A technique is described which permits a traditional Jaboulay's or Lord's repair to be done through a 3 cm incision. RESULTS: Twenty patients with large hydroceles were operated on from June 2000 to November 2001 using this technique and to date, only one patient has had a recurrence. There has been no occurrence of either scrotal wound infection or haematoma -formation. CONCLUSIONS: A hydrocele repair of the surgeon's choice can be done safely through a 3 cm incision.
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