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  1. Article: Sentinel Lymph Node Biopsy by Lymphatic Flare Technique: a Feasibility Study-"The FLAIR Is in the FLARE".

    Shamsudeen, Shafeek / Vikram, Syam / Damodaran, Deepak / Rahman, Faslu / Alapatt, John J / R, Dayananda / Krishnan, Gokul R / Damodaran, Dileep

    Indian journal of surgical oncology

    2022  Volume 13, Issue 4, Page(s) 890–895

    Abstract: Background: Sentinel lymph node (SLN) biopsy is a standard procedure in evaluating the status of node negative axilla. Numerous techniques have been described in literature. We hereby describe a new technique of intradermal injection of blue dye called ... ...

    Abstract Background: Sentinel lymph node (SLN) biopsy is a standard procedure in evaluating the status of node negative axilla. Numerous techniques have been described in literature. We hereby describe a new technique of intradermal injection of blue dye called the lymphatic flare technique.
    Methods: The study was conducted in two phases over a year from August 2020 to May 2021with an internal audit to validate and standardize the technique in January 2021.
    Results: Between August 2020 and December 2020, 32 patients were evaluated for validation of this technique by two senior surgeons, which yielded a SLN identification rate of 93.75% (30 out of 32). After validating, standardizing, and educating the entire surgical team of the technique, another consecutive 27 patients were evaluated. The SLN identification rate increased to 100% (27 out of 27). Overall, SLN positivity for cancer was 16.6% (10 out of 60).
    Conclusion: SLN identification by the lymphatic flare technique is feasible, accurate, and reproducible.
    Language English
    Publishing date 2022-07-16
    Publishing country India
    Document type Journal Article
    ZDB-ID 2568289-1
    ISSN 0976-6952 ; 0975-7651
    ISSN (online) 0976-6952
    ISSN 0975-7651
    DOI 10.1007/s13193-022-01574-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Standardised Critical Care Strategies Improve Outcomes Following Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy in an Indian Peritoneal Malignancy Centre.

    Chandramohan, Deepa / Mohamed, Faheez / Vikram, Syam / Damodaran, Deepak / Shamsudeen, Shafeek / Rahman, Faslu / Alapatt, John J / Krishnan, Gokul R / Dayananda, R / Shahid, Muhammed P / Das, Arun P / Varghese, Jinu / Bhatt, Aditi / Damodaran, Dileep

    Indian journal of surgical oncology

    2023  Volume 14, Issue 4, Page(s) 920–927

    Abstract: Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is a major undertaking with profound peri-operative metabolic and haemodynamic alterations. It requires standardised protocols for immediate postoperative intensive care ... ...

    Abstract Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is a major undertaking with profound peri-operative metabolic and haemodynamic alterations. It requires standardised protocols for immediate postoperative intensive care management to improve patient-related outcomes. A retrospective analysis of a prospectively maintained data-base of 244 patients who underwent CRS and HIPEC between June 2017 and July 2022 in our institute was done. Based on the audit, six strategies were implemented, namely, (1) dynamic multiparameter-based IVF therapy to aggressively correct the hyperlactatemia, (2) initiation of IV 20% human albumin infusion from POD-0, (3) correction of serum iCa
    Language English
    Publishing date 2023-08-07
    Publishing country India
    Document type Journal Article
    ZDB-ID 2568289-1
    ISSN 0976-6952 ; 0975-7651
    ISSN (online) 0976-6952
    ISSN 0975-7651
    DOI 10.1007/s13193-023-01803-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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