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  1. Article: Santosh PGI pouch: A new innovation in urinary diversion.

    Kumar, Santosh / Devana, Sudheer Kumar / Sharma, Aditya Prakash / Singh, Shrawan Kumar

    Central European journal of urology

    2015  Volume 68, Issue 2, Page(s) 232–239

    Abstract: Introduction: To know the feasibility and outcome of the Santosh PGI pouch as a new innovative ... using the Santosh PGI pouch after cystectomy. A 50-cm segment of terminal ileum was isolated 15-20 cm ... The Santosh PGI pouch, which is a type of CCD, is technically feasible, easy to reconstruct with acceptable ...

    Abstract Introduction: To know the feasibility and outcome of the Santosh PGI pouch as a new innovative technique of continent cutaneous diversion (CCD) following cystectomy.
    Material and methods: Twelve patients (eleven with carcinoma of the bladder and one with an exstrophy of the bladder) underwent CCD using the Santosh PGI pouch after cystectomy. A 50-cm segment of terminal ileum was isolated 15-20 cm proximal to the ileocecal junction. The ileal segment was folded into the form of an 'S' configuration. On the antimesenteric border three longitudinal incisions were performed of about 7 cm in length. The terminal 8 cm portion of the distal part of the pouch was used for creating the intussuscepted nipple valve. Demucosalization of the interior of the nipple, fixing the nipple valve with the serosa of the pouch wall and wrapping of the catheterizable channel with a pouch wall for providing continence was done. The uretero-pouch anastomosis was done using the serosal lined tunnel technique. The catheterizable channel was brought out through the right rectus muscle.
    Results: Median follow-up of the patients was 13.5 months. No significant complications were noted in the pouch reconstruction. Duration of the pouch reconstruction was around 75-110 min. Postoperatively, one patient had a UTI and another had paralytic ileus on the follow-up. All patients were doing regular CIC with acceptable continence of up to 400 ml. No ureteroileal anastomotic stricture or difficulty in catheterizing the pouch was seen.
    Conclusions: The Santosh PGI pouch, which is a type of CCD, is technically feasible, easy to reconstruct with acceptable continence and offers minimal morbidity.
    Language English
    Publishing date 2015-06-18
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 2672528-9
    ISSN 2080-4873 ; 2080-4806
    ISSN (online) 2080-4873
    ISSN 2080-4806
    DOI 10.5173/ceju.2015.584
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Bilateral simultaneous "Santosh Post-graduate Institute tubularized flap pyelovesicostomy" in a case of bilateral pelvi-ureteric junction obstruction with bilateral giant hydronephrosis.

    Kumar, Santosh / Khanna, Ashish / Parmar, Kalpesh / Chandna, Abhishek / Mandal, Subhajit / Manoharan, Vignesh

    Journal of robotic surgery

    2018  Volume 13, Issue 1, Page(s) 181–184

    Abstract: We present a case of bilateral giant hydronephrosis (HDN) secondary to bilateral pelvi-ureteric junction obstruction (PUJO) in a young girl, managed successfully by robot-assisted bilateral tubularized flap pyelo-vesicostomy. This case report highlights ... ...

    Abstract We present a case of bilateral giant hydronephrosis (HDN) secondary to bilateral pelvi-ureteric junction obstruction (PUJO) in a young girl, managed successfully by robot-assisted bilateral tubularized flap pyelo-vesicostomy. This case report highlights the feasibility, reproducibility and technicalities of this procedure.
    MeSH term(s) Adolescent ; Cystostomy/methods ; Feasibility Studies ; Female ; Humans ; Hydronephrosis/complications ; Hydronephrosis/congenital ; Hydronephrosis/etiology ; Multicystic Dysplastic Kidney/complications ; Robotic Surgical Procedures/methods ; Surgical Flaps ; Treatment Outcome ; Ureteral Obstruction/complications
    Language English
    Publishing date 2018-05-21
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-018-0826-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Day care PNL using 'Santosh-PGI hemostatic seal' versus standard PNL: A randomized controlled study.

    Kumar, Santosh / Singh, Shivanshu / Singh, Prashant / Singh, Shrawan Kumar

    Central European journal of urology

    2016  Volume 69, Issue 2, Page(s) 190–197

    Abstract: Introduction: To compare the outcomes of tubeless day care PNL using hemostatic seal in the access tract versus standard PNL.: Material and methods: It was a prospective randomized controlled study. Cases were randomized to either the day care group ... ...

    Abstract Introduction: To compare the outcomes of tubeless day care PNL using hemostatic seal in the access tract versus standard PNL.
    Material and methods: It was a prospective randomized controlled study. Cases were randomized to either the day care group with hemostatic seal (DCS) or the control group where patients were admitted and a nephrostomy tube was placed at the conclusion of surgery.
    Results: A total of 180 cases were screened and out of these, 113 were included in the final analysis. The stone clearance rates were comparable in both the groups. The mean drop in hemoglobin was significantly lower in DCS group than the control group (1.05 ±0.68 vs. 1.30 ±0.58 gm/dl, p = 0.038).Mean postoperative pain score, analgesic requirement (paracetamol) and duration of hospital stay were also significantly lower in the DCS group (3.79 ±1.23 vs. 6.12 ±0.96, 1.48 ±0.50 vs. 4.09 ±1.11 grams and 0.48 ±0.26 vs. 4.74 ±1.53 days respectively; p <0.05). The incidence of urine leakage through the access tract site was significantly lower in the DCS subgroup when compared to the controls (3.6% vs. 21.1%, p <0.05). Cases in the DCS group resumed their normal activities in a significantly shorter time (8.05 ±3.05 vs.18.42 ±4.42 days; p <0.05). Higher proportion of cases in the DCS group got re-admitted, although it was not a statistically significant number (7.1% vs. 1.8%; p = 0.21).
    Conclusions: Tubeless day care PNL with composite hemostatic tract seal is considered safe. It resulted in a significant reduction of blood loss and analgesic requirement with significantly reduced hospital stay, nephrostomy tube site morbidity and time required to resume normal activity when compared to the standard PNL. However, patients must be compliant with the given instructions and should have access to a health care facility, as few of them may need re-admission.
    Language English
    Publishing date 2016-06-20
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 2672528-9
    ISSN 2080-4873 ; 2080-4806
    ISSN (online) 2080-4873
    ISSN 2080-4806
    DOI 10.5173/ceju.2016.792
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: A Novel Technique for Laparoscopic Salvage of CAPD Catheter Malfunction and Migration: The Santosh-PGI Hanging Loop Technique.

    Kumar, Santosh / Singh, Shivanshu / Sharma, Aditya Prakash / Rathi, Manish

    Case reports in nephrology

    2015  Volume 2015, Page(s) 684976

    Abstract: CAPD catheter malfunction is a common problem. Obstruction due to wrapping by appendices epiploicae of sigmoid colon has been rarely reported in literature. We report a case of CAPD catheter malfunction caused by catheter tip migration and obstruction by ...

    Abstract CAPD catheter malfunction is a common problem. Obstruction due to wrapping by appendices epiploicae of sigmoid colon has been rarely reported in literature. We report a case of CAPD catheter malfunction caused by catheter tip migration and obstruction by appendices epiploicae that was successfully managed by laparoscopic hanging loop technique. This case report highlights the ease with which epiplopexy can be performed and catheter tip migration can be prevented by this innovative laparoscopic procedure.
    Language English
    Publishing date 2015-03-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2627652-5
    ISSN 2090-665X ; 2090-6641
    ISSN (online) 2090-665X
    ISSN 2090-6641
    DOI 10.1155/2015/684976
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Robot-assisted "Santosh-Post Graduate Institute tubularized flap pyelovesicostomy" in a solitary functioning kidney with giant hydronephrosis: A minimally invasive salvage procedure.

    Kumar, Santosh / Singh, Shivanshu / Kumar, Navneet

    Investigative and clinical urology

    2016  Volume 57, Issue 2, Page(s) 141–145

    Abstract: We describe a case of a solitary functioning kidney with giant hydronephrosis secondary to ureteropelvic junction obstruction in a young girl who underwent successful robot-assisted tubularized flap pyelovesicostomy. The aim of this report was to ... ...

    Abstract We describe a case of a solitary functioning kidney with giant hydronephrosis secondary to ureteropelvic junction obstruction in a young girl who underwent successful robot-assisted tubularized flap pyelovesicostomy. The aim of this report was to highlight the feasibility and efficacy of this technique in salvaging such renal moieties and to present a brief review of the surgical options available for the management of giant hydronephrosis.
    MeSH term(s) Adolescent ; Feasibility Studies ; Female ; Humans ; Hydronephrosis/diagnostic imaging ; Hydronephrosis/etiology ; Hydronephrosis/surgery ; Kidney Pelvis/surgery ; Minimally Invasive Surgical Procedures/methods ; Robotic Surgical Procedures/methods ; Salvage Therapy/methods ; Tomography, X-Ray Computed ; Ureteral Obstruction/complications ; Urinary Bladder/surgery
    Language English
    Publishing date 2016-03
    Publishing country Korea (South)
    Document type Case Reports ; Journal Article
    ZDB-ID 2923014-7
    ISSN 2466-054X ; 2466-0493
    ISSN (online) 2466-054X
    ISSN 2466-0493
    DOI 10.4111/icu.2016.57.2.141
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Single-incision multiport laparoendoscopic technique to repair retrocaval ureter using the Santosh PGI ureteric tacking fixation technique.

    Kumar, Santosh / Shankaregowda, Sriharsha Ajjoor / Devana, Sudheer Kumar / Jain, Siddharth / Singh, Shrawan Kumar

    Asian journal of endoscopic surgery

    2014  Volume 7, Issue 4, Page(s) 337–341

    Abstract: ... laparoendoscopic technique. We used a new fixation technique, Santosh PGI (Postgraduate Institute) ureteric tacking ... the Santosh PGI ureteric tacking fixation technique, and ureteroureteral anastamosis was done. The duration ... when performed by an expert laparoscopic surgeon. The Santosh PGI ureteric tacking fixation technique enabled ...

    Abstract Introduction: A retrocaval ureter is a rare congenital anomaly associated with upper urinary tract obstruction. It can cause varying degrees of ureteral obstruction, and surgical intervention is often necessary. Here, we present a case of a retrocaval ureter repaired with the single-incision multiport laparoendoscopic technique. We used a new fixation technique, Santosh PGI (Postgraduate Institute) ureteric tacking fixation technique, on both ureteric ends for easy ureteroureteric anastomosis.
    Materials and surgical technique: A 45-year-old man presented with right loin pain. CT urography showed a retrocaval ureter. Because the patient was symptomatic, he underwent retrocaval ureter repair by the single-incision multiport laparoendoscopic technique. A double-J stent was placed in the right ureter with the patient in the lithotomy position. Then, the patient was placed in a modified flank position. After pneumoperitoneum was created, a 2.5-cm incision was made in the umbilicus, and three conventional laparoscopic ports were inserted. The narrow retrocaval segment of ureter was resected, and both spatulated ureteric ends were fixed using the Santosh PGI ureteric tacking fixation technique, and ureteroureteral anastamosis was done. The duration of the procedure was 105 min. The patient was discharged from the hospital on postoperative day 3. Follow-up intravenous pyelography at 3 months showed normal drainage.
    Discussion: The single-incision multiport laparoendoscopic technique is feasible and cost effective, has good cosmesis, and has minimal morbidity when performed by an expert laparoscopic surgeon. The Santosh PGI ureteric tacking fixation technique enabled us to suture easily and rapidly within the limited range of motion allowed by conventional laparoscopic instruments in SILS.
    MeSH term(s) Anastomosis, Surgical ; Humans ; Laparoscopy/instrumentation ; Laparoscopy/methods ; Male ; Middle Aged ; Retrocaval Ureter/surgery ; Stents ; Ureter/surgery
    Language English
    Publishing date 2014-11
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 2492135-X
    ISSN 1758-5910 ; 1758-5902
    ISSN (online) 1758-5910
    ISSN 1758-5902
    DOI 10.1111/ases.12136
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  7. Article ; Online: Right sided double inferior vena cava with obstructed retrocaval ureter: Managed with single incision multiple port laparoscopic technique using "Santosh Postgraduate Institute tacking ureteric fixation technique".

    Kumar, Santosh / Singh, Shivanshu / Garg, Nitin

    Korean journal of urology

    2015  Volume 56, Issue 4, Page(s) 330–333

    Abstract: ... of the embryology of this anomaly. The "Santosh Postgraduate Institute ureteric tacking fixation technique" provides ...

    Abstract Right double inferior vena cava with obstructed retrocaval ureter is an extremely rare anomaly with only a few reported cases in the literature. To the best of our knowledge, this is the first case report describing ureteric repair by use of a single-incision laparoscopic technique. In addition, this report addresses the underlying surgical challenges of this repair and provides a brief review of the embryology of this anomaly. The "Santosh Postgraduate Institute ureteric tacking fixation technique" provides ease of end-to-end uretero-ureteric anastomosis in a single-incision laparoscopic surgery.
    MeSH term(s) Humans ; Intraoperative Care/methods ; Intraoperative Complications/prevention & control ; Laparoscopy/methods ; Magnetic Resonance Imaging ; Male ; Retrocaval Ureter/diagnosis ; Retrocaval Ureter/physiopathology ; Retrocaval Ureter/surgery ; Treatment Outcome ; Urography/methods ; Urologic Surgical Procedures/methods ; Vena Cava, Inferior/abnormalities ; Vena Cava, Inferior/surgery ; Young Adult
    Language English
    Publishing date 2015-04
    Publishing country Korea (South)
    Document type Case Reports ; Journal Article
    ZDB-ID 2489971-9
    ISSN 2005-6745 ; 2005-6737
    ISSN (online) 2005-6745
    ISSN 2005-6737
    DOI 10.4111/kju.2015.56.4.330
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  8. Article: Efficacy of holmium laser urethrotomy and intralesional injection of Santosh PGI tetra-inject (Triamcinolone, Mitomycin C, Hyaluronidase and N-acetyl cysteine) on the outcome of urethral strictures.

    Kumar, Santosh / Kishore, Lalit / Sharma, Aditya Prakash / Garg, Nitin / Singh, Shrawan Kumar

    Central European journal of urology

    2015  Volume 68, Issue 4, Page(s) 462–465

    Abstract: ... of Santosh PGI tetra-inject (Triamcinolone, Mitomycin C, Hyaluronidase and N-acetyl cysteine ...

    Abstract Introduction: To study the efficacy of holmium laser urethrotomy with intralesional injection of Santosh PGI tetra-inject (Triamcinolone, Mitomycin C, Hyaluronidase and N-acetyl cysteine) in the treatment of urethral strictures.
    Material and methods: A total of 50 patients with symptomatic urethral stricture were evaluated by clinical history, physical examination, uroflowmetry and retrograde urethrogram preoperatively. All patients were treated with holmium laser urethrotomy, followed by injection of tetra-inject at the urethrotomy site. Tetra-inject was prepared by diluting acombination of 40 mg Triamcinolone, 2 mg Mitomycin, 3000 UHyaluronidase and 600 mg N-acetyl cysteine in 5-10 ml of saline, according to the stricture length. An indwelling 18 Fr silicone catheter was left in place for 7-10 days.All patients were followed-up for 6-18 months postoperatively by history, uroflowmetry, and if required, retrograde urethrogram and micturating urethrogram every 3 months.
    Results: 41 (82%) patients had asuccessful outcome,whereas 9 (18%) had recurrences during a follow-up ranging from 6-18 months. In <1 cm length strictures, the success rate was 100%, while in 1-3 cm and >3 cm lengthsthe success rates were 81.2% and 66.7% respectively. This modality, thus, has an encouraging success rate, especially in those with short segment urethral strictures (<3 cm).
    Conclusions: Holmium laser urethrotomy with intralesional injection ofSantosh PGI tetra-inject (Triamcinolone, Mitomycin C, Hyaluronidase, N-acetyl cysteine) is a safe and effective minimally-invasive therapeutic modality for short segment urethral strictures.
    Language English
    Publishing date 2015-12-21
    Publishing country Poland
    Document type Journal Article
    ZDB-ID 2672528-9
    ISSN 2080-4873 ; 2080-4806
    ISSN (online) 2080-4873
    ISSN 2080-4806
    DOI 10.5173/ceju.2015.585
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  9. Article ; Online: Percutaneous nephroscopic management of an isolated giant renal hydatid cyst guided by single-incision laparoscopy using conventional instruments: the Santosh-PGI technique.

    Kumar, Santosh / Choudhary, Gautam R / Pushkarna, Arawat / Najjapa, Bhuvnesh / Ht, Vatasla

    Asian journal of endoscopic surgery

    2013  Volume 6, Issue 4, Page(s) 342–345

    Abstract: Introduction: Isolated renal hydatid rarely presents, but when it does occur, it requires surgical treatment. We report our experience with a novel technique involving percutaneous management of a giant renal hydatid cyst with single-incision ... ...

    Abstract Introduction: Isolated renal hydatid rarely presents, but when it does occur, it requires surgical treatment. We report our experience with a novel technique involving percutaneous management of a giant renal hydatid cyst with single-incision laparoscopic assistance.
    Material and surgical technique: First we performed retrograde ureteropyelogram, which did not show any communication between the cyst and the calyceal. A Veress needle was used for pneumoperitoneum. Three conventional laparoscopic trocars used. Under laparoscopic guidance, we punctured the cyst. The scolicidal solution used was 10% povidone-iodine. The endocyst was removed under vision with grasping forceps through the nephroscope. A Portex drain was placed into the cyst cavity.
    Discussion: Percutaneous aspiration and instillation of scolicidal agents followed by re-aspiration have been previously reported. This is an attractive procedure because of its acceptable success rates and reduced morbidity. In our case, simple aspiration of the cyst would not have been successful because the cyst was full of daughter cysts. Also, a blind percutaneous puncture of the cyst and dilatation could have perforated the colon or the mesocolon, which is often wrapped over the surface of such giant cysts thereby making laparoscopic guidance and mobilization of the colon imperative. We devised this unique treatment method for this patient involving three conventional ports at a single umbilical site. We believe this is the first reported case of its kind in the world. Not only this technique is minimally invasive, it is also cost-effective, as only conventional laparoscopic ports and instruments are used during the procedure.
    MeSH term(s) Animals ; Antibodies, Helminth/analysis ; Diagnosis, Differential ; Echinococcosis/diagnosis ; Echinococcosis/surgery ; Echinococcus/immunology ; Echinococcus/isolation & purification ; Endoscopy/methods ; Female ; Follow-Up Studies ; Humans ; Kidney Diseases/diagnosis ; Kidney Diseases/parasitology ; Kidney Diseases/surgery ; Laparoscopy/methods ; Magnetic Resonance Imaging ; Tomography, X-Ray Computed ; Young Adult
    Chemical Substances Antibodies, Helminth
    Language English
    Publishing date 2013-11
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 2492135-X
    ISSN 1758-5910 ; 1758-5902
    ISSN (online) 1758-5910
    ISSN 1758-5902
    DOI 10.1111/ases.12050
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  10. Article: Efficacy of Optical Internal Urethrotomy and Intralesional Injection of Vatsala-Santosh PGI Tri-Inject (Triamcinolone, Mitomycin C, and Hyaluronidase) in the Treatment of Anterior Urethral Stricture.

    Kumar, Santosh / Garg, Nitin / Singh, Shrawan Kumar / Mandal, Arup Kumar

    Advances in urology

    2014  Volume 2014, Page(s) 192710

    Abstract: ... of Vatsala-Santosh PGI tri-inject (triamcinolone, mitomycin C, and hyaluronidase) in the treatment ... urethrotomy with intralesional injection of Vatsala-Santosh PGI tri-inject (triamcinolone, mitomycin C, and ...

    Abstract Purpose. To study the efficacy of optical internal urethrotomy with intralesional injection of Vatsala-Santosh PGI tri-inject (triamcinolone, mitomycin C, and hyaluronidase) in the treatment of anterior urethral stricture. Material and Methods. A total of 103 patients with symptomatic anterior urethral stricture were evaluated on the basis of clinical history, physical examination, uroflowmetry, and retrograde urethrogram preoperatively. All patients were treated with optical internal urethrotomy followed by injection of tri-inject at the urethrotomy site. Tri-inject was prepared by diluting the combination of triamcinolone 40 mg, mitomycin C 2 mg, and hyaluronidase 3000 in 5-10 mL of saline according to length of stricture. An indwelling 18 Fr silicone catheter was left in place for a period of 7-21 days. All patients were followed up for 6-18 months postoperatively on the basis of history, uroflowmetry, and, if required, retrograde urethrogram and micturating urethrogram every 3 months. Results. The overall recurrence rate after first OIU is 19.4% (20 out of 103 patients), that is, a success rate of 80.6%. Overall recurrence rate after second procedure was 5.8% (6 out of 103 patients), that is, a success rate of 94.2%. Conclusion. Optical internal urethrotomy with intralesional injection of Vatsala-Santosh PGI tri-inject (triamcinolone, mitomycin C, and hyaluronidase) is a safe and effective minimally invasive therapeutic modality for short segment anterior urethral strictures.
    Language English
    Publishing date 2014-10-01
    Publishing country Egypt
    Document type Journal Article
    ZDB-ID 2397564-7
    ISSN 1687-6377 ; 1687-6369
    ISSN (online) 1687-6377
    ISSN 1687-6369
    DOI 10.1155/2014/192710
    Database MEDical Literature Analysis and Retrieval System OnLINE

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