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Article ; Online: Postoperative fluid therapy in enhanced recovery after surgery for pancreaticoduodenectomy.

Koek, Sharnice / Lo, Johnny / Ledger, Rupert / Ballal, Mohammed

Annals of hepato-biliary-pancreatic surgery

2024 Volume 28, Issue 1, Page(s) 80–91

Abstract: Backgrounds/aims: Optimal intravenous fluid management during the perioperative period for patients undergoing pancreaticoduodenectomy (PD) within the framework of enhanced recovery after surgery (ERAS) is unclear. Studies have indicated that excessive ... ...

Abstract	Backgrounds/aims: Optimal intravenous fluid management during the perioperative period for patients undergoing pancreaticoduodenectomy (PD) within the framework of enhanced recovery after surgery (ERAS) is unclear. Studies have indicated that excessive total body salt and water can contribute to the development of oedema, leading to increased morbidity and extended hospital stays. This study aimed to assess the effects of an intravenous therapy regimen during postoperative day (POD) 0 to 2 in PD patients within ERAS. Methods: A retrospective interventional cohort study was conducted, and it involved all PD patients before and after implementation of ERAS (2009-2017). In the ERAS group, a targeted maintenance fluid regimen of 20 mL/kg/day with a sodium requirement of 0.5 mmoL/kg/day was administered. Outcome measures included the mmol of sodium and chloride administered, length of stay, and morbidity (postoperative pancreatic fistula, POPF; acute kidney injury, AKI; ileus). Results: The study included 169 patients, with a mean age of 64 ± 11.3 years. Following implementation of the intravenous fluid therapy protocol, there was a significant reduction in chloride and sodium loading. However, in the multivariable analysis, chloride administered (mmoL/kg) did not independently influence the length of stay; or rates of POPF, ileus, or AKI ( Conclusions: The findings suggested that a postoperative intravenous fluid therapy regimen did not significantly impact morbidity. Notably, there was a trend towards reduced length of stay within an increasingly comorbid patient cohort. This targeted fluid regimen appears to be safe for PD patients within the ERAS program. Further prospective research is needed to explore this area.
Language	English
Publishing date	2024-01-12
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	3012179-6
ISSN	2508-5859 ; 2508-5778
ISSN (online)	2508-5859
ISSN	2508-5778
DOI	10.14701/ahbps.23-084
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Article ; Online: Laparoscopic Pancreaticojejunostomy Anastamosis Using an Articulating Needle Holder.

Bibo, Liam / Ballal, Mohammed

Surgical laparoscopy, endoscopy & percutaneous techniques

2021 Volume 32, Issue 2, Page(s) 279–280

Abstract: Introduction: Pancreaticojejunal anastomosis is a technically challenging stage of the pancreaticoduodenectomy procedure for even the most experienced surgeon. We illustrate a buttressed duct-to-mucosa anastomosis (modified Blumgart technique) during ... ...

Abstract	Introduction: Pancreaticojejunal anastomosis is a technically challenging stage of the pancreaticoduodenectomy procedure for even the most experienced surgeon. We illustrate a buttressed duct-to-mucosa anastomosis (modified Blumgart technique) during laparoscopic pancreaticoduodenectomy using an articulating needle holder (FlexDex) (Video, Supplemental Digital Content 1, http://links.lww.com/SLE/A299). Materials and methods: While performing a minimally invasive pancreaticoduodenectomy, an articulating needle holder (FlexDex) is introduced through an 8 mm laparoscopic port and used to perform the duct-to-mucosa pancreaticojejunal anastomosis. Parenchymal buttressing using 3/0 double ended barbed suture (Stratafix) and pancreas duct to jejunum using 5/0 Prolene.Approval was obtained from the Office of Ethics and Research Governance at our institution. Consent was gained from the individual patient involved, to submit this intraoperative video for publication. Results: Successful intraoperative pancreaticojejunal anastomosis was performed using the articulating needle holder (FlexDex). The patient recovered from the procedure without complication, with no postoperative pancreatic fistula. Conclusions: We demonstrate the feasibility of performing a laparoscopic pancreaticojejunal anastomosis using an articulating needle holder (FlexDex).
MeSH term(s)	Anastomosis, Surgical/methods ; Humans ; Laparoscopy/methods ; Pancreatic Fistula/etiology ; Pancreaticoduodenectomy/methods ; Pancreaticojejunostomy/methods ; Postoperative Complications
Language	English
Publishing date	2021-09-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	1475108-2
ISSN	1534-4908 ; 1530-4515 ; 1051-7200
ISSN (online)	1534-4908
ISSN	1530-4515 ; 1051-7200
DOI	10.1097/SLE.0000000000001003
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Zs.A 3200: Show issues

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Article ; Online: Hydroxyapatite deposition disease (HADD) of the spring ligament: an unusual cause of medial foot pain.

Papineni, Vijay R K / Ballal, Moez / Iyengar, Karthikeyan P / Botchu, Rajesh

Journal of ultrasound

2023 Volume 26, Issue 4, Page(s) 923–928

Abstract: Foot pain is one of the most common presenting complaints in orthopaedic clinical practice and can be attributed to a multitude of pathologies in the various osseous structures, ligaments, and tendons of the foot. The spring ligament complex (SLC) ... ...

Abstract	Foot pain is one of the most common presenting complaints in orthopaedic clinical practice and can be attributed to a multitude of pathologies in the various osseous structures, ligaments, and tendons of the foot. The spring ligament complex (SLC) between the calcaneum and navicular supports the talus and plays a major role in the static stability of the medial longitudinal arch of the foot. Although calcific ligamentous enthesopathy around the ankle has been described in the literature, we report the first case of its kind affecting the SLC in a 51-year-old male with medial foot pain and no history of trauma. We highlight the role of radiological interventions in the diagnosis and effective management using ultrasound (US)-guided barbotage.
MeSH term(s)	Male ; Humans ; Middle Aged ; Foot/diagnostic imaging ; Ligaments, Articular ; Ankle ; Ankle Joint ; Hydroxyapatites
Chemical Substances	Hydroxyapatites
Language	English
Publishing date	2023-03-30
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	2365426-0
ISSN	1876-7931 ; 1971-3495
ISSN (online)	1876-7931
ISSN	1971-3495
DOI	10.1007/s40477-023-00781-9
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Article ; Online: What is the role of intraoperative cholangiography at cholecystectomy in the modern era?

Turco, Jennifer / Ballal, Mohammed / Fletcher, David

ANZ journal of surgery

2021 Volume 91, Issue 7-8, Page(s) 1329–1330

MeSH term(s)	Cholangiography ; Cholecystectomy ; Humans
Language	English
Publishing date	2021-08-24
Publishing country	Australia
Document type	Editorial ; Comment
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.17052
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Zs.A 180: Show issues

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Article ; Online: Following the Indian Immigrant: adoption of westernization results in a western gut microbiome and an increased risk of inflammatory bowel diseases.

D'Aloisio, Leah D / Shetty, Vignesh / Ballal, Mamatha / Gibson, Deanna L

FEMS microbiology ecology

2022 Volume 98, Issue 12

Abstract: Indians who migrate to westernized countries such as Canada, the USA, and the UK are at an increased risk of developing inflammatory bowel disease (IBD). While the underlying aetiology of IBD remains unclear, a gut microbiome, i.e. no longer symbiotic ... ...

Abstract	Indians who migrate to westernized countries such as Canada, the USA, and the UK are at an increased risk of developing inflammatory bowel disease (IBD). While the underlying aetiology of IBD remains unclear, a gut microbiome, i.e. no longer symbiotic with its host, is a major player. Increasing IBD incidence in Indian immigrants may be due to the adoption of western practices that result in loss of tolerance of a symbiotic community in the gut and its underlying immune responses. However, little is known about the microbial changes in the Indian gut, including shifts in the microbiome when they migrate to westernized countries. In this Current Opinion, we discuss what is known about the Indian gut microbiome and how living in a westernized environment may be impeding what was once a symbiotic relationship with their gut microbiome and intestinal mucosae, which may be the driving factor in their increased risk of IBD.
MeSH term(s)	Humans ; Gastrointestinal Microbiome/physiology ; Inflammatory Bowel Diseases ; Microbiota ; Symbiosis ; Emigrants and Immigrants
Language	English
Publishing date	2022-11-09
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	283722-5
ISSN	1574-6941 ; 0168-6496
ISSN (online)	1574-6941
ISSN	0168-6496
DOI	10.1093/femsec/fiac133
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Zs.A 2967: Show issues

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Article: Large abdominal hernia repair with closed incision negative pressure therapy: a case series.

Wang, Edward / Archer, Leigh / Foster, Amanda / Ballal, Mohammed

Journal of wound care

2021 Volume 30, Issue 3, Page(s) 192–196

Abstract: Objective: A major challenge of large abdominal incisional hernia repair is the high rates of wound complications. Closed incision negative pressure therapy (CINPT) can offer many treatment advantages in the management of these wounds and has been shown ...

Abstract	Objective: A major challenge of large abdominal incisional hernia repair is the high rates of wound complications. Closed incision negative pressure therapy (CINPT) can offer many treatment advantages in the management of these wounds and has been shown to reduce complications for other postoperative incisions. This study assesses the wound outcomes for hernia repair patients receiving CINPT. Method: A six-year retrospective case series of patients who had undergone large abdominal incisional hernia repair wounds treated with CINPT was conducted. Outcomes for patients treated with CINPT were compared with patients who had not received CINPT acting as a control. Results: A total of 23 patients were treated with CINPT after hernia repair and compared with 12 patients in the control group. A statistically significant decreased rate of return to theatre (odds ratio: 0.12) was found in this study. Non-significant reductions in wound infection, seroma and wound dehiscence were also seen. No adverse events with CINPT therapy were reported. Conclusions: CINPT, when used after large abdominal incisional hernia repair, may help in the prevention of wound complications.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Herniorrhaphy ; Humans ; Middle Aged ; Negative-Pressure Wound Therapy ; Retrospective Studies ; Surgical Wound/etiology ; Surgical Wound/therapy ; Surgical Wound Infection/etiology ; Surgical Wound Infection/therapy ; Tomography, X-Ray Computed ; Treatment Outcome ; Wound Healing
Language	English
Publishing date	2021-03-17
Publishing country	England
Document type	Journal Article
ZDB-ID	1353951-6
ISSN	0969-0700
ISSN	0969-0700
DOI	10.12968/jowc.2021.30.3.192
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Zs.A 4572: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MG 4: Show issues

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Article ; Online: Drain fluid amylase and lipase as a predictive factor of postoperative pancreatic fistula.

Koek, Sharnice / Wiegele, Sophie / Ballal, Mohammed

ANZ journal of surgery

2021 Volume 92, Issue 3, Page(s) 414–418

Abstract: Background: Early detection of a postoperative pancreatic fistula (POPF) may improve outcomes after pancreaticoduodenectomy (PD). The aim was to assess the role of postoperative drain fluid amylase (DFA) and lipase (DFL) measurements as a predictive ... ...

Abstract	Background: Early detection of a postoperative pancreatic fistula (POPF) may improve outcomes after pancreaticoduodenectomy (PD). The aim was to assess the role of postoperative drain fluid amylase (DFA) and lipase (DFL) measurements as a predictive indicator in the development of POPF. Methods: This retrospective cohort study included all PD procedures performed between 2009 and 2017 at Fremantle and Fiona Stanley Hospital in Western Australia. The DFA and DFL measurements on postoperative day (POD) three and five were correlated with the development of POPF. Results: A total of 169 patients were included in this study with a mean age of 64 ± 11.3 years. Of these, 17 (10.1%) developed a clinically significant POPF. In patients who had both a DFA and DFL measured on both POD 3 and 5, DFA and DFL was significantly higher in patients who developed POPF than those who did not (P < 0.001). In a receiver operating characteristic curve analysis, the most accurate test was POD 3 DFL measurement with an AUC 0.85 (CI 0.75-0.95, P < 0.001). A negative predictive value of 97.4% was observed. DFA and DFL were concordant in 89.2% of cases on POD 3 and 90.6% of cases on POD 5. Conclusion: In this study, DFL measured on POD 3 as a single measurement appears to carry the most benefit in prediction of clinically significant POPF. Reduction to a measurement on this day may lead to a reduction in cost, earlier drain removal and earlier identification of high-risk patients.
MeSH term(s)	Aged ; Amylases ; Drainage/methods ; Humans ; Lipase ; Middle Aged ; Pancreatic Fistula/diagnosis ; Pancreatic Fistula/epidemiology ; Pancreatic Fistula/etiology ; Pancreaticoduodenectomy/adverse effects ; Postoperative Complications/diagnosis ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Retrospective Studies ; Risk Factors
Chemical Substances	Lipase (EC 3.1.1.3) ; Amylases (EC 3.2.1.-)
Language	English
Publishing date	2021-10-22
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.17296
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Zs.A 180: Show issues

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Article ; Online: Author Correction: Metagenomics of pigmented and cholesterol gallstones: the putative role of bacteria.

Kose, S H / Grice, K / Orsi, W D / Ballal, M / Coolen, M J L

Scientific reports

2020 Volume 10, Issue 1, Page(s) 4347

Abstract: An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...

Abstract	An amendment to this paper has been published and can be accessed via a link at the top of the paper.
Language	English
Publishing date	2020-03-04
Publishing country	England
Document type	Published Erratum
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-020-60081-8
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Article ; Online: Profile of Helicobacter pylori cagA &vacA genotypes and its association with the spectrum of gastroduodenal disease.

Shetty, Vignesh / Lingadakai, Ramachandra / Pai, Ganesh C / Ballal, Mamatha

Indian journal of medical microbiology

2021 Volume 39, Issue 4, Page(s) 495–499

Abstract: Purpose: Globally, H. pylori virulence factors cagA and vacA genotypes and its variation is leading to the austere form of the gastroduodenal disease. Our objectives were to detect H. pylori in dyspeptic patients from biopsy samples with the validation ... ...

Abstract	Purpose: Globally, H. pylori virulence factors cagA and vacA genotypes and its variation is leading to the austere form of the gastroduodenal disease. Our objectives were to detect H. pylori in dyspeptic patients from biopsy samples with the validation of the various existing diagnostic tools and to screen the cagA, vacA genotypes profile from biopsy specimens and how it impacts in progression of gastroduodenal disease in southern India. Methods: 374 patients who attended endoscopy unit at Kasturba Hospital, Manipal with their consent obtained their biopsies. H. pylori were detected by HPE, Culture, RUT and PCR and its virulence gene were patterned with PCR. Results: The positive rate of H. pylori by HPE, RUT, Culture and PCR were 51.33%, 47.1%, 32.4% and 50.3% respectively and comparison by Bayesian LCMs analysis showed PCR is superior among them. The frequency of H. pylori virulence gene viz cagPAI (cagA) were 80.9%, and vacA alleles-s1m1 (42%), s1m2 (33%) and s2m2 (25%) genotypes by PCR respectively. Four combinations of cagA/vacA genotypes were noted, majority of strains harboured cagA Conclusions: This study validates and compares the existing diagnostic methods for detecting H. pylori in biopsies. Also, it reveals some pattern of virulence gene combination will play a vital role in disease progression.
MeSH term(s)	Antigens, Bacterial/genetics ; Bacterial Proteins/genetics ; Bayes Theorem ; Genotype ; Helicobacter Infections/epidemiology ; Helicobacter Infections/microbiology ; Helicobacter pylori/genetics ; Humans ; India/epidemiology ; Virulence Factors/genetics
Chemical Substances	Antigens, Bacterial ; Bacterial Proteins ; Virulence Factors
Language	English
Publishing date	2021-06-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	1038798-5
ISSN	1998-3646 ; 0255-0857
ISSN (online)	1998-3646
ISSN	0255-0857
DOI	10.1016/j.ijmmb.2021.06.001
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Article ; Online: Double trouble: a complete duplication of the biliary system.

Teoh, Mary M K / Nyandoro, Munyaradzi G / Fahey, Brian / Labib, Amro / Ballal, Mohammed

ANZ journal of surgery

2022 Volume 92, Issue 12, Page(s) 3379–3380

Language	English
Publishing date	2022-04-21
Publishing country	Australia
Document type	Case Reports
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.17714
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