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Article ; Online: Compare the Combined Diagnostic Accuracy of Transient Elastography and Visual Liver Score in Assessing Non-Alcoholic Fatty Liver Disease (NAFLD) and Compare it with Liver Biopsy in Morbidly Obese Patients Undergoing Bariatric Surgery: An Observational Study.

Sharma, Deborshi / Anand, Gautam / Meena, Sanjay / Bhardwaj, Vaishali

2024 Volume 34, Issue 4, Page(s) 1247–1256

Abstract: Introduction: A liver biopsy is the gold standard for the diagnosis of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH). Here, we combine preoperative transient elastography (TE) and intraoperative standardized visual ... ...

Abstract	Introduction: A liver biopsy is the gold standard for the diagnosis of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH). Here, we combine preoperative transient elastography (TE) and intraoperative standardized visual liver score (VLS) which is compared with intraoperative liver biopsy for prediction of NAFLD and NASH in patients undergoing bariatric surgery. Aim: Evaluate the combined diagnostic accuracy of TE and VLS in assessing NAFLD or NASH and compare it with liver biopsy in patients undergoing bariatric surgery. Methods: In a prospective cohort of 70 morbidly obese undergoing bariatric surgery, preoperative TE and intraoperative VLS were calculated. Findings of TE and VLS were compared with histology from intraoperative liver biopsy. Results: Histologically, 44 (62.85%) had NAFLD (≥ S1). Significant steatosis was seen in 20 (28.57%) while significant fibrosis was visible in 18 (25.71%). Area Under the Receiver Operating Characteristics (AUROC) TE for diagnosis of NAFLD was excellent (0.844, p = 0.001). At the optimal cutoff of 8.1, the positive predictive value (PPV) was 92.9%, and diagnostic accuracy was 90.6%. VLS had a sensitivity of 90.9% for NAFLD. The combined sensitivity of TE + VLS was 95.5% for ruling out NAFLD. Fourteen (20%) had NASH. VLS had a diagnostic accuracy of 97% in identifying NASH in comparison to TE. AUROC-VLS was 0.987, p ≤ 0.001, and a sensitivity of 100%. The overall sensitivity of combined TE and VLS was 100% with a negative predictive value (NPV) of 100%. Conclusion: TE when combined with intraoperative VLS is comparable to liver biopsy and can be used for the diagnosis of NAFLD and NASH in patients undergoing bariatric surgery.
MeSH term(s)	Humans ; Non-alcoholic Fatty Liver Disease/diagnosis ; Elasticity Imaging Techniques ; Obesity, Morbid/surgery ; Prospective Studies ; Liver/pathology ; Liver Cirrhosis/pathology ; Bariatric Surgery ; Biopsy
Language	English
Publishing date	2024-02-27
Publishing country	United States
Document type	Observational Study ; Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-024-07106-7
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Zs.A 3381: Show issues

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Article ; Online: Randomized single blind trial to compare the short term post-operative outcome and cost analysis of laparoscopic versus ultrasound guided transversus abdominis plane block in patients undergoing bariatric surgery.

Sharma, Deborshi / Meena, Sanjay / Anand, Gautam

Surgical endoscopy

2023 Volume 37, Issue 9, Page(s) 7136–7143

Abstract: Introduction: Laparoscopic Bariatric surgery despite being minimally invasive can cause moderate to severe pain in the immediate postoperative period. Adequate pain management remains a major challenge. Transversus Abdominis Plane (TAP) block is a ... ...

Abstract	Introduction: Laparoscopic Bariatric surgery despite being minimally invasive can cause moderate to severe pain in the immediate postoperative period. Adequate pain management remains a major challenge. Transversus Abdominis Plane (TAP) block is a regional anesthesia technique which blocks the sensory nerve supply of anterior-lateral abdominal wall. Aims and objectives: Primary: evaluate Laparoscopic versus ultrasound (USG)-guided TAP block on immediate post-operative analgesia after undergoing laparoscopic bariatric surgery. Secondary: compare cost effectiveness of Laparoscopic versus ultrasound-guided TAP block after undergoing bariatric surgery. Materials and methods: Randomized Single blind study undertaken after sample size was calculated by (N) = 2(Z Results: Group I (N = 61 53F/8 M) & Group II (N = 60 42F/18 M) were demographically comparable. Group I (3.58 ± 0.67) had significantly lower procedure time compared to Group II (12.47 ± 1.61) (p-Value < 0.001). First rescue analgesia was administered at 7.07 ± 2.61 h in Group I vs 7.21 ± 2.39 h in Group II (p-Value 0.659). In first 24 h rescue analgesic dose requirement in Group I was 1.29 ± 0.53 vs 1.39 ± 0.50 in Group II (p-Value 0.487). VAS scores during rest and movement till 24 h post-operative were statistically similar. Procedural cost was more in group II. Conclusion: Laparoscopic-guided TAP block is a safe and cost-effective approach for postoperative pain management after bariatric surgery and provides similar comparable analgesic effect as the USG-TAP block. Laparoscopic TAP is a surgeon delivered, easy to administer and significantly less time-consuming procedure which is feasible even when an ultrasound machine is not available.
MeSH term(s)	Humans ; Abdominal Muscles/innervation ; Analgesics ; Analgesics, Opioid ; Bariatric Surgery/methods ; Costs and Cost Analysis ; Laparoscopy/adverse effects ; Pain, Postoperative/etiology ; Pain, Postoperative/prevention & control ; Postoperative Period ; Single-Blind Method ; Ultrasonography, Interventional/methods
Chemical Substances	Analgesics ; Analgesics, Opioid
Language	English
Publishing date	2023-06-16
Publishing country	Germany
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-023-10189-5
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Zs.A 2214: Show issues

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Article ; Online: Ventilation failure with elective tracheostomy during oral cancer surgery: a case of tracheal diverticulum.

Mitra, Sandipta / Singh, Anup / Vig, Saurabh / Meena, Sanjay Kumar

BMJ case reports

2023 Volume 16, Issue 4

Abstract: Tracheal diverticulum is usually detected incidentally. Rarely, it may lead to difficulty in securing the airway intraoperatively. Our patient underwent oncological resection under general anaesthesia for advanced oral cancer. Elective tracheostomy was ... ...

Abstract	Tracheal diverticulum is usually detected incidentally. Rarely, it may lead to difficulty in securing the airway intraoperatively. Our patient underwent oncological resection under general anaesthesia for advanced oral cancer. Elective tracheostomy was performed at the end of the surgery, and a cuffed tracheostomy tube (T-tube) of 7.5 mm size was inserted through the tracheostoma. Despite repeated attempts at T-tube insertion, ventilation could not be established. However, on advancing the endotracheal tube beyond tracheostoma, ventilation was restored. The T-tube was inserted into the trachea under fibreoptic guidance achieving successful ventilation. A fibreoptic bronchoscopy through the tracheostoma performed after decannulation revealed a mucosalised diverticulum extending behind the posterior wall of the trachea. The bottom of the diverticulum showed mucosa-lined cartilaginous ridge with differentiation into smaller bronchiole-like structures. Tracheal diverticulum should be considered as a possible differential in case of failed ventilation following an otherwise uneventful tracheostomy.
MeSH term(s)	Humans ; Tracheostomy ; Trachea/surgery ; Intubation, Intratracheal ; Respiratory Insufficiency ; Tracheal Diseases ; Mouth Neoplasms ; Diverticulum/complications ; Diverticulum/surgery
Language	English
Publishing date	2023-04-18
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2022-254134
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Article ; Online: Resection of a large Solid Pseudopapillary Neoplasm of the Pancreas: A multidisciplinary feat and review of literature.

Anand, Gautam / Sharma, Deborshi / Meena, Sanjay / Guleria, Munish / Nangia, Anita

Polski przeglad chirurgiczny

2023 Volume 95, Issue 4, Page(s) 1–5

Abstract: Solid pseudopapillary neoplasm (SPN) is an extremely rare tumor with low malignant potential which is generally located in the tail of the pancreas. The prevalence of SPN has increased with the recent advancement in radiological imaging. CECT abdomen and ...

Abstract	Solid pseudopapillary neoplasm (SPN) is an extremely rare tumor with low malignant potential which is generally located in the tail of the pancreas. The prevalence of SPN has increased with the recent advancement in radiological imaging. CECT abdomen and Endoscopic ultrasound-FNA are excellent modalities in preoperative diagnosis. Surgery is the main treatment modality of choice and a successful R0 resection is curative. We present a case of solid pseudopapillary neoplasm and included a summary of the current literature to provide a reference for the management of this rare clinical entity.
MeSH term(s)	Humans ; Pancreatectomy ; Pancreatic Neoplasms/diagnosis ; Pancreas/surgery ; Abdomen/surgery
Language	English
Publishing date	2023-02-08
Publishing country	Poland
Document type	Review ; Case Reports ; Journal Article
ZDB-ID	128732-1
ISSN	2299-2847 ; 0032-373X
ISSN (online)	2299-2847
ISSN	0032-373X
DOI	10.5604/01.3001.0015.9664
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Zs.B 375: Show issues

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Article ; Online: Mucous patch of secondary syphilis masquerading as leukokeratosis: An atypical presentation.

Jain, Arushi / Maheshwari, Kriti / Gupta, Kalpana / Meena, Sanjay

Indian journal of sexually transmitted diseases and AIDS

2021 Volume 42, Issue 2, Page(s) 153–155

Abstract: Syphilis is known to inflict human being since long. It has varied clinical presentations. Atypical presentations are not uncommon and may jeopardize the clinical acumen of experienced clinician. Here, we are reporting a case of syphilis presenting as a ... ...

Abstract	Syphilis is known to inflict human being since long. It has varied clinical presentations. Atypical presentations are not uncommon and may jeopardize the clinical acumen of experienced clinician. Here, we are reporting a case of syphilis presenting as a sole manifestation in oral cavity.
Language	English
Publishing date	2021-07-27
Publishing country	India
Document type	Case Reports
ISSN	2589-0565
ISSN (online)	2589-0565
DOI	10.4103/ijstd.IJSTD_85_19
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Article: K Wires or Cannulated Screws for Fixation of Lateral Condyle Fractures in Children: A Systematic Review of Comparative Studies.

Sinha, Siddhartha / Kumar, Arvind / Meena, Sanjay / Jameel, Javed / Qureshi, Owais A / Kumar, Sandeep

Indian journal of orthopaedics

2023 Volume 57, Issue 6, Page(s) 789–799

Abstract: Introduction: Lateral condyle fractures in children have been typically been treated operatively using Kirschner wires (K wire) or cannulated screws (CCS); however, a definitive choice of implant remains a matter of debate. This systematic review aims ... ...

Abstract	Introduction: Lateral condyle fractures in children have been typically been treated operatively using Kirschner wires (K wire) or cannulated screws (CCS); however, a definitive choice of implant remains a matter of debate. This systematic review aims to determine if union and functional outcomes of these fractures are better with screw fixation. Methodology: A search of PubMed, Medline, Cochrane, and Google scholar was performed in March 2021. The results were screened by title and abstract, and relevance and a quality assessment of the data were performed for the articles meeting the inclusion criteria. Articles comparing radiological and functional outcomes of lateral condyle fractures treated with K wires or screws were included for examination. Articles were excluded if they did not compare outcomes of K wires and CCS together, or were in a language other than English, technical notes, case reports, and articles, which describe the use of fixation methods other than K wire or CCS as well as biomechanical studies were also excluded. Risk of bias and quality assessment of included articles were also done. Results: Seven clinical studies were included. 44.4% ( Conclusion: Using screws to fix lateral condyle provides better union; however, there is no difference in the functional outcomes and complication rate between the two. Using screws or buried K wires adds the burden of an additional procedure for removal.
Language	English
Publishing date	2023-03-24
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	603194-8
ISSN	0019-5413
ISSN	0019-5413
DOI	10.1007/s43465-023-00873-y
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Zs.A 1720: Show issues

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Article ; Online: Evaluation of the syndesmotic-only fixation for Weber-C ankle fractures with syndesmotic injury: A comment.

Meena, Sanjay

Indian journal of orthopaedics

2012 Volume 46, Issue 2, Page(s) 253

Language	English
Publishing date	2012-03-22
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	603194-8
ISSN	1998-3727 ; 0019-5413
ISSN (online)	1998-3727
ISSN	0019-5413
DOI	10.4103/0019-5413.93695
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Zs.A 1720: Show issues

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Article ; Online: Comparison of primary total hip replacements performed with a direct anterior approach versus the standard lateral approach: perioperative findings.

Meena, Sanjay

Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology

2012 Volume 13, Issue 2, Page(s) 115; author reply 117

MeSH term(s)	Arthroplasty, Replacement, Hip/methods ; Female ; Humans ; Intraoperative Complications/prevention & control ; Male ; Minimally Invasive Surgical Procedures/methods ; Osteotomy/methods ; Postoperative Complications/prevention & control
Language	English
Publishing date	2012-04-05
Publishing country	Italy
Document type	Letter ; Comment
ZDB-ID	2043336-0
ISSN	1590-9999 ; 1590-9921
ISSN (online)	1590-9999
ISSN	1590-9921
DOI	10.1007/s10195-012-0190-2
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Article ; Online: Comment on Sen et al.: Osteosynthesis of femoral-neck nonunion with angle blade plate and autogenous fibular graft.

Meena, Sanjay

International orthopaedics

2012 Volume 36, Issue 4, Page(s) 899

MeSH term(s)	Bone Plates ; Female ; Femoral Neck Fractures/surgery ; Fibula/transplantation ; Fracture Fixation, Internal/methods ; Fractures, Ununited/surgery ; Humans ; Male
Language	English
Publishing date	2012-01-31
Publishing country	Germany
Document type	Letter ; Comment
ZDB-ID	80384-4
ISSN	1432-5195 ; 0341-2695
ISSN (online)	1432-5195
ISSN	0341-2695
DOI	10.1007/s00264-012-1490-0
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Zs.A 1324: Show issues

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Article: Use of INFIX for managing unstable anterior pelvic ring injuries: A systematic review.

Kumbhare, Chetan / Meena, Sanjay / Kamboj, Kulbhushan / Trikha, Vivek

Journal of clinical orthopaedics and trauma

2020 Volume 11, Issue 6, Page(s) 970–975

Abstract: Introduction: Subcutaneous screw rod system which is popularly known as Pelvic internal fixator (INFIX) has emerged as an alternative to external fixators in management of unstable pelvic injuries. INFIX has shown various advantages over external ... ...

Abstract	Introduction: Subcutaneous screw rod system which is popularly known as Pelvic internal fixator (INFIX) has emerged as an alternative to external fixators in management of unstable pelvic injuries. INFIX has shown various advantages over external fixation such as reduced infection rate and patient morbidity. However, it has its own set of complications such as lateral femoral cutaneous nerve injury, heterotopic ossification, femoral nerve palsy etc. We intended to conduct a systematic review of the current literature to assess outcomes and complications with INFIX technique of fixation. Methods: A comprehensive search of literature was performed based on Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and online database of EMBASE, PubMed, Medline and Scopus was searched for all studies in English language till March 2020. Included studies were reviewed for demographic data, fracture type/classification, radiological outcome and functional outcomes. The inclusion criteria were: 1. Studies in English language 2. Clinical studies reporting use of INFIX technique in pelvis fracture where clinical and radiological outcomes were reported. Results: Twenty-two studies fulfilling inclusion and exclusion criteria were included in this systematic review with total of 619 patients. Radiographic parameters and outcome measures were infrequently reported. Fixation with INFIX in these fractures leads to 87% excellent to good radiological results and 84% excellent to good functional results. Complications include lateral femoral cutaneous nerve irritation (25.3%), heterotopic ossification (24.7%), infection (3%), and femoral nerve palsy (1.6%); which is likely related to placing the bar and screws too deep. Conclusion: This analysis supports the use of INFIX in management of unstable pelvis fractures where anterior fixation is required.
Language	English
Publishing date	2020-06-30
Publishing country	India
Document type	Journal Article ; Review
ZDB-ID	2596956-0
ISSN	2213-3445 ; 0976-5662
ISSN (online)	2213-3445
ISSN	0976-5662
DOI	10.1016/j.jcot.2020.06.039
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