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Biomedical subjects

S Sabanathan

Publications and source records attributed to S Sabanathan.

101 records · Page 6Linked to original sources
PubMed1984

Aneurysmal bone cyst of the rib.

Aneurysmal bone cysts are uncommon lesions, especially in the ribs. Four patients with aneurysmal bone cysts of the rib are presented and previously reported cases reviewed. A brief discussion of the clinical manifestations, pathology, aetiology, and current treatment of aneurysmal bone cyst is also included.

Adolescent↗
PubMedDate not supplied

Indigenous cost-effective peritoneo-venous shunt for refractory ascites.

About 5% of patients with chronic liver disease develop massive refractory ascites. These patients cease to respond to diuretic therapy and may develop prerenal azotemia. There is a small but definite role for the peritoneo-venous shunt in these patients. In our study of 36 patients, managed with locally made, single-valved peritoneo-venous shunts (GSAIMS shunts), shunt failure and complication rates were assessed postoperatively. There is a definite improvement in quality of life with this cost-effective locally made shunt if patients are selected carefully. Long-term follow-up of these patients is not possible because most of these patients succumb to advanced liver disease.

Ascites↗
PubMedDate not supplied

Left thoracotomy approach for resection of carcinoma of the oesophagus and cardia.

Oesophagogastrectomy is the best available treatment for patients with carcinoma of the oesophagus or cardia. It provides better longevity than other types of therapy and remains the standard against which combined modality treatment should be compared. Our experience with two hundred and twenty-four patients who underwent surgical exploration performed transdiaphragmatically by way of a left thoracotomy formed the basis of this report. Of these 224 patients, 201 (89.7%) underwent resection, 15 were bypassed and the remaining 5 patients were intubated. Of those resected, 79 patients required a two-rib thoracotomy. The postoperative mortality rate was 3.57%, and morbidity, mainly caused by respiratory complications occurred in 36 patients (16.1%), with no patients requiring ventilatory support. Surgical bypass without resection carried a higher mortality rate (8.3%) than those for resection (2.5%). All anastomosis were hand sewn. There were no anastomotic leaks. Adequate analgesia was provided by continuous extrapleural intercostal nerve block. Five year survival for squamous carcinoma was 36% while that adenocarcinoma was 18.7%. The left thoracotomy provides an effective method for undertaking oesophageal resections with low mortality and morbidity rates. This techniques has advantages and should be more widely used in the surgical management of patients with carcinoma of the oesophagus or cardia.

Adenocarcinoma↗
PubMedDate not supplied

Primary anorectal malignant melanoma. A case report.

A case of primary anorectal malignant melanoma in a 66-year-old lady is presented and the clinical, radiological and surgical features reviewed. The presenting symptoms similar to the more commonly encountered haemorrhoids led to a delay in the eventual diagnosis and treatment, resulting in limited post-operative survival. The relevant literature is reviewed and an emphasis made on the accurate histological diagnosis of anorectal growths.

Aged↗
PubMedDate not supplied

Management of pain in thoracic surgery.

Severe pain after thoracotomy is the most important factor responsible for ineffective ventilation, ineffective cough, and impaired ability to sigh and to breathe deeply. Effective analgesia minimizes and may even reverse the expected decline in pulmonary function and also prevents postoperative pulmonary complications.

Analgesia↗
PubMedDate not supplied

Chest wall resection and reconstruction.

Chest wall reconstruction may be required after resection of malignant tumours, radiation injuries, massive trauma or infection. The ideal reconstruction should provide enough stability in the chest wall to allow adequate, spontaneous ventilation, while protecting intrathoracic organs, and be cosmetically acceptable. Recent developments have enabled the reconstruction of defects of almost any size with minimal functional disturbance.

Humans↗