Biomedical subjects
V K Mittal
Publications and source records attributed to V K Mittal.
Splenic rupture following colonoscopy.
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Management of perineal wound following abdominoperineal resection:--a new regime--.
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Fatal respiratory obstruction due to round worm.
Respiratory obstruction caused by a round worm is rate. A fatal case of the complication in a three-year-old child was encountered at the Nehru Hospital attached to the Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Obstructed paraduodenal hernia in adults.
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Mesenteric tumour with features of phaeochromocytoma (a case report).
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Angiosarcoma of the male breast.
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Isolated tuberculosis of appendix.
Two patients with acute appendicitis are discussed. On histologic examination both were found to have tuberculosis associated with pyogenic infection. Subsequent investigations failed to reveal tuberculous lesions elsewhere in the body. Both patients have responded well to appendectomy and antituberculous drug therapy.
Agenesis of the gallbladder: report of two cases.
Two cases of agenesis of the gallbladder are presented. In one patient there was a remnant of cystic duct, the other had no cystic duct. A brief review of the literature is included.
Intra arterial chemotherapy in malignant tumours of liver (a preliminary report).
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Intrahepatic pattern of the biliary ducts and their major variations.
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Repair of tendons with cutis grafts. An experimental study.
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Solitary perforated diverticulum of the ascending colon: report of two cases.
Diverticulosis of the ascending colon is rare. Perforation of a diverticulum is very uncommon and at times it is difficult to differentiate from carcinoma. Two unusual cases of perforated solitary diverticula of the ascending colon are reported, and literature is briefly reviewed.
Supraclavicular approach for upper dorsal sympathectomy.
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Amoebic liver abscess. Review of 220 cases.
Two hundred and twenty cases of amoebic liver abscess were seen between 1981-1986. The majority were young or middle aged males belonging to the lower socio-economic group and 85% gave a history of drinking toddy (fermented palm juice). The highest incidence of the disease occurred during the peak toddy season (April to July). Toddy drinkers become susceptible perhaps because of the large dose of Entamoeba histolytica and bacteria ingested with the drink, associated malnutrition, poor hygiene, hepatic dysfunction and possible suppression of amoebistatic substance. Useful investigations consisted of skiagram and ultrasonography, the later being sometimes used to guide the aspiration needle to abscesses situated at unconventional sites. Over 88 per cent responded well to conservative treatment with aspiration(s). Laparotomy was required in slightly over 10% of cases and in these the mortality was 12% as compared to 2% with conservative treatment. Although a large amount of liver tissue appears to be destroyed, the residual liver damage is clinically, biochemically, macroscopically and microscopically minimal.
A study of alpha1 antitrypsin deficiency in pulmonary emphysema.
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Closed pyloroduodenal digital dilatation as a complementary drainage procedure to truncal vagotomy.
Out of a total of 300 consecutive cases of duodenal ulcer undergoing surgery, 51 patients were treated by truncal vagotomy and a closed pyloroduodenal digital dilatation. A peroperative assessment of the pyloroduodenal canal was carried out, and in patients with a mobile, supple duodenum showing minimal scarring a standard drainage procedure was not considered necessary. In these patients it was possible to perform a closed pyloroduodenal digital dilatation using the two thumbs to achieve an effective dilatation of 20-30 mm. Post-operative clinical evaluation (Modified Visick grading) and "special" barium meal revealed 86% of patients in Grade I and II at the end of two years (maximum follow-up 3.5 yrs.), with no evidence of lasting gastric stasis. The method is easy, safe and simple. It maintains the anatomical and physiological integrity of the pyloroduodenal ring thereby obviating the hazards of an "incontinent" stomach. Its main limitation appears to be its restricted selectivity and in the present series it could be carried out in about 17% of cases.
Surgical techniques for gastroesophagostomy with the EEA stapler.
The techniques using the EEA stapler for gastroesophageal anastomoses are described. The instrument saves time, in our opinion, and creates a better anastomosis, which can be inspected under direct vision. No intra- or postoperative complications were noted in this small group of patients.