Publications by authors named "Atreya Subramanian"
Background This study compares the outcomes of a surgery first vs a neoadjuvant treatment strategy in T3N1M0 rectal cancers. Methods This was a single-centre retrospective cohort study of patients admitted for curative treatment of T3N1 rectal cancer. Patients with pre-treatment T3N1 and pathological T3N1 disease were included in the study.
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- The study reviews seven years of data on laparoscopic treatment for acute small bowel obstruction (ASBO) at a single center in the UK, focusing on patient demographics, complications, and outcomes.
- A total of 119 patients were included, with the most common causes of obstruction being adhesion bands (49.5%) and hernias (31.9%); minor and major complications occurred in 12.6% and 31% of cases, respectively.
- The findings suggest that laparoscopic surgery for ASBO is a safe and effective treatment option, especially when the center has the necessary expertise and resources, showing results comparable or superior to other leading centers in the UK.
Background: Robotic colorectal resections (RCR) have been gaining popularity recently due to several advantages in addition to oncological safety. The objective of this review is to evaluate the cost comparison of RCR versus laparoscopic colorectal resections (LCR).
Methods: All types of comparative studies reporting the cost of RCR versus LCR were retrieved from the search of standard medical electronic databases and analysis was conducted by using the principles of meta-analysis on the statistical software RevMan version 5.
Article Synopsis
- - The systematic review aimed to compare the effectiveness of self-gripping mesh (SGM) versus sutured mesh fixation (SMF) in open inguinal hernia repair by analyzing randomized control trials (RCTs).
- - Seventeen RCTs with a total of 3863 patients showed that surgery time was significantly shorter with SGM; however, there was high variability among studies, and other outcomes like chronic pain, complications, and recurrence rates were similar for both techniques.
- - The review concluded that while SGM resulted in quicker surgery, it did not provide notable benefits in terms of patient outcomes compared to SMF.
Background: Laparoscopic cholecystectomy (LC) in patients admitted with acute cholecystitis is considered the preferred, feasible and safe mode of managing gallstone disease. The objective of this study is to evaluate the role of single-dose pre-operative prophylactic antibiotics in patients undergoing emergency LC for mild to moderate acute cholecystitis.
Methods: All randomized control trials (RCTs) reporting the use of single-dose pre-operative prophylactic antibiotics in patients undergoing acute cholecystectomy were retrieved from the search of standard medical electronic databases and analysis was conducted by using the principles of meta-analysis on the statistical software RevMan version 5.
Background: Students' perception of the environment within which they study has shown to have a significant impact on their behavior, academic progress and sense of well-being. This study was undertaken to evaluate the students' perception of their learning environment in an Indian medical school following traditional curricula and to study differences, if any, between the students according to the stages of medical education, i.e.
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