Publications by authors named "D Harnanan"
Total umbilical reconstruction using a tri-radiate incision technique.
J Plast Reconstr Aesthet Surg
December 2024
Article Synopsis
- Neo-umbilicus aesthetics are increasingly important in abdominal surgeries, impacting patients' psychological well-being due to umbilical loss or deformation.
- A new surgical technique called the tri-radiate incision (TRI) has been developed to create an aesthetically pleasing navel, resulting in high patient satisfaction after procedures like abdominoplasty and ventral hernia repairs.
- In a study with 21 patients, the TRI method showed no major complications, and most patients rated their satisfaction with the new umbilicus as 9 or 10 out of 10, indicating its effectiveness and reliability.
Acute penetration of a total hip arthroplasty into the pelvic cavity is a grave and potentially catastrophic scenario. Fortunately, this complication is uncommon and rarely encountered during a surgical career. Currently, a two-stage procedure is favoured by most surgeons, but the evidence for this is unconvincing and may expose the patient to unnecessary risks.
View Article and Find Full Text PDFSmooth muscle is a normal component of the inferior vena cava (IVC) wall. Although uncommon, the smooth muscle component may undergo neoplastic change. Benign neoplasms are termed leiomyomas, and when there is a malignant change, the nomenclature is changed to an IVC leiomyosarcoma.
View Article and Find Full Text PDFIntroduction: This retrospective study investigated major adverse limb events (MALE) and mortality outcomes in critical limb-threatening ischemia (CLTI) patients with tissue loss after an endovascular revascularization-first (EVR-1st) strategy.
Methods: MALE and mortality were assessed in 157 consecutive patients with CLTI and tissue loss from June 2019 to June 2022 at the Eric Williams Medical Sciences Complex, Trinidad and Tobago.
Results: 157 patients underwent the EVR-1st strategy, of whom 20 were pivoted to immediate surgical revascularization (SR).
Female patients with abdominal aortic aneurysms (AAAs) are usually less common and older than their male counterparts. We report on AAA disease in a Caribbean nation with respect to gender and review their outcomes relative to the male population. Data were collected prospectively and analyzed retrospectively for patients with AAAs who underwent surgery from 2001 to 2018.
View Article and Find Full Text PDF