Publications by authors named "Om Prakash Prajapati"
Article Synopsis
- Staging laparoscopy (SL) helps avoid unnecessary surgeries in patients with hepatopancreaticobiliary (HPB) cancers by accurately identifying resectable diseases, but has limitations in detecting deep-seated malignancies.
- In a study from 2017 to 2019, 40 patients underwent SL and laparoscopic ultrasonography, with findings revealing that 20% had undetected metastatic lesions, which impacted their treatment options.
- The study concluded that incorporating laparoscopic ultrasonography improves the detection of deep-seated lesions, aiding in treatment decisions for patients with HPB malignancies.
Introduction: Trans-abdominal pre-peritoneal (TAPP) repair is one of the standard techniques for laparoscopic repair of groin hernias. Literature has shown that both total extraperitoneal (TEP) and TAPP are equally effective with similar outcomes but TAPP has an advantage over TEP as there is more working space, and it provides access to the opposite side for repair of occult hernias. We reviewed our experience of TAPP repair in complicated groin hernias and compared the outcomes with uncomplicated groin hernia.
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- Catheter malfunction due to omental wrapping is a common issue in continuous ambulatory peritoneal dialysis (CAPD), and the study aimed to assess how laparoscopic omentectomy affects catheter function.
- In a pilot randomized controlled trial (RCT), patients were divided into three groups: one receiving laparoscopic PDCI with omentectomy, one without, and one receiving open surgical PDCI, monitoring catheter malfunction over 6 weeks and 3 months.
- Results showed that the group with omentectomy had a significantly lower rate of catheter malfunction compared to the other groups, suggesting that omentectomy might be beneficial, particularly for patients with previous catheter failures, indicating the need for larger trials.
Endoscopic transmural drainage tailored to quantity of necrotic debris versus laparoscopic transmural internal drainage for walled-off necrosis in acute pancreatitis: A randomized controlled trial.
Pancreatology
October 2021
Article Synopsis
- The study compares laparoscopic and endoscopic drainage methods for treating walled-off necrosis (WON) following acute pancreatitis, finding no significant superiority of one over the other.
- Both drainage methods had similar primary outcomes for resolution of WON within 4 weeks, with slight variation in overall success rates and adverse events.
- The endoscopic approach resulted in a shorter hospital stay compared to laparoscopic drainage.
Background: With standardization of laparoscopic technique of groin hernia repair, the focus of surgical outcome has shifted to lesser studied parameters like sexual function and fertility.
Methods: This prospective randomized study was conducted in a single surgical unit at a tertiary care hospital. A sample size of 144 was calculated with 72 in each group (Group 1 TEP and Group 2 TAPP).
Introduction: Internal drainage of walled of necrosis of pancreas has been considered as the standard of care. For symptomatic walled off necrosis (WON) of pancreas with the advent of laparoscopy and refinement of techniques and instrumentation, laparoscopic internal drainage is becoming the standard surgical drainage procedure for these patients. However, there is a dearth of literature regarding outcomes following laparoscopic drainage.
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