Publications by authors named "S C Kothari"

Background: The concomitant hiatal hernia repair with endoscopic fundoplication (c-TIF) is a novel anti-reflux procedure that addresses the hiatus and the gastro-esophageal flap valve for surgical candidates with GERD. We aim to compare the outcomes of a hiatal hernia repair with endoscopic fundoplication (TIF) vs surgical partial fundoplication (anterior and posterior) with regards to quality-of-life scores at 12 months after surgery.

Study Design: Following IRB approval, a prospectively maintained anti-reflux database was retrospectively reviewed to identify patients who underwent a c-TIF procedure or a surgical hiatal hernia repair with partial fundoplication.

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Post-stroke cognitive impairment is a common consequence of stroke, characterized by deficits in language, cognitive functioning, functional abilities. Innovative technological approaches, such as computerized cognitive retraining, offer promising strategies for mitigating the cognitive challenges. Despite their potential, the impact of these interventions on neuropsychological function and daily living capabilities has poor outcomes.

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We present a case of an adult patient with a large symptomatic fusiform basilar artery aneurysm. This video demonstrates the ease of deploying the new Pipeline™ Vantage Flow Diverter compared to the Flex model in the same vessel. The Flex and Vantage have different deployment techniques-as using the Flex maneuvering technique on the Vantage may damage the braid.

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Article Synopsis
  • The study focused on the effectiveness of propofol versus dexmedetomidine in reducing emergence delirium (ED) in pediatric patients after anesthesia, finding a wide incidence range (2% to 80%).
  • Eighty children aged 2-6 undergoing short surgeries were treated with either propofol or dexmedetomidine before surgery, with ED assessed using specific scales afterward.
  • Results showed a significantly lower ED rate in the dexmedetomidine group (2.5% vs. 70%), along with reduced postoperative pain, indicating that dexmedetomidine is more effective than propofol for these patients.
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