Publications by authors named "S S Akella"

Necrotizing fasciitis is a rapidly progressive soft tissue infection with high mortality. Aggressive and often repeated surgical debridements are considered the mainstay of treatment, but these interventions may cause significant postoperative morbidity. In this article, the authors present a rare case of orbital necrotizing fasciitis, which was treated with the use of a temporary indwelling retrobulbar drain for antibiotic delivery to deep orbital tissues, in lieu of aggressive debridement.

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Purpose: To demonstrate the role of Virtual Reality (VR) in orbital surgery as an educational tool for surgical trainees.

Methods: A single-center prospective study was conducted from February 2021 to April 2023. Pre-operative magnetic resonance imaging and computed tomography scans were used to create patient-specific VR models of the orbit using ImmersiveTouch Software.

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Background: Coronavirus disease 2019 (COVID-19) has been shown to increase the risk of stroke. However, the prevalence and risk of recurrent stroke in COVID-19 patients with prior stroke/transient ischemic attack (TIA), as well as its impact on mortality, are not established.

Aim: To evaluate the impact of COVID-19 on in-hospital mortality, length of stay, and healthcare costs in patients with recurrent strokes.

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Article Synopsis
  • Rising obesity rates have led to an increase in acute ischemic stroke (AIS) among younger populations, prompting a study comparing metabolically healthy obese and overweight (MHOO) individuals to their non-obese counterparts (MHnOO).
  • Data analysis from the National Inpatient Sample between 2016 and 2019 assessed nearly 48,000 young AIS patients, revealing a slight increase in AIS incidence primarily among MHnOO, with lower in-hospital mortality rates for MHOO patients.
  • The findings suggest that obesity or overweight status does not correlate with heightened risk of AIS hospitalization, indicating an "obesity paradox" where the MHOO group displayed significantly lower odds of all-cause in-hospital mortality compared to MHnOO individuals.
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