109 results match your criteria: "VPS Lakeshore Hospital[Affiliation]"
Clin Rheumatol
January 2022
Department of Orthopaedics, VPS Lakeshore Hospital and Research Centre, Kochi, 682040, India.
JBJS Case Connect
July 2021
Department of Orthopaedics, VPS Lakeshore Hospital, Kochi, Kerala.
Case: We report a patient with a long-standing post-traumatic pubic diastasis along with acetabular nonunion who developed painful hip arthritis that needed a total hip arthroplasty. We discuss the unique challenges in the acetabular component positioning.
Conclusion: In patients with symphysis pubis diastasis, the surgeon should be prepared to place the cup in less than normal anteversion.
JBJS Case Connect
July 2021
Deparment of Orthopaedics, VPS Lakeshore Hospital, Kochi, India.
Case: We report 2 patients who were involved in high-velocity road traffic accidents. Both these patients had congenital pubic diastasis with very subtle clinical and radiological signs that were misdiagnosed as posttraumatic diastasis on initial radiographic evaluation.
Conclusion: Trauma surgeons should be aware of this anomaly because congenital pubic diastasis could present without any major clinical signs and could easily be mistaken for a traumatic diastasis.
Indian J Orthop
May 2021
Department of Orthopaedics, VPS Lakeshore Hospital, Kochi, 682040 Kerala India.
A 15 years old boy presented with an atypical osteoid osteoma (OO) in distal femur. He underwent radiofrequency ablation (RFA) elsewhere. He presented to our centre a year later with persisting pain.
View Article and Find Full Text PDFIndian J Urol
April 2021
Department of Urology, VPS Lakeshore Hospital, Kochi, Kerala, India.
Patients with ureteral defects and salvageable renal units present a challenge in reconstructive urology. Vermiform appendix interposition is an option in the management of mid-ureteral defects that can not be managed by primary ureteroureterostomy. Laparoscopic appendicular interposition ureteroplasty is a technically demanding and an infrequently attempted procedure.
View Article and Find Full Text PDFOral Oncol
July 2021
Department of Head and Neck Surgical Oncology, VPS Lakeshore Hospital, Kochi 682040, Kerala, India. Electronic address:
World J Methodol
May 2021
Department of Endocrinology and Metabolism, Lancashire Teaching Hospitals NHS Trust, Preston PR2 9HT, United Kingdom.
There exists a complex interaction between obesity, type 2 diabetes mellitus (T2DM) and cancer, and an increase in the incidence of cancer is expected with the growing obesity-diabetes pandemic. The association of cancer with diabetes mellitus and obesity appears to be site-specific, the highest risk being for post-menopausal breast cancer, endometrial cancer, and colorectal cancer. Moreover, there is worsening of hyperglycaemia with the onset of cancer, evidencing a bi-directional link between cancer and diabetes mellitus and the need for monitoring for diabetes in cancer survivors.
View Article and Find Full Text PDFJ Plast Reconstr Aesthet Surg
September 2021
Dept Of Plastic Surgery, Amrita Institute of Medical Sciences, Kochi, India.
World J Gastrointest Surg
March 2021
Department of Endocrinology and Metabolism, Lancashire Teaching Hospitals NHS Trust, PR2 9HT, Preston, The University of Manchester, Oxford Road M13 9PL, Manchester Metropolitan University, All Saints Building M15 6BH, Manchester, United Kingdom.
Our understanding about the epidemiological aspects, pathogenesis, molecular diagnosis, and targeted therapies of neuroendocrine neoplasms (NENs) have drastically advanced in the past decade. Gastroenteropancreatic (GEP) NENs originate from the enteroendocrine cells of the embryonic gut which share common endocrine and neural differentiation factors. Most NENs are well-differentiated, and slow growing.
View Article and Find Full Text PDFTransplantation
July 2021
Department of Nephrology, Medanta Institute of Kidney and Urology, Medanta-The Medicity, Gurugram, Haryana, India.
Background: There is limited current knowledge on feasibility and safety of kidney transplantation in coronavirus disease-19 (COVID-19) survivors.
Methods: We present a retrospective cohort study of 75 kidney transplants in patients who recovered from polymerase chain reaction (PCR)-confirmed COVID-19 performed across 22 transplant centers in India from July 3, 2020, to January 31, 2021. We detail demographics, clinical manifestations, immunosuppression regimen, laboratory findings, treatment, and outcomes.
Clin Shoulder Elb
March 2021
Department of Pathology, VPS Lakeshore Hospital, Kochi, India.
Angioleiomyoma is a benign soft tissue tumor originating from vascular smooth muscle. We report a case of a 20-year-old student who presented with pain in the right shoulder of 4 years duration. Shoulder movements were pain-free throughout the range of motion except resisted external rotation.
View Article and Find Full Text PDFIndian J Nucl Med
October 2020
Department of Radiology, VPS Lakeshore Hospital, Kochi, Kerala, India.
Malignant transformation Paget's disease of bone to sarcoma is relatively rare, occurring in approximately 1% of these patients. Although few clinical and imaging findings may help in prediction of malignant transformation, most of them are nonspecific. We describe a case of carcinoma vocal cord and Paget's disease of bone with sarcomatous transformation, where F-fluorodeoxyglucose (FDG) positron emission tomography-computed tomography was helpful in accurate diagnosis by demonstrating differential intense FDG uptake in transformed areas of pagetic bone and also FDG-avid osteoblastic pulmonary metastasis.
View Article and Find Full Text PDFIndian J Cancer
January 2022
Department of Gynecological Oncology, Amrita Institute of Medical Science, Kochi, Kerala, India.
Background: A number of patients with advanced-stage epithelial ovarian cancer do survive beyond 5 years. The long-term follow-up data are limited, especially for the Indian setting. We evaluated the 10-year survival outcome and influencing clinicopathological factors.
View Article and Find Full Text PDFTransplantation
April 2021
Department of Nephrology, Medanta Institute of Kidney and Urology, Medanta-The Medicity, Gurugram, Haryana, India.
Background: There is lack of data on feasibility and safety of kidney transplants from living donors who recovered from COVID-19.
Methods: Here, we present a retrospective cohort study of 31 kidney transplant recipients (KTR) from living donors who recovered from polymerase chain reaction confirmed COVID-19 across 19 transplant centers in India from July 3, 2020, to December 5, 2020. We detailed demographics, clinical manifestations, immunosuppression regimen, treatment, and outcomes.
Int J Oral Maxillofac Surg
August 2021
Department of Plastic and Reconstructive Surgery, VPS Lakeshore Hospital, Cochin, Kerala, India. Electronic address:
A local pedicled vascularized bone flap can prevent the morbidity and cost of free bone flap surgery in small segmental bone defects or long cartilaginous defects of the head and neck. Such flaps can also be useful in patients who are high risk for surgery. The periosteal vascularity of the mandible can be used to design islanded facial artery-based bone flaps, which can be utilized to that extent.
View Article and Find Full Text PDFJ Plast Reconstr Aesthet Surg
June 2021
Department of Head and Neck Oncology and Reconstructive Surgery, VPS Lakeshore Hospital, NH-47 Bypass, Maradu, Nettoor P.O, Kochi 682040, Kerala, India.
This article aims to illustrate various applications of facial artery-based islanded myomucosal (iFAMM) and osseous/osteo-myomucosal flaps (iFOMM) in head and neck reconstruction. A retrospective analysis of 75 patients who underwent the reconstruction of various head and neck mucosal defects with iFAMM/iFOMM in a tertiary head and neck cancer department from May 2015 to May 2019 was performed. The patients had surgery for cancer, which involved the oral tongue, floor of mouth, oropharynx, lower alveolus, larynx, hypopharynx, cricopharynx and trachea.
View Article and Find Full Text PDFArthrosc Tech
October 2020
VPS Lakeshore Hospital, Kochi, India.
Medial collateral ligament (MCL) injuries are commonly encountered alongside anterior cruciate ligament injuries. Treatment modalities have ranged from conservative management to surgical repair, augmentation, and reconstruction. Various reports have reported residual valgus instability, especially in higher-grade injuries that have been treated conservatively.
View Article and Find Full Text PDFKnee
October 2020
Department of Orthopaedics, VPS Lakeshore Hospital, Kochi, Kerala, India.
Background: Fracture of femoral component in total knee arthroplasty (TKA) has become a rare complication with improvements in metal alloy manufacturing technology.
Methodology: We report two cases of fracture of femoral components 9 and 10 years after primary TKA. The Buechel-Pappas (BP) knee system used in our two cases were designed by the same team who designed the LCS TKA implants.
Surg J (N Y)
July 2020
Department of GI surgery and liver transplantation, VPS Lakeshore Hospital and Research Centre, Kochi, Kerala, India.
Chylothorax due to inadvertent thoracic duct injury after esophagectomy is a well-known complication and requires careful postoperative management and timely intervention to prevent potential morbidity and mortality. We present a case of high-output chylothorax after esophagectomy where the source of chyle leak was not in the thorax.
View Article and Find Full Text PDFIndian J Gastroenterol
June 2020
Department of Surgical Gastroenterology, GG Hospital, Thirvanathapuram, 695 011, India.
Background: Although colorectal cancer (CRC) may not be uncommon in India, accurate data regarding its demographics and surgical outcomes is sparse.
Methods: With an aim to assess demographics and perioperative outcomes of CRC in Kerala, all members of Association of Surgical Gastroenterologists of Kerala (ASGK) were invited to participate in a registry. Data of operated cases of CRC were entered on a web-based questionnaire by participating members from January 2016.
Indian J Orthop
September 2020
Department of Orthopaedics, VPS Lakeshore Hospital, Kochi, Kerala 682040 India.
Objective: This study looks at the outcome of percutaneous quilting technique for the treatment of closed degloving injuries or Morel-Lavallée lesions (MLL).
Design: Prospective single-centre nonrandomized case series.
Participants: Patients with MLL visiting our hospital between January 2012 and May 2018.
Indian J Gastroenterol
February 2020
Pathology, VPS Lakeshore Hospital, Maradu, Nettoor, Kochi, 682 018, India.
We present three patients with uncontrolled metabolic syndrome and acute-on-chronic liver failure in whom, after meticulous evaluation, the acute event was found to be a severe and exacerbated form of nonalcoholic steatohepatitis (NASH), a novel entry in the natural history of non-alcoholic fatty liver disease. This novel disease entity was described partially, 17 years before by Caldwell et al. We discuss current literature, pertinent features, and outcomes associated with a severe form of NASH, which is associated with high mortality.
View Article and Find Full Text PDFJ Clin Transl Hepatol
March 2020
Department of Gastroenterology, Cochin Gastroenterology Group, Ernakulam Medical Centre, Kochi, Kerala, India.
We repurposed the antifibrotic drug pirfenidone-which is approved for treatment of idiopathic lung fibrosis-in a series of patients with nonalcoholic steatohepatitis-related cirrhosis. Our report demonstrates the observed improvements in necroinflammation and regression of cirrhosis with pirfenidone use for 12-weeks, associated with classical hepatic repair complex features on follow-up liver biopsies. This novel work could help stimulate further randomized trials of pirfenidone in patients with nonalcoholic steatohepatitis-related liver fibrosis or cirrhosis, for whom no recommended drug treatments exists currently.
View Article and Find Full Text PDFJ Clin Exp Hepatol
April 2019
Pathology, VPS Lakeshore Hospital, Kochi, India.
Background: Primary hemochromatosis is unusual in India. The homeostatic iron regulator (HFE) gene C282Y mutation, a common cause for hemochromatosis in Europe, is considered almost nonexistent in India. We are reporting a case of hemochromatosis with the HFE gene C282Y mutation and two other adult cases with a novel hemojuvelin (HJV) mutation from Kerala.
View Article and Find Full Text PDFInt J Oral Maxillofac Surg
August 2020
Department of Plastic Surgery, VPS Lakeshore Hospital, Cochin, Kerala, India.
The aim of this study was to determine whether the islanded facial artery myomucosal flap (iFAMM) is a good alternative to fasciocutaneous free flaps (FCFF) in the reconstruction of lateral oral tongue defects. This was a retrospective study of 40 patients with oral tongue cancers (lateral lesions not >4 cm) operated on between August 2014 and March 2017, who underwent primary reconstruction with either an iFAMM or FCFF. The two groups were compared with respect to intraoperative time, total intensive care unit (ICU) and hospital stay, complications, speech, swallowing, aesthetics, donor site morbidity, and economic feasibility.
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