Objectives of StudyClimate change related challenges & concerns have united the chasm across socio-political, geographical, cultural & professional spectra. Persuasion, coercion & offering incentives like carbon credits & personal carbon trading are all being implemented to reduce the global carbon footprint. No civilisation sustaining activity including surgery is carbon neutral. Till the emergence of carbon […]
Introduction: Laparoscopic Reversal of Hartman’s Procedure (LRHP) is a demanding laparoscopic colorectal procedure usually performed by experienced surgeons. The aim of this study is to evaluate the impact of an expert monitoring on the quality and results of LRHP performed by trainee surgeons. Materials and methods: Fourty-two LRHP were performed between 2000 and 2008. The […]
Introduction: Human Vascular Cell Adhesion Molecule -1(VCAM1) is a 110 kDa transmembrane glycoprotein expressed in vascular endothelial cells (EC), neurons, fibroblast and macrophages. Expression is regulated by inflammatory cytokines such as IL-1, TNFalpha, IL-4 and IL-13. Soluble VCAM-1 (sVCAM-1) is made when the extracellular part of VCAM-1 is shed from the cell surface into the […]
For patients who have previously undergone ventral hernia repair with synthetic mesh, options are limited once they represent with infected mesh. Removal of the mesh leaves a significant defect. Bridging fascial defects with biologic mesh tend to have higher recurrences than using biologics in an underlay fashion. Open separation of components is an option for […]
INTRODUCTION Sleeve Gastrectomy (SG) is associated with a high rate of T2DM resolution. The purpose of this study was to evaluate the early effect of SG on Ghrelin and GLP-1 concetrations. MATERIALS AND METHODSBetween October 2002 and September 2009, 240 obese patients underwent SG. Sixty-eight patients had an altered glucose homeostasis. In 9 T2DM obese […]