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6 results on '"Ashirwad Karigoudar"'

1. Intra-axial Supratentorial Tumours Resection under Fluorescein Guidance with 560 nm Yellow Filter: A Cross-sectional Study

Author

Pradeep Kumar Jain, Nishchith Sudarshan, Pranoy Hegde, Ashirwad Karigoudar, and Sunil Malagi

Subjects
glioma, gross total resection, indocyanine green, maximal safe resection, sodium fluorescein, Medicine
Abstract

Introduction: Excision of intra-axial tumours with maximal resection and minimal deficits is one of the intricate procedures in neurosurgery. Fluorescence-guided Surgery (FGS) helps in better identification of tumour tissue and allows Maximal Safe Resection (MSR) of high-grade brain tumours. Sodium fluorescein dye, when injected intravenously, gets concentrated in High-grade Glioma (HGG) tissue due to a disrupted Blood-Brain Barrier (BBB), thus aiding in MSR, Extent Of Resection (EOR), and Gross Total Resection (GTR). Aim: To assess the effectiveness of intraoperative use of sodium fluorescein in achieving MSR and GTR. Materials and Methods: This was a cross-sectional study conducted on 30 patients with HGG who underwent surgery between January 2021 and May 2023 at SDM College of Medical Sciences, Dharwad, Karnataka, India. Two groups of 15 patients each were divided into those operated with the use of Fluorescein Sodium (FS) and those without FS. FS was administered at a dose of 5 mg/kg at the time of craniotomy. The primary endpoint was the number of patients with Histopathological Examination (HPE)-confirmed HGGs showing no contrast-enhancing tumour in the immediate postoperative Magnetic Resonance Imaging (MRI). Secondary endpoints included residual tumours on postoperative MRI, Focal Neurological Deficits (FND), and FS-related toxicity. The association between FS status and recurrence at different treatment time points was assessed using the Pearson Chi-square test. Recurrence rates were compared in each FS group using the Cochran Q test. Statistical significance was set at a 5% level (p-value

Published
2024
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3. A comparative study between ultrasonic dissector versus conventional methods in achieving haemostasis in thyroid surgery

Author

Nikhil Gupta, Dipankar Naskar, Arun Kumar Gupta, C. K. Durga, Akshaya Upadhyay, Umesh Krishnegowda, and Ashirwad Karigoudar

Subjects
medicine.medical_specialty, Suture ligation, business.industry, medicine.medical_treatment, Thyroid, Thyroidectomy, 030230 surgery, Surgery, 03 medical and health sciences, 0302 clinical medicine, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Medicine, Ultrasonic sensor, business
Abstract

Aim To compare ultrasonic dissector with conventional methods (suture ligation/ electrocautery) in achieving haemostasis in thyroid surgery.

Published
2016

4. A comparative study of marshall score versus apache-II score in assessing severity of acute pancreatitis

Author

Nikhil Gupta, C. K. Durga, Ashirwad Karigoudar, Arun Kumar Gupta, and Swatantra Nagendra Rao

Subjects
medicine.medical_specialty, Apache ii scoring, Scoring system, APACHE II, business.industry, Apache II score, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, Internal medicine, medicine, Acute pancreatitis, 030211 gastroenterology & hepatology, business
Abstract

To compare the Marshall Score with the APACHE II score in assessing the severity of acute pancreatitis. Sixty-two cases of suspected acute pancreatitis admitted to the Department of Surgery, PGIMER & DR RML Hospital were assessed using Marshall and APACHE II scores at admission, and thereafter at 48-hour intervals till discharge or death of the patient. This study demonstrated that the APACHE II scoring system is better than the Marshall scoring system in predicting the severity of acute pancreatitis. The sensitivity of the Marshall Score was 54.2%, specificity 100%, PPV 100%, NPV 70.3% and accuracy was 78.0% on day 1, which was less comparable with APACHE II as per the Atlanta classification. The Marshall Score showed a decreasing trend of sensitivity, NPV and accuracy for days 3, 5 and 7. This study demonstrated that the Marshall scoring system is not reliable in predicting the severity of acute pancreatitis when compared to the APACHE II scoring system. Further evaluation is needed on a larger scale before standardising the results.

Published
2016

5. A Prospective Randomized Study Comparing Fibrin Glue Versus Prolene Suture for Mesh Fixation in Lichtenstein Inguinal Hernia Repair

Author

Ashirwad Karigoudar, Nikhil Gupta, Arun Kumar Gupta, C. K. Durga, and Sourabh Mukharjee

Subjects
medicine.medical_specialty, Groin, business.industry, medicine.medical_treatment, 030230 surgery, Hernia repair, medicine.disease, Surgery, Cardiac surgery, 03 medical and health sciences, Inguinal hernia, Plastic surgery, 0302 clinical medicine, medicine.anatomical_structure, surgical procedures, operative, Cardiothoracic surgery, 030220 oncology & carcinogenesis, Anesthesia, Pediatric surgery, Medicine, Original Article, business, Fibrin glue
Abstract

The aim of this study is to assess the advantages of fibrin glue over Prolene suture in fixation of the mesh in open inguinal hernia repair. Sixty-four cases of inguinal hernia underwent hernia repair by the Lichtenstein method in the department of surgery in PGIMER & Dr. RML Hospital, New Delhi. The patients were randomized prospectively into group A (fibrin glue group) and group B (Prolene suture group). In group A, fibrin glue was used for mesh fixation, and in group B, Prolene suture was used for mesh fixation. The mean age of patients in group A was 44.5 years and that of group B patients was 44.2 years. There was a significant difference in the duration of surgery, with the mean duration in fibrin glue group being 30.6 min and that of the suture group was 43.3 min. The mean visual analogue pain score of postoperative pain at 1, 6, 12, and 24 h was significantly higher in the suture group than in the fibrin glue group (p

Published
2015

6. Gangrenous toes

Author

Ashirwad Karigoudar and Nikhil Gupta

Subjects
business.industry, Medicine, business
Published
2016

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