JASA, Vol. 23, No. 2, May-August, 2016 • Pancreatico-duodenectomy for pancreatico-pleural...

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Transcript of JASA, Vol. 23, No. 2, May-August, 2016 • Pancreatico-duodenectomy for pancreatico-pleural...

  • 1JASA, Vol. 23, No. 2, May-August, 2016

  • 2 JASA, Vol. 23, No. 2, May-August, 2016

  • 3JASA, Vol. 23, No. 2, May-August, 2016

    Journal of the Association of Surgeons of AssamJournal of the Association of Surgeons of AssamJournal of the Association of Surgeons of AssamJournal of the Association of Surgeons of AssamJournal of the Association of Surgeons of Assam

    JASA, Vol. 23, No. 2, May-August, 2016

    Guest Editor : Dr. K. Bhuyen, MS

    Editor : Dr H. K. Dutta, MS,M.Ch.

    Editorial Board Members Prof. K.C. Saikia, Guwahati Dr. N.N. Das, Guwahati Dr. K. Bhuyan, Guwahati Dr. D.K. Sarma, Guwahati Dr. AP Lal, Dibrugarh Dr. M. Saha,Guwahati

    Editorial Consultants Prof. Rama Kant, Lucknow Prof. Andre Nicolus, France Prof. N.C.Bhattacharyya, Tezpur Dr. S. Singhvi, New Delhi Prof. Arjun Rao, USA Prof. M. Srinivas, New Delhi Prof. K. Das, Bengaluru Dr. R.N. Majumdar, Guwahati Prof. J. Ahmed, Dibrugarh Dr. D. Hazarika, Bongaigaon Prof. A.C. Baro, Jorhat Dr. N. Das, Silchar

    ISSN 2347-811X

    Index in : / IndiaCitation Index

  • 4 JASA, Vol. 23, No. 2, May-August, 2016









    Journal of the Association ofJournal of the Association ofJournal of the Association ofJournal of the Association ofJournal of the Association of

    Surgeons of AssamSurgeons of AssamSurgeons of AssamSurgeons of AssamSurgeons of Assam

    • A Tribute 5

    • Editorial 6

    Original article:

    • Stentless pyeloplasty in children: experience of 68

    pyeloplasties in 60 patients

    Dr. M. Saha 8

    • A Comparative Study of T Tube drainage versus

    choledocho-duodenostomy in Choledocholithiasis

    Dr. D.N. Choudhury 12

    • Evaluation of Modified Alvarado Score in diagnosis

    of Acute Appendicitis.

    Dr. D.K. Sarma, Dr. N. Bhattacharjee. 17

    • Potency outcome in ischemic priapism presenting after

    24 hours- our experience and review of literature.

    Dr. Rajeev TP, Dr. J.P. Morang, Dr. Debanga Sarma,

    Dr. S.K. Baruah, Dr. S.J. Baruah. 25

    Case Reports:

    • Residual gall stones with subhepatic abscess

    Dr. N. Goswami 30

    • Pancreatico-duodenectomy for pancreatico-pleural fistula:

    a rare indication.

    Dr. H.K.Dutta, Dr. D. Chaubay, Dr. D. Saikia 32

    • Tuberculosis of Liver: a case report

    Dr. B. Nath 36

    • Pyloric atresia Type II and epidermolysis bullosa : A Case Report.

    Dr. P.K. Deuri 39

    • Prune Belly Syndrome: a case report

    Dr. H.K. Dutta, Dr. S. Mohan, Dr. D. Saikia 42

    • Journal Review: Editor 46

    JASA, Vol. 20, No. 2, May-August 13

    Vol. 23, Issue No. 2 May-August, 2016

  • 5JASA, Vol. 23, No. 2, May-August, 2016


    Dr. Banamali Nath

    Dr. Banamali Nath, an alumnus of Gauhati Medical College was born at Goalpara on 15.07.51. After starting his schooling from primary level at Goalpara, he passed HSSLC in 1967 from P R H S School in the same town and then joined Gauhati Medical College from where he graduated. He lateron obtained his MS in General Surgery from his Alma Mater Gauhati Medical College in 1978. A brilliant student, Banamali Nath, also obtained MNAMS degree in 1979 and lateron got his Fellowship (FAIS) of Association of Surgeons of India too.

    After his post graduation, Dr Nath joined State Health Service at Morigaon Civil Hospital in 1979 and retired from the same hospital as SDMO in 2009. After retirement, he joined as Senior Consultant Surgeon at Catholic Hospital, Borgang in Sonitpur district and after serving there from 2010 to 2011, he served as Assistant Professor of Surgery in , Manipal College of Medical Science, Pokhara (Nepal) from 2011 to 2014 and lastly as Assistant Professor of Surgery at RD Gardi Medical College, Ujjain from 2014 till he breathed his last.

    Dr . Nath was an academician, active member of ASI & ASA and presented several study papers in state in national level conferences and published several papers in Association`s journals. He was also recipient of the prestigious Dr. Arthur D`esa Travelling Fellowship in 1994, Ethicon Travelling Fellowship Award Rural Surgery, ASI, Chennai, in 2002, & Ethicon Visiting Professorship Award ASI, Ahmedabad, 2013 .

    He was also recommended for Padmashree award by the Ministry of Home Affairs.

    Following a massive stroke on 9th July, 2016 at the same Medical college where he was working at Ujjain (M P) he breathed his last. He is survived by his wife Dr Santana, son Chiranjeeb and daughter Jayashree.

    We pay our respectful homage to him.

  • 6 JASA, Vol. 23, No. 2, May-August, 2016


    Thoughts for the 'days'.

    Celebrations are part of social activities. Commemorative days for health awareness are celebrated all over the world. July first happen to be 'Doctor's Day' in India. On this day, one of the worthy sons of India, Bharat Ratna Dr.B C Roy was born. This day is an opportunity to refresh our commitment as a member of the noble medical profession for the roles & responsibilities that we undertake in the society.This is also a great opportunity of medical professionals to get closure to the society. In recent times there have been severe trust deficit between the doctors and the society. An introspection from both sides to address these misgivings is the need of the time. It is important if we have to think of improving the dismal health care delivery system in our country in general and Assam in particular. An environment of trust and goodwill among the various stakeholders will help in creating an ideal atmosphere so that the best possible health care could be provided to the people. Proposed National Medical Commission Bill to be brought in shortly has created a sense of anxiety and uncertainity among the medical professionals. A regulatory body needs to be independent one with sufficient number of representatives from concerned disciplines as well as representative from the civil society to bring in credibility and transparency to the body.

    World Population Day is celebrated on 11th July all over the world. It is celebrated to raise awareness among public regarding some important and urgent issues related to increasing world population. When global population crossed five billion the UNDP in 1989 started this to pay attention to reproductive health and family planning. Population explosion is a major issue particularly in the developing world. In Indian perspective, this problem is going out of hand day by day. This country with 2.4% of world land mass is home to 1.23 billion people. The present situation was anticipated way back in 1952. It became the first country in the world to accept family planning program as a national policy. Lack of education especially of women, superstitions, early marriages, preference for male child are few contributing factors. Males are sole decision maker

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    in a family. He is always reluctant to accept any kind of contraceptive methods many a times due to lack of awareness. Male reproductive service is neglected in India. Male participation in family planning program has to be increased for its successful implementation. Medical professionals should use their resources to make awareness about population explosion amongst the masses.

    The environment is directly affected by the people inhabitating it. To make people aware of green and healthy environment, the UN observes World Environment Day on 5th June since 1973. Medical profession has tremendous obligation in Protection of the mother earth and the environment. Reduction of population pressure has direct positive impact on it. As responsible member of the society, medical professionals' whole hearted participation in all plan and program of family planning is warranted for the better future of mankind.

    K. Bhuyan Guest Editor

  • 8 JASA, Vol. 23, No. 2, May-August, 2016

    Introduction :

    Pyeloplasty is the most common procedure performed in Pediatric Urology with minimum complication rates [1]. There are many operations and approaches available for pediatric pyeloplasty. But open pyeloplasty is the standard procedure and Anderson-Hyne's pyeloplasty is the most commonly employed operation. Main aim of the operation is to achieve free drainage of urine from the renal pelvis into the ureter. Differences of opinion exist regarding use of a nephrostomy and trans-anastomotic stent. Authors performed 68 routine pyeloplasties in 60 consecutive patients without using any kind of stent with satisfactory results.

    Original Article

    Stentless pyeloplasty in children: experience

    of 68 pyeloplasties in 60 patients

    ABSTRACT Objective : Open Anderson-Hyne's pyeloplasty is the standard procedure for pelvi-ureteric junction obstruction in children but few surgeons do this operation by laparoscopy also. A trans-anastomotic stent is generally used by both the groups. Aim of present study is to evaluate the safety and efficacy of pediatric pyeloplasty without a stent. Materials and methods: From March, 2009 to Feb, 2015, sixty-eight pyeloplasties in 60 consecutive patients were performed without a stent. Kidney was explored through an anterior extraperitoneal flank approach. Anderson-Hyne's pyeloplasty was done in all cases and anastomosis was done by 6-0 polyglycactin. A modified nephrostomy was done in initial 20 cases where pelvic reduction was done and a no.10 infant feedi