Browsing by Author "Ankur"
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Item A case of laparoscopic excision of patent urachus(Medip Academy, 2020-06) Bansod, Atish Naresh; Nadar, Premalatha Andrews; Umalkar, Rohan; Mishra, Sarvagya; Mirajkar, Girish; AnkurPatent urachus is an uncommon congenital anomaly caused by persistence of embryologic communication between bladder and umbilicus. The traditional surgical approach has been open for years but laparoscopic approach has become an effective and minimal invasive technique to treat urachal remnants. A 11 years old child presenting as umbilical discharge was diagnosed with patent urachus and treated by laparoscopic excision. There was no intra or postoperative complications. Patient was discharged on post-operative day 1. The urachus connects the fetal allantois at umbilicus to the dome of bladder. Normally it obliterates and gives rise to median umbilical ligament. Urachus is extraperitoneal and easily viewed during laparoscopic visualization of pelvis. Urachal remnants represent a rare congenital anomaly due to failure in obliteration process. Complete excision is indicated both in case of persistent symptomatic remnants and also when asymptomatic for the associated risk of malignant degeneration. The traditional approach has been open surgery. However, it is associated with increased morbidity and longer convalescence. Reporting our experience, we describe the technique step by step of laparoscopic patent urachus excision as minimally invasive diagnostic and surgical approach in comparison to open surgical approach, with better post-operative analgesia, rapid healing and cosmetic results.Item Effect of Age and Sex on Hearing by Pure Tone Audiometry.(2013-10) Ankur; Dhar, Usha; Sood, AbheyHearing loss is known to vary from place to place and country to country in both sexes with advancing age. There is scarcity of such information in India, and even no study is available from the Ghaziabad belt of North India. This prompted us to undertake a study on hearing impairment in the local population at Ghaziabad. It included three hundred persons, half of them were males and rest of the half were females. Selection of cases was done randomly. The age of the subjects ranged from 15 to 80 years, cases were divided into four groups. Only healthy subjects were selected for the study after thorough history taking and examination.Mild degree of hearing loss was observed in both men and women at middle and older age groups, percentage of males having hearing loss was more than women . Mean age ofhearing loss in women was 51.22 years and 51.55 years in men, but with advancing age further hearing loss in women takes less time than in men. With advancing age loss of hearing threshold is less in lower frequencies in men as compared to women whereas with advancing age loss of hearing threshold in higher frequencies is more in men than women , statistically the results were highly significant.Item Fundus fluorescein angiographic assessment of patients with proliferative diabetic retinopathy and macular edema before and after intravitreal injection of Bevacizumab(Medip Academy, 2019-11) Ankur; Kumar, Yogesh; Arora, Deepesh; Tyagi, Rupali; Mittal, Sanjeev KumarBackground: To assess the role of intravitreal bevacizumab (1.25 mg) in patients with proliferative diabetic retinopathy with macular edema in terms of change in leakage area and best-corrected visual acuity.Methods: This prospective randomized interventional study was conducted in the Department of Ophthalmology from September 2013 to August 2015 and included thirty eyes of twenty patients.After a detailed history and ocular examination, diagnosed cases of proliferative diabetic retinopathy (PDR) and diabetic macular edema (DME) underwent sequential fundus fluorescein angiography. Bevacizumab was administered intravitreally. Patients were assessed two hours after injection for anterior chamber reaction and intraocular pressure and were advised follow-ups at 24 hours and then at 1, 4, 8 and 12 weeks. For the outcome, the change of retinal new vessels by assessment of leakage area using Quantitative Planimetric Analysis (QPA) of photographs as well as the change in best-corrected visual acuity (BCVA) from baseline to the 12 weeks follow-up, were done. Results were analyzed statistically by applying t-test.Results: Intravitreal bevacizumab injection lead to a significant decrease in leakage in DME and PDR, and improvement in mean BCVA. The effect was maximum at 4 weeks which weaned off as the study progressed through it remains statistically significant at the end of 12 weeks.Conclusions: Intravitreal bevacizumab plays a major role in treating and reducing visual deterioration in patients with proliferative diabetic retinopathy and diabetic macular edema.