Browsing by Author "Jain, Akshay"
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Item Complications of Thyroid Surgery: Our Experience(Society for Health Care & Research Development, 2018-03) Jain, Vinti; Jain, Akshay; Chatterji, ProbalBackground: The purpose of this study was to evaluate the complications of thyroid surgery and their management. Methods: A prospective study was conducted on 50 patients at Teerthankar Mahaveer Medical College and ResearchCentre Teerthankar Mahaveer University, Moradabad, Uttar Pradesh over a period of 12 months. Patients undergoing thyroid surgery in our department were included in this study after taking proper written informed consent. Complete history was taken and thorough ENT examination was performed. Clinical and laboratory data from the study was recorded as per the pro forma. Results: Among the patients undergoing surgery, Isthmusectomy was performed in 3 (6.0%) patients, Left hemithyroidectomy in 5 (10.0%) patients, Right hemithyroidectomy in 28 (56.0%), Subtotal thyroidectomy in 6 (12.0%) patients, Near total thyroidectomy in 3 (6.0%) patients and Total thyroidectomy in 5 (10.0%) patients. The most common complication that occurred was hypocalcemia(16%). Other complications observed were permanent hypoparathyroidism (6%), permanent recurrent laryngeal nerve palsy (4%), superior laryngeal nerve palsy (2%), post-operative haemorrhage (2%), seroma (8%), hypertrophic scar (8%), keloid (2%), wound infection (6%). Conclusion: The most common complications generally observed are hypoparathyroidism and recurrent laryngeal nerve injuries.Item A Delphi consensus on the nomenclature and diagnosis of lichen planus pigmentosus and related entities(Scientific Scholar, 2023-02) Sarkar, Rashmi; Vinay, Keshavamurthy; Bishnoi, Anuradha; Poojary, Shital; Gupta, Monisha; Kumaran, Muthu Sendhil; Jain, Akshay; Gurumurthy, Chethana; Arora, Pooja; Kandhari, Rajat; Rathi, Sanjay; Zawar, Vijay; Gupta, Vishal; Ravivarma, Vignesh Narayan; Rodrigues, Michelle; Parsad, DavinderBackground: Although well known in clinical practice, research in lichen planus pigmentosus and related dermal pigmentary diseases is restricted due to lack of consensus on nomenclature and disease definition. Aims and Objectives: Delphi exercise to define and categorise acquired dermal pigmentary diseases. Methods: Core areas were identified including disease definition, etiopathogenesis, risk factors, clinical features, diagnostic methods, treatment modalities and outcome measures. The Delphi exercise was conducted in three rounds. Results: Sixteen researchers representing 12 different universities across India and Australia agreed to be part of this Delphi exercise. At the end of three rounds, a consensus of >80% was reached on usage of the umbrella term ‘acquired dermal macular hyperpigmentation’. It was agreed that there were minimal differences, if any, among the disorders previously defined as ashy dermatosis, erythema dyschromicum perstans, Riehl’s melanosis and pigmented contact dermatitis. It was also agreed that lichen planus pigmentosus, erythema dyschromicum perstans and ashy dermatosis did not differ significantly apart from the sites of involvement, as historically described in the literature. Exposure to hair colours, sunlight and cosmetics was associated with these disorders in a significant proportion of patients. Participants agreed that both histopathology and dermatoscopy could diagnose dermal pigmentation characteristic of acquired dermal macular hyperpigmentation but could not differentiate the individual entities of ashy dermatosis, erythema dyschromicum perstans, Riehl’s melanosis, lichen planus pigmentosus and pigmented contact dermatitis. Limitations: A wider consensus involving representatives from East Asian, European and Latin American countries is required. Conclusion: Acquired dermal macular hyperpigmentation could be an appropriate conglomerate terminology for acquired dermatoses characterised by idiopathic or multifactorial non-inflammatory macular dermal hyperpigmentation