Browsing by Author "Prasad, Damisetti Kalyan Ravi"
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Item Intralesional Bleomycin For Lymphangioma: An Effective Alternative Non-Surgical Therapy(International Research Organization for Life & Health Sciences (IROLHS), 2019-01) Prasad, Damisetti Kalyan Ravi; Reddy, Jeeru BhaskarIntroduction: Conventionally, lymphangiomas have been managed by surgical excision which range from simple excision toextensive compartmental exenteration.With the advent of the usefulness of sclerotherapy, especially bleomycin, management ofextensive lymphangiomas which are hitherto considered inoperable cases has become very comfortable for patient and surgeon.Materials and Methods: A total of 28 patients were included in the study. Neck was the most common site of involvementfollowed by axilla; groin was involved in two cases. Injection bleomycin was reconstituted and diluted, a dose of 0.5 IU/Kg injectedintralesionally after aspirating an equal volume of fluid. Compression bandage was applied for 24 h. Cases were reviewed after3 weeks for assessing clinical and serological response.Results: Significant reduction of mass was noted in 68% of cases (n = 19). Surgery was required in 7% (n = 2), completeregression of mass was noted in the remaining 25% (n = 7) cases.Conclusion: This modality of treatment may be used safely as primary modality of treatment for select group of patients.Item Neonatal Intestinal Obstruction: A 9-year Experience in a Tertiary Care Hospital(International Research Organization for Life and Health Sciences, 2019-01) Reddy, Jeeru Bhaskar; Prasad, Damisetti Kalyan RaviAim: This study aims to study the clinical presentation, etiology, management, and outcome of neonatal intestinal obstruction in the newborn and neonates, over a period of 9 years in the Department of Pediatric Surgery, Rangaraya Medical College. Materials and Methods: It is a retrospective study of 191 cases over a period of 9 years within 28 days of birth with the diagnosis of neonatal intestinal obstruction, which was managed between 2008 to 2017 in the Department of Pediatric Surgery, Rangaraya Medical College, Kakinada, Andhra Pradesh. Cases of anorectal anomalies and Hirschsprung’s disease were excluded from the present study. Results: Male-to-female ratio was 1.5:1. Gestational age was variable from 32 weeks to 40 weeks and birth weight ranged from 1.2 kg to 3.75 kg. Age of presentation was few hours to 28 days. The most common etiology was intestinal atresia 112, followed by malrotation 35, meconium ileus 24, annular pancreas 10, and exomphalos minor with obstruction 6, apart from Meckel’s band and cecal web as being other rare causes of obstruction. Mortality rate was around 16% in our study. Conclusion: Jejunoileal atresia 58.6% was the most common cause of neonatal intestinal obstruction followed by malrotation 18%. Incidence was higher in male babies compared to females. Bilious vomiting, abdominal distension, and failure to pass meconium were the presenting symptoms. Higher mortality rate was noted in preterm and low birth weight babies associated with multiple atresia and perforation peritonitis, especially complicated meconium ileus.