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| 1 | Omental flaps reduces complications after pancreaticoduodenectomy显示文摘BACKGROUND:Major complications after pancreaticoduodenectomy are usually caused by a leaking pancreaticojejunal anastomosis.Omental flaps around various anastomoses were used to prevent the formation of fistula.METHODS:We reviewed 147 patients who had undergone pancreaticoduodenectomy between March 2006 and March2012.The patients were divided into 2 groups according to the application of omental flaps around various anastomoses:group A(101 patients)who underwent omental wrapping procedure;group B(46 patients)who did not undergo the omental wrapping procedure.Perioperative data of the two groups were reviewed to assess the effectiveness of omental flap procedure in the prevention of pancreatic fistula and other complications.RESULTS:No differences were observed in the clinical characteristics between the 2 groups.The incidences of pancreatic fistula(4.0%vs 17.4%),post-pancreatectomy hemorrhage(0vs 6.5%),biliary fistula(1.0%vs 13.0%),and delayed gastric emptying(4.0%vs 17.4%)were significantly less frequent in group A.The overall morbidity(18.8%vs 47.8%)and hospital stay(8.3 vs 9.6 days)were also significantly lower in group A than in group B.CONCLUSIONS:Omental flaps around various anastomoses after pancreaticoduodenectomy can reduce the incidences of pancreatic fistula,biliary fistula,post-pancreatectomy hemorrhage and delayed gastric emptying.This procedure is simple and effective to reduce the overall morbidity after pancreaticoduodenectomy. | Omar J Shah Sadaf A Bangri Manmohan Singh Reyaz A Lattoo Mohammad Y Bhat | 2015 | Hepatobiliary & Pancreatic Diseases International2015，14，3： | 19 |
| 2 | A selective approach to the surgical management of periampullary cancer patients and its outcome显示文摘BACKGROUND: Pancreaticoduodenectomy is a high risk, complex, technically challenging operation associated with significant perioperative morbidity and mortality. This study on the surgical management of periampullary cancer patients is based on our experience in a period of nearly 13 years.METHODS: The study was conducted on two groups of patients: group A included 42 patients who were treated between January 2000 and September 2005 and group B included 134 patients who were treated between October 2005 to October 2012. Preoperative, intraoperative and postoperative details of all these patients were collected, tabulated and analyzed to assess the impact of the selective approach introduced in the department with effect from October 2005.RESULTS: Intraoperative details revealed highly significant differences in the management of the two groups of patients in respect of operative time (250.4 vs 126.6 minutes; P<0.001), operative blood loss (1070.2 vs 414.9 m L; P<0.001) and intraoperative blood transfusion (1.4 vs 0.2 units; P<0.001). Variations between the two groups in the frequency of complications were found to be statistically insignificant. However, the difference between the two groups in the overall morbidity of patients (47.6% vs 26.1%; P=0.009) and the length of their hospital stay (11.8 vs 7.8 days; P<0.001) were significant.CONCLUSION: A selective approach applied to the surgical management of periampullary cancer patients is a step in the right direction. | Omar J Shah Irfan Robbani Parveen Shah Sadaf A Bangri Irfan J Khan Mohammad Y Bhat Manmohan Singh | 2014 | Hepatobiliary & Pancreatic Diseases International2014，13，6： | 3 |
| 3 | Performance of sus- pended and attached growth MBR systems in treating high strength synthetic wastewater显示文摘 | Jamal K S Shazia I Sadaf J | 2011 | Bioresour Techn- ol2011，102，9： | 1 |
| 4 | 查看详情显示文摘 | Israr M Q Sadaf J R Asif M H Nur O Willander M Danielsson B | | 0，，03： | 1 |
| 5 | White electroluminescence using ZnO nanotubes/GaN heterostructure light-emitting diode显示文摘 | SADAF J R ISRAR M Q KISHWAR S | 2010 | Nanoscale Research Letters2010，5，6： | 1 |
| 6 | Impact of methods for uterine incision closure on repeat caesarean section scar of lower uterine segment显示文摘 | Yasmin S Sadaf J Fatima N | 2011 | J Coll Physicians Surg Pak2011，21，9： | 1 |
| 7 | Impact of methods for uterine incision closure on repeat caesarean section scar of lower uterinesegment 显示文摘 | Yasmin S Sadaf J Fatima N | 2011 | J Coil Physicians Surg Pak2011，21，9： | 1 |
| 8 | In situ laser fenestration-during emergent thoracic endovasculao aortic repair in an effective-method for left subclavian artery revascularization显示文摘 | Richard E Redlinger J Sadaf S | 2013 | J Vasc Surg2013，58，： | 1 |
| 9 | Impact of methods for uterine in- cision closure on repeat caesarean section scar of lower uterine segment显示文摘 | Yasmin S Sadaf J Fatima N | 2011 | J Coil Physicians Surg Pak2011，21，9： | 1 |
| 10 | White electrolumines- cence using ZnO nanotubes/GaN heterostructure light-emitting diode显示文摘 | Sadaf J R Israr M Q Kishwar S | 2010 | Nanoscale Research Letters2010，5，： | 1 |
| 11 | Pancreaticoduodenectomy:A study from India on the impact of evolution from a low to a high volume unit显示文摘AIM To analyse the impact of turning of our department from a low to a high volume provider of pancreaticoduodenectomy(PD) on surgical outcome.METHODS A retrospective collection of data was done for patients who underwent PD.According to the number of PDs undertaken per year,we categorized the volume into low volume(< 10 PDs/year),medium volume(10-24 PDs/year) and high volume(> 25 PDs/year) groups.RESULTS From 2002 to 2013,200 patients underwent PD.The annual number of PD increased from 4 in 2002 to 34 in 2013.The mean operative time,operative blood loss and need for intraoperative blood transfusion decreased considerably over the volume categories(P < 0.001,P < 0.001 and P < 0.001,respectively).Increased procedural volume was associated with a lower morbidity(P = 0.021) and shorter length of hospital stay(P < 0.001).Similarly the rate of mortality dropped from 10% for the low volume group to 2.2% for the medium volume group and 0.0% for the high volume group(P = 0.007).CONCLUSION The transformation from a low volume to a high volume provider of PD resulted in most favourable outcomes favouring the continued centralization of this high risk procedure. | Omar J Shah Manmohan Singh Mohammad R Lattoo Sadaf A Bangri | 2016 | World Journal of Gastrointestinal Surgery2016，8，8： | 0 |
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