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    Thoracic trauma trends in Northern India- single center experience

    Kumar, Suresh, Gupta, Hari, Pandey, Anand, Kumar, Awanish, Ahmad, Arshad, Kumar, Manoj, Kumar, Narendra
    Indian Journal of Thoracic and Cardiovascular Surgery, 2013, Vol.29(3), pp.167-170 [Peer Reviewed Journal]
    Springer Science & Business Media B.V.
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    Title: Thoracic trauma trends in Northern India- single center experience
    Author: Kumar, Suresh; Gupta, Hari; Pandey, Anand; Kumar, Awanish; Ahmad, Arshad; Kumar, Manoj; Kumar, Narendra
    Subject: Thoracic trauma ; Chest trauma ; Chest injury
    Description: Thoracic trauma comprises 10–15 % of all traumas. The incidence and etiological pattern of chest trauma varies from region to region and is related to cultural and socio-political circumstances. This paper details our experience with thoracic trauma in a North Indian state.All patients who were hospitalized for thoracic trauma from June 2010 to June 2012 in our hospital were enrolled. Data was collected prospectively and analysed. Factors analysed were age, gender, mode of injury, type of thoracic injury, associated injuries, management modalities, and outcome.The total number of patients was 250. The male to female ratio was about 10:1. The mean age of patients was 36.62 years. Road Traffic Accident (RTA) was the most common mode of chest injury. Motor-bike accident was the most common type of RTA. Majority of patients were managed with tube thoracostomy (183, 73.2 %). One hundred and eighty nine (75.6 %) patients were discharged after recovery. Ten (4.0 %) patients absconded. In all, 29 (11.6 %) patients died, while 22 (8.8 %) patients left the hospital against medical advice. A significant association between presence of associated injury and outcome was observed (p 
    Is part of: Indian Journal of Thoracic and Cardiovascular Surgery, 2013, Vol.29(3), pp.167-170
    Identifier: 0970-9134 (ISSN); 0973-7723 (E-ISSN); 10.1007/s12055-013-0231-3 (DOI)

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    Evaluation of two stages surgery in chronic empyema thoracis in critical lung disease with special emphasis on thoracomyoplasty

    Kumar, Suresh, Ahmad, Arshad, Pandey, Anand, Kumar, Awanish, Pahwa, Harvinder, Garg, Rajeev
    Indian Journal of Thoracic and Cardiovascular Surgery, 2012, Vol.28(3), pp.180-185 [Peer Reviewed Journal]
    Springer Science & Business Media B.V.
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    Title: Evaluation of two stages surgery in chronic empyema thoracis in critical lung disease with special emphasis on thoracomyoplasty
    Author: Kumar, Suresh; Ahmad, Arshad; Pandey, Anand; Kumar, Awanish; Pahwa, Harvinder; Garg, Rajeev
    Subject: Empyema thoracis ; Open Window Thoracostomy ; Thoracomyoplasty
    Description: Empyema Thoracis (ET) is a serious condition of the chest that rarely resolves without appropriate therapy. The present paper deals with the staged management of chronic ET with destroyed lung, and use of thoracomyoplasty to improve the outcome of this morbid condition in resource limited condition.All cases of chronic ET were included in this prospective study. The diagnosis was made by clinico-radiological assessment. All patients underwent two-stage surgical treatment- Open Window Thoracostomy(OWT)/Modified Open Drainage (MOD), followed by thoracomyoplasty. The Quality of life scoring was done on a 1 to 20 scale, and included various aspects viz. functional, social, psychological, and financialThe total number of patients (n) was 22 patients. The mean age of the patient was 37 years. The male to female ratio was 1.44:1. In majority, the etiology was tuberculosis. After the stage I, no mortality or revision of surgery was observed. After stage II, for all the aspects of quality of life, excellent scores were achieved. The patient satisfaction was 97.75 %Open window thoracostomy is the obvious choice for severe grades of empyema thoracis, however, thoracomyoplasty not only improves the function but also provides greater relief to the patient in terms of physical, social, psychological, and financial dimensions. It is important in any setup where patients are from low socioeconomic groups.
    Is part of: Indian Journal of Thoracic and Cardiovascular Surgery, 2012, Vol.28(3), pp.180-185
    Identifier: 0970-9134 (ISSN); 0973-7723 (E-ISSN); 10.1007/s12055-012-0158-0 (DOI)

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    Multi detector computed tomography based volumetric assessment of lung parenchymal injury in isolated blunt thoracic trauma patients acts as predictor of clinical outcome: a prospective observational study

    Pal, Ajay, Kumar, Sanjeev, Kumar, Suresh, Ansari, Saquib, Ahmad, Arshad, Kumar, Manoj
    Indian Journal of Thoracic and Cardiovascular Surgery, 2017, Vol.33(3), pp.213-219 [Peer Reviewed Journal]
    Springer Science & Business Media B.V.
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    Title: Multi detector computed tomography based volumetric assessment of lung parenchymal injury in isolated blunt thoracic trauma patients acts as predictor of clinical outcome: a prospective observational study
    Author: Pal, Ajay; Kumar, Sanjeev; Kumar, Suresh; Ansari, Saquib; Ahmad, Arshad; Kumar, Manoj
    Subject: Lung trauma ; Multi detector CT ; Volumetric analysis
    Description: To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s12055-017-0559-1 Byline: Ajay Kumar Pal (1), Sanjeev Kumar (1), Suresh Kumar (1), Saquib Ansari (1), Arshad Ahmad (1), Manoj Kumar (2) Keywords: Lung trauma; Multi detector CT; Volumetric analysis Abstract: Introduction The role of multi detector computed tomography (MDCT) in thoracic trauma is continuously evolving with identification of occult injuries and better characterization of potentially life threatening injuries. Keeping this in mind, we have done a prospective study for volumetric analysis of lung parenchymal injury in isolated blunt thoracic trauma patients, explored its prognostic implications, and evaluated its correlation with clinical outcome of patient. Methods Prospective evaluation of patients with isolated blunt thoracic trauma coming from the trauma center was done with MDCT. Patients with poly trauma, pregnancy, penetrating thoracic trauma, pre-existing pulmonary or renal disease, and any other significant co-morbid medical or surgical illness and requirement of urgent thoracotomy (surgery) were excluded from the study. Data was collected regarding patient demographics, mechanism of injury, involvement of thoracic viscera and thoracic wall, uninvolved mean lung volume and overall prognosis in relation to eventless recovery, need for mechanical ventilation, and mortality which were taken as primary outcome parameters. Mean lung volumes of both lungs were compared in between groups of eventless recovery, need of mechanical ventilation and mortality with p value
    Is part of: Indian Journal of Thoracic and Cardiovascular Surgery, 2017, Vol.33(3), pp.213-219
    Identifier: 0970-9134 (ISSN); 0973-7723 (E-ISSN); 10.1007/s12055-017-0559-1 (DOI)

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    Comparative evaluation of VATS assisted combined mechanical and chemical pleurodesis with chemical pleurodesis—is it worthwhile?

    Kumar, Suresh, Sonkar, Abhinav, Kumar, Devendra, Pandey, Anand, Kumar, Awanish, Ahmad, Arshad, Shashikant, Arshad
    Indian Journal of Thoracic and Cardiovascular Surgery, 2013, Vol.29(2), pp.106-109 [Peer Reviewed Journal]
    Springer Science & Business Media B.V.
    Available
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    Title: Comparative evaluation of VATS assisted combined mechanical and chemical pleurodesis with chemical pleurodesis—is it worthwhile?
    Author: Kumar, Suresh; Sonkar, Abhinav; Kumar, Devendra; Pandey, Anand; Kumar, Awanish; Ahmad, Arshad; Shashikant, Arshad
    Subject: Malignant pleural effusion ; Pleurodesis ; Talc
    Description: Malignant Pleural Effusion (MPE) is a common terminal clinical problem in patients with advance cancer. Treatment options for MPE include observation, thoracocentesis, or pleurodesis. In the current study, we compared the effectiveness and safety of combined mechanical and chemical pleurodesis by Video Assisted Thoracoscopic Surgery (VATS) with chemical pleurodesis via intercostals tube alone, using talc as pleurodesis agent in both.In this prospective study, diagnosed patients of MPE having Eastern Cooperative Oncology Group (ECOG) performance score 3 or less 3, expected life expectancy of more than 3 months, and having lung re-expansion after drainage were selected for pleurodesis. Patients with ability to undergo general anesthesia were considered for VATS assisted combined mechanical & chemical pleurodesis (Group A). In the remaining chemical pleurodesis was performed at bedside (Group B).The duration of this study was 1 year. The total number of patients was 30. There were 15 patients each in both the groups. Pleurodesis was achieved in 4.47 ± 0.92 days in group A and 6.33 ± 0.90 days in group B. This difference was highly significant (p 
    Is part of: Indian Journal of Thoracic and Cardiovascular Surgery, 2013, Vol.29(2), pp.106-109
    Identifier: 0970-9134 (ISSN); 0973-7723 (E-ISSN); 10.1007/s12055-013-0211-7 (DOI)

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    Respiratory functional outcomes improvement with intervention in chronic empyema thoracis: a retrospective analysis

    Kumar, Sanjeev, Kumar, Ashok, Pal, Ajay, Ahirwar, Suresh, Kumar, Suresh, Ahmad, Arshad
    Indian Journal of Thoracic and Cardiovascular Surgery, 2019, Vol.35(1), pp.36-40 [Peer Reviewed Journal]