�ݺ�ߣshows by User: debmalyasaha56

�ݺ�ߣshows by User: debmalyasaha56 / http://www.slideshare.net/images/logo.gif �ݺ�ߣshows by User: debmalyasaha56 / Sat, 17 Oct 2020 16:03:09 GMT �ݺ�ߣShare feed for �ݺ�ߣshows by User: debmalyasaha56 A case of giant mediastinal liposarcoma of thymic origin a rare clinical entity /slideshow/a-case-of-giant-mediastinal-liposarcoma-of-thymic-origin-a-rare-clinical-entity/238903218 acaseofgiantmediastinalliposarcomaofthymicoriginarareclinicalentity-201017160309
Abstract Thymoliposarcoma is an exceedingly rare tumor of thymus with a very few cases reported till date. This case study presents a 45-year male with rare type of thymoma. On the contrast-enhanced CT images, there was a large mass lesion of predominantly fat attenuation in the pre-vascular compartment of the mediastinum insinuating on both sides of the visceral compartment of the mediastinum, and extending upto the bilateral cardio phrenic and anterior costophrenic angles, anterior to the right ventricle with loss of fat plane with the pericardium, with few sub-centimetric lymph nodes in the right paratracheal and AP window and a calcified right hilar lymph node, suggestive of well-differentiated liposarcoma/thymoliposarcoma. Initial CT guided tru-cut tissue biopsy was inconclusive, and the repeat biopsy revealed as fibro- collagenous tissue with area of necrosis, focal myxoid changes in the background with presence of cells which are spindle to oval in shape with mild nuclear pleomorphism and negative for S100, Cytokeratin, CD34, desmin. The entire tumor was resected en masse after meticulous dissection without the support of cardiopulmonary bypass (CPB) with an intact pericardium. Final histopathology report of the surgical biopsy specimens is consistent with dedifferentiated thymoliposarcoma with focal ganglionic cell differentiation. Postoperative follow-up CECT of thorax revealed no evidence of residual mass in the pre-vascular compartment. The patient is disease-free and asymptomatic after 6-month and he is under routine follow-up under Radiotherapy department since he received 30 Gy of postoperative radiotherapy (PORT).]]>
Abstract Thymoliposarcoma is an exceedingly rare tumor of thymus with a very few cases reported till date. This case study presents a 45-year male with rare type of thymoma. On the contrast-enhanced CT images, there was a large mass lesion of predominantly fat attenuation in the pre-vascular compartment of the mediastinum insinuating on both sides of the visceral compartment of the mediastinum, and extending upto the bilateral cardio phrenic and anterior costophrenic angles, anterior to the right ventricle with loss of fat plane with the pericardium, with few sub-centimetric lymph nodes in the right paratracheal and AP window and a calcified right hilar lymph node, suggestive of well-differentiated liposarcoma/thymoliposarcoma. Initial CT guided tru-cut tissue biopsy was inconclusive, and the repeat biopsy revealed as fibro- collagenous tissue with area of necrosis, focal myxoid changes in the background with presence of cells which are spindle to oval in shape with mild nuclear pleomorphism and negative for S100, Cytokeratin, CD34, desmin. The entire tumor was resected en masse after meticulous dissection without the support of cardiopulmonary bypass (CPB) with an intact pericardium. Final histopathology report of the surgical biopsy specimens is consistent with dedifferentiated thymoliposarcoma with focal ganglionic cell differentiation. Postoperative follow-up CECT of thorax revealed no evidence of residual mass in the pre-vascular compartment. The patient is disease-free and asymptomatic after 6-month and he is under routine follow-up under Radiotherapy department since he received 30 Gy of postoperative radiotherapy (PORT).]]> Sat, 17 Oct 2020 16:03:09 GMT /slideshow/a-case-of-giant-mediastinal-liposarcoma-of-thymic-origin-a-rare-clinical-entity/238903218 debmalyasaha56@slideshare.net(debmalyasaha56) A case of giant mediastinal liposarcoma of thymic origin a rare clinical entity debmalyasaha56 Abstract Thymoliposarcoma is an exceedingly rare tumor of thymus with a very few cases reported till date. This case study presents a 45-year male with rare type of thymoma. On the contrast-enhanced CT images, there was a large mass lesion of predominantly fat attenuation in the pre-vascular compartment of the mediastinum insinuating on both sides of the visceral compartment of the mediastinum, and extending upto the bilateral cardio phrenic and anterior costophrenic angles, anterior to the right ventricle with loss of fat plane with the pericardium, with few sub-centimetric lymph nodes in the right paratracheal and AP window and a calcified right hilar lymph node, suggestive of well-differentiated liposarcoma/thymoliposarcoma. Initial CT guided tru-cut tissue biopsy was inconclusive, and the repeat biopsy revealed as fibro- collagenous tissue with area of necrosis, focal myxoid changes in the background with presence of cells which are spindle to oval in shape with mild nuclear pleomorphism and negative for S100, Cytokeratin, CD34, desmin. The entire tumor was resected en masse after meticulous dissection without the support of cardiopulmonary bypass (CPB) with an intact pericardium. Final histopathology report of the surgical biopsy specimens is consistent with dedifferentiated thymoliposarcoma with focal ganglionic cell differentiation. Postoperative follow-up CECT of thorax revealed no evidence of residual mass in the pre-vascular compartment. The patient is disease-free and asymptomatic after 6-month and he is under routine follow-up under Radiotherapy department since he received 30 Gy of postoperative radiotherapy (PORT). <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/acaseofgiantmediastinalliposarcomaofthymicoriginarareclinicalentity-201017160309-thumbnail.jpg?width=120&height=120&fit=bounds" /> Abstract Thymoliposarcoma is an exceedingly rare tumor of thymus with a very few cases reported till date. This case study presents a 45-year male with rare type of thymoma. On the contrast-enhanced CT images, there was a large mass lesion of predominantly fat attenuation in the pre-vascular compartment of the mediastinum insinuating on both sides of the visceral compartment of the mediastinum, and extending upto the bilateral cardio phrenic and anterior costophrenic angles, anterior to the right ventricle with loss of fat plane with the pericardium, with few sub-centimetric lymph nodes in the right paratracheal and AP window and a calcified right hilar lymph node, suggestive of well-differentiated liposarcoma/thymoliposarcoma. Initial CT guided tru-cut tissue biopsy was inconclusive, and the repeat biopsy revealed as fibro- collagenous tissue with area of necrosis, focal myxoid changes in the background with presence of cells which are spindle to oval in shape with mild nuclear pleomorphism and negative for S100, Cytokeratin, CD34, desmin. The entire tumor was resected en masse after meticulous dissection without the support of cardiopulmonary bypass (CPB) with an intact pericardium. Final histopathology report of the surgical biopsy specimens is consistent with dedifferentiated thymoliposarcoma with focal ganglionic cell differentiation. Postoperative follow-up CECT of thorax revealed no evidence of residual mass in the pre-vascular compartment. The patient is disease-free and asymptomatic after 6-month and he is under routine follow-up under Radiotherapy department since he received 30 Gy of postoperative radiotherapy (PORT).

A case of giant mediastinal liposarcoma of thymic origin a rare clinical entity from Dr.Debmalya Saha

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0 Implication of preoperative glycosylated hemoglobin level on short term outcomes in diabetic patients undergoing cabg /slideshow/implication-of-preoperative-glycosylated-hemoglobin-level-on-short-term-outcomes-in-diabetic-patients-undergoing-cabg/238903208 implicationofpreoperativeglycosylatedhemoglobinlevelonshorttermoutcomesindiabeticpatientsundergoingc-201017160033
ABSTRACT Background: Diabetes mellitus is one of the significant risk factors for adverse outcomes after coronary artery bypass surgery. The glycosylated haemoglobin i.e. HbA1c is a reliable diagnostic test to know the long-term glycemic status. The objective of the study is to investigate the implication of preoperative HbA1c level on short term outcomes after coronary artery bypass grafting (CABG). Method: Total 218 patients were studied, and the data were collected retrospectively. Patients are distributed into group 1 with HbA1c≤7 (good glycemic control) and group 2 with HbA1c>7 (poor glycemic control). The parameters studied for short term outcomes were revision due to bleeding, duration of mechanical ventilation, cerebrovascular accident (CVA), atrial fibrillation (AF), renal failure requiring dialysis, infective complications like sternal and leg wound infection, mediastinitis, pneumonia, urinary tract infection (UTI), sepsis; length of ICU stay and in-hospital mortality. Result: In comparison to group 1, patients of group 2 showed statistically significant more morbidity in view of short-term outcomes in this study. Conclusion: HbA1c>7 is associated with statistically significant adverse short-term outcomes after CABG.]]>
ABSTRACT Background: Diabetes mellitus is one of the significant risk factors for adverse outcomes after coronary artery bypass surgery. The glycosylated haemoglobin i.e. HbA1c is a reliable diagnostic test to know the long-term glycemic status. The objective of the study is to investigate the implication of preoperative HbA1c level on short term outcomes after coronary artery bypass grafting (CABG). Method: Total 218 patients were studied, and the data were collected retrospectively. Patients are distributed into group 1 with HbA1c≤7 (good glycemic control) and group 2 with HbA1c>7 (poor glycemic control). The parameters studied for short term outcomes were revision due to bleeding, duration of mechanical ventilation, cerebrovascular accident (CVA), atrial fibrillation (AF), renal failure requiring dialysis, infective complications like sternal and leg wound infection, mediastinitis, pneumonia, urinary tract infection (UTI), sepsis; length of ICU stay and in-hospital mortality. Result: In comparison to group 1, patients of group 2 showed statistically significant more morbidity in view of short-term outcomes in this study. Conclusion: HbA1c>7 is associated with statistically significant adverse short-term outcomes after CABG.]]> Sat, 17 Oct 2020 16:00:33 GMT /slideshow/implication-of-preoperative-glycosylated-hemoglobin-level-on-short-term-outcomes-in-diabetic-patients-undergoing-cabg/238903208 debmalyasaha56@slideshare.net(debmalyasaha56) Implication of preoperative glycosylated hemoglobin level on short term outcomes in diabetic patients undergoing cabg debmalyasaha56 ABSTRACT Background: Diabetes mellitus is one of the significant risk factors for adverse outcomes after coronary artery bypass surgery. The glycosylated haemoglobin i.e. HbA1c is a reliable diagnostic test to know the long-term glycemic status. The objective of the study is to investigate the implication of preoperative HbA1c level on short term outcomes after coronary artery bypass grafting (CABG). Method: Total 218 patients were studied, and the data were collected retrospectively. Patients are distributed into group 1 with HbA1c≤7 (good glycemic control) and group 2 with HbA1c>7 (poor glycemic control). The parameters studied for short term outcomes were revision due to bleeding, duration of mechanical ventilation, cerebrovascular accident (CVA), atrial fibrillation (AF), renal failure requiring dialysis, infective complications like sternal and leg wound infection, mediastinitis, pneumonia, urinary tract infection (UTI), sepsis; length of ICU stay and in-hospital mortality. Result: In comparison to group 1, patients of group 2 showed statistically significant more morbidity in view of short-term outcomes in this study. Conclusion: HbA1c>7 is associated with statistically significant adverse short-term outcomes after CABG. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/implicationofpreoperativeglycosylatedhemoglobinlevelonshorttermoutcomesindiabeticpatientsundergoingc-201017160033-thumbnail.jpg?width=120&height=120&fit=bounds" /> ABSTRACT Background: Diabetes mellitus is one of the significant risk factors for adverse outcomes after coronary artery bypass surgery. The glycosylated haemoglobin i.e. HbA1c is a reliable diagnostic test to know the long-term glycemic status. The objective of the study is to investigate the implication of preoperative HbA1c level on short term outcomes after coronary artery bypass grafting (CABG). Method: Total 218 patients were studied, and the data were collected retrospectively. Patients are distributed into group 1 with HbA1c≤7 (good glycemic control) and group 2 with HbA1c>7 (poor glycemic control). The parameters studied for short term outcomes were revision due to bleeding, duration of mechanical ventilation, cerebrovascular accident (CVA), atrial fibrillation (AF), renal failure requiring dialysis, infective complications like sternal and leg wound infection, mediastinitis, pneumonia, urinary tract infection (UTI), sepsis; length of ICU stay and in-hospital mortality. Result: In comparison to group 1, patients of group 2 showed statistically significant more morbidity in view of short-term outcomes in this study. Conclusion: HbA1c>7 is associated with statistically significant adverse short-term outcomes after CABG.

Implication of preoperative glycosylated hemoglobin level on short term outcomes in diabetic patients undergoing cabg from Dr.Debmalya Saha

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0 Pictorial consent in cardiac surgery /slideshow/pictorial-consent-in-cardiac-surgery/238903201 pictorialconsentincardiacsurgery-201017155709
Abstract- Because of the complexity of the procedures, high level of clarification for the patients as well as their attendants while taking consent is a must as cardiac surgery is associated with significant morbidity and mortality. Pictorial consent with pre-operative education is a far better option in this regard. We randomly took a total of 150 patients within the age group of 18 to 70 years, and they were explained with standard consent followed by pictorial consent and vice versa by the same informant. And they were given a preset questionnaire format after both consents. Later, based on their answers, comparison in relation to the level of clarity was done. Questionnaire was formatted after rigorous modification from the reviews of literature.]]>
Abstract- Because of the complexity of the procedures, high level of clarification for the patients as well as their attendants while taking consent is a must as cardiac surgery is associated with significant morbidity and mortality. Pictorial consent with pre-operative education is a far better option in this regard. We randomly took a total of 150 patients within the age group of 18 to 70 years, and they were explained with standard consent followed by pictorial consent and vice versa by the same informant. And they were given a preset questionnaire format after both consents. Later, based on their answers, comparison in relation to the level of clarity was done. Questionnaire was formatted after rigorous modification from the reviews of literature.]]> Sat, 17 Oct 2020 15:57:09 GMT /slideshow/pictorial-consent-in-cardiac-surgery/238903201 debmalyasaha56@slideshare.net(debmalyasaha56) Pictorial consent in cardiac surgery debmalyasaha56 Abstract- Because of the complexity of the procedures, high level of clarification for the patients as well as their attendants while taking consent is a must as cardiac surgery is associated with significant morbidity and mortality. Pictorial consent with pre-operative education is a far better option in this regard. We randomly took a total of 150 patients within the age group of 18 to 70 years, and they were explained with standard consent followed by pictorial consent and vice versa by the same informant. And they were given a preset questionnaire format after both consents. Later, based on their answers, comparison in relation to the level of clarity was done. Questionnaire was formatted after rigorous modification from the reviews of literature. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/pictorialconsentincardiacsurgery-201017155709-thumbnail.jpg?width=120&height=120&fit=bounds" /> Abstract- Because of the complexity of the procedures, high level of clarification for the patients as well as their attendants while taking consent is a must as cardiac surgery is associated with significant morbidity and mortality. Pictorial consent with pre-operative education is a far better option in this regard. We randomly took a total of 150 patients within the age group of 18 to 70 years, and they were explained with standard consent followed by pictorial consent and vice versa by the same informant. And they were given a preset questionnaire format after both consents. Later, based on their answers, comparison in relation to the level of clarity was done. Questionnaire was formatted after rigorous modification from the reviews of literature.

Pictorial consent in cardiac surgery from Dr.Debmalya Saha

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0 IABP /slideshow/iabp-237051892/237051892 iabpfinal-200719181935
Intra-aortic Balloon Counter Pulsation in Cardiac Surgery]]>
Intra-aortic Balloon Counter Pulsation in Cardiac Surgery]]> Sun, 19 Jul 2020 18:19:35 GMT /slideshow/iabp-237051892/237051892 debmalyasaha56@slideshare.net(debmalyasaha56) IABP debmalyasaha56 Intra-aortic Balloon Counter Pulsation in Cardiac Surgery <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/iabpfinal-200719181935-thumbnail.jpg?width=120&height=120&fit=bounds" /> Intra-aortic Balloon Counter Pulsation in Cardiac Surgery

IABP from Dr.Debmalya Saha

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0 Echocardiography /debmalyasaha56/echocardiography-237051889 echocardiography-200719181927
Echocardiography for Cardiothoracic Surgeons]]>
Echocardiography for Cardiothoracic Surgeons]]> Sun, 19 Jul 2020 18:19:27 GMT /debmalyasaha56/echocardiography-237051889 debmalyasaha56@slideshare.net(debmalyasaha56) Echocardiography debmalyasaha56 Echocardiography for Cardiothoracic Surgeons <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/echocardiography-200719181927-thumbnail.jpg?width=120&height=120&fit=bounds" /> Echocardiography for Cardiothoracic Surgeons

Echocardiography from Dr.Debmalya Saha

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0 Hydatid Cystic Disease of Lung /slideshow/hydatid-cystic-disease-of-lung/237051776 hcd-200719181250
Hydatidosis of Lung]]>
Hydatidosis of Lung]]> Sun, 19 Jul 2020 18:12:50 GMT /slideshow/hydatid-cystic-disease-of-lung/237051776 debmalyasaha56@slideshare.net(debmalyasaha56) Hydatid Cystic Disease of Lung debmalyasaha56 Hydatidosis of Lung <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/hcd-200719181250-thumbnail.jpg?width=120&height=120&fit=bounds" /> Hydatidosis of Lung

Hydatid Cystic Disease of Lung from Dr.Debmalya Saha

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0 MICS /slideshow/mics-237051213/237051213 mics-200719174343
Minimally Invasive Cardiac Surgery]]>
Minimally Invasive Cardiac Surgery]]> Sun, 19 Jul 2020 17:43:43 GMT /slideshow/mics-237051213/237051213 debmalyasaha56@slideshare.net(debmalyasaha56) MICS debmalyasaha56 Minimally Invasive Cardiac Surgery <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/mics-200719174343-thumbnail.jpg?width=120&height=120&fit=bounds" /> Minimally Invasive Cardiac Surgery

MICS from Dr.Debmalya Saha

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0 https://cdn.slidesharecdn.com/profile-photo-debmalyasaha56-48x48.jpg?cb=1681274620 MS DNB MNAMS MCh(CTVS) https://cdn.slidesharecdn.com/ss_thumbnails/acaseofgiantmediastinalliposarcomaofthymicoriginarareclinicalentity-201017160309-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/a-case-of-giant-mediastinal-liposarcoma-of-thymic-origin-a-rare-clinical-entity/238903218 A case of giant medias... https://cdn.slidesharecdn.com/ss_thumbnails/implicationofpreoperativeglycosylatedhemoglobinlevelonshorttermoutcomesindiabeticpatientsundergoingc-201017160033-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/implication-of-preoperative-glycosylated-hemoglobin-level-on-short-term-outcomes-in-diabetic-patients-undergoing-cabg/238903208 Implication of preoper... https://cdn.slidesharecdn.com/ss_thumbnails/pictorialconsentincardiacsurgery-201017155709-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/pictorial-consent-in-cardiac-surgery/238903201 Pictorial consent in c...