Editor Roshan Lall Gupta MS FRCS (Edin) FRCS (Eng) FACS
Emeritus Professor of Surgery University of Meerut Ethicon Visiting Professor of Surgery The Association of Surgeons of India Recipient of the BC Roy National Award Eminent Teacher in Surgery Editorial Advisor, Indian Journal of Surgery
Previously Surgical Editor, Tropical Gastroenterology Member, Editorial Board, British Journal of Surgery Examiner, The Royal College of Surgeons of Edinburgh
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23B Ansari Road, Daryaganj
New Delhi 110 002, India
Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672
Fax: +91-11-23276490, +91-11-23245683
e-mail: jaypee@jaypeebrothers.com
Visit our website: www.jaypeebrothers.com
Branches
- 2/B Akruti Society, Jodhpur Gam Road, SatelliteAhmedabad 380 015Phone: +91-079-30988717 e-mail: jpandvd@rediffmail.com
- 202 Batavia Chambers, 8 Kumara Krupa RoadKumara Park East, Bangalore 560 001Phones: +91-80-22285971, +91-80-22382956, +91-80-30614073Tele Fax: +91-80-22281761 e-mail: jaypeemedpubbgl@eth.net
- 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain PlazaPantheon Road, Chennai 600 008Phones:+91-44-28262665,+91-44-28269897 Fax: +91-44-28262331e-mail: jpchen@eth.net
- 4-2-1067/1-3, Ist Floor, Balaji Building, Ramkote Cross RoadHyderabad 500 095, Phones: +91-40-55610020, +91-40-24758498Fax: +91-40-24758499 e-mail: jpmedpub@rediffmail.com
- 1A Indian Mirror Street, Wellington SquareKolkata 700 013 Phones: +91-33-22456075, +91-33-22451926 Fax: +91-33-22456075e-mail: jpbcal@cal.vsnl.net.in
- 106 Amit Industrial Estate, 61 Dr SS Rao RoadNear MGM Hospital Parel, Mumbai 400 012Phones: +91-22-24124863, +91-22-24104532, +91-22-30926896Fax: +91-22-24160828 e-mail: jpmedpub@bom7.vsnl.net.ine-mail: jpmedpub@bom7.vsnl.net.in
- “KAMALPUSHPA”, 38 ReshimbagOpp. Mohota Science College, Umred RoadNagpur 440 009 Phones: +91-712-3945220, +91-712-2704275e-mail: jpnagpur@rediffmail.com
Recent Advances in Surgery–10
© 2006, Roshan Lall Gupta
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editor and the publisher.
First Edition: 2006
9788180617966
Typeset at JPBMP typesetting unit
Printed at Gopsons Paper Ltd, Noida
5Contributors
- Anita Dhar ms dnb
- Assistant Professor of Surgery
- All India Institute of Medical Sciences,
- New De1hi
- Anurag Srivastava ms frcs phd mph
- Professor of Surgery
- All India Institute of Medical Sciences,
- New Delhi
- Christopher Lee mb chb mrcs
- Clinical Research Fellow and Specialist Surgical Registrar
- Department of Vascular and General Surgery, Selly Oak Hospital, Selly Oak
- Birmingham, UK
- C Wattal md
- Senior Consultant and Head
- Department of Clinical Microbiology
- Sir Ganga Ram Hospital
- Rajinder Nagar, New Delhi
- DK Gupta ms mch fics fams
- Professor and Head
- Department of Paediatric Surgery
- All India Institute of Medical Sciences,
- New Delhi
- Durgtosh Pandey
- Gastrointestinal Service
- Department of Surgical Oncology
- Tata Memorial Hospital, Parel,
- Mumbai
- JK Oberoi md
- Clinical Assistant
- Department of Clinical Microbiology
- Sir Ganga Ram Hospital,
- New Delhi
- K Harish ms dnb mch (surg oncol) fa1s fics
- Professor and Head
- Department of Surgical Oncology
- MS Ramaiah Medical College and Hospital,
- Bangalore
- KM Mohandas
- Digestive Disease and Nutrition Service Tata Memorial Hospital, Parel,
- Mumbai
- Mandar Nadkarni
- Gastrointestinal Service
- Tata Memorial Hospital, Parel,
- Mumbai
- MG Bhatt ms frcs (eng) frcs (edin) fics dmircsed (informatics) dmle (law)
- Senior Consultant Surgeon
- Manipal Hospital and Sagar Apollo Hospital
- Prestige Towers, Unit 102, 1st Floor
- Residency Road, Bangalore
- N Ananthakrishnan ms frcs (edin) mnams fimsa fica facs facg fams
- Director, Professor and Head
- Department of Surgery
- Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry
- Nilesh H Doctor ms dnb frcs
- Consultant
- Hepatopancreaticobiliary Surgeon
- Jaslok Hospital and Bhatia Hospitals, Mumbai
- Parul J Shukla ms frcs
- GI Surgical Oncology
- Tata Memorial Hospital, Parel,
- Pawanindra Lal ms dnb mnams frcs (ed) frcs (glasg)
- Associate Professor of Surgery
- Maulana Azad Medical College, New Delhi
- Pradeep K Chowbey ms mnams fimsa fais fics
- Chairman, Department of Minimal Access Surgery
- Sir Ganga Ram Hospital, New Delhi
- Rajiv K Vohra ms frcs (edin) frcs (eng)
- Consultant Vascular and General Surgeon
- Selly Oak Hospital, Selly Oak
- Birmingham, UK
- Rajneesh Kumar Singh ms mch
- Assistant Professor
- Department of Surgical Gastroenterology
- Sanjay Gandhi Postgraduate Institute (SGPGI), Lucknow
- Roshan Lall Gupta ms frcs (edin) frcs (eng) facs
- Emeritus Professor of Surgery
- LLRM Medical College, Meerut
- Santosh John Abraham ms ma as dipnb (surg) frcs (eng) frcs (glas) frcs (edin)
- Head of the Department of Surgery
- Lourdes Hospital Cochin, Kerala
- Shaesta Mehta ms fics
- Digestive Disease and Nutrition Service
- Tata Memorial Hospital, Parel, Mumbai
- Shailesh V Shrikhande ms
- Assistant Professor and Consultant
- Surgeon Gastrointestinal and HPB Services
- Department of Surgical Oncology
- Tata Memorial Hospital, Ernest Borges Marg,
- Parel, Mumbai
- Shankar Raman ms dnb mrcs
- Department of Surgery
- Jawaharlal Institute of Medical Education and Research,
- Pondicherry
- Sharad C Shah md mrcp facg
- Consultant Gastroenterologist
- Jaslok Hospital and Breach Candy Hospital, and Sir Hurkissandas Nurrottumdas Hospital
- Formerly, Head of the Department of Gastroenterology Sir JJ Hospital and
- Grant Medical College, Mumbai
- Shilpa Sharma ms mch
- Senior Research Associate
- Department of Paediatric Surgery
- All India Institute of Medical Sciences,
- New Delhi
- Shirish K Bhansali ms frcs (eng) facg (usa) facs fics
- Director, Department of Surgery
- Jaslok Hospital, and Research Centre, Mumbai
- Consultant Surgeon Breach Candy Hospital Formerly, Hon Professor of Surgery
- TN Medical College, Mumbai
- Subhash Khanna ms fics
- Chief Medical Director and Consultant
- Swagat Endoscopic Surgical Research Institute, Guwahati, Assam
- Tushar K Chattopadhyay ms
- Professor and Head
- Department of Gastrointestinal Surgery
- All India Institute of Medical Sciences,
- New Delhi
- Vikram Kate ms phd (surg gastro) frcs (glasg) mams fimsa facs facg
- Professor of Surgery
- Department of Surgery
- Jawaharlal Institute of Medical Education and Research,
- Pondicherry
- Vivek Babu B ms
- Senior Resident
- Department of Surgery
- Jawaharlal Institute of Postgraduate Medical Education and Research,
- VN Shrikhande mb frcs (eng) frcs (edin) facs fics facg
- Honorary Professor and Head
- Department of General Surgery
- Bombay Hospital Institute of
- Medical Sciences, Mumbai
- Vivek K Upasani
- Gastrointestinal Service
- Department of Surgical Oncology
- Tata Memorial Hospital,
This volume takes the Recent Advances Series into double figures. This, tenth in the series, marks two decades of chronicling new breakthroughs and techniques in surgery. Every volume has underlined the sometimes bewildering process of change, with the frontiers of the surgically possible pushed back ever further.
In this volume we have taken a long hard look at stem cell research, which remains mired in controversy despite its undoubtful nascent potential for treating a wide range of disease and disability. The newer developments in minimal access surgery and the challenge of fetal surgery in or ex utero has been explored. Evidence-based surgery is covered, as also multidisciplinary therapy for cancer. There is a chapter on surgery for morbid obesity, life after breast cancer by means of reconstruction, the larger issue of continuing surgical education and a glimpse into how information technology may benefit clinical dispensation.
As always, I am grateful to the eminent contributors who found time from their busy schedule but I could not have done any of this without the solid support of Shri JP Vij, Chairman, Jaypee Brothers Medical Publishers (Pvt) Ltd, New Delhi. It only remains for me to thank him and his team.
Roshan Lall Gupta