Edited by Roshan Lall Gupta MS FRCS (Edin) FRCS (Eng) FACS
Emeritus Professor of Surgery LLRM Medical College
Meerut, India
Recipient of the BC Roy National Award Eminent Teacher in 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
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Recent Advances in Surgery—11
© 2009, 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: 2009
9788184485660
Typeset at JPBMP typesetting unit
To
Indira
(22.06.1932 — 14.11.2007)
7Contributors
- N Ananthakrishnan ms frcs (edin) frcs(glasg) mnams fams
- Director, Perunthalaivar Kamaraj
- Medical College and Research Institute, Puducherry
- Sneh Anand be mtech phd
- Professor and Head
- Centre for Biomedical Engineering
- Indian Institute of Technology
- Delhi
- Savio G Barreto ms
- Research Fellow
- Gastrointestinal and Hepato-Pancreato-Biliary Service
- Department of Surgical Oncology
- Tata Memorial Hospital
- Parel, Mumbai
- Shirish K Bhansali ms frcs (eng) facg (usa) facs fics
- Director, Department of General
- and Gastrointestinal Surgery
- Jaslok Hospital and Research
- Centre
- Consultant Surgeon
- Breach Candy Hospital, Mumbai
- MG Bhat ms frcs (edin) frcs (eng) fics dmi rcs (ed) dmle (law)
- Consultant, Gastroenterology and Laparoscopy
- Wockhardt Hospital
- Bannerghatta Road, Bangaluru
- Vasureddy Challa mbbs
- Department of Surgical Disciplines
- All India Institute of Medical
- Sciences, New Delhi
- Pradeep Chowbey ms mnams fimsa fais fics
- Chairman, Minimal Access and Bariatric Surgery Centre
- Sir Ganga Ram Hospital
- New Delhi
- Anita Dhar ms dnb
- Assistant Professor of Surgery
- All India Institute of Medical
- Sciences
- New Delhi
- HG Doctor ms frcs fics fais
- Retired Honorary Professor of Surgery and Hon Surgeon
- Grant Medical College and JJ
- Hospital, Mumbai
- Neerja Gupta md (ped) dm (med gen)
- Senior Research Officer
- Department of Pediatrics
- (Genetic Division)
- All India Institute of Medical
- Sciences
- New Delhi
- Parthapratim Gupta ms (gen surg) mch (ped surg) frcs (ed) frcs (glasg)
- Professor and Head
- Department of Surgery
- Institute of Child Health
- Kolkata
- Roshan Lall Gupta ms frcs (edin) frcs (eng)
- Emeritus Professor of Surgery
- LLRM Medical College
- Meerut
- Bhupendra Kumar Jain ms mams fais fics
- Professor and Head
- Department of Surgery
- Guru Teg Bahadur Hospital and University College of Medical
- Sciences, Delhi
- Mohit Kumar Joshi
- ms dnb (gen surg)
- Lecturer, Department of Surgery
- Guru Teg Bahadur Hospital and University College of Medical
- Sciences, Delhi
- Madhulika Kabra md (pediatrics)
- Additional Professor
- Division of Genetics
- Department of Pediatrics
- All India Institute of Medical
- Sciences, New Delhi
- AK Khanna ms mnams mba dsc facs fics
- Professor and Head
- Department of Surgery
- Institute of Medical Sciences
- Banaras Hindu University, Varanasi
- Ram Kasthuri mbbs mrcs frcr
- Consultant
- Interventional Radiologist
- North Glasgow University
- and Hospitals
- 1053 Great Western Road
- Glasgow G12 0YN
- Vikram Kate ms frcs (ed) frcs (glasg) phd (ge) mams facs
- Professor, Department of Surgery
- Jawaharlal Institute of Postgraduate
- Medical Education and Research
- Puducherry
- Vikram R Lele md(med) drm dnb (nucl med)
- Chief Department of Nuclear
- Medicine and PET-CT
- Jaslok Hospital and Research
- Centre, Mumbai
- Puneet ms dnb
- Assistant Professor of Surgery
- Department of Surgery
- Institute of Medical Sciences
- Banaras Hinu University,
- Varanasi
- Poonam Patil
- Consultant and Head
- Medical Oncology
- Manipal Hospital
- Airport Road, Rustom Bagh
- Bangaluru
- RSK Pavoor ms
- Research Fellow
- Department of Surgical Oncology
- Tata Memorial Hospital
- Parel, Mumbai
- G Sivaram mbbs
- Department of Surgery
- Jawaharlal Institute of Postgraduate
- Medical Education and Research
- Puducherry
- Shailesh V Shrikhande ms
- Associate Professor and Consultant
- Surgeon, Gastrointestional and Hepato-Pancreato-Biliary
- Surgery Unit
- Tata Memorial Hospital
- Ernest Borges Marg
- Parel, Mumbai
- Parul J Shukla ms frcs
- Gastrointestinal and Hepato-Pancreato-Biliary Service
- Department of Surgical Oncology
- Tata Memorial Hospital
- Parel, Mumbai
- Anurag Srivastava ms frcs phd mph
- Professor of Surgery
- Department of Surgical Disciplines
- All India Institute of Medical
- Sciences
- New Delhi
I began working on number Eleven of the Recent Advances in Surgery series within weeks of a great upheaval at home. My beloved wife had only just passed on after a long illness. But I knew that solace was only to be found within the certainties—and challenges—of surgery.
This volume chronicles some of those challenges, which have been faced down by surgical practitioners around the world through innovation and technique.
The updates on various areas of surgery is a reminder of their value in growth and evolution. The chapter on how to manage mass casualties in terrorist attacks is sadly needed in much of the world now. Stem cell research and tissue engineering is noteworthy as this is the need of the time. The radioisotopes in diagnosis, molecular approach to treatment, genetics, interventional radiology and the bio-mechanical insight into wound healing, depict a healthy integration of various scientific disciplines. The six sigma methodology illustrates the extent to which surgical care, like any other field needs quality improvement tools.
I would like to thank the contributors to this volume for generous sharing of their insight and knowledge. This 300 page book contains only a fraction of their vast cumulative experience.
As always I am grateful to my publisher, Shri Jitendar P Vij (Chairman and Managing Director) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi and his team as I could not have completed the book without their support.
Roshan Lall Gupta