Mohan Joshi

Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

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Minakshi Gadhire

Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

Dharmesh Balsarkar

Topiwala National Medical College & BYL Nair Charitable Hospital

Mansha Singh

Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

Minakshi Gadahire

Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

Vishwajeet Pawar

Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

Kanchan Sachanandani

Homi Bhabha National Institute

Jaskaran Singh Saini

MemorialCare Health System

Mahendra Chandak

Ramesh Bharmal

Topiwala National Medical College & BYL Nair Charitable Hospital

Rakesh Bhadade

Topiwala National Medical College & BYL Nair Charitable Hospital

Cooperative Institutions

Topiwala National Medical College & BYL Nair Charitable Hospital

Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

Victoria Hospital

Tata Memorial Hospital

Creative Commons

Homi Bhabha National Institute

Advanced Centre for Treatment, Research and Education in Cancer

Neurogen Brain & Spine Institute

King Edward Memorial Hospital and Seth G.S. Medical College

Post Graduate Institute of Medical Education and Research

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Recurrent inflammatory pseudotumor of small bowel mesentery presenting as perforative peritonitis.

PubMed (2002)

Dharmesh Balsarkar N U Ranadive Madhuri Gore Mohan Joshi

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Citations (5)

C-REACTIVE PROTEIN LEVELS IN ACUTE PANCREATITIS AND ITS PROGNOSTIC SIGNIFICANCE

Journal of Evolution of Medical and Dental Sciences (2013)

Mohan Joshi Aditya A. Joshi Avantee V. Gokhale Priyadarshini Manay Minakshi Gadhire

AIM: To measure C-reactive protein (CRP) levels in patients of acute pancreatitis and evaluate if CRP levels predict the severity of pancreatitis by correlating these levels with-1.C T Severity Index (CTSI).2. Presence of complications.3. Time taken for recovery.METHOD: Between the years 2007 and 2009 fifty patients diagnosed to have acute pancreatitis were included in this study.Their CRP levels were sent on second day of admission and CT scan done after 72 hours of admission.RESULTS: CRP levels of 63mg/dl and above are significantly associated with increased time to recovery (R>7D), (p-0.004).A significant association was seen between the presence of complications and a CTSI >7, (p-0.0002).There was no significant correlation or association between the CRP levels and CTSI as indicated by a value of 0.040528 (test of correlation) and p-<0.05.CONCLUSION: High serum CRP levels have predicted prognosis as well as mortality in this study.CTSI can be a very accurate predictor of development of complications in a case of acute pancreatitis. INTRODUCTION:Acute pancreatitis is major cause of acute abdominal pain.The clinical presentation of the acute pancreatitis is variable.Most of these patients recover without specific complications.Some patients however display severe complications such as pancreatic as cites and pancreatic necrosis; these patients show high morbidity and mortality.The role of diagnostic markers (pancreatic enzymes such as amylase and lipase) as prognostic indicators has been a failure.Other biochemical markers like CRP, pro-calcitonin and the like are under evaluation as prognostic indicators.CRP estimation is cheap and easily available.In this study we have attempted to see if a single and early estimation of CRP levels is an effective predictor of morbidity and mortality in acute pancreatitis.We have attempted association between CRP, radiological imaging, and the clinical features and outcome of acute pancreatitis. MATERIALS AND METHODS:Between the years 2007 and 2009 fifty patients admitted in LTMGH in the departments of General Medicine and General Surgery with a diagnosis of acute pancreatitis were studied.This is an observational study to evaluate whether the C-reactive protein (CRP) levels predict the severity of pancreatitis by co-relating these levels with CT severity index.Tests of association were applied between CRP levels and presence of complications, and time taken for recovery.These patients were diagnosed on the basis of presenting symptoms and clinical signs and serum amylase & lipase levels.In patients in whom diagnosis was confirmed, serum CRP levels were sent on day 2 of admission and patients subjected to a contrast enhanced CT scan of the abdomen in 72 hours after admission.Patients were observed for development of complications, both local and

10.14260/jemds/1629

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Study of the outcome of modified shoelace repair for midline incisional hernia

Hernia (2014)

Mohan Joshi Mansha Singh Minakshi Gadhire

Incisional Hernia

10.1007/s10029-014-1234-8

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Citations (9)

Preparedness, administrative challenges for establishing obstetric services, and experience of delivering over 400 women at a tertiary care COVID‐19 hospital in India

International Journal of Gynecology & Obstetrics (2020)

Niraj N. Mahajan Rahi Pednekar Sarika Patil Alka A. Subramanyam Surbhi Rathi

Preparedness

Pandemic

Tertiary care

10.1002/ijgo.13338

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Citations (43)

Rupture of splenic artery pseudoaneurysm presenting with massive upper gastrointestinal bleed

The American Journal of Surgery (2002)

Dharmesh Balsarkar Mohan Joshi

Pseudoaneurysm

Bleed

Upper Gastrointestinal Bleeding

Gastrointestinal bleeding

Pancreatic pseudocyst

10.1016/s0002-9610(01)00872-8

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Citations (20)

A rare case of migration of a T-tube into the duodenum

Endoscopy (2014)

Mohan Joshi Minakshi Gadhire Mansha Singh Raghav Shrotriya

Migration of a biliary stent from the intrahepatic biliary tract into the duodenum is a known complication after endoscopic retrograde cholangiopancreatography (ERCP). The procedure to remove these stents has also been reported in the literature. We report on a case of T-tube migration into the duodenum, and describe the cause of migration and the technique to remove the migrated T-tube. This has particular relevance to cases in which ERCP fails to remove large impacted calculi or when the terminal common bile duct (CBD) is narrow. These patients then undergo surgical removal of CBD stones.

Biliary stent

10.1055/s-0034-1364943

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Citations (2)

JEJUNAL DIVERTICULAR PERFORATION : A RARE CAUSE OF ACUTE ABDOMEN

Journal of Evolution of Medical and Dental Sciences (2015)

Kanchan Sachanandani Manish Jethani Minakshi Gadhire Mohan Joshi

Jejunal diverticulosis is generally seen in elderly patients, and is relatively rare.Jejunal diverticula are generally asymptomatic, thus are usually only incidentally detected.Jejunal diverticulosis is sometimes associated with complications like small bowel obstruction, bleeding, or perforation.We present a case report of a 56 year old male who presented with jejunal diverticular perforation.

Acute abdomen

Perforation

10.14260/jemds/2015/351

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ABDOMINAL COCOON SYNDROME

Journal of Evolution of Medical and Dental Sciences (2013)

Minakshi Gadhire Mansha Singh Mohan Joshi

Abdominal cocoon syndrome is characterized by encapsulation of the small bowel by a fibrous peritoneal sac.We describe the case of a middle aged male patient who presented with sub acute intestinal obstruction.Treatment involves exploratory laparotomy, excision of the sac and adhesiolysis.Early post operative small bowel obstruction is a rare entity in this disease and can be managed conservatively.It is important to have a high degree of suspicion as Abdominal cocoon syndrome has variable clinical presentation and non specific imaging findings.

10.14260/jemds/473

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Profile of initial 500 COVID-19 cases at a tertiary care center of western India

The Journal of Association of Chest Physicians (2022)

Parikshit Thakare Vishal Rakh Ketaki Utpat Sandeep Sharma Unnati Desai

Background: Coronavirus disease 2019 (COVID-19) pandemic occurring due to the novel corona virus has impacted the world and caused global healthcare crisis with loss of precious lives. The scarcity of data pertaining to the profile of its manifestations continues to be a hurdle to clarity in understanding, protocol formation, and hence patient management. Methods: The objective of this study is to report the initial experience with demographic profile and clinical presentation of the patients presenting at a tertiary care center in western India which is converted into a dedicated COVID hospital. This is a retrospective observational study of initial 500 cases presented to our institute between March 26 and April 30, 2020. The demography data, clinical parameters, associated comorbidities, and outcome parameters were noted and analyzed. Results: The mean age of the study population was 45.13 years with almost equal male and female preponderance. Out of total cases, 113 cases were critical. The most common comorbidities noted were hypertension and diabetes. Total 84 patients died due to COVID-19 infection. Conclusion: COVID-19 is common in adult age group with almost equal male to female preponderance. Most of the cases were stable patients. Out of the critical subgroup, more than half cases required oxygenation and one-fifth cases required ventilatory management. Majority of the cases recovered with a favorable outcome and they were either discharged or transferred to a step down facility.

Pandemic

Tertiary care

10.4103/jacp.jacp_50_21

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Citations (0)

Prospective randomized comparative study of skin adhesive glue (2- methyl -2- cyanopropionate or cyanoacrylate) versus conventional skin suturing by suture material/skin stapler in clean surgical cases

International Surgery Journal (2017)

Arjun Pawar Mohan Joshi Meenakshi Gadhire Raghav Shotriya Bankat Phad

Background: To compare cosmetic appearance of skin closure wound by three methods -sutures, staples and skin adhesive glue. Traditional skin closure using sutures causes more pain, infection, needs its removal, time consuming and leaves behind bad scar. Nowadays, good cosmetic appearance of operated site is appealing among patients. Surgeons are looking for faster, comfortable and cosmetically best technique for skin closure. Newer techniques need to be evaluated which are better than suture and staples. 2-octylcyanoacrylate is easier to use, flexible, water resistant, pain free sealed skin closure without its need for removal and has better cosmesis.Methods: This study is conducted from July 2010 to April 2013 in 90 patients at LTMG Hospital. Wounds of clean surgeries closed with suture material, skin staples and skin adhesive glue were studied in 30 patients each. Patients were randomized using standardized methods. Patients followed up over period of 28 days and their scars were assessed according to the modified Hollander cosmesis scale(MHCS) and cosmetic visual analogue scale(VAS). Patient allotment was done using random number table.Results: Mean MHCS score for skin adhesive group on day 7 was 4.83 which was significantly more than 3.90for suture and 3.97 for stapler. Mean VAS score for skin adhesive group on day 7 was 67.67 which was significantly more than 61.67 for suture and stapler each. Mean MHCS and VAS score for skin adhesive group on day 7, 14 and 28 were significantly more than suture and stapler groups.Conclusions: Octylcyanoacrylate can be used for skin closure in clean elective surgeries with better cosmetic outcome as compared to staples and sutures.

Cosmesis

GLUE

10.18203/2349-2902.isj20175889

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Citations (5)