B. Ramana

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General surgeons have traditionally been comfortable using intracavitary (i.e., the cavity of the cyst) approaches to the management of hydatidosis of the liver. Many ingenious approaches (including the use of a liposuction machine [1]) have been proposed to make the surgery easy and safe, with the prevention of spillage and anaphylaxis given the highest(More)
Rubella is a common cause of rash and fever during childhood. However, its public health importance relates to the teratogenic effects of primary rubella infection occurring in pregnant women, which can lead to fetal death with spontaneous abortion or to congenital defects in surviving infants. Most of the cases are asymptomatic and difficult to diagnose on(More)
On holding the book The Physiologic Basis of Surgery, Fourth Edition, one feels the effects of an immediate and powerful surge of the yet to be described stress hormone ‘‘intimidol.’’ The same feeling that one gets when disrobing a brand new textbook known by its legendary original name, be it a ‘‘Maingot,’’ a ‘‘Blumgart,’’ or a ‘‘De Vita.’’ After all, the(More)
The surgeon of 21st century United States or Europe is likely to be more concerned about his hospital’s methicillin-resistant Staphylococcus aureus problem than the fate of a parasite that haunts 40% of the world’s population. Malaria, to a New York surgeon, is an archaic and irrelevant disease of the last century. To the surgeon of the clichéd Third World,(More)
Images in Clinical Surgery is a neat book dealing with the classic ‘‘short case’’ seen in general surgery examinations. The book contains clear, bright photographs of common cases that the graduate and postgraduate examinee in surgery is expected to identify at a glance and then face the subsequent ‘‘music.’’ The book may even, in my humble opinion, be of(More)
Ready to write a review of this book, I sent a top-secret memo to the Editor-in-Chief of WJS (the one we lowly reviewer-types call the Big Man). I asked: ‘‘As the review is not a scientific article, may I use popular descriptions like ‘‘this book is [#*!$%]ing brilliant’’ or something similarly discreet?’’ The curt reply came quickly: ‘‘Maybe not.’’ So,(More)
Laparoscopic approaches to the repair of groin hernias are now almost passé in most countries around the globe, although, admittedly, a few surgeons are comfortable doing these operations on a routine basis. One of the important reasons that laparoscopic repairs have fallen out of favor relates to the difficulty of performing a laparoscopic hernioplasty(More)
One of the cloudy areas of surgical practice has been wrong-site surgery along with wrong-patient and inappropriate surgery. It has been estimated that these ‘‘neveragain events’’ occur to the tune of 75 cases each year in the United States [1]. Not surprisingly, figures for the Third and Fourth Worlds are not forthcoming as the twenty-first century has(More)
In this study [1] of 71 cases of SIH, the authors make their case for an open retromuscular mesh repair with lightweight polyester using full-thickness sutures to anchor it. At first glance, this seems to be unexceptional, save for the impressive numbers in the study of a hernia type that is not as common as the umbilical, for example. However, I take issue(More)
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