Biju Aravind

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Dear sir, With great interest we read the ‘‘Management of acute paraesophageal hernia’’ which was published in Surgical Endoscopy [1] .We totally agree with the conclusions of the authors which recommended dissemination of the practice of laparoscopic management of acute obstructed paraesophageal hernia (PH) as it is a safe and feasible procedure that(More)
Dear Editor: We read with interest the article on the efficacy of subcutaneous lateral internal sphincterotomy (SLIS) for chronic anal fissure. The important outcome was the low incidence of incontinence (6%) as against that quoted in literature. We believe the technique and supervision of an experienced consultant could be the contributing factor, which(More)
Dear Editors, We read with interest the article of Garrett et al. [1] which has been published in the Surg. Endosc. We complement the authors on an impressive case series that addresses the issues of elective laparoscopic resection in diverticular disease. However, we think their report would benefit from a few minor clarifications. By including every(More)
Cutaneous metastasis is considered as an advanced presentation of colorectal cancer and mostly managed with palliative measures. We present a case report where such a case was radically treated with good result and review such reports published in literature. This shows a distinct subgroup that could benefit from such radical approach.
Dear Editors: Re: Combined laparoscopic–endoscopic resections of colorectal polyps: 10-year experience and follow-up. Wilhelm et al. Surg Endosc (2009) 23:688–693. This report tries to answer the question regarding the feasibility of laparoscopically assisted resection of difficult ‘‘benign’’ polyps. It would have been useful if the report had(More)
Dear Editors: RE: Skala K, Gervaz P, Buchs N, Inan I, Secic M, Mugnier-Konrad B, Morel P. Risk factors for mortality– morbidity after emergency–urgent colorectal surgery. Int J Colorectal Dis 24:311–6, 2009. There are a number of scoring systems which exist, but they often have a large data burden or are hard to calculate, and the authors have tried to(More)
This large case series highlights recent advancement in endoscopic management of mucosal lesions of the colon and presents the method with useful figures. We would like to draw attention to a number of details. It would have been useful to have more detail relating to perforation regarding the size, site and type of polyp resected. While one would expect a(More)
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