Subramanian Nachiappan

Learn More
Textile supply chains consist of multinational garment retailers (customers), garment manufacturers (suppliers), and ancillary suppliers (suppliers to manufacturers). This paper evaluates suppliers’ within the Indian textile and clothing industry (both garment manufacturers and ancillary suppliers) using sustainability criteria. Examining a sample of(More)
OBJECTIVE This study aims to determine the role of the neutrophil to lymphocyte ratio (NLR) as a prognostic marker for patients with nonmetastatic colorectal cancer undergoing curative resection. BACKGROUND An NLR reflects a systematic inflammatory response, with some evidence suggesting that an elevated preoperative NLR of more than 5.0 is associated(More)
Surgeons have attempted to minimize postoperative anastomotic complications by employing intraoperative tests and manoeuvres to assess colorectal anastomotic integrity. These have evolved over time with improvement in operative technology and techniques. This systematic review aims to examine the impact of such intraoperative assessments. A systematic(More)
BACKGROUND Several studies including two meta-analyses have showed that delay between surgery and adjuvant chemotherapy adversely impacts colorectal cancer survival. This study investigated this impact at a population level over a fifteen year period in England. METHODS The Hospital Episode Statistics database was analysed between 1997 and 2012. Colonic(More)
Incisional hernia is a significant complication in patients undergoing elective laparotomy. Its incidence is increased in patients with risk factors, such as obesity and chronic respiratory disease. The purpose of this pooled analysis was to evaluate the use of prophylactic mesh placement following laparotomy in high-risk patients. A systematic literature(More)
Anastomotic leakage is a serious complication in restorative colorectal surgery. Anastomotic leakage and its subsequent management may have long-term impact on survival. This study aims to assess the impact of colorectal anastomotic leak (AL) on overall survival (OS) and disease-free survival (DFS). A prospective database of 1,048 patients undergoing(More)
To the Editor: W e would like to commend Merkow et al1 for their rigorous assessment of a composite outcome-based quality measure for colonic resectional surgery. We concur with the authors’ suggestion and the available evidence2,3 that outcome measures may be superior to process measures in assessing hospital quality. The authors have used 30 days as a(More)
Laparoscopic surgery is being increasingly used in colorectal cancer resections. The aim of this national study was to determine whether laparoscopy confers a long-term survival advantage in colorectal cancer. A national administrative data set (Hospital Episode Statistics—HES) encompassing all elective hospital admissions in England between 2001 and 2011(More)