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Surgical handover in a Sri Lankan setting: problems, pitfalls and prevention of error

Keragala, T.S.; Deen, K.I.; Liyanage, C.A.H. (The College of Surgeons of Sri Lanka, 2011)

INTRODUCTION:Effective clinical handover ensures continuity of patient care. There is little evidence regarding clinical handovers in the Sri Lankan setting assesses the effect of standardised pro-forma on clinical data ...

Pre-operative hypoalbunaemia is associated with poor overall survival in rectal cancer.

Chandrasinghe, P.C.; Ediriweera, E.P.D.S.; Kumarage, S.K.; Deen, K.I. (The College of Surgeons of Sri Lanka, 2012)

INTRODUCTION: Serum albumin is a marker of nutrition and inflammation. It has recently emerged as a predictor of outcome after surgery for rectal cancer. Our aim was to evaluate if pre-operative serum albumin would predict ...

A new on-table colonic irrigation device- results of a pilot study

Sabaratnam, V.Y.; Deen, K.I.; Kim, J.H. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: Management of left colon obstruction either by primary anastomosis or by diversion almost always requires decompression and lavage of the colon. This will facilitate colonic mobilization primary anastomosis, ...

Accuracy of histopathology reporting in colorectalcancer (crc): we need a proforma

Siriwardana, P.N.; Rathnayaka, G.; Deen, K.I. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: The quality of a histopathology report in CRC will determine prognosis and the need for adjuvant therapy. OBJECTIVE: To evaluate the completeness of pathology reports in colorectal cancer.METHODS: ...

Cell kinetics in colorectal carcinoma progression: proliferation or apoptosis?

Hewavisenthi, S. J.; Obrien, J.; Powe, D.; Zaitoun, A. M. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUTION: The growth and development of tumours depend on the balance between cell proliferation and cell death apoptosis. Since the adenoma - carcinoma sequence is well established in colorectal ...

Outpatient flexible Cystoscopy: prospective single centre experience

Sabaratnam, V. Y.; Ariyaratne, M. H. J. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: Flexible cystoscopy is performed as an out patient procedure. OBJECTIVE: To audit the our experience of out patient flexible cystoscopy. Methods: Patients presenting with lower urinary symptoms (haematuria, ...

A comparative study of patients with pancreatic calcification in Sri Lanka

de Silva, M.; Selliah, S.; Thabrew, I. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: Although alcohol abuse is a common cause of pancreatic calcification in the west, a non-alcoholic form called Tropical caicific Pancreatitis (TCP) is recognized in Asian countries.OBJECTIVE: ...

Is cassava consumption related to tropical calcific pancreatitis in Sri Lanka

Siva, S.; de Silva, M.; Thabrew, I. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: Presence of calcification in the pancreas confirms the diagnosis of Chronic Pancreatitis. In the developing countries, a non alcoholic form referred to as Tropical Calcific Pancreatitis ...

Abdominal suture rectopexy without large bowel resection for rectal prolapse does not result in constipation: data from prospective bowel function evaluation, anorectal physiology and transit studies

Sabaratnam, V. Y.; Rathnayake, G.; Deen, K.I. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: Traditionally, suture rectopexy has been combined with sigmoid resection for rectal prolapse to prevent postoperative constipation. Furthermore, preservation of lateral ligaments will not result in ...

Detection of micrometastasis in LYMPH nodes using reverse transcription polymerase chain reaction (RT-PCR) for Cytokeratin 20 (CK-20): are we under staging rectal cancer

Wijesuriya, S.R.E.; Kuruppuarachchi, K.O.R.; Deen, K.I.; Weerasinghe, A.; Ramesh, R.; Hewavisenthi, J. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: Postoperative adjuvant chemotherapy in rectal cancer is determined by the presence of metastases in lymph nodes. Detection of LYMPH node metastases is routinely performed by light ...

The prevalence of urinary and sexual dysfunction following rectal excision

Perera, M.T.P.R.; Ratnayake, G.; de Silva, G.S.; Deen, K.I. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: With improved survival following rectal excision for cancer and focus on nerve sparing operation, recent interest has centered on urinary and sexual dysfunction. OBJECTIVE: To identify ...

Result of trans-anal inter-sphincteric resection(taisr) combined with total mesorectal excision (ime) and colo- anal anastomosis for distal rectal cancer

Deen, K.I.; Rajendra, S.; Hewavisenthi, J.; Perera, M.T.P.R.; Satheesan, B. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: The treatment of distal rectal cancer is controversial. Most prefer abdomino-perineal excision because of the potential for wide local clearance. Staplers have limitations in restorative resection ...

Training in laparoscopic cholecystectomy: lessons from a structured training programme

Sabaratnam, V.Y.; Deen, K.I. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: Data have shown that structured training in Laparoscopic cho!ecystectomy (LC) reduces morbidity and mortality related to the learning curve. OBJECTIVE: This study was performed to evaluate ...

Thyroidectomy: no place for routine drainage- experience of two centres

Fernando, R.; Esufali, S. T. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: Insertion of drains following thyroidectomy is considered a 'hallowed' practice. This practice has remained unchallenged because of fear and tradition. There is sufficient scientific evidence to show that ...

Clinical outcome of patients having neo-adjuvant therapy(NAT) for rectal cancer: a case control study

Wijesuriya, S.R.E.; Deen, K.I.; Hewavisenthi, J.; Ratnayake, G. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: From July i 999 we have employed NAT on a selective basis in the management of rectal cancer. OBJECTIVE: To explore the value of NAT in patients with rectal cancer in the short term. To study the ...

Laparoscopic assisted colorectal resection; is it safe? does it provide a good quality specimen?

Sabaratnam, V. Y.; Deen, K.I. (The College of Surgeons of Sri Lanka and SAARC Surgical Care Society, 2003)

INTRODUCTION: Laparoscopic assisted resection (LAR) of Jarge bowel is now at accepted standard hybrid procedure in minimally invasive colonic surgery. OBJECTIVE: To compare the safety and quality of ...

Prediction of fetal distress at labour at term

Dias, T. (Sri Lanka College of Obstetricians & Gynaecologists, 2016)

“Fetal distress”, commonly described by fetal hypoxia or compromise of the fetus during antepartum or intrapartum period, adversely affects the fetal outcome during pregnancy. Ability of early detection of fetal distress ...

Evaluation of the proportion of Genetic Disorders detected at prenatal testing in a Tertiary fetal medicine referral centre

Padeniya, A. G. P. M.; Dias, T. D.; Punchihewa, C. (Sri Lanka College of Obstetricians & Gynaecologists, 2017)

OBJECTIVE: Prenatal suspicion of fetal chromosomal aneuploidies is the most common indication for invasive prenatal testing. Amniocentesis followed by genetic testing for chromosomal aneuploidies is the diagnostic technique ...

A multicentre study on pattern of fetal anomalies detected in Sri Lanka

Padeniya, A.G.P. M.; Dias, T.D.; Ediriweera, D.S.; Mendis, B.M.I.U. (Sri Lanka College of Obstetricians & Gynaecologists, 2017)

OBJECTIVE: Prenatal diagnosis is a rapidly evolving specialty in modern medicine. The mid-trimester scan has been an important practice in safe antenatal care which predicts birth defects of the developing fetus. This scan ...

Fetal cardiac ultrasonography: An optimum gestational age of assessment

Perera, M. N. I.; Kulasinghe, I. R. M. M.; Dias, T. D. (Sri Lanka College of Obstetricians & Gynaecologists, 2017)

OBJECTIVE: To identify the ability of acquiring fetal cardiac images at different gestational age windows using ultrasound scan. DESIGN, SETTING AND METHOD: This was a prospective descriptive study using ultrasound machine ...

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