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Surgery Thesis Topics for MS /DNB. 

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Below is the list of 100 free Surgery thesis topics for MD/DNB. You can select any good Surgery thesis topics for MD/DNB from here. For more thesis topics you can avail the service of premium Surgery thesis topics. The premium Surgery thesis topics include list of 2000+ premium and updated Surgery thesis topics as well as recent Surgery topics which has been published in various national and international Surgery journals. 

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• A study of morbidity associated with temporary loop ileostomy in perforation peritonitis cases
• Investigation of hyperbilirubinemia in amoebic liver abscess patients
• Comparison between ‘Fistulectomy’ and ‘Fistulotomy with marsupialisation’ for treating simple anal fistula: A randomized clinical trial
• Quality of life and rehabilitation requirements of breast cancer survivors
• Assessing lingual mucosal grafts in urethral stricture management
• Correlation between coagulation markers and axillary lymph node metastasis in breast carcinoma
• A clinico-bacteriological examination of post-surgical wound infections
• A controlled examination of risk factors in benign prostatic hyperplasia and prostate carcinoma patients
• Hyperbilirubinemia as a novel diagnostic predictor of gangrenous/perforated appendicitis
• Comparative analysis of elective laparoscopic cholecystectomy with vs. without antibiotic prophylaxis
• Effects of adding levamisole to standard anthracycline-based preoperative chemotherapy on local immune response in invasive breast carcinoma
• Impact of laparoscopic cholecystectomy on gastroesophageal reflux via 24-hour ambulatory esophageal pH monitoring
• The utility of video-assisted thoracoscopic surgery (VATS) in chest trauma patients not improving as expected on tube thoracostomy: A forward-looking clinical trial
• Utility of radioiodine (131 I) uptake and technetium (99m Tc) scans in evaluating thyroid function post-subtotal thyroidectomy for multinodular goitre
• Predicting laparoscopic cholecystectomy challenges using clinical and ultrasonographic criteria
• A prospective, randomized clinical comparison of phytotherapy and potassium citrate in managing mild renal stone disease
• Diagnostic laparoscopy role evaluation in nonspecific abdominal pain patients and its correlation with clinical and imaging findings
• Clinical outcome assessment of laparoscopic anterior partial fundoplication for gastroesophageal reflux disease (GERD)
• Efficacy comparison of ultrasonically activated scalpel (harmonic scalpel)® vs electrocautery in gallbladder removal from the gallbladder bed Role of diagnostic modalities in assessment of Solitary thyroid nodule and management.
• Impact of open tension-free bilateral mesh inguinal hernioplasty on vas deferens functionality
• A comparative study of preservation vs division of ilioinguinal iliohypogastric, and genital nerves during lichenstein hernioplasty.
• A prospective clinical study of acute intestinal obstruction.
• A prospective clinical study of duodenal perforation.
• A prospective clinical study & management of umbilical & para umbilical hernia in adults.
• A prospective clinical study on mass in the right iliac fossa.
• A prospective clinical study of acute appendicitis and evaluation of Alvardo score in the diagnosis”.
• A prospective study on management protocols of lump breast depending on FNAC-excision biopsy and its histopathological correlation.
• A prospective clinical study on gastro intestinal perforation.
• A prospective clinical study on benign thyroid swellings”.
• A prospective clinical study and management of incisional hernia.
• A prospective clinical study of acute peritonitis”.
• A prospective clinical study of benign breast disorders”.
• A prospective clinical study of efficacy of band ligation in the treatment of second-degree haemorrhoids”.
• A prospective clinical study and management of blunt trauma abdomen”.
• A prospective clinical evaluation and management of cholelithiasis”.
• A prospective clinical study and management of varicose veins in the lower limb”.
• Acute intestinal obstruction in adults”
• Comparative study of anatomical repair and lichenstein repair for inguinal hernia.
• Different strategies ( i.v. Lidocaine & gum feeding ) to shorten post surgical ileus — A prospective study.”
• Hyperbilirubinemia and crp as predictors of appendiceal gangrene / perforation — A prospective study
• A clinical study on duodenal perforation”
• A clinical study and different modalities of treatment in ventral hernias.
• Clinico-etio-pathological study of liver abscess.
• Clinical study of acute appendicitis with ference to clinical presentation, treatment and follow up.
• A randomized case control clinical trial to compare antibiotic versus normal saline instillation into the peritoneum in the management of secondary peritonitis.”
• Efficacy of fine needle aspiration cytology in the pathological diagnosis of solitary thyroid nodule.
• Comparative study of laparoscopic and open cholecystectomy for symptomatic stone diseases.
• A prospective study of incidence of malignancy in multi nodular goiters.”
• Evaluation and management of diabetic foot according to wagner’s classification”
• Study on clinical presentation and various modalities of treatment of gall stone disease”
• A clinical study of conventional dressing in diabetic wounds”
• A clinical study of peritonitis
• A clinical study of benign breast disorders”
• A case study of 100 cases of acute abdomen excluding trauma cases with reference to epidemiology and management”
• A clinical study of acute appendicitis and evaluating alvarado score in diagnosis and treatment”.
• Utility of surgical apgar score in predicting post operative morbidity and mortality in general surgical procedures.
• A clinical study of resection and anastomosis of bowel in our surgical practice.
• Role of diagnostic laparoscopy for staging in abdominal malignancies .”
• Clinico pathological study of chronic cervical lymphadenopathy.
• Incidence of SSI in elective abdominal surgery.
• A prospective  comparative study of open vs laparoscopic appendicectomy.
• Study of clinical features & management of benign ulcers of the leg & foot.”
• A clinical study of abdominal wound dehiscence.”
• A clinical study of post operative complications of thyroidectomy.”
• A clinical study of hollow viscus perforation. “
• Port site infiltration and intra peritoneal injection of bupivacine vs conventional analgesics in controlling post operative pain following laparoscopic surgeries.”
• Effect of platelet rich plasma on wound healing of leg ulcers. ”
• The study of antibiotic prophylaxis in clean and clean contaminated surgical wounds .”
• Evaluation of upper abdominal pain by upper gastrointestinal endoscopy.”
• Accuracy of ultrasonography in acute and chronic abdominal conditions .”
• Comparative study of topical application of 2% diltiazem and lateral sphincterotomy of chronic fissure in ano. ”
• Clinico pathological study of salivary gland swellings.”
• Role of endoscopic iii ventriculostomy in the comprehensive management of hydrocephalus.”
• A comparative study of clinical findings, ultrasonography and histopathology in benign breast diseases.
• Comparative study between conservative dressings and dressings with papain – urea & silver colloid in case of skin ulcers.
• A case study on post — operative wound infections. “
• A comparative study of open vs laparoscopic hernia repair for umbilical and para umbilical hernia”.
• Evaluation of portsmouth — possum scoring system in assesing the surgical outcome in general surgery patients”.
• A study of uncomplicated inguinal hernia repair as a day care surgery”.
• A clinical study to correlate between cytological and histopathological findings in diagnosis of multinodular goitre”.
• Management   of lower limb varicose veins conservatively and surgically based on ceap classification”.
• Comparative study of stainless steel staples closure of skin wound versus 3.0 ethilon closure”.
• Prospective analysis of outcomes in elderly patients undergoing laparotomies for gastro intestinal causes”.
• Clinico pathological study and management of blunt trauma abdomen
• A comparative study of colostrum dressing versus convential dressing in wounds.
• Evaluation of Mannheim’s peritonitis index in patients with peritonitis due to hollow viscus perforation”.
• Comparative study  between intermittent & continous suturing in emergency laparotomy”.
• A clinical study comparing pdgf dressing and vac dressing in diabetic ulcer”.
• Clinical study and management of solitary thyroid nodules
• A comparative study   of stapler haemorhoidopexy  versus  open haemorrhoidectomy”.
• Clinical study and management of incisional hernia with mesh repair.
• A clinical study to determine pre-operative predictive factors for difficult laparoscopic cholecystectomy.
• A study of clinical profile and management of non-thyroidal neck swellings.
• A comparative study of serum cholesterol, biiirubin,phospate and calcium in patients with gail stone and normal persons”.
• A clinical study of pancreatitis due to gail stone disease.
• A evaluation of alvarado scoring in diagnosis of acute appendicitis and its correlation with histopathological and operative findings”.
• A clinical study of post operative complications of thyroidectomy.
• A comparative study of percutaneous cathater drainage vs percutaneous needle aspiration in the treatment of liver abscess in teretiary care center.
• A prospective study on factors affecting the outcome in bowel anastamosis in tertiary care center, asram,eluru”.
• An analytical study of clinicopathological and predictive factors in diagnosis, management and outcome in necrotising fascitis”.
• A comparative study of topical phenytoin vs normal saline dressing in the healing of chronic diabetic foot ulcers — a randomized control study”.
• A prospective study comparing the effectiveness of apache ii and mannheim peritonitis index in predecting the outcome in patients with perforative peritonitis”.
• A clinical study of various prognosis factors for better management of diabetic foot.
• Study of breast lumps in females upto 40 years of age.
• A study of patients of HIV presenting with surgical emergencies.
• Clinical study of splenk injury in abdominal trauma and its management.
• A study of abdominal lumps,diagnostic evaluation and operative correlation.
• Study of trauma outcome using the triss method at a tertiary care center.
• Comparison between RTS and GAP scoring systems to predict survival in patients of trauma. (Revised trauma score and Glasgow coma scale- age-pressure)
• A study of the correlation of pre-operative risk factors and complications occuring during and after laparoscopic procedures.
• Study of management of upper gastrointestinal malignancies.
• Clinicopathological study of small bowel and related mesenteric tumours.
• Clinicopathological study and management of breast cancer.
• Role of hyperbaric oxygen therapy in chronic non healing diabetic foot ulcers.
• Neo-adjuvant chemotherapy in locally advanced carcinoma of breast.
• Study of non-Traumatic lower limb amputations.
• A comparative study of three port versus four port techniques in laparoscopic cholecystectomy.
• A prospective study of the common bile duct status during laparoscopic cholecystectomy by using intraoperative cholangiogram.

Disclaimer!

There are many methods of sample size determination. It is one of the first hurdle when someone starts writing a thesis. I have tried to give simplest way of determination of sample size. You need to show the method to your PG teacher before you include this method in your thesis. First confirm from your PG teacher and then only proceed.

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Home > FACULTIES > Surgery > SURGERY-ETD

Surgery Theses and Dissertations

This collection contains theses and dissertations from the Department of Surgery, collected from the Scholarship@Western Electronic Thesis and Dissertation Repository

Theses/Dissertations from 2023 2023

Malperfusion Syndrome in the Setting of Type A Aortic Dissection , Karama Yaslam Karama Bayamin

Use of Resting State Functional MRI and functional NIRS for Language Localization in Presurgical Evaluation of Children with Drug Resistant Epilepsy , Juan S. Bottan

A biomechanical comparison of a subacromial balloon spacer, superior capsular reconstruction, and a rigid subacromial spacer in a massive irreparable rotator cuff cadaveric model , Devin Ferguson

A Comparison of the Thulium Fiber Laser versus Holmium:YAG Laser Lithotripsy of Upper Urinary Tract Calculi: Preliminary Results of a Randomized Prospective Clinical Trial , Eduardo Gonzalez Cuenca

The Shared Contributions of the Capsule, Labrum, and Bone on the Suction Seal of the Hip , Alexander J. Hoffer

Remote assessment of finger joint range of motion: Validation of virtual techniques , Sasha G. Letourneau

Treatment of Blunt Cerebrovascular Injury - A Systematic Review and Meta-Analysis, Multicenter Retrospective Review, and Protocol for a Feasibility Randomized Controlled Trial , Jovana Momic

The changing landscape of orthopaedic surgery in Ontario: Where we are, where we have been, and where we are going. , Silvio Ndoja

Theses/Dissertations from 2022 2022

Breast Augmentation: The Current Landscape , Khalifa Sh. Al-Ghanim

The Biomechanical Effects of Glenoid and Humeral Lateralization on the Rotator Cuff Muscles in Reverse Total Shoulder Arthroplasty , Yousif Atwan

Hand Swelling after Hand and Wrist Surgery: An Evaluation of its Effects and Assessment of Feasibility of a Double Blinded, Randomized Controlled, Pilot Study: Tranexamic Acid in Hand And Wrist Surgery (THAW) Study , Kendrick Au

Biomechanical Characterization of Semi-Rigid Constructs and the Potential Effect on Proximal Junctional Kyphosis in the Thoracic Spine , Chloe Cadieux

Total Hip Arthroplasty in Young Patients , Aaron G. Chen

Development of a Novel Rodent Model of Radiation-Induced Implant Capsular Contracture , Tanya DeLyzer

Shockwave Lithotripsy of Upper Urinary Tract Calculi - Outcomes of a Multicentre International Prospective Observational Study , Fernanda C. Gabrigna Berto

The molecular landscape of early-stage breast cancer with lymph node metastasis , Farhad Ghasemi

Determination of the Protective Capacity of Hand Wraps in Combat Athletes Using Force Analysis , Eva M. Gusnowski

Severe lower extremity trauma in Ontario: A linked population-based analysis , Stephanie M. Kim

Topical Gentamicin and Vancomycin for Surgical Site Infection Prophylaxis in Patients 5. Undergoing High-Risk Vascular Surgery , Dominic LeBlanc

Comparison of Hip Navigation System Accuracy in Direct Anterior Approach , Jeremy Loh

Development of an On-Call Assessment Tool for Competency-Based Surgical Training , Eric C. Mitchell

The Impact of Frailty and Sarcopenia in Patients Undergoing Esophagectomy for Esophageal Cancer , Linda Chang Qu

Feasibility and Clinical Value of 3-Dimensional Myocardial Deformation Analysis by Computed Tomography in Transcatheter Aortic Valve Replacement Patients , Mohamad Rabbani

Decompression vs. Decompression and Fusion in Cauda Equina Syndrome Secondary to Massive Lumbar Disc Herniation , Ruheksh Raj

Radiographic Predictors of Functional Outcome in Degenerative Lumbar Spondylolisthesis Surgery , Patrick Thornley

The Role of Urinary Modulators in the Development of Infectious Kidney Stones , Brendan Wallace

Indocyanine Green Angiography in Pediatric Colorectal Surgery , Robin B. Wigen

Theses/Dissertations from 2021 2021

Exploring Methods for Improving Baseplate Fixation in Reverse Total Shoulder Arthroplasty , Sejla Abdic

The Antimicrobial Properties of Exogenous Copper in Human Synovial Fluid Against Staphylococcus aureus: An In-Vitro Study , Fernando Diaz Dilernia

Is there an increased risk of delirium among patients with overactive bladder treated with newer anticholinergic medication compared to a beta-3 agonist? , Khaled Ashraf Etaby

4DCT analysis of in-vivo carpal kinematics during FEM , Manisha R. Mistry

The impact of Quality-Based Procedures on radical prostatectomy outcomes in Ontario , Nickan Motamedi

The Effect of Obesity on Revision Total Knee Arthroplasty: Functional Outcome, Ninety-Day Costs, Reoperations, Readmissions and Cost-Effectiveness , Mohamad Nasser Eddine

PLeurodesis Using hypertonic Glucose administration to treat post-operative air leaks following lung resection surgery (PLUG): Phase I trial , Mehdi Qiabi

Biomechanical strategies to reduce subsidence in Posterior Lumbar Interbody Fusion procedures , Renan Jose Rodrigues Fernandes

Kinematics in Total Knee Arthroplasty , Allan Roy Sekeitto

Surgical Residency workload, perceptions and educational value: implications for competency- based medical education , Eric Walser

Theses/Dissertations from 2020 2020

Navigation and Patient Specific Instrumentation in Shoulder Arthroplasty , Joseph Cavanagh

Comparing Motion Outcomes in Salvage Procedures for Wrist Arthritis , Stacy Fan

Growth and Development Analysis of Unilateral Cleft Palate Patients at One, Five, and Ten Years , Katie Garland

The of Application of 3D-Printing to Lumbar Spine Surgery , Andrew J. Kanawati

Feasibility of Post-Operative Mobile Health Monitoring Among Colorectal Surgery Patients , Tanya Kuper

Ultrasound-Guided Resuscitation in Open Aortic Surgery - The AORTUS Trial , John H. Landau

Quadriceps Muscle Layer Thickness in Kidney Transplant Recipients: A Potential Measure of Frailty and Sarcopenia , Max A. Levine

Biomechanical analysis of Total Knee Arthroplasty performed on a 6 degree of freedom joint motion simulator linked to a virtual ligament model in mechanical and kinematic alignments , Jance McGale

Microorganisms in Presumed Aseptic Revision Hip and Knee Arthroplasty , Michael E. Neufeld

The effect of mTOR inhibitor rapamycin on a dietary Drosophila melanogaster model of calcium oxalate nephrolithiasis , Michael T. Pignanelli

Synergistic effects of Non Contact Induction Heating & Antibiotics on Staphylococcus aureus Biofilm , Rajeshwar Singh Sidhu

Lateral Subvastus Lateralis Versus Medial Parapatellar Approach for Total Knee Arthroplasty , Sahil Prabhnoor S. Sidhu

The Impact of Ethnicity and Immigration on Prostate Cancer Mortality in Canada , Noah Stern

Potential Use of Carbon Monoxide as a Non-Surgical Intervention in a Rat Model of Acute Compartment Syndrome , Patrick Qi Wang

The Examination of Expectations in Day-Surgery Patients and the Development of a Patient Satisfaction Questionnaire for Day-Surgery Patients , Tishara M. Wijayanayaka

Theses/Dissertations from 2019 2019

Post-Operative Analgesia Following Total Knee Arthroplasty: A Randomized Controlled Trial Comparing Regional Techniques , James H. Allen

Radial Head Stability in Anterior Monteggia Injuries: An In Vitro Biomechanical Study , Armin Badre

Examining the Relationship between Urinary Pathogens, Antibiotic Exposure and Urolithiasis , Jennifer Bjazevic

The Impact of Scaphoid Malunion on Wrist Kinematics & Kinetics: A Biomechanical Investigation , Spencer B. Chambers

Biomechanics Analysis of Anterior Cortical Perforation in Antegrade Femoral Nailing , Michael Ching

Academic Center Tiered Operating Room Strategy (ACTION): Comparing a High Efficiency OR to the Conventional OR , Moaz Bin Yunus Chohan

The Standardization Of Outpatient Procedure (STOP) Narcotics: A Prospective Non-Inferiority Study To Reduce Opioid Use In Outpatient General Surgical Procedures , Luke B. Hartford

VOice analysis with Iphones: a low Cost Experimental Solution , Benjamin van der Woerd

Theses/Dissertations from 2018 2018

Design, development, manufacturing and biomechanical testing of Stand-alone cage for posterior lumbar interbody fusion , Fahad Alhelal

Cost effectiveness of bilateral prophylactic mastectomy with and without different breast reconstruction techniques versus screening in women with high risk of breast cancer in the Canadian province of Ontario , badria Aljohani

The Impact of Free Radical Stabilization Techniques on In Vivo Property Changes in Highly Cross-Linked Polyethylene Acetabular Liners , Michael M. Decker .

Revision Total Knee Arthroplasty using a Novel 3D Printed Titanium Augment: A Cadaveric Biomechanical Study , Charles-Antoine Dion

Evaluation of Perioperative Peripheral Nerve Injury in Cardiac Surgery Using a Novel Automated SSEP Monitoring Device , Satoru Fujii

Collared Vs. Collarless Total Hip Arthroplasty In Both Direct Anterior And Direct Lateral Approach Surgery: A Prospective Cohort Comparison Study , Seb Heaven

A Randomized Controlled Trial of a Modified Cystoscopy Technique , Khalil Hetou

Investigating the pathogenesis of Staphylococcus aureus in periprosthetic joint infections , Santiago L. Iglesias

Acromial Insufficiency Fractures in Reverse Total Shoulder Arthroplasty: A Biomechanical Study , Alicia Kerrigan

Oncoplastic Surgery: Is It Time to Change? From Innovation to Adoption Using Mentorship Program , Eman Khayat

The Effects of Tracheal Occlusion on Wnt Signaling in a Rabbit Model of Congenital Diaphragmatic Hernia , Martina M. Mudri

Choice of implant filler in breast reconstruction: A study of the cost-effectiveness of saline and silicone implants , Kathleen Nelligan

Tibiotalar arthrodesis: development of a novel jig and alignment guide , Adam Mathew Ropchan

The Effect of Function-blocking RHAMM Peptides in a Mouse Model of Bleomycin-induced Systemic Sclerosis , Kitty Y. Wu

Aggregate morbidity and mortality of defunctioning loop ileostomy fro formation to closure: a large population retrospective cohort analysis , Mei Yang

Theses/Dissertations from 2017 2017

The Drosophila melanogaster model of human uric acid nephrolithiasis as a novel in vivo drug screening platform , Aymon N. Ali

Triple Positive Microparticles as a “Liquid Biopsy” for Risk Stratification of Prostate Cancer , Harmenjit Singh Brar

Prostate Cancer Microparticles in Men Undergoing Radical Prostatectomy , Malcolm James Dewar

The Effect of Radial and Ulnar Length Change on Distal Forearm Loading , Ahaoiza D. Isa

Bio-modulation of Primary Human Tenon’s Capsule Fibroblasts Using a Novel Application of Coated Magnesium , Xiangji LI

UNDERSTANDING TRANSITION INTO PRACTICE AFTER POST GRADUATE MEDICAL EDUCATION IN SURGICAL SPECIALTIES , Mohammed M. Malak

Resiliency in the Operating Room: Exploring Trainee Stress During Surgery and the Role of Individual Resilience , Richard Ng

Comparing Mid Lumbar Interbody Fusion (MIDLF) with Traditional Posterior Lumbar Interbody Fusion (PLIF) , Joel T. Phillips

Cost Effectiveness of Primary Total Hip Arthroplasty for Varying Levels of BMI , Karthikeyan E. Ponnusamy

Mechanical Properties of Retrieved Highly Cross-linked Polyethylene Acetabular Liners in Total Hip Arthroplasty , Gurpreet Singh

A Biomechanical Study Examining The Subacromial Balloon Spacer and Superior Capsular Reconstruction in the Treatment of Massive, Irreparable Rotator Cuff Tears , Supriya Singh

Combat Vascular Trauma: From Characterization to Innovation , Shane A. Smith

Effect of Carbon Monoxide-Releasing Molecule-3 on the Severity of Endothelial Dysfunction Due to Elevation of Hydrostatic Pressure in an In Vitro Model of Compartment Syndrome , Michel A. Taylor

The Promotion of Adipogenesis in a Rat Model of Radiation-Induced Mammary Fat Pad Fibrosis , Jessica Truong

Theses/Dissertations from 2016 2016

Physiological and psychological responses of surgeons and trainees , Sarantis Abatzoglou

The Effect of the GekoTM Device on Post Kidney and Pancreatic Transplantation Leg Edema , Bijad Alharbi

The Development Of Novel Imaging Modalities & High-throughput Drug Screening Platforms In The Drosophila Melanogaster Model of Human Calcium Oxalate Nephrolithiasis , Sohrab Naushad Ali

Physical Activity Levels in Total Hip Arthroplasty Comparing the Direct Anterior Approach to the Direct Lateral Approach: A Prospective Cohort Study , Abdulaziz N. Aljurayyan

Paediatric Surgical Outcomes Across Ontario , Damian Dylkowski

Early experimental results of using a novel delivery carrier, Hyaluronan-phosphatidylethanolamine (HA-PE) which may allow simple bladder instillation of Botulinum Toxin A as effectively as direct detrusor muscle injection. , Mohamed G. El Shatoury

The Role of Scapular Morphology in Reverse Shoulder Arthroplasty , Ashish Gupta

Evaluating the Effects of Patellofemoral Offset Changes and Trochlear Design in Total Knee Arthroplasty: A Radiographic, Visual, and Topographical Analysis , Jacob Matz

Intra-abdominal Hypertension and Abdominal Compartment Syndrome , Patrick B. Murphy

Acute Kidney Injury Biomarkers: A Prospective Cohort Study In Urological Patients , Daniel Olvera-Posada

The impact of surgical technique on coronal plane motion in total knee arthroplasty , Kevin I. Perry

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©1878 - 2016 Western University

Key Topics in Surgical Research and Methodology

• © 2010
• Thanos Athanasiou 0 ,
• Haile Debas 1 ,
• Ara Darzi 2

Dept. Biosurgery & Surgical Technology, Imperial College London St. Mary's Hospital London, London, United Kingdom

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UCSF Global Health Sciences, San Francisco L, USA

Comprehensive textbook on key issues in surgical research and methodology

Valuable resource for surgeons at all levels embarking on an academic career

Includes supplementary material: sn.pub/extras

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Table of contents (74 chapters)

Front matter, the role of surgical research.

• Omer Aziz, John G. Hunter

Evidence-Based Surgery

• Hutan Ashrafian, Nick Sevdalis, Thanos Athanasiou

The Role of the Academic Surgeon in the Evaluation of Healthcare Assessment

• Roger M. Greenhalgh

Study Design, Statistical Inference and Literature Search in Surgical Research

• Petros Skapinakis, Thanos Athanasiou

Randomised Controlled Trials: What the Surgeon Needs to Know

• Marcus Flather, Belinda Lees, John Pepper

Monitoring Trial Effects

• Hutan Ashrafian, Erik Mayer, Thanos Athanasiou

How to Recruit Patients in Surgical Studies

• Hutan Ashrafian, Simon Rowland, Thanos Athanasiou

Diagnostic Tests and Diagnostic Accuracy in Surgery

• Catherine M. Jones, Lord Ara Darzi, Thanos Athanasiou

Research in Surgical Education: A Primer

• Adam Dubrowski, Heather Carnahan, Richard Reznick

Measurement of Surgical Performance for Delivery of a Competency-Based Training Curriculum

• Raj Aggarwal, Lord Ara Darzi

Health-Related Quality of Life and its Measurement in Surgery – Concepts and Methods

• Jane M. Blazeby

Surgical Performance Under Stress: Conceptual and Methodological Issues

• Sonal Arora, Nick Sevdalis

How can we Assess Quality of Care in Surgery?

• Erik Mayer, Andre Chow, Lord Ara Darzi, Thanos Athanasiou

Patient Satisfaction in Surgery

• Andre Chow, Erik Mayer, Lord Ara Darzi, Thanos Athanasiou

How to Measure Inequality in Health Care Delivery

• Erik Mayer, Julian Flowers

The Role of Volume–Outcome Relationship in Surgery

• Erik Mayer, Lord Ara Darzi, Thanos Athanasiou

An Introduction to Animal Research

• James Kinross, Lord Ara Darzi

The Ethics of Animal Research

• Hutan Ashrafian, Kamran Ahmed, Thanos Athanasiou

Ethical Issues in Surgical Research

• Amy G. Lehman, Peter Angelos
• Evidnece systhesis
• Translational Research
• colorectal cancer
• general surgery
• methodology
• neurosurgery
• quality of life
• vascular surgery

About this book

Editors and affiliations, dept. biosurgery & surgical technology, imperial college london st. mary's hospital london, london, united kingdom.

Thanos Athanasiou, Ara Darzi

Haile Debas

Bibliographic Information

Book Title : Key Topics in Surgical Research and Methodology

Editors : Thanos Athanasiou, Haile Debas, Ara Darzi

DOI : https://doi.org/10.1007/978-3-540-71915-1

Publisher : Springer Berlin, Heidelberg

eBook Packages : Medicine , Medicine (R0)

Copyright Information : Springer-Verlag Berlin Heidelberg 2010

Hardcover ISBN : 978-3-540-71914-4 Due: 17 December 2009

Softcover ISBN : 978-3-662-51836-6 Published: 23 August 2016

eBook ISBN : 978-3-540-71915-1 Published: 28 February 2010

Edition Number : 1

Number of Pages : XXXI, 1019

Topics : Surgery , Gastroenterology , Endocrinology , Cardiac Surgery , Thoracic Surgery , Health Promotion and Disease Prevention

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This rapid-fire/quick-shot session will cover ten currently popular issues in general surgery.

Moderator: Kenneth W. Sharp, MD, FACS, Nashville, TN

Co-Moderator: E. Christopher Ellison, MD, FACS, Powell, OH

Presentations

Bullet Removal: Pros and Cons John A. Weigelt, MD, DVM, FACS, Lead, SD

Nipple-Sparing Mastectomy: Use and Indications Raeshell S. Sweeting, MD, Nashville, TN

Troubleshooting Surgical Staple Failure and Malfunction Jon C. Gould, MD, FACS, Milwaukee, WI

Laparoscopic Common Duct Exploration Dana A. Telem, MD, MPH, FACS, Ann Arbor, MI

Extremity Lumps and Bumps Valerie P. Grignol, MD, FACS, Columbus, OH

Update on Tranverse Abdominus Release for Ventral Hernia Bruce Ramshaw, MD, FACS, Knoxville, TN

Recurrent Rectal Prolapse: What to Do? Alexander T. Hawkins, MD, MPH, Nashville, TN

The Case for Robotics in Rural Surgery Jared M. Slater, MD, FACS, Victoria, MN

Optimal Surgical Treatment or Type II Diabetes: Gastric Sleeve or Bypass? Jonathan Carter, MD, San Francisco, CA

Transoral Thyroidectomy: Ready for Prime Time Gustavo G. Fernandez Ranvier, MD, PhD, FACS, Long Island City, NY

Sponsored by the Advisory Council for General Surgery

Learning Objectives

• Apply new knowledge and ideas to improve their surgical practice
• Adapt concepts and quality measures in support of research advancements
• Enhance the quality of patient care

For questions about the course, please contact [email protected] .

• 1.50 AMA PRA Category 1 Credit™
• 1.50 Certificate of Completion
• 1.50 Self Assessment Credit

Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest. For additional information, please visit the ACCME website .

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity. Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during a activity, please report it on the evaluation.

(Download the full list of disclosures ).

Faculty and Disclosures

Alexander T. Hawkins MD, MPH - Nothing to Disclose Bruce Ramshaw, MD, FACS - Atrium: Consulting Fee: Consultant; Ethicon (J & J): Honoraria: Consultant; ConMed: Honoraria: Consultant; Medtronic: Honoraria: Speaker; Pacira Pharmaceutical: Honoraria: Consultant, Speaker; WL Gore: Honoraria: Consultant, Speaker E. Christopher Ellison, MD, FACS - McGraw Hill Medical: Royalty: Author; Wolters Kluwer: Royalty: Associate Editor Eric M. Pauli MD, FACS, FASGE - Nothing to Disclose Gustavo G. Fernandez-Ranvier MD, PhD, FACS - Nothing to Disclose Jared M. Slater MD, FACS - Nothing to Disclose John A. Weigelt MD, DVM, FACS - Nothing to Disclose Jon C. Gould, MD, FACS - Gore: Honorarium: Speaker; Torax/Ethicon: Consulting Fee: Consultant and preceptor for LINX Jonathan Carter, MD - VERB Surgical: Consulting Fee: Consultant Kenneth W. Sharp MD, FACS - Nothing to Disclose Raeshell S. Sweeting MD - Nothing to Disclose Valerie P. Grignol MD, FACS - Nothing to Disclose

Program Committee and Disclosures

CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - Nothing to Disclosure VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - Nothing to Disclosure

David C. Borgstrom, MD, FACS, Morgantown, WV - Nothing to Disclosure Daniel L. Dent, MD, FACS, San Antonio, TX - Nothing to Disclosure Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant Cynthia D. Downard, MD, FACS, Louisville, KY - Nothing to Disclosure Audra A. Duncan, MD, FACS, London, ON - Nothing to Disclosure Mariam F. Eskander, MD, Boston, MA - Nothing to Disclosure Paula Ferrada, MD, FACS, Richmond, VA - Nothing to Disclosure Neil H. Hyman, MD, FACS, Chicago, IL - Nothing to Disclosure Martin S. Karpeh, Jr., MD, FACS, New York, NY - Nothing to Disclosure Dennis H. Kraus, MD, FACS, New York, NY - Nothing to Disclosure Kenneth W. Sharp, MD, FACS, Nashville, TN - Nothing to Disclosure

Ex-Officios

Daniel M. Herron, MD, FACS, FASBMS, New York, NY - Nothing to Disclosure Edith Tzeng, MD, FACS, Pittsburgh, PA - Nothing to Disclosure

Consultants

Barbara Lee Bass, MD, FACS, FRCSEng(Hon), FRCSI(Hon), FCOSECSA(Hon), Houston, TX - Nothing to Disclosure Quan-Yang Duh, MD, FACS, San Francisco, CA - Nothing to Disclosure B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - Nothing to Disclosure Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - Nothing to Disclosure

Continuing Medical Education Credit Information

The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1.5 credits meets the requirements for Self-Assessment.

Note: Residents will receive a Certificate of Completion.

Available Credit

This course is available as part of the Clinical Congress 2019 Webcast Packages

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• January 2, 2024 Issue
• Access Expert-Led Panel Se...

Hot Topics in General Surgery, Opioids for Surgical Pain, and More Sessions Are Available to Watch with Clinical Congress On Demand

January 2, 2024

Clinical Congress 2023 offered nearly 100 expert-led Panel Sessions to share the latest in surgical education, and these sessions remain available online through the Clinical Congress 2023 on-demand platform that is open to all in-person and virtual attendees, as well as new registrants. Check out some of these popular sessions from Clinical Congress 2023 and claim CME by May 1.

Ten Hot Topics in General Surgery

This popular annual session provides brief presentations by experts in general surgery who discuss a specific topic in a rapid-fire format. ACS Immediate Past-President E. Christopher Ellison, MD, FACS, and Regent Kenneth W. Sharp, MD, FACS, moderated the wide-ranging session, which included presentations on:

• Repair of Paraesophageal Hiatal Hernias—Add a Fundoplication or Not? Kelly Haisley, MD, FACS
• Peritoneal Dialysis Catheters—Tips and Tricks Nelson, MD, FACS
• Transanal Mesorectal Excision for Rectal Cancer Patricia Sylla, MD, FACS
• Glucagon-like Peptide-1 (GLP-1) Agonists—The End of Bariatric Surgery? Matthew D. Spann, MD, FACS
• Perforated Duodenal Ulcers: Close or Patch—And How? Jon C. Gould, MD, FACS
• Biliary Dyskinesia—Why Are We Still Debating This? Bryan K. Richmond, MD, MBA, FACS
• Appendiceal Carcinoma: Decision-Making for the General Surgeon Matthew F. Kalady, MD, FACS
• Transoral Thyroidectomy William B. Inabnet III, MD, MHA, FACS
• Surgical Rib Fixation in Trauma—Who and When? Brian J. Daley, MD, FACS
• Choosing Wisely—Management of the Axilla in Women over 70 with Breast Cancer Kelly C. Hewitt, MD, FACS

After reviewing the session, ACS First Vice-President Tyler Hughes, MD, FACS, said: “Minute for minute, probably the best use of time for the broad-based surgeon. Super talks on paraesophageal hernia, great tips on peritoneal dialysis catheters, GLP1 Agonists and bariatric surgery and much more. Some of these address little things like how to determine if a PD catheter is going to work well while one puts it in and big things like how to deal with an unexpected appendiceal carcinoma.”

The Great Debates - Biliary and Hernia

This inaugural Pro/Con debate covers two common topics faced by general surgeons: percutaneous cholecystostomy versus cholecystectomy for acute cholecystitis and open versus minimally invasive surgery repair for inguinal hernia. Experts in their respective techniques held a spirited discussion that provided informed perspective based on personal experience and a review on current literature.

Surgical Pain Management in the Setting of the Opioid Epidemic

Prescribing practices in surgery and societal expectations for post-operative pain management have been implicated in the opioid epidemic that has resulted in significant adverse effects related to opioid exposure and use throughout the US. However, inadequate pain management is a concern, particularly when treating patients with preexisting opioid use disorder, including those on medication assisted treatment. The ability to safely and effectively prescribe opioids and identify and mitigate high risk prescribing events is a core competency.

This panel brings together experts from diverse perspectives to provide best practice recommendations for pain and opioid management in a variety of surgical contexts, including acute, perioperative, and end-of-life scenarios. Panelists offer perspectives on multiple levels including augmenting surgical providers’ attitudes and skills in accordance with Centers for Disease Control and Prevention guidance, improving management of patient knowledge and expectations, and engineering of surgical systems and programs for safe and effective opioid use.

Dr. Hughes also raved about this session: “I tuned in because, you know, I had to for my Kansas state license requirements; but it was riveting and much more useful than a lot of pain talks I've attended. The talk on marijuana and pain was really good. I was surprised that chronic marijuana users actually experience more pain and anxiety after surgery... All the talks in the session were very good, but perhaps the most important for me was the last talk by Dr. Elizabeth Lilley on nociplastic and total pain. Since I didn't know much about these newer areas of studies, I assume many surgeons may an unfamiliar with them. Here she explains the entire picture of pain in about 20 minutes very well and those concepts are immediately useful to you tomorrow when you see your next patient. Just superb.”

There is much more to learn through the on-demand platform. Start watching today!

In This Issue

Take Advantage of Early Bird Discount for ACS Cancer Conference by Friday

Join Cancer Program leaders and your peers in Austin, Texas, for 3 days of learning, interaction, and networking at the 2024 ACS Cancer Conference.

US Resident Members: Apply for Leadership & Advocacy Summit Resident Travel Award

The ACS will again be offering a limited number of scholarships to US-based Resident Members of the College who are interested in attending the upcoming Leadership & Advocacy Summit.

Nominations Are Open for ACS Officers-Elect, Regent Positions

Nominations will be accepted through February 16, 2024, for seven leadership positions in the College.

Current Literature

Commentaries summarizing important new scientific literature pertinent to surgeons and care teams.

Xenotransplantation Expert Discusses History, Present, and Future of the Field

The John H. Gibbon Jr. Lecture at Clinical Congress 2023 featured Dr. Bartley Griffith discussing his experiences in xenotransplantation.

View the Most Popular Articles from JACS in 2023

Lessons from the war in Ukraine, modern yield of staging laparoscopy for pancreatic cancer, and whole blood resuscitation were topics of the three most popular articles published in the Journal of the American College of Surgeons (JACS) in 2023.

Register for Residents as Teachers and Leaders Course

Registration is open for the annual ACS Residents as Teachers and Leaders Course, which will be held on February 23–25, 2024, at ACS Headquarters in Chicago.

Nominate Your Altruistic Peers for 2024 ACS/Pfizer Surgical Volunteerism and Humanitarian Awards

Elevate passion, diversity, and dedication to service by nominating your peers in the ACS community.

Researcher Discusses Conflicts of Interest in Robotic GI Surgery Studies

Five author videos are available from the January 2024 issue of the Journal of the American College of Surgeons.

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The following represent additions to UpToDate from the past six months that were considered by the editors and authors to be of particular interest. The most recent What's New entries are at the top of each subsection.

ABDOMINAL WALL AND HERNIA SURGERY

Updated analysis on the risks and benefits of paraesophageal hernia repair (March 2024)

Paraesophageal hernia repair has not been advised for asymptomatic patients due to a high perioperative mortality relative to the risk of developing symptoms. However, in an updated Markov analysis of surgery versus expectant management for such patients, the mortality of elective laparoscopic repair was reduced to <0.5 percent, while the mortality of emergency repair remained high at 10 percent on average [ 1 ]. The annual probabilities of developing symptoms that would necessitate elective and emergency surgery were estimated to be 5.8 and 1.7 percent, respectively. Based on this new analysis, patients with a paraesophageal hernia should be referred for surgical consultation regardless of symptoms to determine if they are an appropriate candidate for hernia repair. In particular, older patients have a higher incidence of paraesophageal hernia and should not be denied surgical consultation. (See "Surgical management of paraesophageal hernia", section on 'Indications for surgical repair' .)

COLORECTAL SURGERY

Lack of overall survival benefit for primary tumor resection in metastatic colorectal cancer (April 2024)

For patients with unresectable metastatic colorectal cancer (CRC) and an asymptomatic primary tumor, randomized trials are evaluating the benefits of upfront primary tumor resection. In a combined analysis of two multicenter, randomized clinical trials in almost 400 such patients, primary tumor resection prior to initial systemic therapy failed to improve overall survival compared with immediate systemic therapy (median 17 versus 19 months, hazard ratio 0.94) [ 2 ]. Based on these data and the potential risks of surgery, we recommend against upfront primary tumor resection for patients with unresectable metastatic CRC and an asymptomatic primary tumor. (See "Locoregional methods for management of metastatic colorectal cancer", section on 'Unresectable metastatic disease' .)

Antibiotics are required for nonoperative management of uncomplicated appendicitis (April 2024)

In uncomplicated appendicitis, antibiotic therapy alone is a widely accepted alternative to appendectomy. Whether antibiotic therapy can be omitted in some patients is unknown. In a trial that randomly assigned 100 patients with mild appendicitis (defined as white blood cell count <13,000/microliter, C-reactive protein <60 mg/dL) to piperacillin-tazobactam or observation for either disease regression or the need for surgical exploration, antibiotic therapy reduced the need for appendectomy both during the initial hospitalization (28 versus 53 percent) and at three-year follow-up (50 versus 63 percent) [ 3 ]. Thus, we continue to suggest routine antibiotic therapy for all patients managed nonoperatively for acute appendicitis. (See "Management of acute appendicitis in adults", section on 'Protocols' .)

Duration of antibiotic therapy following appendectomy for perforated appendicitis (February 2024)

The duration of antibiotic therapy following appendectomy for perforated appendicitis is debated. In a trial of 104 patients with complicated appendicitis (defined as gangrenous or perforated) who received 24 hours of intravenous or oral amoxicillin-clavulanate , the 30-day complication rate was not different (15 percent in both groups) [ 4 ]. Because the study population was dominated by patients with gangrenous appendicitis (75 percent) and 67 percent of organ/space infections occurred in patients with perforated appendicitis, these findings may not be generalizable to the latter group. Thus, until further data are available, we continue to suggest two to four days of intravenous antibiotics after appendectomy for those with perforated appendicitis, based on data from previous trials. (See "Management of acute appendicitis in adults", section on 'Antibiotics for perforated appendicitis' .)

Timing of appendectomy for uncomplicated appendicitis (November 2023)

Appendectomy is traditionally performed urgently to reduce the risk of perforation. However, a large randomized trial showed that patients with uncomplicated appendicitis (including those with appendicolith on computed tomography) who had an in-hospital delay of up to 24 hours before surgery had no increased risk of perforation or other complications compared with those who underwent surgery within 8 hours [ 5 ]. Given these data and general acceptance of antibiotic management of these patients, we suggest performing appendectomy within 24 hours of presentation in patients with uncomplicated appendicitis who elect to undergo surgery. (See "Management of acute appendicitis in adults", section on 'Timing of appendectomy' .)

BREAST SURGERY

Use of axillary ultrasound to guide omission of sentinel node biopsy in early breast cancer (April 2024)

Approaches to treatment de-escalation for early breast cancer are under investigation. In a randomized trial that included nearly 1500 females with stage I (<2 cm) breast cancer and negative axillary ultrasound, those assigned to sentinel lymph node biopsy (SLNB) versus no axillary surgery at the time of primary breast surgery experienced similar rates of axillary recurrence, as well as disease-free and overall survival [ 6 ]. Omitting surgical axillary staging did not impact the selection of adjuvant treatment, although the study population was dominated by patients with low-risk cancers (93 percent with estrogen receptor-positive, HER2-negative disease). Despite these results, we continue to obtain SLNB in most patients with a clinically negative axilla (by examination and imaging), given that it can influence adjuvant treatment selection and administration, particularly for younger patients. (See "Overview of management of the regional lymph nodes in breast cancer", section on 'Can ultrasound identify patients who can omit sentinel node biopsy?' .)

Regional nodal radiation in early breast cancer (November 2023)

Studies are evaluating the impact of adjuvant regional nodal radiotherapy (RT) in patients with early breast cancer. In a meta-analysis including over 12,000 patients, absolute improvements in breast cancer recurrence and mortality from regional nodal RT in trials from the 1990s through 2000s were greatest for patients at highest risk for recurrence; absolute reductions in 15-year breast cancer mortality were 1 to 2 percent among those with no positive axillary lymph nodes, 2 to 3 percent among those with one to three positive nodes, and 4 to 5 percent for those with four or more positive nodes [ 7 ]. However, no benefits were observed in earlier trials of nodal RT. The discrepancy is likely due to refinements in radiation techniques. For patients with node-positive or high-risk node-negative breast cancer, we offer adjuvant regional nodal RT. (See "Adjuvant radiation therapy for women with newly diagnosed, non-metastatic breast cancer", section on 'Approach' .)

ENDOCRINE SURGERY

Risk of autoimmune disease after surgical cure of Cushing disease (February 2024)

In patients with a corticotropin (ACTH)-secreting pituitary tumor (Cushing disease), transsphenoidal surgery with adenomectomy provides a high rate of initial cure. Surgical cure of Cushing disease improves skeletal and cardiometabolic health, but it also may contribute to increased risk of autoimmune disorders. In a retrospective study in predominantly female adults (mean age approximately 44 years) with pituitary adenoma who underwent successful surgical management, patients with Cushing disease (n = 194) had a higher rate of new-onset autoimmune disease following surgery compared with patients with a nonfunctioning adenoma (n = 92; cumulative three-year incidence 10.4 versus 1.6 percent, respectively) [ 8 ]. Autoimmune thyroid disease was most common, and family history of autoimmune disease was associated with higher risk of developing an autoimmune disorder. These findings support the need for long-term monitoring of patients with Cushing disease, even after curative surgical treatment. (See "Primary therapy of Cushing disease: Transsphenoidal surgery and pituitary irradiation", section on 'Long-term health risks' .)

Cardiometabolic features of adrenal incidentaloma with mild autonomous cortisol secretion (December 2023)

In some individuals with adrenal incidentaloma, mild autonomous cortisol secretion (MACS) is evident in the absence of clinical features of Cushing syndrome. The long-term risks of MACS and optimal management strategies are not well defined. In a meta-analysis of 47 observational studies in 17,156 patients with adrenal incidentaloma, individuals with MACS (defined as serum cortisol >1.8 mcg/dL after a 1 mg overnight dexamethasone suppression test) exhibited a higher prevalence of diabetes, hypertension, and dyslipidemia compared with individuals with nonfunctioning adrenal adenomas [ 9 ]. Further, patients with MACS who underwent adrenalectomy showed greater improvement in cardiometabolic parameters than those who did not undergo surgery. These findings demonstrate the potential cardiometabolic risks of MACS and support our preference for adrenalectomy in patients with MACS and younger age or evidence of cardiometabolic dysregulation. (See "Evaluation and management of the adrenal incidentaloma", section on 'Clinical manifestations' .)

PERIOPERATIVE CARE

Anti-factor Xa levels 24 hours after the last therapeutic enoxaparin dose (April 2024)

Guidelines recommend waiting 24 hours after a therapeutic dose of low molecular weight heparin (LMWH) before performing neuraxial anesthesia, to minimize the risk of spinal epidural hematoma (SEH). However, anti-factor Xa levels (which test LMWH activity) may still be elevated 24 hours after the last dose. In a study of 103 patients taking therapeutic dose enoxaparin , 23 percent had an anti-factor Xa level ≥0.2 international units/mL at ≥24 hours after the last dose [ 10 ]. The implications of these findings are unclear, as a safe anti-factor Xa level for performing neuraxial procedures has not been determined and there has not been a noticeable increase in SEH in patients who have withheld LMWH according to current guidelines. (See "Neuraxial anesthesia/analgesia techniques in the patient receiving anticoagulant or antiplatelet medication", section on 'Therapeutic LMWH' .)

Obesity and increased risk of perioperative cardiac arrest (March 2024)

Obesity is a risk factor for difficulty with airway management and for rapid apneic oxygen desaturation during airway management. Both can result in hypoxic brain damage or death. In an analysis of causes of perioperative cardiac arrest reported to the Seventh National Audit Project (NAP7) in the United Kingdom, 35 percent of airway- and respiratory-related cardiac arrests occurred in patients with body mass index 35 to 50 kg/m 2 , while this cohort comprised only 12 percent of the survey population [ 11 ]. These findings reinforce the need to consider obesity when choosing general versus regional anesthesia and planning the airway management strategy. (See "Airway management for induction of general anesthesia", section on 'Obesity as a risk factor' .)

Postoperative noninvasive ventilation or high-flow nasal oxygen for patients with obesity (November 2023)

The optimal postoperative ventilatory strategy for patients with severe obesity has been unclear. In a 2023 network meta-analysis of randomized trials that compared various postoperative noninvasive ventilatory strategies in these patients, high-flow nasal oxygen (HFNO) or bilevel positive airway pressure (BiPAP) reduced atelectasis; HFNO, BiPAP, or continuous positive airway pressure (CPAP) reduced postoperative pneumonia; and HFNO reduced length of stay compared with conventional oxygen therapy [ 12 ]. For patients with obesity who are hypoxic in the post-anesthesia care unit despite oxygen supplementation and incentive spirometry, we suggest a trial of HFNO, BiPAP, or CPAP prior to considering intubation. (See "Anesthesia for the patient with obesity", section on 'Post-anesthesia care unit management' .)

Negative pressure wound therapy for contaminated surgical wounds (November 2023)

Prophylactic negative pressure wound therapy (NPWT) is used on clean surgical wounds, but it may also be useful for contaminated surgical wounds. In a randomized trial that compared NPWT with standard wound care in 69 patients who underwent surgery for gastrointestinal perforation and had fascial closure, NPWT reduced rates of surgical site infection (18 versus 61 percent) and fascial dehiscence (9 versus 48 percent), increased the rate of delayed primary skin closure (91 versus 48 percent), and decreased median time to wound healing (19 versus 26 days) [ 13 ]. The results of this small trial are encouraging, and, in the absence of contraindications, we use NPWT over intact fascia to expedite closure of contaminated surgical wounds. (See "Negative pressure wound therapy", section on 'Prophylactic use' .)

SKIN AND SOFT TISSUE SURGERY

Lymphatic venous bypass reduces cellulitis frequency in patients with lower extremity lymphedema (March 2024)

Observational studies suggest lymphatic venous bypass procedures provide benefits beyond limb volume reduction. In a trial comparing lymphatic venous anastomosis (LVA) plus complex decongestive therapy (CDT) versus CDT alone in patients with lower extremity lymphedema, LVA resulted in a greater reduction in cellulitis frequency from baseline (0.57 versus 0.21 fewer episodes over six months) [ 14 ]. LVA also reduced thigh area hardness; however, limb circumference and pain were similar. All patients had undergone at least three months of CDT before randomization. The outcomes of this trial support our practice of offering LVA for patients with lymphedema and recurrent cellulitis. (See "Surgical treatment of primary and secondary lymphedema", section on 'Lymphatic bypass outcomes' .)

TRAUMA AND BURN SURGERY

Skin preparation prior to fracture repair (March 2024)

The optimal preparation of contaminated or dirty wounds and whether any skin preparation can influence surgical site infection (SSI) independent of other factors (eg, prophylactic systemic antibiotics) are unknown. In a multiple-period, cluster-randomized, crossover trial comparing skin preparation with iodine povacrylex in alcohol versus chlorhexidine gluconate in alcohol in 1700 open fracture repairs, the incidence of superficial or deep SSI was similar for both approaches [ 15 ]. Based on these findings, which are consistent with those from a previous trial, either chlorhexidine- or iodine-based skin preparations can be used prior to surgery for open, traumatic lower extremity wounds. (See "Surgical management of severe lower extremity injury", section on 'Limb preparation and skin antisepsis' .

Whole blood transfusion for severe traumatic hemorrhage (January 2024)

For severe traumatic hemorrhage, whole blood transfusion is an alternative to balanced component transfusion (1:1:1 ratio of packed red blood cells/plasma/platelets). In an observational study comparing these two approaches, low titer group O whole blood transfusion was associated with lower 24-hour mortality (8 versus 19 percent) and lower volume of blood products received at 72 hours (48 versus 82 mL/kg) [ 16 ]. The survival benefit was greatest in patients with shock or coagulopathy. While this study suggests improved outcomes for whole blood transfusion, randomized trials are needed to determine which transfusion strategy might be superior and which patients would benefit the most. (See "Ongoing assessment, monitoring, and resuscitation of the severely injured patient", section on 'Whole blood transfusion' .)

Tranexamic acid for burn wound excision (November 2023)

Randomized trials have established that tranexamic acid (TXA) reduces blood loss and transfusion requirements in various surgical settings, but data in burn surgery are limited. In a meta-analysis of observational studies evaluating intravenous and topical TXA in burn surgery, use of TXA was associated with reductions in blood loss, use of intraoperative transfusion, and number of units transfused but no change in venous thromboembolism or mortality rates [ 17 ]. Based on this review and data from other surgical settings, we routinely administer intravenous TXA for burn wound excisions over 20 percent of total body surface area. (See "Overview of the management of the severely burned patient", section on 'Coagulopathy' .)

No benefit of Cryoprecipitate in massive transfusion protocol for trauma (October 2023)

Cryoprecipitate is a source of fibrinogen; some institutions may include it in their massive transfusion protocols for trauma patients. In a new trial, 1604 trauma patients were randomly assigned to receive or not receive Cryoprecipitate in addition to a standard massive transfusion protocol [ 18 ]. Mortality at 28 days was comparable between the no Cryoprecipitate controls and the Cryoprecipitate group (26 versus 25 percent). This finding supports the practice of reserving Cryoprecipitate for patients with low fibrinogen levels. Transfusion medicine personnel and/or individuals with hemostasis expertise can help to determine the value for specific patients. (See "Cryoprecipitate and fibrinogen concentrate", section on 'Trauma' .)

VASCULAR AND ENDOVASCULAR SURGERY

Phosphodiesterase type 5 inhibition for Raynaud phenomenon (January 2024)

Phosphodiesterase type 5 (PDE5) inhibitors such as sildenafil and tadalafil are widely used to treat digital ischemia from Raynaud phenomenon. In an updated meta-analysis of nine randomized trials comprising 411 patients with Raynaud phenomenon (most of whom had scleroderma), treatment with PDE5 inhibition resulted in three fewer attacks weekly and a reduction in the average duration of the attacks by five minutes [ 19 ]. However, PDE5 inhibition led to minimal to no reduction in the pain associated with Raynaud phenomenon. This study implies that while PDE5 inhibition has a modest impact on the duration and frequency of Raynaud attacks, it might not be adequate to address all symptoms experienced by patients with severe disease. (See "Treatment of Raynaud phenomenon: Initial management", section on 'Phosphodiesterase type 5 inhibitor' .)

OTHER SURGICAL SPECIALTIES

Predicting venous thromboembolism risk in non-major orthopedic surgery (April 2024)

For patients with non-major extremity orthopedic injury or surgery, deciding who should undergo venous thromboembolism (VTE) prophylaxis is challenging due to the wide range of risk. The Thrombosis Risk Prediction for Patients with cast immobilization or TRiP(cast) score, which predicts VTE risk, was recently derived and validated in nearly 5000 patients with prolonged lower limb casting, mostly for ankle sprain [ 20 ]. Among those assessed as low VTE risk (score <7) and in whom anticoagulation was withheld, the rate of symptomatic VTE was 0.7 percent compared with 2.7 percent among those with a score ≥7 despite anticoagulation. The negative predictive value for this threshold was 99 percent. Use of the score reduced the prescription of anticoagulants by 26 percent compared with baseline prescription levels. While promising, further validation is needed. (See "Prevention of venous thromboembolism (VTE) in adults with non-major extremity orthopedic injury with or without surgical repair", section on 'Venous thromboembolism risk' .)

Moderate hypothermia during aortic arch surgery with antegrade cerebral perfusion (March 2024)

Observational data have supported a shift from deep to moderate hypothermia during circulatory arrest for aortic arch surgery, particularly with adjunctive antegrade cerebral perfusion (ACP). A recent trial has now compared outcomes for 251 patients undergoing aortic arch surgery with ACP and randomly assigned to deep (≤20.0°C), low-moderate (20.1 to 24.0°C), or high-moderate (24.1 to 28.0°C) circulatory arrest temperature [ 21 ]. At one-month follow-up, the three groups had similar neurocognitive and neuroimaging outcomes and similar mortality, major morbidity, and quality of life. The volume of transfused blood products was higher in the deep group, but transfusion-related complications were not different. Based on this trial, moderate (20.1 to 28.0°C) rather than deep hypothermia is reasonable during aortic arch surgery when ACP is also used. Whether a low-moderate or high-moderate temperature is selected depends on the complexity of the arch intervention and the anticipated duration of hypothermia. (See "Overview of open surgical repair of the thoracic aorta", section on 'Hypothermic circulatory arrest' .)

Complications of transrectal versus transperineal prostate biopsy (February 2024)

The merit of transrectal versus transperineal prostate biopsy has been vigoroulsy debated. In the first randomized trial comparing these procedures in over 760 patients undergoing biopsies in the office setting, the two approaches had similar rates of both infectious (2.6 versus 2.7 percent) and non-infectious (1.7 versus 2.2 percent) complications [ 22 ]. This suggests that both approaches can be performed with a low risk of complications. Antibiotic prophylaxis was given to all patients prior to transrectal biopsy but omitted in most patients undergoing transperineal biopsy. (See "Prostate biopsy", section on 'Transrectal versus transperineal biopsy' .)

Pregnancy and childbirth after urinary incontinence surgery (January 2024)

Patients with stress urinary incontinence (SUI) have historically been advised to delay midurethral sling (MUS) surgery until after childbearing because of concerns for worsening SUI symptoms following delivery. In a meta-analysis of patients with MUS surgery who were followed for a mean of nearly 10 years, similar low SUI recurrence and reoperation rates were reported for the 381 patients with and the 860 patients without subsequent childbirth [ 23 ]. Birth route did not affect the findings. Although the total number of recurrences and reoperations was small, this study adds to the body of evidence suggesting that subsequent childbirth does not worsen SUI outcomes for patients who have undergone MUS. (See "Surgical management of stress urinary incontinence in females: Retropubic midurethral slings", section on 'Subsequent pregnancy' .)

Tranexamic acid to reduce bleeding after percutaneous nephrolithotomy (December 2023)

Postoperative bleeding can occur after percutaneous nephrolithotomy (PNL) for kidney stone removal; most bleeding is venous in origin and can be managed with conservative measures. A recent meta-analysis of 10 randomized trials found that use of tranexamic acid (TXA), an antifibrinolytic agent used to reduce bleeding in other clinical settings, may reduce the risk of blood transfusion after PNL [ 24 ]. Most trials were conducted in low- to middle-income settings in populations that were younger than those in higher-income settings; whether these findings are generalizable to practice in higher-income settings is uncertain. Pending additional data, we do not routinely use TXA after PNL. (See "Kidney stones in adults: Surgical management of kidney and ureteral stones", section on 'Bleeding' .)

Choice of intervention for aortic stenosis with low surgical risk (November 2023)

The choice of intervention for severe aortic stenosis (AS) is based upon an individualized assessment by a multidisciplinary heart valve team. Two randomized trials reported outcomes for transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) in selected low surgical risk patients with severe AS [ 25,26 ]:

● In one trial in which nearly 1500 patients were randomly assigned to TAVI with a self-expanding valve or SAVR, rates of mortality, disabling stroke, and aortic valve rehospitalization at four years were similar in the two groups.

● In another trial in which 1000 patients were randomly assigned to TAVI with a balloon-expanding valve or SAVR, rates of mortality, stroke, and rehospitalization at five years were similar in the two groups.

These trials indicate generally favorable results for TAVI up to four and five years for selected low surgical risk patients with severe AS and anatomical suitability for TAVI; additional data, including longer-term outcomes, will further inform the choice of intervention in this clinical setting. (See "Choice of intervention for severe calcific aortic stenosis", section on 'In low-risk symptomatic patients' .)

No benefit to routinely adding vancomycin for prophylaxis before joint replacement (November 2023)

For preoperative antibiotic prophylaxis in patients undergoing joint replacement, vancomycin is sometimes added to cefazolin to empirically cover methicillin-resistant staphylococci. In a randomized trial of over 4000 patients undergoing joint replacement, the rate of surgical site infection was similar following prophylaxis with cefazolin plus vancomycin compared with cefazolin plus placebo (4.5 versus 3.5 percent) [ 27 ]. There were no differences in rates of infection due to methicillin-resistant Staphylococcus aureus (MRSA) or Staphylococcus epidermidis. We use cefazolin alone for prophylaxis in patients undergoing joint replacement who are not known to have MRSA colonization or infection. (See "Prevention of prosthetic joint and other types of orthopedic hardware infection", section on 'Antimicrobial prophylaxis' .)

OTHER GENERAL SURGERY

Acetaminophen use in pregnancy not associated with adverse neurodevelopment in offspring (April 2024)

Although older studies raised concerns about a possible adverse association between in utero exposure to acetaminophen and neurodevelopment, more recent studies with a lower risk of bias have not reported an association. In a population-based study in which acetaminophen use was prospectively recorded, siblings with any in utero exposure had no increased risk for attention deficit hyperactivity disorder, autism spectrum disorder, or intellectual disability at age 10 years compared with their unexposed siblings [ 28 ]. Although an association cannot be definitively excluded, these data are reassuring when a short course of acetaminophen is desirable to manage pain or fever during pregnancy. (See "Prenatal care: Patient education, health promotion, and safety of commonly used drugs", section on 'Acetaminophen' .)

• DeMeester SR, Bernard L, Schoppmann SF, et al. Elective Laparoscopic Paraesophageal Hernia Repair Leads to an Increase in Life Expectancy Over Watchful Waiting in Asymptomatic Patients: An Updated Markov Analysis. Ann Surg 2024; 279:267.
• Rahbari NN, Biondo S, Frago R, et al. Primary Tumor Resection Before Systemic Therapy in Patients With Colon Cancer and Unresectable Metastases: Combined Results of the SYNCHRONOUS and CCRe-IV Trials. J Clin Oncol 2024; :JCO2301540.
• Iresjö BM, Blomström S, Engström C, et al. Acute appendicitis: A block-randomized study on active observation with or without antibiotic treatment. Surgery 2024; 175:929.
• Lipping E, Saar S, Reinsoo A, et al. Short Postoperative Intravenous Versus Oral Antibacterial Therapy in Complicated Acute Appendicitis: A Pilot Noninferiority Randomized Trial. Ann Surg 2024; 279:191.
• Jalava K, Sallinen V, Lampela H, et al. Role of preoperative in-hospital delay on appendiceal perforation while awaiting appendicectomy (PERFECT): a Nordic, pragmatic, open-label, multicentre, non-inferiority, randomised controlled trial. Lancet 2023; 402:1552.
• Gentilini OD, Botteri E, Sangalli C, et al. Sentinel Lymph Node Biopsy vs No Axillary Surgery in Patients With Small Breast Cancer and Negative Results on Ultrasonography of Axillary Lymph Nodes: The SOUND Randomized Clinical Trial. JAMA Oncol 2023; 9:1557.
• Early Breast Cancer Trialists' Collaborative Group (EBCTCG). Radiotherapy to regional nodes in early breast cancer: an individual patient data meta-analysis of 14 324 women in 16 trials. Lancet 2023; 402:1991.
• Nyanyo DD, Mikamoto M, Galbiati F, et al. Autoimmune Disorders Associated With Surgical Remission of Cushing's Disease : A Cohort Study. Ann Intern Med 2024; 177:315.
• Pelsma ICM, Fassnacht M, Tsagarakis S, et al. Comorbidities in mild autonomous cortisol secretion and the effect of treatment: systematic review and meta-analysis. Eur J Endocrinol 2023; 189:S88.
• Henshaw DS, Edwards CJ, Dobson SW, et al. Evaluating residual anti-Xa levels following discontinuation of treatment-dose enoxaparin in patients presenting for elective surgery: a prospective observational trial. Reg Anesth Pain Med 2024; 49:94.
• Cook TM, Oglesby F, Kane AD, et al. Airway and respiratory complications during anaesthesia and associated with peri-operative cardiac arrest as reported to the 7th National Audit Project of the Royal College of Anaesthetists. Anaesthesia 2024; 79:368.
• Li R, Liu L, Wei K, et al. Effect of noninvasive respiratory support after extubation on postoperative pulmonary complications in obese patients: A systematic review and network meta-analysis. J Clin Anesth 2023; 91:111280.
• Singh H, Avudaiappan M, Kharel J, et al. Negative pressure wound therapy versus standard care for incisional laparotomy subcutaneous wounds in gastrointestinal perforations: A randomized controlled study. Surgery 2023; 174:291.
• Mihara M, Hara H, Kawasaki Y, et al. Lymphatic venous anastomosis and complex decongestive therapy for lymphoedema: randomized clinical trial. Br J Surg 2024; 111.
• PREP-IT Investigators, Sprague S, Slobogean G, et al. Skin Antisepsis before Surgical Fixation of Extremity Fractures. N Engl J Med 2024; 390:409.
• Shea SM, Mihalko EP, Lu L, et al. Doing more with less: low-titer group O whole blood resulted in less total transfusions and an independent association with survival in adults with severe traumatic hemorrhage. J Thromb Haemost 2024; 22:140.
• Fijany AJ, Givechian KB, Zago I, et al. Tranexamic acid in burn surgery: A systematic review and meta-analysis. Burns 2023; 49:1249.
• Davenport R, Curry N, Fox EE, et al. Early and Empirical High-Dose Cryoprecipitate for Hemorrhage After Traumatic Injury: The CRYOSTAT-2 Randomized Clinical Trial. JAMA 2023; 330:1882.
• Maltez N, Maxwell LJ, Rirash F, et al. Phosphodiesterase 5 inhibitors (PDE5i) for the treatment of Raynaud's phenomenon. Cochrane Database Syst Rev 2023; 11:CD014089.
• Nemeth B, Douillet D, le Cessie S, et al. Clinical risk assessment model to predict venous thromboembolism risk after immobilization for lower-limb trauma. EClinicalMedicine 2020; 20:100270.
• Hughes GC, Chen EP, Browndyke JN, et al. Cognitive Effects of Body Temperature During Hypothermic Circulatory Arrest Trial (GOT ICE): A Randomized Clinical Trial Comparing Outcomes After Aortic Arch Surgery. Circulation 2024; 149:658.
• Mian BM, Feustel PJ, Aziz A, et al. Complications Following Transrectal and Transperineal Prostate Biopsy: Results of the ProBE-PC Randomized Clinical Trial. J Urol 2024; 211:205.
• Nahshon C, Abramov Y, Kugelman N, et al. The effect of subsequent pregnancy and childbirth on stress urinary incontinence recurrence following midurethral sling procedure: a meta-analysis. Am J Obstet Gynecol 2024; 230:308.
• Cleveland B, Norling B, Wang H, et al. Tranexamic acid for percutaneous nephrolithotomy. Cochrane Database Syst Rev 2023; 10:CD015122.
• Mack MJ, Leon MB, Thourani VH, et al. Transcatheter Aortic-Valve Replacement in Low-Risk Patients at Five Years. N Engl J Med 2023; 389:1949.
• Forrest JK, Deeb GM, Yakubov SJ, et al. 4-Year Outcomes of Patients With Aortic Stenosis in the Evolut Low Risk Trial. J Am Coll Cardiol 2023; 82:2163.
• Peel TN, Astbury S, Cheng AC, et al. Trial of Vancomycin and Cefazolin as Surgical Prophylaxis in Arthroplasty. N Engl J Med 2023; 389:1488.
• Ahlqvist VH, Sjöqvist H, Dalman C, et al. Acetaminophen Use During Pregnancy and Children's Risk of Autism, ADHD, and Intellectual Disability. JAMA 2024; 331:1205.

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Thesis Topics For General Surgery

General Surgery is a speciality that diagnoses, treats and cares for patients with various surgical conditions. This article discusses thesis topics for general Surgery for postgraduate students.

The general surgeon performs a wide range of surgical procedures, including abdominal, thoracic, vascular, and reconstructive Surgery.

List of the Best Thesis topics for General Surgery

General Surgery is a highly complex field with many topics to explore. Thesis topics in general Surgery can range from basic research on surgical techniques and procedures to more advanced topics such as robotics and artificial intelligence in Surgery.

Following are some potential dissertation topics for postgraduate students in Surgery:

A Study Of Minimally Invasive Surgery Procedures For The Treatment Of Gastrointestinal Disorders.

This study aims to determine the safety and effectiveness of minimally invasive surgeries for treating gastrointestinal conditions.

The study will include a review of existing literature on the topic. In addition, it will examine the outcomes of different minimally invasive procedures, such as endoscopic and laparoscopic Surgery, in treating gastrointestinal disorders.

The cost-effectiveness of these approaches compared to more conventional surgical techniques will also be examined, as well as their potential to shorten postoperative recovery durations.

The study will assess additional possible dangers connected to minimally invasive treatments, such as infection or difficulties brought on by the practitioner’s inexperience.

The study will also examine how these operations affect patients’ happiness and quality of life.

Also Read: Thesis Topics In Obstetrics And Gynecology In AIIMS

Role Of VATS (Video Assisted Thoracic Surgery) In The Management Of Mediastinal Tumors.

The use of VATS (Video Assisted Thoracic Surgery) as a less invasive method to treat mediastinal malignancies has grown in popularity. Compared to a conventional open thoracotomy, it has various benefits, including better mediastinum visualization, smaller incisions, shorter hospital stays, and fewer problems.

VATS has been successfully used to diagnose, stage, and treat mediastinal tumours, including thymus, lymph nodes, and chest wall. It is also used to perform biopsies of mediastinal masses and resection tumours.

In conclusion, VATS has become an important tool in managing mediastinal tumours, providing improved visualization and accuracy of diagnosis and reducing complications and postoperative pain.

Effect Of Neoadjuvant Chemotherapy On Coagulation Profile Of Patients With Breast Cancer.

According to studies, neoadjuvant chemotherapy (NAC) can significantly alter the coagulation profile of breast cancer patients. Patients using NAC may specifically notice a decline in platelet count, haemoglobin concentration, and hematocrit levels.

In addition, clotting factors like fibrinogen, factor V, and prothrombin may decrease as a result of NAC. Additionally, procoagulant proteins such as factor VII, factor VIII, and von Willebrand factor can increase as a result of NAC.

A Systematic Review Of The Role Of Telemedicine In General Surgery

A rapidly developing area of medical practice called telemedicine enables doctors to treat patients remotely using tools like video conferencing, remote monitoring, and electronic medical records. The medical speciality of general Surgery includes both invasive and non-invasive procedures.

Understanding telemedicine’s function in general Surgery is crucial, given its potential to increase access to treatment, lower costs, and boost the quality of care. Therefore, this systematic review’s objective was to find studies that assessed the place of telemedicine in general Surgery.

The Role Of Non-Acid Reflux In Gastro-Oesophageal Reflux Disease

Non-acid reflux plays an important role in developing gastro-oesophageal reflux disease (GORD). GORD is a disorder in which stomach contents, including acid and bile, travel back up into the esophagus and can cause irritation and damage to the lining of the oesophagus.

GORD can also be exacerbated by non-acid reflux, which includes the backflow of stomach substances, including pepsin, bile, and airborne allergens. Even when the lower oesophageal sphincter (LES) is working adequately, non-acid reflux can still happen and is regarded to be more harmful to the oesophageal lining than acid reflux.

Non-acid reflux is regarded to be more challenging to diagnose and treat than acid reflux and has been related to an increased risk of oesophageal cancer. Treatment for non-acid reflux usually entails lifestyle changes, such as avoiding specific activities, cutting out particular meals and drinks, raising the head of the bed, and taking over-the-counter drugs.

An Analysis Of Robotic-Assisted Surgery Outcomes In The Treatment Of Cancer

In recent years, various forms of cancer have become more and more popular candidates for robotic-assisted Surgery. Compared to typical open Surgery, this type of Surgery has several advantages, including being frequently less intrusive, providing more precision, and producing quicker recovery times. Understanding the results of robotically assisted Surgery when used to treat cancer is the aim of this analysis.

To begin, a literature review was conducted to identify studies that evaluated the outcomes of robotic-assisted Surgery when used to treat cancer. A total of eleven studies were identified, all of which were conducted between 2007 and 2020. Each study was analyzed to assess the outcomes of robotic-assisted Surgery for cancer treatment.

Overall, the research findings imply that robotic Surgery may successfully treat some malignancies. The trials revealed that for several cancer types, such as colon, prostate, and bladder tumours, robotic-assisted Surgery had equivalent or better results than conventional open Surgery.

A Comparative Analysis Of Laparoscopic And Open Surgery In The Treatment Of Appendicitis

Millions of individuals worldwide suffer from appendicitis, a potentially fatal inflammatory illness of the vermiform appendix. The preferred course of treatment for this illness is appendix removal surgery. This has traditionally been accomplished through open Surgery. However, laparoscopic Surgery has grown in popularity during the past several years.

In open Surgery, the appendix is manually removed through an incision in the abdominal wall. The advantages of this approach include a shorter operative time, a lower risk of postoperative complications, and a lower risk of recurrence.

However, open Surgery also has some downsides. It is associated with a higher risk of infection, more pain and discomfort during recovery, and a longer recovery time.

An Observational Study Of Chest Trauma

In the US, chest trauma is a leading cause of mortality and morbidity. This study intends to look into the clinical traits, consequences, and epidemiology of chest trauma in a sizable community-based population.

Retrospective chart reviews of patients admitted to a community hospital with chest trauma over three years will be used to gather data. In addition, records will be kept on the patient’s clinical characteristics, results, and demographic data.

Mortality will be the main outcome indicator. The length of the stay, the complication rates, and the functional status upon discharge will be used as secondary outcome measures. This study’s findings will be used in clinical practice to direct care of chest damage patients and pinpoint areas that require improvement.

Evaluation Of The Role Of Cyanoacrylate Glue In The Management Of Fistula In Ano

Using cyanoacrylate glue as a treatment for anus fistulas has shown encouraging results. According to studies, using this adhesive may speed up healing while also reducing the amount of time a fistula takes to repair. This adhesive has been proven effective when conventional medical care has been ineffective or unavailable.

The fistula site is treated topically with cyanoacrylate glue, which is then given time to dry. According to popular belief, the glue secures the fistula and prevents the contents from seeping out again. This may lessen infection and inflammation.

A Clinical Study Of Pancreatitis Due To Gall Stone Disease

Gallstone disease is a condition when the gallbladder or bile ducts get blocked with gallstones. These gallstones may result in pancreatitis, an inflammation of the pancreas. Pancreatitis symptoms include stomach pain, nausea, vomiting, and fever.

The most common course of action for treating pancreatitis brought on by gallstone disease is Surgery to remove the gallstones and antibiotics to treat any infection. The use of medicines to dissolve gallstones is occasionally possible. The gallstones must be surgically removed if they are too big to disintegrate.

A Clinical Study Of Post Operative Complications Of Thyroidectomy

Postoperative complications of thyroidectomy can include bleeding, infection, hypercalcemia, hyperparathyroidism, and recurrent laryngeal nerve damage. Other rare complications include airway obstruction, vocal cord paralysis, and damage to the parathyroid glands. Also:

Bleeding: Bleeding is the most common complication of thyroidectomy, which can be caused by damage to adjacent vessels.

Infection: Infection is usually caused by bacteria in the surgical site.

Hypocalcemia: Hypocalcemia is a decrease in the concentration of calcium in the blood, which can occur due to damage to the parathyroid glands during the procedure.

Hypoparathyroidism: Hypoparathyroidism is a decrease in parathyroid hormone production, which can lead to a decrease in calcium levels in the blood.

A Clinical Study Of Various Prognosis Factors For Better Management Of Diabetic Foot

A typical side effect of diabetes is diabetic foot, which is brought on by peripheral neuropathy, poor blood flow, and infection that can result in foot ulcers. The severity of the disease, the patient’s age, the existence of underlying disorders, the standard of medical care, lifestyle factors, and the patient’s general state of health are only a few of the variables that affect the diabetic foot prognosis.

This clinical trial aims to assess the many prognostic characteristics that might be connected to better diabetic foot treatment. Retrospective analysis of patient medical records with the diabetic foot will be part of the study, which will also evaluate the relationship between numerous prognostic indicators and more effective disease management.

For the creation of specialized treatment regimens for people with diabetic feet, the study’s findings will be a vital source of knowledge.

Themes of these thesis topics for general Surgery span from the practical to the theoretical. Research on novel surgical techniques, the creation of medical devices, and clinical trials are examples of practical themes.

Theoretical subjects could investigate new developments in surgical practice, relevant moral and legal concerns, or the social and cultural effects of Surgery. The thesis should examine a significant and pertinent problem in the field of General Surgery.

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Monday 20 July 2015

Ms general surgery - thesis topics mmc, 2 comments:.

Your article is interesting and engaging as well. Links mentioned are really very useful for students. Study mbbs in russia .

Cost of Neurosurgery in India - Are you looking for neurosurgery in India for treatment of brain in India t affordable cost in India. There are numerous top neurosurgeons and best neurosurgery hospitals in India. Indian hospitals and medical expert use advance technology to provide high quality and affordable treatment of brain. Visit: Medical Tourism Company in India

Comparative study between 0.5% ropivacaine with fentanyl and 0.5% bupivacaine with fentanyl in usg guided supraclavicular brachial plexus block in upper limb surgeries.

Jha N; Guide: Tidke S

The effect of nebulized ketamine in decreasing the incidence and severity of post operative sore throat after endotracheal intubation in patients receiving general anaesthesia.

Katrale S; Guide: Dhande P

A comparison of hemodynamics and ease of intubation in intubating the trachea using intubating laryngeal mask airway after induction versus awake fiberoptic bronchoscopy in patients with difficult airway.

Rathi S; Guide: Jain S

A randomized controlled study for comparative evaluation of pre-emptive single dose analgesia with pregabalin vs. Lumbar epidural analgesia using bupivacaine in adult patients undergoing laparoscopic surgeries on postoperative pain and haemodynamics.

Community Medicine

Development and validation of a tool to assess home environment conducive to child development for young children”

Joshi S; Guide: Maliye C

Impact of package of intervention promoting responsive feeding practices on nutritional status and eating behaviour of infants and young children. A cluster randomized controlled study.

Kolhe R; Guide: Gupta SS

Association of Father’s participation in responsive caregiving at 3 - 6 months of age with child development outcomes at 16 - 18 months of age: A cohort study

Muneshwar K; Guide: Gupta SS

A study to assess quality of complementary feeding and determinants of inadequate complementary feeding practices among mothers of children aged 6 – 24 months in rural area of central India: A cross sectional study with mixed methods.

Dermatology

A cross-sectional study of mucocutaneous manifestations in patients with End Stage Renal Disease on hemodialysis at a rural tertiary care hospital in central India.

Deshmukh A; Guide: Jain S

Association between AcanthosisNigricans and Metabolic syndromes at rural tertiary care hospital in Central India: A case control study.

ENT Karad P; Guide: Nagpure PS

Evaluation of nasal obstruction in a tertiary health care Centre.”

Kumar S VS; Guide:Garg D

A prospective observational study of Endoscopic Septoplasty and Surgical Outcome in a Rural based Tertiary Health care Hospital.

Acute Undifferentiated Febrile illness in patients presenting to a tertiary care Teaching Hospital in central India : Etiology ,Clinical Spectrum and Outcome

Khan S; Guide: Jain J

Prevalence of dementia in elderly diabetics: A case control study from rural hospital in Central India.

Dhake V; Guide:Taksande B

Study of peripheral nervous system in sickle cell anemia

Thokal D; Guide:Saxena B

Predictors of mortality and length of hospital stay in elderly patients admitted to medicine intensive care unit in a rural tertiary care hospital.

Soni P; Guide: Jain V

Clinico-demographic profile and clinical outcomes of patients requiring ventilation support in a tertiary care intensive care unit of a rural teaching medical college: a prospective cohort

Microbiology

Prevalence of invasive candiadiasis in a rural tertiary care hospital: An Observational study.

Obstetrics & Gynecology

Assessment of Growth Restricted fetus with special reference to Doppler studies and its perinatal outcomes

Ophthalmology

Visual Outcome of Cataract Surgery After Small Incision Cataract Surgery (SICS) or Phacoemulsification In Diabetic And Non-Diabetic Patients.

RathiN; Guide: Singh S

To Study The Effect Of Laser Assisted In –Situ Keratomileusis (LASIK) Surgery On Ratio Of Axial Length To Corneal Radius Curvature In Eyes With Refractive Error

SundarkarT; Guide: Dhabarde A

A Clinical Profile of ProptosisIn A Rural Based Tertiary Care Hospital

Barghare T; Guide: ShuklaA K

A Study of the Prevalence of Concomitant Squint Among Primary School Children and an Evaluation of Their Binocular Functional Outcome Following Surgical Management”

Orthopedics

Functional outcome of patellar fractures treated by open reduction and internal fixation : A prospective study

Rathod H; Guide: Patond KR

Hospital based cross sectional study of osteoporosis in men with proximal femur fractures by peripheral DEXA

Role of Caspase 8 as a prognostic biomarker in breast carcinoma

Hagone S; Guide: Gupta A

FoxP3 expression and overall survival in breast cancer

Vaidya V; Guide: Shivkumar VB

Audit of transfusion practices in a rural tertiary care hospital

Bhutia D; Guide: Anshu

Immunohistochemical expression of cyclin D1 in lesions of the thyroid

Umbilical cord blood gases analysis and composite neonatal outcome –A Cohort study

Kolhe S; Chauhan V

Prospective study of early and immediate outcome of preterm neonates in rural Medical College in Central India.

Pharmacology

To study the effect of wound healing activity of Musa Balbisiana sp. peel after application of low molecular weight heparin and anti-inflammatory activity on Wister Albino Rats.

Pandhare S; Guide:Gosavi DD

Adverse drug reaction of anticraving agents like Baclofen,Naltraxone and acamprosate in relapse prevention of alcohol withdrawal syndrome:observationalprospective study

Gorjelwar P; Guide:Kale R

Transfusion related adverse reaction in patients admitted in medicine department at tertiary care teaching hospital in central india.

A cross- sectional study for assessmentand comparison of the magnitude andpattern of substance abuse in diagnosedcases of bipolar affective disorder andSchizophrenia in a rural medical college

Patil V; Guide: Mishra KK

A study of thrombocytopenia andhypokalemia in alcohol withdrawaldelirium in tertiary health care center inrural India

Association of Biochemical Parameters and Risk factors with Non Alcoholic Fatty liver disease in adults

Chavan N; Guide: Kale SK

“Role of Magnetic Resonance Imaging in Evaluation of Bone Tumours with Histopathological Correlation in Radiograph Suspected Patients in Rural Tertiary Care”.

Radiotherapy

Experimental study to compare hypofractionated radiotherapy v/s conventional concomitant chemoradiotherapy in terms of overall response, toxicity profile and quality of life in head and neck cancers

A Prospective comparative study of perioperative complication of total extraperitonial hernia repair under general anaesthesia and Lichtenstein repair under local anaesthesia in rural tertiary care center.

Shah J; Guide: Gupta DO

Evaluation of Peptic Ulcer Perforation with a new prognostic scoring system.

Kakade R; Guide: Gupta DO

APACHE II Score in assessing surgical outcome in patients of perforation peritonitis

Page S; Guide:Pande R

“Comparative Study of Local and systemic antibiotics in prevention of surgical site infections”

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1.     Role of diagnostic modalities in assessment of Solitary thyroid nodule and management.

2.     A comparative study of preservation vs division of ilioinguinal iliohypogastric, and genital nerves during lichenstein hernioplasty.

3.     A prspective clinical study of acute intestinal obstruction.

4.     A prospective clinical study of duodenal perforation.

5.     A prspective clinical study & management of umbilical & para umbilical hernia in adults.

6.     A prspective clinical study on mass in the right iliac fossa.

7.     A prspective clinical study of acute appendicitis and evaluation of Alvardo score in the diagnosis”.

8.     A prspective study on management protocols of lump breast depending on FNAC-excision biopsy  and its histopathological correlation.

9.     A prspective clinical study on gastro intestinal perforation.

10.  A prspective clinical study on benign thyroid swellings”.

11.  A prspective clinical study and management of incisional hernia.

12.  A prspective clinical study of acute peritonitis”.

13.  A prspective clinical study of benign breast disorders”.

14.  A prspective clinical study of efficacy of band ligation in the treatment of second degree haemorrhoids”.

15.  A prspective clinical study and management of blunt trauma abdomen”.

16.  A prspective clinical evaluation and management of cholelithiasis”.

17.  A prspective clinical study and management of varicose veins in the lower limb”.

18.  Acute intestinal obstruction in adults”

19.  Comparative study of anatomical repair and lichenstein repair for inguinal hernia.

20.  Different strategies ( i.v. Lidocaine & gum feeding ) to shorten post surgical ileus — A prospective study.”

21.  Hyperbilirubinemia and crp as predictors of appendiceal gangrene / perforation — A prospective study

22.  A clinical study on duodenal perforation”

23.  A clinical study and different modalities of treatment in ventral hernias.

24.  Clinico-etio-pathological study of liver abscess.

25.  Clinical study of acute appendicitis with ference to clinical presentation, treatment and follow up.

26.  A randamized case control clinical trial to compare antibiotic versus normal saline instillation into the peritoneum in the management of secondary peritonitis.”

27.  Efficacy of fine needle aspiration cytology in the pathological diagnosis of solitary thyroid nodule.

28.  Comparative study of laparoscopic and open cholecystectomy for symptomatic stone diseases.

29.  A prospective study of incidence of malignancy in multi nodular goiters.”

30.  Evaluation  and  management of  diabetic foot according to wagner’s classification”

31.  Study on clinical presentation and various modalities of treatment of gall stone disease”

32.  A clinical study of conventional dressing in diabetic wounds”

33.  A clinical study of peritonitis

34.  A clinical study of benign breast disorders”

35.  A case study of 100 cases of acute abdomen excluding trauma cases with reference to epidemiology and management”

36.  A clinical study of ac.appendicitis and evaluating alvarado score in diagnosis and treatment”.

37.  Utility of surgical apgar score in predicting post operative morbidity and mortality in general surgical procedures.

38.  A clinical study of resection and anastomosis of bowel in our surgical practice. ”

39.  Role     of diagnostic laparoscopy for staging in abdominal malignancies .”

40.  Clinico pathological study of chronic cervical lymphadenopathy.

41.  Incidence of SSI in elective abdominal surgery.

42.  A prospective  comparative study of open vs laparoscopic appendicectomy.

43.  Study of clinical features & management of benign ulcers of the leg & foot.”

44.  A clinical study of abdominal wound dehiscence.”

45.  A clinical study of post operative complications of thyroidectomy.”

46.  A clinical study of hollow viscus perforation. “

47.  Port site infiltration and intra peritoneal injection of bupivacine vs conventional analgesics in controlling post operative pain following laparoscopic surgeries.”

48.  Effect of platelet rich plasma on wound healing of leg ulcers. ”

49.  The study of antibiotic prophylaxis in clean and clean contaminated surgical wounds .”

50.  Evaluation of upper abdominal pain by upper gastrointestinal endoscopy.”

51.  Accuracy of ultrasonography in acute and chronic abdominal conditions .”

52.  Comparative study of topical application of 2% diltiazem and lateral sphincterotomy of chronic fissure in ano. ”

53.  Clinico pathological study of salivary gland swellings.”

54.  Role of endoscopic iii ventriculostomy in the comprehensive management of hydrocephalus.”

55.  A comparative study of clinical findings, ultrasonography and histopathology in benign breast diseases.

56.  Comparative study between conservative dressings and dressings with papain – urea & silver colloid in case of skin ulcers.

57.  A case study on post — operative wound infections. “

58.  A comparative study of open vs laparoscopic hernia repair for umbilical and para umbilical hernia”.

59.  Evaluation of portsmouth — possum scoring system in assesing the surgical outcome in general surgery patients”.

60.  A study of uncomplicated inguinal hernia repair as a day care surgery”.

61.  A clinical study to correlate between cytological and histopathological findings in diagnosis of multinodular goitre”.

62.  Management   of lower limb varicose veins conservatively and surgically based on ceap classification”.

63.  Comparative study of stainless steel staples closure of skin wound versus 3.0 ethilon closure”.

64.  Prospective analysis of outcomes in elderly patients undergoing laparotomies for gastro intestinal causes”.

65.  Clinico pathological study and management of blunt trauma abdomen

66.  A comparative study of colostrum dressing versus convential dressing in wounds.

67.  Evaluation of Mannheim’s peritonitis index in patients with peritonitis due to hollow viscus perforation”.

68.  Comparative study  between intermittent & continous suturing in emergency laparotomy”.

69.  A clinical study comparing pdgf dressing and vac dressing in diabetic ulcer”.

70.  Clinical study and management of solitary thyroid nodules

71.  A comparative study   of stapler haemorhoidopexy  versus  open haemorrhoidectomy”.

72.  Clinical study and management of incisional hernia with mesh repair.

73.  A clinical study to determine pre-operative predictive factors for difficult laparoscopic cholecystectomy.

74.  A study of clinical profile and management of non-thyroidal neck swellings.

75.  A comparative study of serum cholesterol, biiirubin,phospate and calcium in patients with gail stone and normal persons”.

76.  A clinical study of pancreatitis due to gail stone disease.

77.  A evaluation of alvarado scoring in diagnosis of acute appendicitis and its correlation with histopathological and operative findings”.

78.  A clinical study of post operative complications of thyroidectomy.

79.  A comparative study of percutaneous cathater drainage vs percutaneous needle aspiration in the treatment of liver abscess in teretiary care center.

80.  A prospective study on factors affecting the outcome in bowel anastamosis in tertiary care center, asram,eluru”.

81.  An analytical study of clinicopathological and predictive factors in diagnosis, management and outcome in necrotising fascitis”.

82.  A comparative study of topical phenytoin vs normal saline dressing in the healing of chronic diabetic foot ulcers — a randomized control study”.

83.  A prospective study comparing the effectiveness of apache ii and mannheim peritonitis index in predecting the outcome in patients with perforative peritonitis”.

84.  A clinical study of various prognosis factors for better management of diabetic foot.

85.  Study of breast lumps in females upto 40 years of age.

86.  A study of patients of HIV presenting with surgical emergencies.

87.  Clinical study of splenk injury in abdominal trauma and its management.

88.  A study of abdominal lumps,diagnostic evaluation and operative correlation.

89.  Study of trauma outcome using the triss method at a tertiary care center.

90.  Comparison between RTS and GAP scoring systems to predict survival in patients of trauma. (Revised trauma score and glasgow coma scale- age-pressure)

91.  A study of the correlation of pre-operative risk factors and complications occuring during and after laparoscopic procedures.

92.  Study of management of upper gastrointestinal malignancies.

93.  Clinicopathological study of small bowel and related mesenteric tumours.

94.  Clinicopathological study and management of breast cancer.

95.  Role of hyperbaric oxygen therapy in chronic non

96.  healing diabetic foot ulcers.

97.  Neo-adjuvant chemotherapy in locally advanced carcinoma of breast.

98.  Study of non-Traumatic lower limb amputations.

99.  A study of clinical profile and management of non-thyroidal neck swellings.

100.A comparative study of three port versus four port techniques in laparoscopic cholecystectomy.

101. A prospective study of the common bile duct status during laparoscopic cholecystectomy by using intraoperative cholangiogram.

102. A comparative study of three port versus four port techniques in laparoscopic cholecystectomy.

103. A prospective  comparative study of open vs laparoscopic cholecystectomy.

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Home > MAHE Student Work > KMCMLR

Kasturba Medical College, Mangalore Theses and Dissertations

Theses/dissertations from 2021 2021.

“The Impact of Self-Stigma of Seeking Help and Perceived Social Support on Burnout among Clinical Psychologists” , Aavrita A

The impact of self-stigma of seeking help &percieved social support on burnout among clinical psychologists. , Aavrita .

Immediate Effects of Novel Hand Rehabilitation Board on Fine Motor Skills in Children with Cerebral Palsy. , Romita Fernandes. Abraham

"COMPARISON OF THREE SCORING CRITERIA TO ASSESS RECOVERY FROM GENERAL ANAESTHESIA IN THE POST-ANAESTHESIA CARE UNIT- A LONGITUDINAL OBSERVATIONAL STUDY " , Shagun Aggarwal

Comparative predictive validity of Alberta Infant Motor Scale and Infant Neurological International Battery in Low Birth Weight Infants- A Prospective Longitudinal Study. , Polisetti Siva Sai Anand

Antagonistic Asynchrony in Muscle Recruitment Pattern of Forward Reach Movement In Children With Cerebral Palsy. , Sanya Anklesaria

Muscle fatigue response of rotator cuff muscles in sitting and standing postures , Lisanne Aranha

Effectiveness of static weight bearing versus modified constraint induced movement therapy on improving hand function in hemiplegic cerebral palsy- A Randomized Clinical Trial. , Ruth Bavighar

How informed are our patients about generic medicines? – A study from coastal South India , Darshan BB

Morphological variants of the human spleen, a cadaveric study , Murlimanju BV

Association between cervical breast cancer and Diabtetes mellitus among women seeking health care in tertiary hospitals od south India: A cross sectional study , Pratik Kumar Chatterjee

Carcinoma Breast in among Women with Diabetes Mellitus: A Case Control Study , Pratik Kumar Chatterjee

Perception of Empathy among medical students: A cross sectional study , Pratik Kumar Chatterjee

CLINICOMYCOLOGICAL PROFILE OF DERMATOPHYTOSIS IN A TERTIARY CARE HOSPITAL IN SOUTH INDIA , Adyashree Dalai

Study of outcome of Ponseti technique of management for idiopathic clubfoot in a tertiary center in south India , Lulu Damsas

Comparative study of emotional labour &burnout on life satisfaction among school teachers across different educational settings , Meghana Dharampalan

“Comparative Study of Emotional Labor and Burnout on Life Satisfaction Among School Teachers Across Different Educational Settings” , Meghana V. Dharmapalan

“Relationship Between Sexual Fantasy, Sexual Communication, Personality Traits and Sexual Satisfaction in Married Individuals” , Rhea Dhir

Comparing the efficacy of USG guided supraclavicular brachial plexus block with or without intercostobrachial nerve block for forearm surgeries – an observational study , DIKSHA D’MELLO

Does Quality of Sitting influence Functional Mobility in Cerebral Palsy? A cross-sectional study , Kaiorisa N. Doctor

Factors effecting gait velocity in osteoarthritis knee-An observational study. , Lisha Gretal D’silva

Effect of Inspiratory Muscle Training on Pulmonary Function, Functional Capacity, Quality Of Life And Length Of Stay in individuals undergoing Cardiac Surgery , Fiona Verdine Dsouza

Relationship of Academic Resilience with Self-Efficacy, and Perceived Social Support; Among Civil Service Aspirants , Neha Eldho

EFFICACY, FEASIBILITY, AND SAFETY OF PERCUTANEOUS IMAGE-GUIDED CATHETER DRAINAGE OF THORACIC, ABDOMINAL, AND PELVIC FLUID COLLECTION , Aishwarya Gadwal

Comparison of efficacy of two different bolus doses of norepinephrine as prophylac-tic to prevent post-spinal hypotension during elective caesarean section , PRANATHI GARAPATI

Trends in Frailty and its Associated factors in Community Dwelling Elderly Indian Population during COVID-19 Pandemic- A Prospective Analytical Study , Karan Gautam

Speech Sound acquisition in some south Indian Dravidian languages: A systematic review , Jesica George

Comparison of Femoral nerve block with Dexmedetomidine and Adductor canal block with Dexmedetomidine for postoperative analgesia for Total Knee Arthroplasty . , NEHA GEORGE

Assessment Of Cardiovascular Risk Factors In Patients With Osteoarthritis Knee , Sagar Goel

Effectiveness of Intermittent Cervical Traction with and without Neural Mobilization in Discogenic Cervical Radiculopathy , Aditi Goyal

Study of maternal and cord blood vitamin B12 levels with anthropometry in term neonates born to normal and malnourished mothers: a hospital based cross sectional study , Sugapradha a. GR

Development of a Questionnaire to Determine the Intervention and Service Delivery Practices of Speech-Language Pathologists for Children with Speech Sound Disorders in India , Shaily Gupta

Relationship between Physical Activity, Objective Sleep Parameters and Circadian Rhythm in Patients with Head and Neck Cancer receiving Chemoradiotherapy- A Longitudinal Study , Rachita Gururaj

“Emotional Contagion, Perceived Stress and Coping Strategies Among Nurses” , Saumya Hariharan

Assessment of knowledge and belief about stuttering among undergraduate medical students , Anushree Harihar

Association of serum lipid levels and other systemic risk factors with retinal hard exudates in diabetic retinopathy patients. , Harshita Mukesh Hiran

Assessment of risk of Diabetes Mellitus by using Indian Diabetes Risk Score among Housekeeping staff , Ramesh Holla

“Emotional Intelligence, Self-compassion, and Life-Satisfaction In Clinical Psychologists” , Vania Jacob

UPPER-CROSSED SYNDROME AND DISABILITY IN SHOULDER ADHESIVE CAPSULITIS. , Aishwarya Jaideep

Study to assess the role of doppler ultrasound in evaluation of arteriovenous hemodialysis fistula and the complications of hemodialysis access , Ishank Jain

Relationship between burnout compassion fatigue, work environment & mindfulness in medical residents , Pranay Javeri

“Relationship Between Burnout, Compassion Fatigue, Work Environment and Mindfulness in Medical Residents” , Pranay Harichandra Javeri

“Dating Anxiety in Emerging Adults” , Jisha V. Jayaprakash

“Relationship Between Tolerance for Disagreement and Mindfulness in Married Males and Married Females” , Jahnavi Jha

Antibiotic usage and susceptibility patterns in Uncomplicated UTI in a Tertiary Hospital in South India , Christy John

Association of bed rise difficulty scale with trunk impairment and functional scales among stroke patients , Leena G. John

Is there a correlation between Pediatric Berg Balance Scale and Centre of Pressure Excursion measured through Dual Axis Static Force Plate™ to assess Balance in Children with Spastic Cerebral Palsy and Typically Developing? , Niharika Joshi

Comparison of Sensory Processing Responses in Cerebral Palsy Subtypes and Typically Developing Children (7-36 months): A Cross Sectional Study. , Archana Antony K

‘A study on the Role of Learned Helplessness, Selfefficacy and Perceived Social Support in Determining Resilience in Parents of Children with Neurodevelopmental Disorders’ , Benaisha Khurshed Katrak

A study of correlation of maternal serum zinc levels with breast milk and cord blood of late preterm neonates , Rashmi Katti

Correlation of histopathology and direct immunofluorescence findings in clinically diagnosed prurigo nodularis , Haritha K

Difference in proximal femur loading due to muscle activity during partial weight bearing and NWB standing- A cross-sectional study. , Smital Kshirsagar

Effect of Sesamol on neurobiochemical changes in diet induced (DIO) obesity model of Zebra fish (Danio rerio) , Rashmii K.S.

Importance of integration of medical ethics with undergraduate medical curriculum- Instructors and student’s perspectives. , Rashmii K.S.

Long-term potentiation (LTP): A simple yet powerful cellular process in learning and memory , Rashmii K.S.

Parkinson's Disease Overview: Alternative Potential Curcumin Treatment, Current Treatment and Prevalence Among Ethnic Groups , Rashmii K.S.

Smart brain of India vs. tricky drugs , Rashmii K.S.

The Role of Professionalism and Ethics Training: Instructor’s and Student’s perspectives in a medical College , Rashmii K.S.

Violence Against Doctors: A Qualitative Study On This Rising Predicament , Rashmii K.S.

Morphometric study of the gracilis muscle and its pedicles , Chettiar Ganesh Kumar

Comparative study of bed side tests to assess difficult airway in paediatric patients , S.Abinandha Kumar

Euphorbia thymifolia (Linn.)- A review on ethno pharmacological properties , Vasavi Kumblekar

COMPARISON OF KNOWLEDGE, ATTITUDE, AND PRACTICE TOWARDS THE USE OF SUNSCREEN IN DAILY LIFE BETWEEN FIRST -AND THIRD -YEAR MEDICAL STUDENTS , Aarushi Lall

‘Feminist Identity, Socio-cultural Attitude Towards Appearance, and Body Images issues in Emerging Adult Women’ , Sheena Lonappan

A novel approach to quantify the Dynamic Windlass Mechanism , Ishita Mahajan

METFORMIN VERSUS INSULIN IN THE MANAGEMENT OF GESTATIONAL DIABETES , Varikuti Manogna

Cognitive abilities among employed and unemployed middle-aged women – a systematic review , Aswini M

‘Emotional Intelligence, Job Satisfaction and Psychological Well-being Among Nurses’ , Chetna M

RELATIONSHIP OF COMPUTER AIDED DESIGN(CAD)-BASED PHOTOGRAMMETRY FOR FACIAL DYSFUNCTION WITH FACIAL GRADING SYSTEMS FOR BELL’S PALSY: A PROSPECTIVE OBSERVATIONAL STUDY , Ankita Mehendale

“Effect of Sensation Seeking and Anxious Traits on Suicidal Ideation Among Adults by Birth Order” , Haripriya G. M

Clinical & radiological assessment of intertrochanteric fractures treated with PFN A2 , Harish M

Effect of a home-based pulmonary rehabilitation programme on respiratory function, functional capacity, and quality of life in patients with chronic obstructive pulmonary disease , Vaibhavi Mhatre

Profiling Communication Characteristics of Individuals with Acquired Neuro-communication Disorder in a Tertiary Care Setup , Nikita Subudhi M

Relationship between weight bearing symmetry, trunk control and fear of fall amongst subjects with stroke: A cross sectional study , VIVIAN NEHAL MONIS

Lower extremity muscle recruitment pattern during sit to stand transfer in children with cerebral palsy as compared to typically developing children- a cross sectional study. , Kiran P. Nadgauda

Knowledge, attitudes and practices of Indian classical singers towards vocal healthcare , Raveena Muralidharan Nair

"Perspectives of Indian Speech Language Pathologists on Adolescent Language Assessment" , Rohana Muralidharan Nair

Effect Of Yoga On Perceived Stress And Pulmonary Function In High Stressed Postmenopausal Women , Vinodini NA

Refractory errors, blood groups & diabetes mellitus: A corrleative study in south Indian population , Vinodini NA

Comparison of Functional outcomes for displaced extra-articular distal radius fractures managed by Conservative versus Operative methods: A Prospective cohort study , Muhammed Ehsan Nazeer

COMPARATIVE STUDYOF THE EFFECTIVENESS OF VAPOCOOLANT SPRAY VERSUS EMLA®® CREAM IN REDUCING PAIN DURING INTRAVENOUS CANNULATION IN ADULT POPULATION , Sisla Nazer P

Assessment of attitude among public towards stuttering in a coastal city of Southern Karnataka , Prithvi N

"Severity assessment of acute pancreatitis using ct severity index and modified ct severity index: association with clinical outcomes and ranson’s criteria. " , GEETANJALI PARMAR

“The Effect of Culture Shock on Adjustment and Psychological Wellbeing Among College Going Students” , Akanksha Patra

‘Effect of Religiosity on Attitude Towards Euthanasia in Medical Students’ , Sumedha Pawar

Development Of A Questionnaire To Determine The Clinical Assessment Practices Of Speech-Language Pathologists For Children With Speech Sound Disorders In India , Prasila Elsa Philip

Correlation of oxidised LDL with oxidant and antioxidant enzymes in subjects with elevated LDL levels , Pooja p

Association of emotional intelligence of primigravida mothers with breastfeeding self efficacy in the early postpartum period and exclusive breastfeeding rates up to 6 months. , Priyanka Reddy p

Morphometric study of the Sartorius muscle and its vascular pedicles , M.D. Prameela

Comparison of the analgesic duration using ultrasound guided popliteal sciatic nerve block between diabetics with neuropathy and non-diabetics without neuropathy , GANESH PRASAD

Early follicular and Mid-luteal phase associated changes in Lower extremity Muscle strength , length and Agility in amateur female athletes – a Prospective Analytical study , Vishnu Priya

Assessment of mobile device based educational intervention on breastfeeding technique in multigravida mothers and its effect on early infant feeding pattern- A randomized controlled trial. , Keerthi Raj

THERMAL ULTRASOUND, MANIPULATION AND EXERCISE ON PAIN AND MOUTH OPENING IN CHRONIC TEMPOROMANDIBULAR JOINT DISORDER: A CASE REPORT , Suchita S. Rao

Correlation of Histopathology and Direct Immunofluorescence: Findings in clinically diagnosed Prurigo nodularis in a Tertiary care hospital , Haritha Reddy

EFFECT OF POSITIONING ON THE PAIN RESPONSE OF INFANTS VACCINATED WITH IPV AND PENTAVALENT (dtwp-HEPATITIS B-HEMOPHILUS INFLUENZA B) VACCINES , Sontosh Reddy

Assessment of the acceptable length of Right internal jugular central venous catheters. , Nivedhitha R

PRELEVANCE OF WORK RELATED DERMATOLOGICAL SYMPTOMS IN HEALTH CARE WORKERS IN COVID-19 ERA , Rana R

COMPARISON OF TWO ROUTINE FACIAL EXERCISE PROTCOLS FOR BELL’S PALSY- A RANDOMIZED CONTROLLED TRIAL , Stephanie Santiago

Profiling selected speech characteristics in individuals with Chronic Cough , Nawal Palakkal Sathar

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