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Dive into the research topics where Ifat Irshad is active.

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Featured researches published by Ifat Irshad.


International Journal of Surgery | 2010

Feeding jejunostomy: Does the benefit overweight the risk (a retrospective study from a single centre)

Mohd Lateef Wani; Abdul Gani Ahangar; Gh Nabi Lone; Shyam Singh; Ab Majeed Dar; Mohd Akbar Bhat; Reyaz Ahmad Lone; Ifat Irshad

BACKGROUND The purpose of this study was to review the efficacy and safety of feeding jejunostomy in terms of achieving the nutritional goals in patients undergoing esophagectomy for carcinoma of oesophagus and complications associated hence with. METHODS A total of 463 patients underwent esophagogastrectomy for carcinoma oesophagus during this period. All these patients underwent Witzel feeding jejunostomy for post-operative enteral nutrition. Enteral feeding was started after 24 h of surgery and increased gradually till target caloric and protein value was achieved. Nutritional goals achieved were reviewed. All complications related to jejunostomy were recorded. RESULTS The study comprised of 463 patients who underwent elective esophagogastrectomy. Mean age was 58 +/- 8.4 in male patients and 55 +/- 4.2 years in female patients. Patients spend a mean of 19 +/- 8.4 (range 10-49) days on jejunostomy feed. The targeted calorie requirement was achieved by post-operative day 3 in 408 (88.12%) patients. The catheter blockage was one of the main complications during the course of feeding. Seven patients required relaparotomy for catheter blockage. CONCLUSION Feeding jejunostomy is an effective, safe, economic and well tolerated method of providing nutrition to the patients of esophagogastrectomy. Feeding jejunostomy should be done in every patient undergoing esophagectomy at the time of laparotomy.


Journal of Emergencies, Trauma, and Shock | 2011

Vascular injuries after bear attacks: Incidence, surgical challenges and outcome

Mohd Lateef Wani; Abdul Gani Ahangar; Ghulam Nabi Lone; Reyaz Ahmad Lone; Hakeem Zubair Ashraf; Abdul Majeed Dar; Ma Bhat; Shyam Singh; Akram Hussain Bijli; Ifat Irshad

Background: Bear mauling is rarely reported in medical literature due to its rare occurrence. Present study was undertaken to describe the pattern and management of bear maul vascular injuries in Kashmir. Patients and Methods: Study of patients with bear maul vascular injury from 1st Jan 2004 to 31st Dec. 2008. Fifteen patients with bear maul vascular injury were studied. All patients of bear maul without vascular injury were excluded from the study. Results: Most of the patients were treated by reverse saphenous vein graft or end to end anastomosis. Most common complication was wound infection (20%) followed by graft occlusion (13.33%). There was no operative death. Conclusion: Bear attacks are very common in Kashmir. Vascular injury due to bear maul needs prompt resuscitation and revascularization. Results are very good provided timely intervention for revascularization is done.


International Journal of Surgery | 2011

Association of dyslipidaemia with cholilithiasis and effect of cholecystectomy on the same

Ajaz A. Malik; Mohd Lateef Wani; Shahid Iqbal Tak; Ifat Irshad; Nayeem Ul-Hassan

BACKGROUND The association between gallstones and abnormal lipids and later increase in risk of coronary artery disease and stroke has been shown in many studies. The aim of study is to elucidate the association of dyslipidaemia with Cholilithiasis and effect of Cholecystectomy on the same. METHODS 73 patients with symptomatic gallstones were studied prospectively. Plasma concentration of cholesterol, triglycerides, LDL, HDL was analysed preoperatively and postoperatively on day 3 and after 6 months of Cholecystectomy. None of the patients received any lipid lowering drug or dietary restriction. Results were analysed and compared. RESULTS 36 (80%) of the female patients and 20 (71.42%) of male patients had one or other abnormality in their lipid profile preoperatively Plasma concentration of total cholesterol, triglycerides, and LDL cholesterol were significantly reduced in patients on day 3 of surgery and 6 months thereafter. There was no significant increase/decrease in HDL cholesterol in 6 months after Cholecystectomy. CONCLUSION There was a significant decrease in plasma concentration of lipids in Cholecystectomy patients postoperatively. These changes in plasma lipids are likely to have significant effect in the development of coronary artery diseases in patients with Cholecystectomy.


Saudi Journal of Gastroenterology | 2011

Crohn's disease: A surgeon's perspective

Fazl Q. Parray; Mohd Lateef Wani; Akram Hussain Bijli; Natasha Thakur; Ifat Irshad

Crohn’s disease (CD) is known for wide anatomic distribution, different presentations, life-threatening complications, and multiple modalities of management. Its multiple implications are still unaddressed. Since all the patients do not show a good response to medical modalities of treatment, a significant percentage of these patients are referred to the surgeon for the palliation of complications or for the ultimate curative treatment. Since most surgeons come across such patients only rarely, it is sometimes difficult for them to choose the appropriate procedure at the time of need. Moreover, the various surgical modalities available for the different presentations and complications of the disease have not been adequately discussed. The aim of this review is to offer insight and a detailed account of the management of CD from a surgical perspective. This review offers an overview of the various surgical options available, their utility in context, and an approach to various scenarios of complicated CD.


Trauma monthly | 2012

Penetrating cardiac injury: a review.

Mohd Lateef Wani; Ab Gani Ahangar; Shadab Nabi Wani; Ifat Irshad; Nayeem Ul-Hassan

Cardiac injury presents a great challenge to the emergency resident because these injuries require urgent intervention to prevent death. Sometimes serious cardiac injury may manifest only subtle or occult symptoms or signs. As there is an epidemic of cardiac injuries in Kashmir valley due to problems of law and order, we herein present a review on management of such injuries.


Journal of Emergencies, Trauma, and Shock | 2011

Evaluating a conservative approach to managing liver injuries in Kashmir, India

Fazl Q. Parray; Mohd Lateef Wani; Ajaz A. Malik; Natasha Thakur; Rouf A. Wani; Sameer H. Naqash; Nisar Ahmad Chowdri; Khursheed Alam Wani; Akram Hussain Bijli; Ifat Irshad

Aim: There has been a steep rise in incidence of liver injury in the past few years because of increase in incidence of road traffic accidents. The aim of this study was to evaluate the role of non-operative management of liver injury due to blunt abdominal trauma. Materials and Methods: All patients with liver injury from blunt trauma abdomen were studied between January 2000 and January 2010. A total of 152 patients with liver injury were put on conservative management. Hundred and three (67.77%) patients were males and 49 (32.23%) were females with an age range of 15-60 years (32.8 years). Most of the injuries were because of road traffic accidents (81.57%). Liver injuries were graded according to Moores classification using computed tomography. Patients with Grade V and VI were excluded from the study. Patients who were unstable hemodynamically on admission were also excluded from the study. Results: There was no mortality in our series. Eight patients needed exploration because they developed hemodynamic instability. Four of the patient developed post-operative liver abscess which was treated conservatively. Conclusion: Non-operative management of liver injury due to blunt trauma abdomen is a safe, effective and treatment modality of choice in hemodynamically stable Moores grade I to Grade IV injury.


Journal of Emergencies, Trauma, and Shock | 2011

Profile of missile-induced cardiovascular injuries in Kashmir, India

Mohd Lateef Wani; Abdul Gani Ahangar; Ghulam Nabi Lone; Zubair Ashraf Hakeem; Abdul Majeed Dar; Reyaz Ahmad Lone; Mohd Akbar Bhat; Shyam Singh; Ifat Irshad

Background: Missile cardiovascular injuries have taken an epidemic proportion in Kashmir valley since the eruption of militancy in 1990. Present study was undertaken to analyse the pattern, presentation and management of missile cardiovascular injuries. Patients and Methods: Three hundred and eighty-six patients with missile cardiovascular injuries since Jan 1996 to Oct 2008 were studied retrospectively. All patients of cardiovascular injuries due to causes other than missiles were excluded from the study. Results: All patients of missile cardiac injuries were treated by primary cardiorrhaphy. Right ventricle was the most commonly affected chamber. Left anterior thoracotomy was most common approach used. Most of the patients of missile vascular group were treated by reverse saphenous vein graft or end-to-end anastomosis. Most common complication was wound infection (20.83%) followed by graft occlusion (1.94%) in missile vascular group. Amputation rate was 4.66%. Amputation rate was higher in patients with delay of >6 hours and associated fractures. Conclusion: Missile cardiac injuries should be operated early without wasting time for investigations. Clinical status at arrival, time interval till management, nature of injury and associated injuries, tell upon the mortality. Missile vascular injury needs prompt resuscitation and revascularization at the earliest. Time interval till revascularization and associated fractures has a bearing on mortality and morbidity.


Annals of Pediatric Cardiology | 2011

Reninoma presenting as cardiac syncope

Shahid Iqbal Tak; Mohd Lateef Wani; Khursheed Aslam Khan; Mohd. S. Alai; Altaf Hussain Shera; Abdul Gani Ahangar; Yasir Bashir Khan; Ifat Irshad

Reninoma, a renin-secreting tumor of the juxta-glomerular cells of the kidney, is a rare but surgically treatable cause of secondary hypertension in children. We report a case of reninoma presenting as cardiac syncope with long QTc on electrocardiogram due to hypokalemia.


Annals of Nigerian Medicine | 2011

Amyand's hernia: A rare occurrence

Tahir Saleem Khan; Mohd Lateef Wani; Akram Hussain Bijli; Shadab Nabi Wani; Ifat Irshad; Nusrat Shaheen; Hilal Ahmad Khan

Claudius Amyand, Surgeon to King George II, was the first to describe the presence of a perforated appendix within the hernial sac (in 1735) of an 11-year-old boy who had undergone successful appendicectomy. Amyand′s hernia is an inguinal hernia with an appendix involved. It is a rare condition. The chance finding of the vermiform appendix lying within an inguinal hernia occurs in approximately one percent of cases of inguinal hernia. Preoperative diagnosis is difficult. If additional pathologies exist, the diagnosis is more troublesome. We aimed to present a patient with Amyand′s hernia which is rare in the literature


International Journal of Preventive Medicine | 2012

Ulcerative Colitis: A Challenge to Surgeons

Fazl Q. Parray; Mohd Lateef Wani; Ajaz A. Malik; Shadab Nabi Wani; Akram Hussain Bijli; Ifat Irshad

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Mohd Lateef Wani

Sher-I-Kashmir Institute of Medical Sciences

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Reyaz Ahmad Lone

Sher-I-Kashmir Institute of Medical Sciences

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Abdul Gani Ahangar

Sher-I-Kashmir Institute of Medical Sciences

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Akram Hussain Bijli

Sher-I-Kashmir Institute of Medical Sciences

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Shyam Singh

Sher-I-Kashmir Institute of Medical Sciences

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Ghulam Nabi Lone

Sher-I-Kashmir Institute of Medical Sciences

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Shadab Nabi Wani

Sher-I-Kashmir Institute of Medical Sciences

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Abdul Majeed Dar

Sher-I-Kashmir Institute of Medical Sciences

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Ajaz A. Malik

Sher-I-Kashmir Institute of Medical Sciences

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Fazl Q. Parray

Sher-I-Kashmir Institute of Medical Sciences

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