Reyaz Ahmad Lone
Sher-I-Kashmir Institute of Medical Sciences
Network
Latest external collaboration on country level. Dive into details by clicking on the dots.
Publication
Featured researches published by Reyaz Ahmad Lone.
International Journal of Surgery | 2010
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.
Injury-international Journal of The Care of The Injured | 2010
Altaf Rasool; Adil Hafeez Wani; Mohammad Ashraf Darzi; M. Inam Zaroo; Shabir Iqbal; Shiekh Adil Bashir; Shafaq Rashid; Reyaz Ahmad Lone
BACKGROUND Injuries due to mauling by bears are rarely reported in the literature. The high incidence of such injuries in Kashmir, India, which is a valley surrounded by dense forests and is a habitat of Asiatic Black bears, urged us to undertake such a study in our department. MATERIALS AND METHODS The study was conducted both retrospectively (January 1990-July 2005) and prospectively (August 2005-December 2007). RESULTS A total of 417 cases were recorded and all the injuries were caused by black bears alone. Majority of the patients were young to middle-aged (96.8% of cases) and predominantly males (80.33%). The incidence was highest during July to November (76.82%), and most of the attacks (97%) occurred during daytime. Soft-tissue injury occurred in all 417 cases, bones were involved in 131 (31.41%) while the visceral organs were injured in four (12.94%) patients. The face (80.57%) was most common part of the body injured, followed by the head (54.67%), and all the patients had soft-tissue injury (100%). In spite of devastating injuries caused by bear maulings, the mortality rate was only 2.39%. CONCLUSION Injuries due to mauling by black bear occur mainly between July and November. The young and middle-aged men have a higher tendency to be wounded. The face and head were the most commonly affected sites, while visceral injuries were rare. Mortality was low, and reconstruction of many of the injuries was challenging, often necessitating a staged procedure. Those living in villages close to black bear habitats may benefit from education related to the risk and severity of the attacks in the hope of reducing the number of injuries seen.
International Journal of Surgery | 2012
Mohd Lateef Wani; Abdul Gani Ahangar; Shadab Nabi Wani; Ab Majeed Dar; Farooq Ahmad Ganie; Shyam Singh; Reyaz Ahmad Lone; Nasiruddin Wani
BACKGROUND The present study was undertaken to analyze the pattern, presentation and management of peripheral vascular injuries due to road traffic accidents (RTA). METHODS A prospective study of patients of peripheral vascular injuries due to road traffic accidents (RTA) between Jan. 2007 to Dec. 2011. A total of 192 patients presented with peripheral vascular injuries due to RTA during this period. All patients with vascular injury due to other causes were excluded from study. RESULTS Most of the patients were managed by reverse saphenous vein graft followed by end to end anastomosis. Most of the patients had associated long bone fractures. Delayed presentation and associated long bone fractures had bad effect on outcome. Wound infection and thrombosis of the graft were the most important complication. Amputation rate was 4.68%. CONCLUSION Vascular injury due to RTA requires prompt recognition and referral to a vascular center. Immediate revascularization has excellent results and less morbidity. Proper clinical examination and hand held Doppler examination are enough to reach the diagnosis.
Journal of Emergencies, Trauma, and Shock | 2011
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.
World Journal of Surgery | 2009
Shyam Singh; Ml Sharma; Reyaz Ahmad Lone; Mehmood A. Wani; Zahur Hussain; Ishtiyaq Mir; Puja Vimesh
BackgroundHemothorax has been reported to occur along with spontaneous pneumothorax due to adhesion disruption. Rupture of pleural adhesions spontaneously or after unnoticeable trivial trauma causing massive hemothorax alone is rare.MethodsWe present a series of seven cases of idiopathic massive spontaneous hemothorax due to adhesion disruption, of which all required emergency thoracotomy with ligation or cauterization of bleeding adhesions.ResultsSix patients had bleeding pleural lung adhesions of which five involved the upper lobes. Another had bleeding from pleuropericardial adhesions. All patients are doing well on follow-up.ConclusionsDisruption of pleural adhesions may cause massive hemothorax, requiring early surgical intervention. After thoracotomy the outcome in these patients is excellent.
Oman Medical Journal | 2014
Mohd Riyaz Lattoo; Abdul Majeed Dar; Mohd Lateef Wani; Mohd Akbar Bhat; Abdul Gani Ahangar; Gh Nabi Lone; Shyam Singh; Muzaffar Zaman; Reyaz Ahmad Lone
OBJECTIVE The aim of this study was to evaluate the trans-axillary surgical approach in patients with thoracic outlet syndrome. METHODS This retrospective study is comprised of data acquired from January 1998 until Oct 2008. Case histories of all the patients were reviewed from the Medical Records Department of Sher-i-Kashmir Institute. Relevant information and follow-up of the patients was carried out by examining the relevant clinical notes available by telephone interviews and personal contact whenever possible. All data was compiled and analyzed statistically. RESULTS There were a total of 139 patients. The female: male ratio was about 6:1. Pain was the most common presenting symptom followed by weakness and parasthesia. Nerve conduction velocity was abnormal in 111 patients. Twenty-eight patients had abnormal Doppler study of subclavian vessels. Preoperative symptoms persisted in 13 patients. Overall, 126 patients showed improvement in symptoms and no recurrence or persistence of symptoms on follow-up examination. CONCLUSION Trans-axillary approach provides a good exposure and cosmesis in patients with thoracic outlet syndrome. It should be considered as the gold standard in the management of thoracic outlet syndrome.
Cases Journal | 2009
Reyaz Ahmad Lone; Mukand Lal Sharma; Mahmood Wani; Shiraz Ahmad Rather; Abdul Gani Ahangar; Fouzia Rasool; Mohd Akbar Bhat; Abdul Majid Dar; Guhlam Nabi Lone; Shyam Singh; Ishtiyaq Mir; Shabir Shah; Mubashir Shah; Mohd Lateef Wani
Eventration of the diaphragm is the condition where the muscle is permanently elevated, but retains its continuity and attachments to the costal margins. Traumatic diaphragmatic rupture is a recognized consequence of high velocity blunt trauma to the abdomen usually a result of motor vehicle accident. Multi-slice CT and Magnetic Resonance Imaging in the pre-operative evaluation of trauma patients, diaphragmatic rupture can be still overlooked if not evaluated with the fair degree of clinical suspicion, more so if it is associated with an eventration of diaphragm - as was in our case.
Journal of Emergencies, Trauma, and Shock | 2011
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.
Turkish journal of trauma & emergency surgery | 2010
Abdul Gani Ahanger; Mohd Lateef Wani; Reyaz Ahmad Lone; Shyam Singh; Zahur Hussain; Ishtiyak A Mir; Ifat Irshad; Hakeem Zubair; Abdul Majeed Dar; Ghulam Nabi Lone; Ma Bhat; Ml Sharma
International journal of health sciences | 2008
Reyaz Ahmad Lone; Abdul Gani Ahanger; Shyam Singh; Wani Mehmood; Shabir Shah; Ghulam Nabi Lone; Abdul Majid Dar; Ma Bhat; Ml Sharma; Wani Mohd Lateef