DR SHALABH GUPTA
@santosh.ac.in
Dean Academics
Santosh Deemed to be University
EDUCATION
MBBS, MS GENERALSURGERY
RESEARCH INTERESTS
Surgery
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
Sagar Sharma, Shalabh Gupta, Suveer Sharma, and Nithin Pillai
Siree Journals
Background: Inguinal hernia repair is most frequently preformed surgeries by most of the general surgeons worldwide. Pain is the most common symptom post operative in both immediate and chronic phase. Pain management in these patients, especially in the immediate post operative time, is major concern for both patients and the medical fraternity.Material & Methods: A comparative study to evaluate the post operative pain in management of open inguinal hernia repair with and without inguinal nerve block was conducted at Dept. of General Surgery in Santosh Medical College and Hospital, Ghaziabad on patients admitted in Dept of General Surgery from September 2020 to August 2021. All patients underwent Lichtenstein tension free mesh repair for inguinal hernia. Half the patients randomly selected were given inguinal nerve block using 0.25% levobupivicaine.Results: Nerve blocks have been used for chronic pain managements in past in post op inguinal hernia repair surgeries. Present study deals with pain management in immediate post- operative pain management. It shows significant difference is noted in patients receiving the nerve block not only in pain but also comfort levels, post operative mobility, day of discharge and retention of urine.Conclusion: Use of nerve blocks in patients undergoing open inguinal hernia repair is beneficial for the patient with improved outcome.
Tripta S. Bhagat, Luv Kumar, Prakhar Garg, Apoorv Goel, Amit Aggarwal, and Shalabh Gupta
SAGE Publications
Cellulitis is a bacterial infection of the dermis and subcutaneous tissues occupying a large proportion of hospital beds. This study was conducted for analysis of patients with cellulitis according to their demographics and clinical presentation and to examine their comorbidities, complications, and its management. This observational cross-sectional study was conducted in the Department of Surgery at Santosh Medical College and Hospitals involving a total of 60 cases having cellulitis and other soft tissue infections of lower limb. Analysis of their demographic profile, management, and complications was done. Cellulitis is seen commonly in males, 46 (76.6%). The mean age of patients affected by cellulitis in the study was 36.4 ± 1.23 years. The most common site affected is leg involving more people in field jobs. The most common risk factor was trauma in 46.6%, and other factors were diabetes mellitus and smoking, while abscess formation was the most common complication observed in 36.6% of cases. A total of 56.6% cases were managed conservatively, while 43.3% cases required surgical intervention. Mean hospital stay in this study was 5.02 ± 0.23 days. It was concluded that cellulitis is subcutaneous, spreading bacterial infection is more common in males, and its incidence is highest in working age group population. Lower limb is commonly involved. Trauma, smoking, and diabetes are significant risk factors for development of cellulitis. Abscess is the most common complication. About 50% patients with cellulitis can be managed conservatively and the rest require surgical intervention.
Apoorv Goel, Shalabh Gupta, Ayush Agarwal, Nitin Shiwach, Vishal Chawda, and Tripta S Bhagat
SAGE Publications
Fournier’s gangrene was first described by the venereologist Jean Alfred Fournier in 1883 as fulminant necrosis of the scrotum and penis following urogenital infection. It is a necrotising fasciitis of external genitalia. Predominantly seen in elderly men, diabetics and immunodeficient patients, it is a polymicrobial infection caused mainly by Escherichia coli, Klebsiella, Staphylococcus aureus, Streptococcus species and anaerobes. Fournier’s gangrene spreads extensively to the surrounding tissue and frequently results in septic shock and multi-organ failure. Active treatment includes broad spectrum intravenous antibiotics and radical surgical debridement of necrotic tissue. Chikungunya fever is caused by Chikungunya virus (family togaviridae, genus alphavirus) which is transmitted by the bite of infected Aedes aegypti and Aedes albopicusmosquitoes. Constitutional symptoms are high grade fever, a petechial or maculopapular rash of the trunk and occasionally limbs, and marked polyarthritis/ arthralgia, and intense headache, insomnia and extreme prostration. This disease is usually self-limiting but is associated with significant morbidity related to persistent arthritis and long-term anti-inflammatory therapy. Treatment is supportive. Mucocutaneous manifestations include facial flush, fine discrete morbilliform exanthema, pigmentary changes, apthous ulcers, desquamation, scrotal dermatitis and purpura. Though scrotal dermatitis or scrotal ulcers are rare manifestations, necrotising fasciitis may present in the form of Fournier’s gangrene. We hereby present such a case.
Shalabh Gupta, Apoorv Goel, Ayush Agarwal, Atul Kumar Gupta, and Tripta S. Bhagat
Springer Science and Business Media LLC
The aim of this study is to develop an economical suture board for practising suturing skills and techniques. Suture boards were made by using local electric boards, small leather patch, four suction buttons, six screws and a hook. These suture boards are multipurpose boards which are economical and available all the time in department for practicing. This board can also be placed in endotrainer for laparoscopic suturing skills. This economical suture board is cheap, easily available and helps in practicing various suturing and knot tying techniques.
Apoorv Goel, Priyanka Chaubey, Atul Gupta, Shalabh Gupta, Ayush Agarwal, and Deepak Bhardwaj
Jaypee Brothers Medical Publishing
SudhirKumar Thakur, Shalabh Gupta, ShashankR Gupta, and Somen Jha
Medknow
A. Goel, S. Gupta and V. Laheri
We report two extremely unusual and remarkably similar patients having complete absence of all posterior elements of the axis vertebra and mobile, partially reducible dislocation of the axis over the third cervical vertebra. Anterior decompression followed by a fixation procedure appears to be a satisfactory form of treatment for this complex clinical problem.