- Vascular Procedures and Complications
- Diabetic Foot Ulcer Assessment and Management
- Cardiac Ischemia and Reperfusion
- Surgical Simulation and Training
- Central Venous Catheters and Hemodialysis
- Liver Disease and Transplantation
- Vascular anomalies and interventions
- Infectious Aortic and Vascular Conditions
- Innovations in Medical Education
- Abdominal vascular conditions and treatments
- Aortic aneurysm repair treatments
- Online and Blended Learning
- Peripheral Artery Disease Management
- Cerebrovascular and Carotid Artery Diseases
- Acute Ischemic Stroke Management
- Dental Education, Practice, Research
- Empathy and Medical Education
- Medical Research and Treatments
- Kawasaki Disease and Coronary Complications
- Infective Endocarditis Diagnosis and Management
- Neutrophil, Myeloperoxidase and Oxidative Mechanisms
University of Colombo
2011-2024
St. Franziskus Hospital
2023
Keio University
2023
University of Bristol
2023
The University of Tokyo
2023
University of Trieste
2023
Universidade Nova de Lisboa
2023
University of Leicester
2023
Karamay Central Hospital
2020
University of Amsterdam
2017
The operating room is a unique learning experience that has visual, aural, kinesthetic stimuli and provides benefits to the medical students such as development of sound clinical knowledge skills, gaining personal insight into ones' career choice. However, this can be challenging place due unfamiliar environment. We aimed study Sri Lankan Medical students' perception attitudes on theatre experience.A descriptive cross-sectional survey was carried out among undergoing surgical training...
Abstract Background The shadowing house officer is an experiential learning activity that usually takes place within the final year clinical rotations of medical undergraduates. An exposure to a surgical intern especially useful as work extends more practical aspects ward work. Objective We assessed impact exprience during student rotation on internship and evaluate challenges period. Methods A descriptive cross-sectional survey was carried out among 108 doctors in Sri Lanka via electronic...
No abstract available
Objective: Despite advances in medicine, 30% of patients with chronic limb-threatening ischemia (CLTI) require major lower limb amputation (MLLA). The long-term outcome this cohort is poorly described.
Background Grand ward rounds are an integral component of undergraduate medical education. Covid-19 prevented the conduct conventional grand (CWRs) prompting a 'virtual' round (VWR). With restrictions lifted should future remain virtual? Undergraduate perceptions on two formats were sought to explore feasibility VWR as teaching for students. Methods Our study was done during April 2021 2022. The weekly converted April-November 2021. Following lifting restrictions, it reverted CWR. All...
Isolated iliac artery pseudoaneurysms are extremely rare and typically asymptomatic. However, symptoms may arise from rupture or compression of adjacent structures, such as the ureter, bowel deep veins. A 46-year-old male presented with right lower limb swelling preceding abdominal pain 6 months. Duplex imaging showed iliofemoral vein thrombosis. Blood tests neutrophil leukocytosis elevated inflammatory markers. Contrast-enhanced computed tomography demonstrated a large eccentric, irregular...
A 65-year-old woman, recently diagnosed with diabetes, presented fever and a warm, pulsatile, tender mass over the medial aspect of her left thigh. She gave history diarrhea two weeks earlier. All lower limb pulses were present. CRP was 18.3 mg/l evidence neutrophil leukocytosis. Contrast angiography demonstrated saccular aneurysm in superficial femoral artery (SFA). The surrounding infected, necrotic muscle excised, re-vascularized in-situ. Cultures from aneurysmal wall grew both coliform...
The journal is the official publication of College Surgeons Sri Lanka. Its mission to reach highest standard scientific surgical practice by dissemination high quality information and foster promote growth surgery in Lanka region. Journal Surgery publishes peer-reviewed leading articles, review perspectives case reports field broadly related sciences adheres ethics as portrayed Committee on Publication Ethics (COPE) a member this organisation. It listed an ICMJE which follow its...
Aims: Perineal wound complications are often encountered following abdominoperineal resection (APR).Filling of the pelvic space using an omentoplasty might prevent presacral abscess formation and small bowel descent, but there is no conclusive evidence to support its routine application.The aim this study was evaluate effect on perineal healing prevention long-term complications.Methods: All patients undergoing APR for non-locally advanced rectal cancer in 2011 were selected from a...
Abstract Objective The study aimed to investigate the temporal evolution of markers skeletal muscle ischaemia reperfusion injury (IRI) shed more light into its pathogenesis towards finding a clinical therapeutic intervention. P-selectin, Myeloperoxidase and TNF-alpha were selected as IRI based on their role in pathogenesis. An observational was conducted patients with requiring revascularization. Loco-regional venous sampling performed at 0, +2, +4, +6, +12 +24 hours post-reperfusion...
Co-occurrence of acute limb ischemia (ALI) and arteriovenous fistula (AVF) as a manifestation inadvertent arterial injury during percutaneous femoral vein dialysis catheter insertion is rare dangerous, but preventable complication. Iatrogenic AVF commonly presents late, with leg swelling or high output cardiac failure. However, the co-occurrence both progressive swelling, thromboembolism has not been previously reported. We report case an iatrogenic superficial artery (SFA) thrombosis distal...
Exaggerated leucocyte activity is a crucial step in the pathophysiology of skeletal muscle ischemia-reperfusion injury (IRI). We tested hypothesis that insulin, via its' anti-leukocyte activity, attenuates IRI humans.This randomized, blinded, placebo-controlled trial was conducted patients with ischemia who required revascularization. Treatment protocols were similar among them except for insulin group, which received an infusion at 2.5 U/h. The degree endothelial adhesiveness; leukocyte and...
Contemporary management of iatrogenic pseudoaneurysms is mostly performed using non-surgical techniques.Herein, we present a rare case deep femoral artery (DFA) pseudoaneurysm with compression neuropathy, which required open repair.A 67-year-old female patient presented increasing pain in the right groin, sensory neuropathy anteromedial thigh and upper leg, quadriceps paralysis 4 days after coronary angiography via puncture.Computed tomography revealed DFA.The disabling compressive warranted...