Dr. Rasik Shah

Paediatric Surgeon | Minimal Access Surgery Expert

Publications

Safety of Women Health-care Workers at the Workplace, Especially of Whistleblowers

The brutal rape and murder of a trainee doctor in Kolkata has sent shockwaves through the nation and entire world. She was reportedly on the verge of exposing malpractice within her institution. This heinous crime against a young, dedicated woman exposes the ubiquitous violence against women as well as the risks faced by those who dare to confront corruption.
By Shah R S, 2024
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Performance of Journal of Indian Association of Pediatric Surgeons over the Last 3 Years

It is more than 18 months since the new Editorial Board of Journal of Indian Association of Pediatric Surgeons (JIAPS) has taken over on its day-to-day working and it is time to review the performance and inform readers and authors about it. In 2023, the number of manuscripts received by JIAPS had increased from 185 in 2022 to 272 in 2023. It is a 47% jump in the submission of manuscripts, and we thank the authors for their trust on the Editorial Board of JIAPS.
By Shah R S, 2024
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Long-term Outcome of Laparoscopic Surgery for Nonpalpable Undescended Testis

The aim of this study was to objectively assess the long-term results of laparoscopic orchidopexy in patients who were diagnosed clinically to have nonpalpable undescended testis (UDT).
By Shah R S, Joshi N M, 2024
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Editorial Vision: Journal of Indian Association of Paediatric Surgeons

The JIAPS has grown over the years. JIAPS is registered with many abstracting and indexing partners. The impact factor is slowly improving, and at present, it is 0.54. We all have a collective responsibility to improve the impact factor of JIAPS by citing articles published in JIAPS.
By Shah R S, 2022
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Is Routine Excision of Dysplastic Testicular Remnants / Nubbins Associated with Nonpalpable Testis

Dysplastic nubbin also referred to as testicular regression syndrome (TRS) is found in 5% of cases of the Non palpable testis (NPT). There is no consensus on the excision of the above and fixation of the contralateral solitary testis. We aimed to survey the prevalent practice of the same among members of the Indian Association of Pediatric Surgeons (IAPS).
By Shah R S, Babu R, Miglani H S, 2022
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Editorial: The transition from Open to Minimal Access Pediatric Surgery

The transition from open to minimal access surgery (MAS) has happened over the decades. The MAS equipment and techniques have evolved over the entire century.[1,2] There are several people, many known and some unknown, who have contributed to its progress to the present state.
By Shah R S, 2022
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A 10 Year, Single Centre Experience to Assess Role of Negative Suction in Resolution of Persistent Postoperative Air Leak for Empyema Thorax in Paediatric Patients

Objectives: To evaluate whether external negative suction is more advantageous than only water seal in pediatric patients developing post-operative persistent air leak undergoing decortication for empyema thorax.
By Shah R S, Vageriya N L, Daginawala T, More P, 2020
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Evaluation of Long Term Outcome of Congenital Diaphragmatic Hernia Survivors: A Single Centre 8 Years' Experience in a Developing Nation with Limited Facilities

The objective of the study was to find out incidence of long term complications in congenital diaphragmatic hernia (CDH) survivors in a developing nation with limited facilities.
By Shah R S, Vageriya N L, Daginawala T, More P, Mane S B, 2020
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Bronchoscopic Management of Recurrent Tracheoesophageal Fistula in Children

To evaluate the results of bronchoscopic cauterisation of fistulous tract using bugbee electrode with or without injection of fibrin glue, for recurrent tracheoesophageal fistula (RTEF) in paediatric age group.
By Shah R S, Vageriya N L, Daginawala T, More P, 2020
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Timely Referral Save Lives: Excellent Results of Wilm's Tumour Patients Due to In-House Multi Specialty Care

Wilm's tumour is considered to be highly curable. The good results are due to maintaining the treatment intensity and timely referrals. We report our experience in team management of Wilm's tumour patients.
By Shah R S, 2019
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Superior Mesenteric Artery Syndrome Complicating Spinal deformity Correction Surgery

A 13-year-old female presenting with untreated congenital scoliosis underwent single-stage anterior plus posterior deformity correction surgery. On the sixth postoperative day, she started vomiting and complained of abdominal pain.
By Shah R S, Rai R R, Shah S, Palliyil N, Dalvie S, 2019
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Laparoscopic Ladd's Procedure in Children: Challenges, Results, and Problems

Laparoscopic correction of malrotation in children is challenging. Authors review their experience with indications, results and problems of laparoscopic correction of malrotation.
By Shah R S, Reddy S A, Kulkarni D R, 2018
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Child Health Initiatives by Paediatric Surgeons Foundation

This brief write up is to give an idea about the Child Health Initiatives by Pediatric Surgeons (CHIPS) Foundation. The foundation will be shortly registered with the Registrar of Society. The first project of the foundation, to bring awareness on the theme “Save Fetus with Treatable Anomalies: They also have a right to live,” has received excellent enthusiasm among the pediatric surgical fraternity with nationwide involvement of many institutions and pediatric surgeons, who have carried out free consultations, organized theme-based seminars, and displayed awareness banners.
By Shah R S, 2016
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Intra Bronchial Mucoepidermoid Carcinoma in an 8 Year Old Girl: A Case Report of Rare Tumor with Review of Literature

Intra bronchial and intra tracheal tumors are very rare in pediatric age group. Most of the literature clubs primary pulmonary tumors with these; hence actual incidences are not well defined.
By Shah R S, Vageriya N L, Prabhu S, Naphade D, Athawale H, 2016
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A rare cause of chronic life threatening bleeding in a young girl: The ulcerated blind loops

Ulceration in a blind loop can lead to massive gastrointestinal tract (GIT) bleeding. A 13-year old girl presented with symptomatic melena requiring repeated blood transfusion since childhood.
By Shah R S, Sawant A D, Shah N, Gupta T, 2016
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Gastric Trichobezoar in a 6 - Year Old Girl

More than 90% trichobezoar are found in young girls between 15 and 20 year of age. Rarely trichobezoar are reported in young girls. About 10% of patients show psychiatric abnormalities termed as trichotillomania or mental retardation.
By Shah R S, Joshi N M, 2015
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Laparoscopic Repair of Morgagni's Hernia-An Innovative Approach

Aim: To review our experience of laparoscopic repair of Morgagni's hernia (MH) using transfascial sutures.
By Shah R S, Bhandarkar D S, Sharma P C, 2015
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The Past, the Present and the Future of Paediatric Surgery in India

It is important to know the past as it is the foundation of today and it will guide us to understand the future course of likely events. In addition, if our juniors know about the future, they can plan their career, which will help them to be successful and this in turn will help in the growth of IAPS.
By Shah R S, 2015
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Incise, Dissect, Excise and Suture Technique of Laparoscopic Repair of Paediatric Male Inguinal Hernia

Authors report incise, dissect, excise and suture (IDES) technique of laparoscopic repair of paediatric male inguinal hernia (LRPMIH). This series retrospectively evaluates a consecutive personal series of children undergoing laparoscopic hernia repair by this new technique.
By Shah R S, Arlikar J, Dhende N, 2013
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Single-Incision Laparoscopic Cholecystectomy: How I do it?

Single-incision laparoscopic cholecystectomy (SILC) is a relatively new technique that is being increasingly used by surgeons around the world. This article provides a stepwise account of the technique of SILC aimed at surgeons wishing to learn the procedure.
By Shah R S, Bhandarkar D S, Katara A N, Udwadia T E, Mittal G, 2011
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Laparoscopic Excision of an Omental Leiomyoma With a Giant Cystic Component

This case report suggests that laparoscopic resection of omental leiomyoma with a large cystic component is feasible and safe.
By Shah R S, Bhandarkar D S, Ghuge A, Kadakia G, 2011
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Prevention and Management of Complications of Laparoscopic Splenectomy

Laparoscopic splenectomy (LS) has become a commonly performed minimal-access operation. With increasing experience, surgeons are undertaking LS for multiple pathologies and tackling spleens of diverse sizes. LS remains a challenging procedure to be performed by experienced laparoscopic surgeons, well supported by a team.
By Shah R S, Bhandarkar D S, Katara A N, Udwadia T E, Mittal G, 2011
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Retained Portion of Appendix Following Laparoscopic Appendicectomy Causing Peritonitis and Ileus

We describe a patient who developed peritonitis and paralytic ileus due to a retained portion of the inflammed appendix following laparoscopic appendicectomy (LA). The details of the presentation and management are discussed along with a brief review of the unusual complications LA.
By Shah R S, Gouda B, Kochar R, 2011
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Laparoscopic Biopsy in Patients with Abdominal Lymphadenopathy

Abdominal lymphadenopathy (AL) - a common clinical scenario faced by clinicians - often poses a diagnostic challenge. In the absence of palpable peripheral nodes, tissue has to be obtained from the abdominal nodes by image-guided biopsy or surgery. In this context a laparoscopic biopsy avoids the morbidity of a laparotomy.
By Shah R S, Bhandarkar D S, Katara A N, Udwadia T E, Shankar M, Chandiramani V A, 2007
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Video Assisted Thoracic Surgery in Children

Thoracoscopic surgery, i.e., video assisted thoracic surgery (VATS) has been in use in children for last 98 years. Its use initially was restricted to the diagnostic purposes. However, with the improvement in the optics, better understanding of the physiology with CO2 insufflation, better capabilities in achieving the single lung ventilation and newer vessel sealing devices have rapidly expanded the spectrum of the indication of VATS.
By Shah R S, Reddy A S, Dhende N P, 2007
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Breakage of a Fascial Closure Device During Laparoscopic Surgery

Breakage of instruments during laparoscopic surgery is rare. However, when it does occur, locating and retrieving the broken part of the instrument can be cumbersome. Moreover, inability to do so may carry serious medicolegal implications. We report a patient in whom the tip of a fascial closure device broke during laparoscopic surgery.
By Shah R S, Bhandarkar D S, Katara A N, Udwadia T E, 2005
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Laparoscopic Choledochoduodenostomy for Retained Bile Duct Stone

By Shah R S, Bhandarkar D S, 2005
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Laparoscopic Repair of Idiopathic Perforation of Urinary Bladder

A 45-year-old man presented with a 10-day history of dysuria and abdominal distention. Clinical examination revealed free intraperitoneal fluid and tenderness in the lower abdomen.
By Shah R S, Bhandarkar D S, Maheshwari P N, 2005
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Transabdominal Preperitoneal Repair of a Port-Site Incisional Hernia

A 47-year-old woman presented with an incisional hernia at the site of a 10-mm port placed in the left iliac fossa during laparoscopic oopherectomy performed 6 years previously. The hernia was repaired laparoscopically by a transabdominal preperitoneal approach using one 10-mm and two 5-mm ports.
By Shah R S, Bhandarkar D S, Katara A N, Udwadia T E, 2005
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Retroperitoneoscopic Drainage of a Psoas Abscess.

Pyogenic psoas abscess in the pediatric age group is a primary condition caused mostly by Staphylococcus aureus. The preferred treatment is percutaneous or surgical drainage under a cover of systemic antibiotics.
By Shah R S, Bhandarkar D S, Katara A N, Unadkat R J, 2004
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Laparoscopy-Assisted Transperitoneal Percutaneous Nephrolithotomy for Recurrent Calculus in a Isthemic Calix of Horseshoe Kidney

Management of urolithiasis in a horseshoe kidney (HSK) poses a unique challenge. Although most patients can be managed by a combination of percutaneous nephrolithotomy (PCNL) and extracorporeal shockwave lithotripsy (SWL), calculi in the isthmic calix remain difficult to treat, as this area is out of reach during rigid PCNL, and, owing to the poor evacuation of the fragments, the results of SWL are suboptimal.
By Shah R S, Bhandarkar D S, Maheshwari P N, Anandkar M G, Saple A L, 2004
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Laparoscopically Guided Transperitoneal Percutaneous Nephrolithotomy for Calculi in Pelvic Ectopic Kidneys

We report the cases of three patients who were found to have large calculi in pelvic ectopic kidneys and subsequently underwent laparoscopically guided transperitoneal percutaneous nephrolithotomy, all with successful outcome.
By Shah R S, Bhandarkar D S, Maheshwari P N, Anandkar M G, 2004
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Intrahepatic Subcapsular Hematoma Complicating Laparoscopic Cholecystectomy

A 64-year-old woman underwent endoscopic retrograde cholangiopancreatography for bile duct stones, followed 2 days later by an uneventful laparoscopic cholecystectomy. We report this case due to its rarity and review the previously documented cases of this complication.
By Shah R S, Bhandarkar D S, Katara A N, 2004
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Management of Antenatally Detected Abdominal Cysts

We report two newborns, each detected to have a large intra-abdominal cyst on antenatal ultrasonography.
By Shah R S, Bhandarkar D S, Katara A N, Shaikh S, 2004
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Gallstone Ileus

By Shah R S, Bhandarkar D S, Katara A N, Shaikh S, 2003
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Letters to the Editor

By Shah R S, Bhandarkar D S, 2002
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A Novel Technique for Extraction of the Appendix in Laparoscopic Appendectomy

A new technique for extraction of the appendix by its retrograde introduction into the umbilical port is described. With this technique, appendectomy can be undertaken with a single 10-mm and two 5-mm ports.
By Shah R S, Bhandarkar D S, 2002
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A Novel Technique for Extraction of the Appendix in Laparoscopic Appendectomy

A new technique for extraction of the appendix by its retrograde introduction into the umbilical port is described. With this technique, appendectomy can be undertaken with a single 10-mm and two 5-mm ports.
By Shah R S, Bhandarkar D S, 2002
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The Role of Laparoscopy in the Management of Common Bile Duct Obstruction in Children

Laparoscopic common bile duct exploration is commonplace in adults; however, this procedure is not often performed in children. The goal of this study was to evaluate the results of laparoscopic common bile duct exploration in children.
By Shah R S, Blakely M L, Lobe T E, 2001
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Laparoscopic Gastropexy for Chronic Intermittent Gastric Volvulus

The traditional surgical treatment of chronic gastric volvulus involves laparotomy for derotation of the stomach and its fixation to the patients. We describe a 36-year-old man with organoaxial gastric volvulus who was treated successfully with laparoscopic gastropexy. He is asymptomatic four months later.
By Shah R S, Bhandarkar D S, Dhawan P, 2001
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Analysis of Cost of Surgery for Hirschsprung's Disease: One Stage Laparoscopic pull through vs Two-Stage Duhamel's Procedure

The purpose of this report is to evaluate the cost-effectiveness of a single-stage laparoscopic pull-through for Hirschsprung's disease compared to the traditional two-stage Duhamel procedure.
By Shah R S, Lobe T E, Bufo A J, Chen M K, Cyr N, Chen M K, 1999
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Early definitive Treatment in Paediatric Empyema

Nineteen children had early thoracoscopic intervention for empyema between 1992 and 1997 at the LeBonheur Children's Medical Center. The authors have evaluated the results of this treatment.
By Shah R S, Lobe T E, Bufo A J, Schropp K P, Merry C M, 1999
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Interval appendectomy for perforated appendicitis in children

To determine the efficacy, safety, and cost of managing perforated appendicitis with intravenous antibiotics followed by an interval appendectomy, the charts of 87 children with ruptured appendicitis were retrospectively reviewed.
By Shah R S, Lobe T E, Bufo A J, Schropp K P, Li M H, Cyr N, Hollabaugh R S, Hixson D S, 1998
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Common Bile Duct Exploration in children

The management of obstructing lesions of the common bile duct (CBD) in children remains controversial. With increasing experience in laparoscopic surgery and refinement in the available instruments, laparoscopic common bile duct exploration (LCBDE) is performed more frequently. We herein describe our technique for LCBDE.
By Shah R S, Martin B L, Lezama-Delwalla P, 1998
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Laparoscopic pyloromyotomy: A Safer Technique

A modified technique of laparoscopic pyloromyotomy was used to treat infantile hypertrophic pyloric stenosis. Introducing a 5-mm periumbilical port for visualization, two stab wounds are made on either side laterally to directly insert 2.7-mm instruments for manipulation.
By Shah R S, Bufo A J, Schropp K P, Lobe T E, Merry C M, Cyr N, 1998
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Laparoscopic Transposition of the Omentum for Reconstructive Surgery

The omentum is frequently used for reconstructive surgery, but it is usually harvested by laparotomy. We report on harvesting the omentum to reconstruct a chest-wall defect in an adolescent using a minimally invasive technique.
By Shah R S, Bufo A J, Lobe T E, Smoot C E, 1997
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Gasless Laparoscopy with Standard Instrumentation: Initial Experience with Tenckhoff Catheter Placement

A new technique for gasless laparoscopy using standard, readily available instruments is described. Its use in placement of Tenckhoff peritoneal dialysis catheters is detailed. The technique offers advantages over established techniques requiring carbon dioxide pneumoperitoneum while avoiding the need to purchase expensive gasless laparoscopy equipment.
By Shah R S, Varela P J, Merry C M, Blakely M L, 1997
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Selective Ventilation Using A Fogarty Balloon Catheter as A Bronchial Blocker: An Essential Technique for Paediatric Thoracoscopic Surgery

Pediatric thoracoscopy usually requires selective ventilation to provide the necessary exposure. A simple technique, using a Fogarty balloon catheter is presented.
By Shah R S, Varela P J, Merry C M, 1997
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Laparoscopic Fundoplication in Children: A Superior Technique

Antireflux procedures are among the most common operations performed in children today, most of which are done in the neurologically impaired (IMP). We compared the operative time, hospital days, and complications of OPEN vs. LAP in IMP and neurologically normal (NL) children.
By Shah R S, Chen M K, Lobe T E, Bufo A J, Gross E, Schropp K P, 1997
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Initial experience with Laparoscopic Assisted Pull-Thru for Hirschsprung's Disease

Recently, we began using minimal access techniques to perform a primary pull-through without a preliminary stoma in children of all ages (range 1 month to 8 years old) with Hirschsprung's disease (HD). To evaluate our results, we reviewed the medical records of all children treated for HD (n = 32) over the past 3 years to compare the outcome of the laparoscopic-assisted pull-through (LAP, n = 14) to standard open pull-through (OPEN, n = 18).
By Shah R S, Chen M K, Lobe T E, Bufo A J, Gross E, Schropp K P, 1997
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Laparoscopic Approach for Enteral Nutrition in Paediatric Oncology Patients

Proper nutritional support is essential for optimal therapy in children with cancer. However, because of anorexia secondary to the malignancy or therapy, or because of the location of the tumor, malnutrition can become a significant problem in these cancer children. Placement of enteral nutrition ports were performed on 15 children with malignancy using minimal access techniques.
By Shah R S, Chen M K, Lobe T E, Gross E, 1997
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Laparoscopic Common Bile Duct Exploration in a Child with Recurrent Pancreatitis due to a Primary Fungal Ball in the Terminal Common Bile Duct

We report on a case of a fungus ball obstructing the distal common bile duct and causing recurrent pancreatitis in an otherwise healthy 3-year-old boy.
By Shah R S, Chen M K, Lobe T E, Bufo A J, Gross E, Whitington G L, 1997
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The Role of Laparoscopic Lymph Node Sampling in Children

Laparoscopic lymph node dissection is routinely performed for diagnosing and staging malignancies in adults; however, reports of this technique used in children have been sparse. We reviewed our experience with laparoscopic lymph node sampling performed in children (mean age 15 years old) at a pediatric oncology center to help determine its efficacy. There was no immediate or long-term complication in these children and there was no error in diagnosis.
By Shah R S, Chen M K, Lobe T E, Bufo A J, Gross E, Whitington G L, 1997
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An Innovative Technique for Laparoscopic Cannula Stabilization and Fixation

Cannula stabilization is an essential step in performing laparoscopic surgery in infants. We describe an innovative technique for stabilizing small laparoscopic cannulas that is simple and inexpensive and does not require any special instruments or disposable devices.
By Shah R S, Chen M K, Rao B N, Schropp K P, Lobe T E, 1997
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Benign Mature Teratoma of the Large Bowel: A Case Report

Teratoma affecting the large bowel is extremly rate. Thus far, only two cases have been reported in the English-language literature. Herein the authors describe what they believe is the third such case.
By Shah R S, Neto P N, 1996
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Other Publications

Role of Thoracoscopy in Empyema Thoracis

Souvenir issue published during “International Workshop on Advanced Paediatric Laparoscopy” organised at Indira Gandhi Institute of Child Health, Bangalore
By Shah R S, May 2003

Laparoscopy in Children

Souvenir issue published during “International Workshop on Advanced Paediatric Laparoscopy” organised at Indira Gandhi Institute of Child Health, Bangalore
By Shah R S, May 2003

Role of Thoracoscopy in Empyema Thoracis

Souvenir issue published during “International Workshop on Advanced Paediatric Laparoscopy” organised at Indira Gandhi Institute of Child Health, Bangalore
By Shah R S, June 2001

Laparoscopy in Children

Souvenir issue published during “International Workshop on Advanced Paediatric Laparoscopy” organised at Indira Gandhi Institute of Child Health, Bangalore
By Shah R S, June 2001

Management of Empyema in Era of Thoracoscopy

Souvenir issue published during “International Workshop on Live Pediatric Surgery and Hands on Training Workshop Cum Symposium”, organised at VS Hospital, Ahmedabad
By Shah R S, January 2001

Book Chapters

Mastering Endo-Laparoscopic and Thoracoscopic Surgery

Chapter: Laparoscopic Pediatric Inguinal Hernia Repair

By Shah R S, Salgaonkar H

IAPS Textbook of Paediatric Surgery

Chapter: Management of Empyema Thoracis

By Shah R S, Reddy S

IAPS Textbook of Paediatric Surgery

Chapter: Management of Undescended Testis

By Shah R S, Joshi N C

Algorithm in Paediatrics

Chapter: Algorithm in Management of Undescended Testis

By Shah R S, Reddy S, Joshi N C

Algorithm in Paediatrics

Chapter: Algorithm in Management of Empyema Thoracis

By Shah R S, Reddy S

Infectious Disease

Chapter: Management of Empyema Thoracis in Children

By Shah R S

Atlas of Video Thoracoscopic Surgery

Chapter: Pediatric Thoracoscopy

By Shah R S, Blakely M L, Lakshman S, Lezamme P, Lobe T E