Dr. R. Muthukumarassamy

MBBS, MS, DNB, FNB, MNAMS, MRCS, PhD

Associate Consultant, Abdominal Trauma, HPB Surgery and Liver Transplantation

Abdominal Trauma, HPB Surgery and Liver Transplantation, Liver Transplantation

Chennai

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Educational Qualifications

• MBBS 2000, JIPMER, Pondichery, India
• MS 2003, JIPMER, Pondichery, India
• DNB 2004, Diplomate of National Board for General Surgery
• MRCSEd 2004, Royal College of Surgeons of Edinburgh, UK
• FMAS (Fellowship in Minimal Access Surgery 2009
• Master in Hepato-biliary and Pancreatic surgery 2012
• PhD Doctorate in Science

Experience

• June 2005 to December 2005 Assistant Professor in General Surgery, Mahatma Gandhi medical college and research institute, Pondicherry, India
• January 2006 to March 2007
• Assistant Professor in General Surgery, Aarupadai veedu medical college and hospital, Pondicherry, India
• March 2007 to March 2010 
• Assistant Professor in General Surgery
• Perunthalaivar Kamaraj medical college, Pondicherry, India
• April 2010 to February 2013 
• Assistant Professor in General Surgery, JIPMER, Pondicherry, India
• Nov 2012 to Nov 2017 Clinical and Research Fellow, Centre hépato biliaire, Hôpital Paul Brousse, France
• January 2018 to September 2018 Associate Consultant, Institute of liver disease and transplantation. Gleneagles Global health city, Chennai

Honors & Awards

• Special mention paper for the oral presentation of ‘Treatment of anal fissures using a combination of minoxidil and lignocaine: a randomized, double-blind trial’ at IASG, Bhopal.
• Best poster at IASG, Cochin for ‘Malignant peripheral nerve sheath tumor of right colon’.
• Prize winner at IX National level science talent search examination – 1994.

Research & Publication

 Research

• Impact of FibroScan in the management of liver tumors.
• Posthepatectomy liver failure
• Hepatic fibrosis and steatosis
• Liver transplantation for hepatocellular carcinoma
• Colorectal liver and lung metastasis
• Role of simultaneous resection of synchronous liver metastases in pancreatic adenocarcinoma.
• Serial volumetric assessment of large for size liver grafts after cadaveric liver transplant in adults: Do the large grafts adapt to smaller recipients?
• Results of endovascular therapy of hepatic artery stenosis after orthotopic liver transplantation – a single centre experience.
• How to define cure in the patients with colorectal cancer liver metastases?
• Is sequential resection of the colorectal metastases to liver and lung justified?
• Retrospective analysis of the various surgical techniques in treatment of hepatic hemangiomas.
• Randomized, double blind study on “Treatment of anal fissures using a combination of minoxidil and lignocaine”. The efficacy of the combination in treating chronic fissures was examined.
• A short-term laboratory-based analysis of “Ascorbic acid reduced to oxidized ratio in serum as an index of antioxidant status”.

Publications

• Rajakannu M, Sarath SC, Jagdish S. Hematemesis: a rare cause from gangrenous retrograde jejunogastric intussusception. The Internet J of Surgery. 2005; 6 (2).
• Muthukumarassamy R, Robinson SS, Sarath SC, Raveendran R. Treatment of anal fissures using a combination of minoxidil and lignocaine: a randomized, double-blind trial. Indian J Gastroenterol. 2005; 24(4):158-60.
• Rajakannu M, Kumar RS, Kate V, Ananthakrishnan N. Necrotising soft tissue infection of fungal origin in two diabetic patients. Mycoses. 2006; 49(5):434-5. (2.247)
• Rajakannu M, Kate V, Ananthakrishnan N. Necrotizing infection of the breast mimicking carcinoma. Breast J. 2006; 12(3):266-7. (1.643)
• Rajakannu M, Sri Vengadesh G, Pai D, Jagdish S. Disseminated rhinosporidiosis - an unusual presentation with pulmonary involvement. Int J Dermatol. 2006; 45(3):297-8.(1.141)
• Muthukumarassamy R, Shankar SR, Sarath SC, Jagdish S. Appendico-cutaneous fistula. Indian J Surg 2006; 68(6):318-9. (0.081)
• Muthukumarassamy R. Diagnosis and treatment of acute scrotum. Physician’s digest. 2006; Feb-Mar: 57-64.
• Rajakannu M, Ananthakrishnan N, Madhavan M. Isolated mesenteric fibromatosis: report of a case. Trop Gastroenterol. 2008; 29(3):179-80.
• Rajakannu M, Venkateshwaralu C. Rapunzel syndrome: report of a case with review of the treatment. Trop Gastroenterol 2010; 31(2):133-134.
• Elamurugan TP, S.Suresh Kumar S, Muthukumarassamy R, Vikram Kate. Splenic artery aneurysm presenting as extrahepatic portal vein obstruction: a case report. Case Rep Gastrointest Med. 2011; 2011:908529. Epub 2011 Aug 1.
• Elamurugan TP, Sivashanker M, Suresh Kumar S, Muthukumarassamy R, Vikram Kate. Primary tuberculous appendicitis with caecal perforation: a case report. Asian Pac J Trop Med. 2012; 5:834-6.
• Ramesh A, Muthukumarassamy R, Karthikeyan VS, Rajaraman G, Mishra S. Pseudoaneurysm of internal carotid artery after carotid body tumor excision. Indian J Radiol Imaging 2013; 23:208-11.
• Pragatheeswarane M, Muthukumarassamy R, Kadambari D, Kate V. Early Oral Feeding vs. Traditional Feeding in Patients Undergoing Elective Open Bowel Surgery—a Randomized Controlled Trial. J Gastrointest Surg. 2014; 5:1017-23.
• Rajakannu M, Adam R, Pascal G, Mabrut JY, Karam V, Ducerf C, Baulieux J. Enucleation versus anatomical resection in the surgical treatment of hepatic hemangiomas - a report from 20 years’ experience. HPB (Oxford) 2014;16(Suppl):187–188,
• Rajakannu M, Magdeleinat P, Vibert E, Ciacio O, Pittau G, Innominato P, Cunha AS, Morère JF, Castaing D, Adam R. Sequential liver and lung resection for colorectal cancer metastases: In which patients should surgery be proposed?" JCO 2015;33(Suppl):3524.
• Bekheit M, Rajakannu M, Bucur P, Adam R, SaCunha A, Castaing D, Cherqui D, Vibert E. Serial volumetric assessment of large for size liver grafts after whole cadaveric liver transplant in adults: do large liver grafts shrink in size? HPB (Oxford) 2016; 2:200-6.
• Rajakannu M, Awad S, Ciacio O, Pittau G, Adam R, Cunha AS, Castaing D, Samuel D, Lewin M, Cherqui D, Vibert E. Intention-to-treat analysis of percutaneous endovascular treatment of hepatic artery stenosis after orthotopic liver transplantation. Liver Transpl. 2016; 7:923-33.
• Rajakannu M, Cherqui D, Ciacio O, Golse N, Pittau G, Antoine MA, Antonini TM, Coilly A, Cunha AS, Castaing D, Samuel D, Guettier C, Adam R, Vibert E. Liver stiffness measurement by transient elastography predicts persistent hepatic decompensation in patients undergoing hepatectomy for hepatocellular carcinoma. J Hepatobiliary Pancreat Sci 2017;24(Suppl):100.
• Rajakannu M, Cherqui D, Ciacio O, Golse N, Pittau G, Antoine MA, Antonini TM, Coilly A, Cunha AS, Castaing D, Samuel D, Guettier C, Adam R, Vibert E. Liver stiffness measurement by transient elastography predicts late post-hepatectomy outcomes in patients undergoing resection for hepatocellular carcinoma. Surgery 162:766-774.
• Rajakannu M, Magdeleinat P, Vibert E, Ciacio O, Pittau G, Innominato P, Cunha AS, Morère JF, Castaing D, Adam R. Is cure possible following sequential resection of hepatic and pulmonary metastases from colorectal cancer? Clin Colorectal Cancer. 2017 Jun 23.
• Rajakannu M, Coilly A, Adam R, Samuel D, Vibert E.  Prospective validation of transient elastography for staging liver fibrosis in patients undergoing hepatectomy and liver transplantation. J Hepatol 2017 Aug 23.
• Rajakannu M, Kaščáková S, Goodband S, Laurent-Bellue A, Adam R, Castaing D, Cherqui D, Sa Cunha A, Samuel D, Le Naour F, Guettier C, Vibert E. Quantification of hepatic steatosis in patients undergoing liver resection: A comparative study of preoperative controlled attenuation parameter versus Fourier transform-infrared spectroscopy and histopathological estimation on surgical specimens. (Under Review).
• Rajakannu M, Coilly A, Azrak H, Golse N, Allard MA, Cherqui D, Sa Cunha A, Castaing D, Miette V, Adam R, Samuel D, Vibert E. Liver stiffness-based model predicts hepatic venous pressure gradient in patients undergoing hepatectomy and liver transplantation. (Under Review).
• Rajakannu M, Cherqui D, Ciacio O, Golse N, Pittau G, Antoine MA, Cunha AS, Castaing D, Samuel D, Guettier C, Adam R, Vibert E. Prospective study of patients undergoing hepatectomy for various indications to develop and validate a nomogram predictive of 90-day severe morbidity and mortality. (Under Review).
• Rajakannu M, Cherqui D, Ciacio O, Golse N, Pittau G, Antoine MA, Cunha AS, Castaing D, Samuel D, Guettier C, Adam R, Vibert E. Preoperative nomogram to predict post-hepatectomy liver failure in all patients undergoing liver resection. (Under Review).
• Rajakannu M, Cherqui D, Ciacio O, Golse N, Pittau G, Antoine MA, Cunha AS, Castaing D, Samuel D, Guettier C, Adam R, Vibert E. Prognostic impact of transient elastography by FibroScan® in the surgical management of patients with resectable hepatocellular carcinoma. (Under Review).
• Rajakannu M, Cherqui D, Ciacio O, Golse N, Pittau G, Antoine MA, Cunha AS, Castaing D, Samuel D, Guettier C, Adam R, Vibert E. Pre-operative nomogram incorporating indocyanine green test to predict 90-day major complications after major hepatectomy for various hepatobiliary diseases in a Western cohort. (Under Review).

Associated Publications

 Oral Presentations

• Urinary Incontinence, JIPMER, Pondicherry, March 01.
• Short bowel syndrome, JIPMER, Pondicherry, May 02.
• Deep venous thrombosis – diagnosis and treatment, JIPMER, Pondicherry, Jan 03.
• Treatment of anal fissures using a combination of minoxidil and lignocaine: a randomized, double-blind trial, IASG, Bhopal, Sept 03.
• Approach to blunt abdominal injury, AVMCH, Pondicherry, June 07.
• Robotic surgery, PKMC&RI, Pondicherry, Sept 07.
• Upper GI Bleed: Diagnosis and Treatment, PKMC&RI, Pondicherry, Feb 08.
• Bariatric surgery, PKMC&RI, Pondicherry, June 08.
• Artificial Human organs, PKMC&RI, Pondicherry, December 09.
• Liver stiffness measurement by transient elastography is an effective method of predicting persistent hepatic decompensation in patients undergoing hepatectomy for HCC, APHPBA, Yokohama, June 17.
• CAP in modern hepatology and liver transplantation, Astana, June 18.

Poster Presentations

• Acute Abdomen in pregnancy due perforation of Non-Hodgkin’s Lymphoma of jejunum, IASG, Bhopal, Sept 03.
• Malignant peripheral nerve sheath tumour of right colon, IASG, Cochin, Sept 04.
• Appendico-cutaneous fistula, IASG, Cochin, Sept 04.
• Sequential Liver and Lung Resection for Colorectal Cancer Metastases: In which patients should surgery be proposed? ASCO, Chicago, June 15.
• Intent-To-Treat Analysis of Endovascular Treatment of Hepatic Artery Stenosis after Orthotopic Liver Transplantation. ILTS, Chicago, July 15.