A5008420734- Appendicitis Diagnosis and Management
- Pancreatitis Pathology and Treatment
- Cancer Risks and Factors
- Multiple and Secondary Primary Cancers
- Endometrial and Cervical Cancer Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Pancreatic and Hepatic Oncology Research
- Uterine Myomas and Treatments
- Urinary Tract Infections Management
- Intraperitoneal and Appendiceal Malignancies
- Hemoglobinopathies and Related Disorders
- Endometriosis Research and Treatment
- Hernia repair and management
- COVID-19 and healthcare impacts
- Prostate Cancer Diagnosis and Treatment
- COVID-19 Impact on Reproduction
- Colorectal Cancer Screening and Detection
- Urinary Bladder and Prostate Research
- Gallbladder and Bile Duct Disorders
- COVID-19 Clinical Research Studies
- Bone and Joint Diseases
Bir Hospital
2022-2024
Nepalese Army Institute of Health Services
2020-2023
Open appendectomy has been the conventional choice of treatment for acute appendicitis. However, nowadays laparoscopic approach is emerging benefits it provides, like lesser postoperative pain and duration hospital stay, but at cost higher expenses longer operative duration.
Although risk factors such as cholelithiasis and vaso-occlusive crises exist in sickle cell disease, acute pancreatitis its recurrence are considered rare complications manifesting abdomen.A 33-year-old female with disease established presented to the center abdomen. After examination, investigation, contrast enhanced computed tomography, was diagnosed. Conservative management done cholecystectomy planned but delayed due low hemoglobin. In interval she again similar features diagnosed of...
Novel coronavirus disease 2019 (COVID-19) pandemic was originated in Wuhan, China, December 2019. So far, more than 4 million people worldwide have been infected with the virus. Various manifestations of reported since began. Among them, acute abdomen is one COVID-19. Some studies pancreatitis several patient due to COVID-19 infection. In this study, we report a rare case whom SARS-CoV-2 caused severe hemorrhagic necrotizing pancreatitis.
Introduction and Importance: Endometriosis is a prevalent condition within the female reproductive age group, but its presentation diagnosis still pose challenge as it mimics other diseases affects multiple organ systems. Case Presentation: A 24-year-old nulliparous presented with complaints of menorrhagia, lower abdominal pain, post-coital bleeding, significant weight loss for 7 months. Clinical Discussion: The case highlights diagnosing endometriosis due to ability mimic conditions, such...
Introduction: The Clavien-Dindo Classification is an easy way to grade any deviation from the post-operative course that not a normal part of procedure and does indicate failure achieve desired cure, regardless physician’s age or level competence. We aimed conduct this study determine prevalence complications after major abdominal surgery them using Classification. Methods: This was observational cross-section conducted approval Institutional Review Committee (Reference Number: 656). A...
Laparoscopic cholecystectomy (LC) has been established as the gold standard treatment for symptomatic gallstones, however surgeons face risk of injuring bile ducts and vessels due to inherent limitations laparoscopy.This is a cross-sectional study done in Department Surgery, Shree Birendra Hospital (SBH) on patients who were posted LC. The period was through April 2021 September 2021. During LC, anatomy RS noted classified into Group A (RS present) or B absent). Data analyses performed...
Introduction: Colorectal cancer in the Adolescent and Young Adult population are increasing characterized by a more advanced stage at diagnosis, poorer cell differentiation, higher signet ring histology, left-sided colon location of primary tumor. This study aims to compare colorectal data population-based on tumor location.Materials Methods: is retrospective cross-sectional from April 2017 September 2020 Shree Birendra Hospital. Data were collected for age, sex, clinical features, TNM...
Introduction: The COVID-19 pandemic has had a major impact on healthcare in many countries. This study assessed the effect of nationwide lockdown during second wave surgical management for acute conditions and subsequent postoperative mortality. Methods: was retrospective study, evaluating data from hospital discharge database COVID -19 pandemic. All adult patients admitted through emergency outpatient department requiring treatment between April 29 June 29, 2021 were included study. primary...
Introduction: Acute urinary retention (AUR) is an important public health issue in older male population with benign prostatic hyperplasia (BPH). Various risk factors are associated increased incidence of AUR among patients BPH being managed conservatively. Method: A retrospective analysis was performed Shree Birendra Hospital (SBH), Chhauni, Kathmandu, Nepal for a period one year. Study variables included patient age, serum prostate specific antigen (PSA), volume, history AUR, smoking,...