Introduction: Thoracic empyema is a common problem. Use of minimal access surgery for the treatment comparatively new. We audited our results with VATS in thoracic empyema. Methods: analyzed retrospective data from patients who received Video-Assisted Thoracoscopic Surgery (VATS) thoracis April 2011 to 2013 at Manmohan Cardio-thoracic Vascular and Transplant Center (MCVTC). Results: Of 44 underwent various stages, 37 procedure via VATS. The average age was 26.4 ±17.19 yrs (1-64). male female...

Paramesonephric duct or Mullerian ducts forms female genital organs whereas mesonephric ductforms male organs. The remnant of the Wolffian in femalessometimes a cyst Gartner’s cyst. They are usually asymptomatic and <2cm but sometimes can be bigger. It is diagnosed with pelvic examination. treated surgicalexcision This unique case urogynecology as it confuses organ prolapseand mode treatment completely different. We report 32-years old lady whopresented outpatient department complain...

Introduction: Hysterectomy is the most common gynecological procedure. Over last decade, minimally invasive approach has been practiced more frequently. Fibroid uterus being indication for hysterectomy justifies this minimal approach, however, whenever feasible, vaginal can be preferred route. The objective of study was to find out prevalence and among major surgeries in a tertiary care hospital.
 Methods: A descriptive cross-sectional done at hospital 1912 patients who had from January...

Aims: To find out the prevalence of domestic violence in pregnant women attending Antenatal clinics (ANC) B. P. Koirala Institute Health Sciences, a tertiary centre eastern Nepal.Methods: It was hospital based cross-sectional study done at antenatal BPKIHS from 14th March 2015 to 30th August 2015. The total number recruited patients 470. Data were collected by face interview via pre-tested semi-structured questionnaire. Descriptive and inferential statistics used for data analysis.Results:...

Eclampsia is a multisystem disorder that may lead to deterioration of maternal condition, hypoxia and acidosis fetus. Objective was evaluate the risk factors associated with adverse fetal outcome in patients eclampsia.All eclampsia were enrolled after informed consent from February 2013 2014. Questions as per per-forma asked attendants about antenatal visits, parity, number episodes seizures, duration onset seizure magnesium sulfate, then followed hospital protocol, mode delivery, baby, post...

Breech presentation is associated with increased rates of maternal and perinatal morbidity regardless mode delivery. After the results Term Trial, most countries adopted protocol cesarean section for term breech delivery because which vaginal becoming rare. The aim this study to evaluate short-term outcomes at a tertiary care hospital in Nepal.A retrospective review case records all women who had from April 13, 2016, 12, 2018, was conducted, over period two years. Available demographic...

Abstract Background Aggressive Angiomyxoma is a benign, slowly growing, locally aggressive and recurrent tumour that occurs in the pelvic-perineal region of females their reproductive years. It presents as painless, soft, gelatinous mass metastasizes rarely. Suspicion can be made based on clinical examination radiological imaging but final diagnosis confirmed only after histopathology immunohistochemistry. The choice treatment surgical wide local excision. Case presentation We hereby present...

Abstract Aim To educate the International Medical Graduates (IMGs) about UK surgical training pathways and ways to enhance portfolios. Professional Linguistic Assessments Board (PLAB) test. Method A webinar as a part of Teaching Series (IMTS), “PLAB & Beyond: Specialty Series” was organized in collaboration with Nepalese Doctor’s Association UK, Rotaract Club KIST College Devdaha College, Nepal on 4th November 2023. pre-and post-webinar survey designed get delegate’s insight. Results...

Title: Translation and validation of Bristol Female lower urinary tract symptoms (BFLUTS) questionnaire for Nepali speaking women Introduction: female was designed to identify the (LUTS) in women. It aids determining severity how they affect sexual function quality life.It can be employed research therapeutic practice. is not available version. As a result, our goal translate validate BFLUTS Nepali. Methods: The has been translated into From March 1, 2020 February 28, 2021, 225 Nepalese...

Genitourinary fistulas are a well-recognized complication of various gynecological, obstetrical, and endourological interventions. The incidence uretero-uterine fistula is very rare compared to other genitourinary fistulas. Few cases reported in literature regarding the uretero- uterine following manual vacuum aspiration retained product placenta. We report case 28 year multi-parous women who had presented with complain involuntary passage urine for conception. Common tests suspicion include...

We report a case of bladder prolapse through patent urachus in term male neonate with large, red, tubular, mucosa lined mass inferior to the umbilical cord. A cystic communicating fetal urinary was detected an antenatal ultrasound 26 years primigravida at 18 and weeks gestation. The cyst disappeared 35 new solid noted abdominal wall. After birth protruded mucosal cord noted. Urethral catherisation confirmed communication bladder. On second day life excision urachus, repair, reduction...

Introduction: Hemolysis, Elevated Liver Enzymes, Low Platelet count syndrome refers to biological occurring in pre-eclamptic and eclamptic women. There is a higher rate of maternal perinatal morbidity mortality due the syndrome. So, objective study find prevalence maternal- outcome syndrome.
 Methods: A descriptive cross-sectional was done tertiary care hospital from 1st April 2017 30th March 2018 after obtaining ethical clearance Institutional Review Committee. The inclusion criteria...

Symptomatic imperforate hymen is very rare in infants. Here we report a neonate who presented with abdominal distension, fever and loose stool. Imaging study showed large thick walled cystic lesion extending from pelvis to abdomen upto epigastric region bilateral mild hydroureteronephrosis lower part between urinary bladder rectum suggesting hydrometrocolpos. There was spontaneous rupture leading flow of collection. It leads resolution the mass which confirmed pelvic ultrasound computed...

Aims: The aim of the study was to assess risk factors for adverse outcomes in pregnancy with obstructed labor.Methods: It a prospective descriptive conducted at BP Koirala Institute Health sciences (BPKIHS).The patients labour were managed and followed up until delivery six weeks postpartum from Jan Dec 2012.Results: There 57 (0.6%) cases out 9500 deliveries. main cause cephalopelvic disproportion 36 (63.2%). majority rural areas, low socioeconomic status, non salaried illiterate. Risk...

Introduc onDelivery which is conducted with the help of instruments either vacuum or Forceps known as instrumental vaginal delivery (IVD).It done to prevent pa ent from impending cesarean sec on and uterine scar has its implica in future pregnancy along maternal fetal morbidi es well. Objec veThis study assessed risk factors feto-maternal outcome

Introduction: Induction of labor is done with the aim normal vaginal delivery. There are different methods; mechanical like intra-cervical Foley’s or pharmacological agents misoprostol ordinoprostone.
 Objectives: To compare sequential use catheter and in comparison only.
 Methods: Patients period gestation more than equal to 41 weeks without any complications were assigned randomly according computer generated randomization into ofintracervical Foley followed by after 24 hours...

Background: The gestational age calculation by ultrasonography (USG) at first trimester is based on crown-rump length more accurate, less erratic than last menstrual period dating. Utilization of scanning in dating the pregnancy will reduce labor induction rate and consequently morbidity related to labor.Methods: A comparative cross-sectional study was done among 314 booked antenatal women visiting department obstetrics gynecology, BPKIHS for regular check-up between 37 41 weeks gestation....

Primary vulvar melanoma is a rare but highly aggressive malignant neoplasm accounting for 1-2 % of all and 5-10 cancers in females. Here we report case 32 years old female diagnosed with primary during the evaluation two cm growth inner labia minora on right side. She underwent wide local excision distal one urethra bilateral groin node dissection. The final histopathology was 1 out 15 nodes involved resected margins were free tumor. surgical stage T4bN1aM0 (8th AJCC TNM) IIIC (FIGO)....