A5000767663- Hernia repair and management
- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Renal cell carcinoma treatment
- Appendicitis Diagnosis and Management
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Genital Health and Disease
- Renal and Vascular Pathologies
- Abdominal vascular conditions and treatments
- Intraperitoneal and Appendiceal Malignancies
- Pelvic and Acetabular Injuries
- Pancreatitis Pathology and Treatment
- Biliary and Gastrointestinal Fistulas
- Soft tissue tumor case studies
- Vascular anomalies and interventions
- Pediatric Hepatobiliary Diseases and Treatments
- Cardiac tumors and thrombi
- Sarcoma Diagnosis and Treatment
- COVID-19 Clinical Research Studies
- Bone Tumor Diagnosis and Treatments
- Intestinal and Peritoneal Adhesions
- Esophageal and GI Pathology
- Surgical Simulation and Training
- Infective Endocarditis Diagnosis and Management
- Neonatal Health and Biochemistry
Nepalese Army Institute of Health Services
2018-2023
Nepal Development Research Institute
2022-2023
Bir Hospital
2012-2013
Paraduodenal hernias (PDHs) are rare congenital internal hernias, constituting 50% of and 0.2%-0.9% small bowel obstructions. Left PDHs more common arise from midgut malrotation during embryonic development. We present the case a 59-year-old male with acute obstruction caused by left PDH. Imaging revealed clustered loops in upper quadrant, hallmark Diagnostic laparoscopy confirmed condition but was converted to open surgery due dense adhesions. The herniated loops, initially edematous, were...
Intra-peritoneal onlay mesh (IPOM) repair, a type of Laparoscopic Ventral Hernia Repair (LVHR), comprises bridging the defect from peritoneal side with composite mesh. Recently, IPOM-Plus has become recommended LVHR in which fascia is sutured before placing mesh.This study retrospective cohort conducted at Shree Birendra Hospital (SBH), Nepal. Patients who had undergone or IPOM during past five years (Aug 2016 to Aug 2021) were selected. Data regarding demographics, intraoperative and...
Coronavirus disease (COVID-19) is a global pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Patients commonly present with tract symptoms and fever. However two third are asymptomatic unusual presentation evolving. This has cause management dilemma among physicians.A 35 year young otherwise healthy male presented to emergency department of this institute fever 103 °F, abdominal pain, pancytopenia progressive fall in hemoglobin level was tested positive for...
Visceral artery pseudoaneurysms are rare but life-threatening complications following upper gastrointestinal (GI) surgery. This case series reviews six patients (male-to-female ratio 3:3) who developed pseudoaneurysms, presenting with diverse clinical manifestations. Four (66.6%) experienced bleeding, including hemoperitoneum and GI one also reporting nausea vomiting. Two (33.3%) anastomotic site leakage, leading to in bile-induced intra-abdominal infection the other. The involved proper...
Introduction: Infertility, defined as the inability to conceive after a year of regular unprotected sexual activity, is significant global health concern. It affects couples across world, with prevalence rates varying between 3.5-16.7% in developed countries and 6.9-9.3% developing nations. This study aims explore sociodemographic profiles contributing factors both men women among infertility patients at tertiary care center.Methods: An observational cross-section was conducted center...
Amyand hernia is an accidental finding that occurs in 0.19-1.7% of patients with inguinal hernia, children being more commonly affected than adults. However, the management depends on guidelines given by Losanoff and Basson.A 62-year-old male presented complaints progressive swelling right region without any clinical spectrum bowel obstruction or strangulation. Examination revealed a right-sided indirect positive Ziemann technique. Open hernioplasty appendix within sac was found to be...
Actinomycosis is a rare cause of appendicitis with an incidence 0.3-1 incident per year 100,000 people. A significant preoperative diagnostic challenge exists and usually diagnosed incidentally on histopathological examination.
Abstract Cholecystocutaneous fistula is an exceedingly rare type of external biliary fistula, where abnormal connection forms between the gallbladder and skin. commonly develops in setting chronic calculus cholecystitis or following a previous surgical intervention involving tract. Patients with cholecystocutaneous often present systemic symptoms, such as fever, nausea, vomiting, well localized symptoms right upper quadrant abdomen, opening typically found. Ultrasonography, computed...
Introduction: Gastric cancer is the fifth most common globally and fourth leading cause of cancer-related deaths. Early-stage disease can be managed with endoscopic therapy or surgery, while advanced gastric requires a multimodal treatment approach, including extensive lymphadenectomy. This study aims to evaluate clinicodemographic profile outcomes patients establish an effective therapeutic strategy. Methods: retrospective descriptive cross-sectional was conducted in Department Surgery at...
Colorectal cancers in young are increasing trend. Young patients tend to ignore symptoms and present at advanced stage due aggressive tumour biology, also traditional dictum of routine screening after >50 years these groups given less priority. The objective our study was estimate the burden problem among population increase awareness medical personnel general early detection for disease. We conducted retrospective cross sectional using whole sampling method operated by single...
Key Clinical Message Desmoplastic round cell tumor, though rare, must be taken into consideration as a differential diagnosis, thus aiding in early evaluation and changing the trajectory of natural history disease condition, improving prognosis patients. Abstract small tumor is aggressive mesenchymal origin with an incidence 0.74 cases per million. We present young adult periumbilical mass who was diagnosed desmoplastic later treated exploratory laparotomy resection no recurrence during...
Postcholecystectomy syndrome is the recurrence of symptoms after cholecystectomy. due to a combination cystic duct stump calculus and choledochal cyst with recurrent choledocholithiasis rare presentation. This case report patient who had developed common bile calculi despite endoscopic removal eventully managed Rou-en-Y Hepati cojejunostomy for having 39 years postcholecstectomy. Medical Journal Shree Birendra Hospital; Jan-June 2012/vol.11/Issue1/52-54 DOI: http://dx.doi.org/10.3126/mjsbh.v11i1.7792
Introduction: Gynecomastia is a benign condition of the male breast with glandular tissue proliferation. It can be physiologic or pathologic and many times manifestation off underlying chronic pathology. Its treatment selected based on cause, age grade surgical pharmacological modalities. Periareolar incision liposuction choice for higher gynecomastia.Methods: Patients record undergoing surgery last two years from tertiary hospital was reviewed retrospectively. Detail clinical evaluation...
Left-sided gall bladder, a rare biliary abnormality with an incidence of 0.04-0.3%, is characterized by the presence bladder to left ligamentum teres. However, they are often missed during pre-operative imaging and encountered intraoperatively, thus challenging surgical intervention for surgeons.We herein present 40-year-old male presented colicky right hypochondriac pain epigastric discomfort, diagnosed incidentally laparoscopic cholecystectomy as left-sided sided without situs inversus,...
Introduction: Extrahepatic portal vein obstruction (EHPVO), a rare condition, is increasingly being diagnosed due to easier availability of proper diagnostic tools and early referrals. Here we report our series 16 cases EHPVO who were treated at hospital. The aim this paper share experiences managing difficult condition. Methods: A retrospective analysis patients’ records admitted with the diagnosis for period 18 months from Jan 2008 June 2010 was performed. Patients followed up least 9...
Introducti on: Improvements in anesthesia, pain management, the evolution of minimally invasive surgery and changing attitudes to recovery after have all promoted expansion scope day care surgery. The use stapled haemorrhoidectomy is an accepted treatment modality for prolapsing hemorrhoids varying degree. To evaluate outcome patients undergoing hemorrhoidectomy early postoperative period with special focus on intensity, requirement analgesic its feasibility as a procedure. Method:...
Liposarcoma occurring in the mesentery primarily is a rare entity, scarcely reported world literature. Here, we report one such case that recurred thrice spite of complete resection and adjuvant therapy. A literature review on management an aggressive tumor also outlined. DOI: http://dx.doi.org/10.3126/mjsbh.v10i2.6460 Medical Journal Shree Birendra Hospital July-Dec 2011 10(2) 29-31