ABSTRACT Chylothorax is the accumulation of chyle in pleural cavity. Tuberculosis one its rarest causes. Diagnosis chylothorax can be made by evaluation triglycerides concentration fluid. It primarily managed medically but surgery indicated when patients fail to improve after a trial medical management. Here, we present case 28‐year man who developed while undergoing anti‐tuberculous treatment (ATT). After failing initial management, he underwent thoracic duct ligation with good result.

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...

Thymoma is the most common primary anterior mediastinal tumor in adults. Invasive thymomas infiltrate organs adjacent to pleura, including lungs, great vessels, heart, pericardium, and diaphragm. Complete resection of invasive thymoma leads a better prognosis. We report case protrusion an infiltrating left upper lobe lung with intraluminal growth into brachiocephalic vein without direct invasion vessel wall. In this case, thymic were thoroughly examined intraoperatively. A venotomy was...

The occurrence of neurogenic tumors in the tracheobronchial tree is uncommon. We report a case transmural tracheal schwannoma with extraluminal component extending upto left thyroid lobe. 40-year-old male presented scanty hemoptysis due to part tumor till lobe gland. Patient underwent resection and anastomosis en-bloc excision nature size tumor. Tracheal Schwannoma are not that frequent. Symptoms can misguide clinician causing delay diagnosis from onset symptoms. Definitive made after...

The overall incidence of breast cancer in South Asian countries, including Nepal, is low compared to Western countries. However, the among young women relatively high. Breast such cases characterized by a unfavorable prognosis and unusual pathological features. aim this study was investigate clinico-pathological biological characteristics younger patients (<40 years) compare these with their older counterparts.Nine hundred forty four consecutive female patients, admitted Department Surgery,...

Post-operative nasogastric intubation after emergency laparotomy is a common practice in many centers, with the intent of hastening return bowel function, relieving gastrointestinal discomfort, reducing various post-operative complications and hospital stay. However, rest gastric decompression have been re-examined light more recent data. Many studies meta-analyses over last 50 years challenged routine use tubes laparotomy. The objective this study to evaluate need for laparotomy.A...

Inflammatory myofibroblastic tumour (IMT) is an uncommon mesenchymal tumour, which can occur anywhere in the body, rarely esophagus. Mostly, diagnosis postoperative, after hispathological evaluation of specimen. There are no definite guidelines regarding and management. Here, we report a 60 year old lady presenting with dysphagia, diagnosed to have submucosal esophageal tumor Barium esophagogram contrast enhanced computed tomography. She was managed successfully surgical enucleation final...

Background Thoracotomy is considered to be the most painful surgical access, main culprit being intercostal nerve injury. Despite use of many techniques, this remains a major problem, pointing towards prevention as better strategy. The effect protecting both upper and lower nerves during surgery has attracted researchers. Method A prospective study spanning 15 months was undertaken in 48 patients randomized conventional group ( n = 25) 23). Pericostal sutures former intracostal latter were...

MPL (myxoid pleomorphic liposarcoma) is an uncommon type of liposarcoma that affects mostly children and infants. Its aggressive behavior tendency to recur warrant complete excision despite the challenges troublesome locations.A 12-month-old infant presented with insidious onset noisy breathing respiratory distress not relieved by supplemental oxygen via face mask. Examination revealed dullness decreased air entry on left chest. Computed Tomographic (CT) scan showed a large solid mass...

Airway foreign bodies are common in children, and usually present as emergencies. However, they may sometimes late, due to a number of reasons. Chronic lodgement trachea is rarer than that bronchial tree. Flexible rigid bronchoscopies have revolutionized the management at large. Here, we report successful bronchoscopic an unusual body residing patient for 15 years.

Mucocele of the native esophagus is a rare complication after esophageal bypass surgery for various indications. Esophageal mucoceles rarely get infected, forming 'pyocele' which becomes symptomatic. Various approaches have been utilized in management such pyoceles. We report similar patient managed successfully our center utilizing thoracoscopic deroofing and partial excision pyocele.

Introduction: Autologous Blood patching (ABP) has been used to treat Broncho pleural fistula in spontaneous pneumothorax with varying success. We evaluated the safety and efficacy of ABP when patients primary (PSP) versus secondary (SSP) pneumothorax. Methods: All no evidence infection whom air leak did not subside despite 48 hours conservative management were included. A CT scan was done categorize if there underlying lung disease classify into categories. These underwent blood one three...

In pneumothorax patients requiring surgery for various indications, thoracotomy was the traditional approach until advent of video-assisted thoracoscopic surgery. last decade, role thoracoscopy in surgical management has been consolidated and established. this study, we aim to report our experience pneumothorax.

Introduction: Autologous blood patching (ABP) has been described as a modality of treatment bronchopleural fistulas (BPF). The success rates have varied chiefly because the numbers studied small and populations inhomogeneous. We conducted this study to determine rate in patients with BPF spontaneous onset.Methods: All pneumothorax no evidence pleural infection whom air leak did not subside despite 48 hours conservative management were included These underwent one three episodes 50ml...

Ingestion of sharp foreign bodies is uncommon and often underreported. It can present with esophageal perforation which a life-threatening complication requiring prompt diagnosis management. Case Presentation. We report case accidental ingestion razor blade in chronic alcoholic who presented hematemesis after an perforation, the was confirmed by radiology.Early recognition crucial for early intervention. Proper history taking radiological investigations are key to reaching diagnosis.

Surgical exclusion of the thoracic esophagus is done to avoid mediastinal soiling in esophageal tears when patients present late. Esophageal can result accumulation secretions and dilatation remnant leading an mucocele. Although it usually asymptomatic, if increases size produce a variety compressive symptoms such as coughing, chest pain respiratory distress. We case symptomatic mucocele after treated successfully with thoracoscopic resection. resection should be considered for patients,...

Introduction: Diaphragmatic hernia and eventration are amongst the less commonly encountered thoracic surgical problems in Nepal. Unlike, cases of traumatic herniation, adults with congenital hermination seek medical attention very late.Methods: It is a retrospective observational study patients presenting diaphragmatic hermiation at Manmohan Cardiothoracic Vascular Transplant Center, Kathmandu, Medical records five years (May, 2010 to April, 2015) were reviewed. Analysis demographic...

Introduction:From stitching a heart wound to the current level of sophistication, cardiac surgery has come long way as discipline. Heart in South Asia advanced tremendously; both, quantitatively and qualitatively. This is report first fifteen surgeries done Maldives where started an organized program.&#x0D; Methods: Data on consecutive our hospital, over period 7 months, was analyzed. We briefly describe usual perioperative management, pretext beginning Results: Fifteen patients, 13 males,...