A5073619970- Antibiotic Use and Resistance
- Reconstructive Facial Surgery Techniques
- Reconstructive Surgery and Microvascular Techniques
- Bone fractures and treatments
- Cancer and Skin Lesions
- Urological Disorders and Treatments
- Pelvic floor disorders treatments
- Radiation Detection and Scintillator Technologies
- Organ and Tissue Transplantation Research
- Orthopedic Infections and Treatments
- Urologic and reproductive health conditions
- COVID-19 Impact on Reproduction
- Orthopedic Surgery and Rehabilitation
- Nonmelanoma Skin Cancer Studies
- Ultrasound in Clinical Applications
- Airway Management and Intubation Techniques
- COVID-19 Clinical Research Studies
- Infection Control in Healthcare
- Advanced Antenna and Metasurface Technologies
- Nosocomial Infections in ICU
Western Regional Hospital
2025
Pokhara University
2024
Patan Hospital
2019-2022
Eccrine porocarcinoma is a tumor of the sweat gland that mostly develops from an existing benign eccrine poroma. It rare cutaneous malignancy with high risk metastasis and recurrence. Known to affect elderly population in general no gender discrepancy, it presents as ulcerative mass commonly trunk or head/neck region. Definitive diagnosis made by histopathological findings peculiar pleomorphic cells nuclear hyperchromasia mitotic activity, surrounded ductal lumen. The standard treatment...
Antimicrobial stewardship (AMS) programs can decrease non-optimal use of antibiotics in hospital settings. There are limited data on AMS burn and chronic wound centers low- middle-income countries (LMIC). A post-prescription review feedback (PPRF) program was implemented three hospitals Nepal with a focus care. total 241 baseline 236 post-intervention patient chart were collected from hospitals. significant utilizing days therapy per 1000 (DOT/1000 PD) penicillin (p = 0.02), aminoglycoside...
A fingertip has precise functional roles of fine movement, touch, and sensory functions. Its injury majorly hampers not only the aspect but also carries great aesthetic significance. Osteomyelitis is a serious bone infection that presents complex clinical challenge demands multidisciplinary approach. The integration antimicrobial therapy, surgical intervention, reconstruction often considered mainstay treatment. We report case osteomyelitis finger management bony defect using Masquelet...
The fingertip is a complex organ compacted with precise functional roles of fine movements and touch sensory functions. Fingertip injury commonly occurs in machinery work, presents as crush injuries or amputations. Even though it challenging procedure due to the area relative size vessels for restoration, replantation has been developing newer method both aesthetic better success rates improved long-term outcomes. Artery-only replant emerging suitable option many cases, which allows blood...
This case report details a young male patient’s successful single-stage total earlobe reconstruction. The patient, 24-year-old male, presented with near complete loss following traumatic injury. Utilizing an innovative surgical technique, the reconstruction achieved excellent cosmetic and functional outcomes, demonstrating efficacy of procedures in such cases.
Abstract Burn patients are at high risk for nosocomial infection. Antibiotics the key drugs treatment of infections. Overuse and inappropriate use antibiotics increase both bacterial resistance cost treatment. The introduction correct rational appears to be impossible without having knowledge current situation antibiotic consumption. So, study was conducted know utilization pattern in burn patients. Methods A Retrospective review medical records done analyze antibiotics. data were collected...
Background: This study assessed the lower limb reconstruction outcome so that it will provide a baseline evidence to enable data-driven decision making improve in future.Methods: In this study, hospital records from 1st January 31st December 2019 were collected retrospectively. Complete data of all patients’ treated for defects at Kirtipur Hospital included and incomplete excluded. Univariate Bivariate analyses performedResults: total 110 patients with male predominance 66.4% (n=73). The...
There is an evident need for Negative Pressure Wound Therapy (NPWT) systems specifically designed use in resource-constrained settings to aid the treatment of open wounds.Prospective single-arm interventional pilot study 14 patients with complex wounds was conducted at Kirtipur Hospital Kathmandu, Nepal. A novel NPWT device, Kyron Suction Unit, used by 4 plastic surgeons. Primary outcomes were ease (10-point Likert scale) and device safety (adverse events recorded). Pain (Visual Analogue...
Surgical management of vaginal agenesis constitutes a significant technical challenge. The goal reconstruction is to create neovagina that both functionally and aesthetically satisfactory using simple reliable technique applicable most. Bilateral pudendal thigh flaps were used reconstruct for 13-y girl with congenital agenesis. She presented cyclical abdominal pain hematometra, had normal secondary sexual characteristics grossly external genitalia dimpling at the site orifice without lower tract.