INTRODUCTION:
 Acute appendicitis is one of the commonest surgical problems and appendectomy most commonly done operations in emergency world wide. Though there have been occasional reports with conservative treatment acute appendicitis, it not being practiced as a routine.
 METHODS:
 All patients between ten to sixty years age admitted at BPKIHS diagnosis over period year were enrolled study. After taking informed consent managed conservatively. Those who did respond...

Scrotal skin loss following Fournier's gangrene is very distressing to the patients. The management complex and challenging shown by multiplicity of flaps techniques described in literature. We included a total 14 patients with diagnosis over period 1 year our department. used modified pudendal thigh flap reconstruct neo-scrotum scrotal defects resulting from excision debridement gangrene. average age group study was 41.8 years. body mass index 22.36 kg/m2. defect size 7.05 × 13.07 cm2....

Ileosigmoid knotting is a surgical emergency. Common in Asian males, it presented with signs and symptoms of diffuse peritonitis. Aggressive resuscitation intravenous fluids antibiotics followed by workup enable the patient hemodynamically stable. Explorative laparotomy colo-colic anastomosis double barrel ileostomy curative.A 32-year-old-male from Nepal chief complain abdominal pain for day peritonitis to Emergency room. After assessing stabilizing patient, explorative was performed. Ileal...

Abstract BACKGROUND: Ventral hernia (primary and incisional) is one of the most frequently encountered problems by General Surgeon. The enhanced view totally extraperitoneal (eTEP) technique for inguinal was first described J Daes, which later used in ventral repair time Belyansky et al. We applied same to see its feasibility context our country. MATERIALS AND METHODS: It a single-center prospective observational study patient who underwent eTEP (with or without TAR) single surgeon between...

Introduction Appendicular mass is one of the most common complications following acute appendicitis and seen in 2-6% patients. The treatment appendicular controversial with three general approaches. aim this study to evaluate outcome conservative approach.Material & Methods A retrospective analysis patients managed from 1st January 31st December 2014 was carried out NMCTH, Biratnagar. total 173 diagnosis admitted emergency OPD our hospital were studied. All age groups both sex...

Amyand's hernia in a child is very rare entity. It poses diagnostic challenge to the surgeon due its variety of presentation. We are presenting case 5-year-old who presented our institute with right-sided irreducible inguinal hernia. On exploration, content was caecum normal appendix for which herniotomy appendectomy done.

Background Hirsutism is excess terminal hair growth in women at androgen-dependent sites of the body and it has great impact on psychological social aspects their lives, thus affecting quality life (QoL). Several studies assessing hirsute could be found world literature but none Nepalese literature. So, this study was undertaken for assessment hirsutism women.
 Objective To assess effect a tertiary center Eastern Nepal its association with various socio-demographic clinical...

Introduction: There is a controversy on single dose or multiple doses of prophylactic antibiotics for prevention surgical site infection during laparoscopic cholecystectomy in developing country setting. The objective this study was to compare versus terms patients.
 Methods: This prospective, comparative, randomized conducted medical college hospital. Two hundred consecutive patients with symptomatic cholelithiasis planned routine were enrolled the study. Patients randomly divided...

Background :Laparoscopic cholecystectomy (LC) is a treatment of choice for symptomatic gall stone disease and commonly done all over the country in general surgical practice. The aim this study to show results LC our medical college.Material Methods: A retrospective analysis patients underwent laparoscopic from July 2015 September 2016 was carried out NMCTH, Biratnagar. total 391 admitted through OPD Hospital were studied. All age groups both sex included.Results: Out with cholelithiasis,...

Background: Helicobacter pylori is found in more than 90% cases of peptic ulcer. This study examines the possibility association perforated ulcer disease and its relation to persisting as well influence other risk factors; namely: smoking, alcohol, current non-steroidal anti inflammatory drugs (NSAIDs) steroid use.
 Materials Methods: In this prospective study, total 50 perforation admitted College Medical Sciences Teaching Hospital, Bharatpur, Nepal were selected on basis...

Intussusception of the appendix is a rare disease that constitutes diagnostic challenge to surgeon. defined as telescoping segment gastrointestinal tract into an adjacent one. We are reporting case 14-year-old boy who presented in our institution with features acute appendicitis. On exploration appendiculo-cecal intussusception was found for which right hemicolectomy ileotransverse colon anastomosis done.

Background: Laparoscopic cholecystectomy is commonly performed operation for symptomatic gall stone disease. The presence of stones within the biliary system associated with bacterial colonization bile. aim this study to evaluate bacteriological profile bile and determine appropriate antibiotics preoperative prophylaxis in laparoscopic patients. Material & Methods: A prospective was carried out NMCTH, Biratnagar from June2017- May 2018. total 100 patients admitted through OPD our...

Background: Acute appendicitis is very common surgical cause of acute abdomen and needs removal either by laparoscopic or open appendicectomy. The aim this study to compare frequency site infection (SSI) in patients undergoing appendicectomy.
 Materials Methods: was prospective conducted NMCTH, Biratnagar. Total 200 with diagnosis admitted through the emergency department our hospital were included study. randomly allocated two groups: Laparoscopic appendicectomy group (LA) Open (OA)....

Peritoneal flap mesh hernioplasty is a technique to deal with complex ventral hernias in which primary closure of the defect not attainable. We are here presenting case report 50-year-old gentleman huge hernia loss domain. The patient also had overlying ulcerated and blackish colored skin. Botulinum toxin was infiltrated into muscles anterior abdominal wall followed by peritoneal after one month. final outcome complete midline healthy skin no evidence compartment syndrome. There early...

Laparoscopic hernia repairs have comparable recurrence rate with less persisting pain and numbness quicker return to usual activities as compared open mesh repair. The excellent outcomes of minimally invasive surgery encourage us extend the laparoscopic technique complicated groin hernia.A total 22 patients who presented our institute from September 2017 2018 were included in this prospective cohort study. Inclusion criteria age greater than 18 years clinically diagnosed hernia. Patients...

Abstract BackgroundPancreaticoduodenectomy is a complex high risk surgical procedure usually done for malignant disease carrying significant postoperative morbidity and mortality. An audit analysis of rate mortality the impact case volume can provide information about lacunas in patient care methods to improve it safe early discharge patients. This study was conducted find out demographic profile, perioperative morbidities, on patients undergoing pancreaticoduodenectomy which may serve as...