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  • 1
    Online Resource
    Online Resource
    Retrospective evaluation of outcome of percutaneous nephrolithotomy at a tertiary care center in eastern Nepal
    Medip Academy ; 2023
    In:  International Surgery Journal Vol. 10, No. 2 ( 2023-01-27), p. 208-213
    Details
    In: International Surgery Journal, Medip Academy, Vol. 10, No. 2 ( 2023-01-27), p. 208-213
    Abstract: Background: Percutaneous nephrolithotomy (PCNL) is considered as the standard treatment for renal tract stones. It is a successful procedure with low complication rate. Objective was to evaluate the outcome measures in large renal stone including stone free rates and complications in patients underwent PCNL. Methods: A retrospective study was conducted in 120 patients who underwent PCNL for renal stone size 2 to 2.5 cm, between 2019 and 2021. Ethical clearance was obtained from the institutional review committee (IRC/2430/022). The data were collected from the records available in the medical record section. The data were analyzed for patient demographics, investigations, site of puncture, stone-free rates (SFRs), type of nephroscope, use of nephrostomy tube, blood transfusion, hospital stay and complications. Results: Out of 120 cases, 64 (53.3%) were males and 67 (55.8%) presented with renal stone on the right kidney. Renal stone was in pelvis in 47 (39.2%) patients. In 47 (39.2%) cases puncture was made in the lower pole. Stone free clearance rate was 92.5% and 4.2% patients required blood transfusion. There was no statistical difference in intraoperative complication like bleeding in supracostal puncture group and subcostal puncture group [25% vs 13.2%; p=0.13] and in tube group and tubeless group (43.9% vs 3.8%; p 〈 0.001). There was significant difference in length of hospital stay and duration of Foley’s catheter removal between supracostal group vs subcostal group and tube group vs tubeless group (p 〈 0.05). Postoperative complications like fever were seen in 14 (23.0%) and four (6.8%) patients with standard nephroscope group and mini nephroscope group respectively and it was statistically significant (p 〈 0.05). Conclusions: Mini and tubeless PCNL had a good success rate with minimal complication. The total stone clearance rate in our study was 92.5%.
    Type of Medium: Online Resource
    ISSN: 2349-2902 , 2349-3305
    URL: Article
    DOI: 10.18203/2349-2902.isj20230255
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2023
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  • 2
    Online Resource
    Online Resource
    Assessment of Liver Stiffness by Shear Wave Elastography in Healthy Liver in a Tertiary Center
    Nepal Journals Online (JOL) ; 2022
    In:  Nepalese Journal of Radiology Vol. 12, No. 2 ( 2022-12-31), p. 21-26
    Details
    In: Nepalese Journal of Radiology, Nepal Journals Online (JOL), Vol. 12, No. 2 ( 2022-12-31), p. 21-26
    Abstract: Introduction: The main aim of this study was to determine the mean value of liver stiffness in healthy adults using S-Shear wave elastography and compare liver stiffness with gender, age and BMI. Methods: A hospital-based cross-sectional study was carried out in the Department of Radiology, BPKIHS over 6 months after taking ethical approval from the institutional review committee. Ninety-six adults referred for ultrasonography of the abdomen for various indications were included in the study Results: Mean shear wave velocity of the healthy liver in the study subjects was 1.267±0.151m/s.The corresponding mean value of liver stiffness was 4.91±1.15 kPa. The mean liver stiffness was higher in males compared to females (5.283±1.08 kPa vs. 4.689±1.13 kPa) which were statistically significant (p=0.0013). Mean liver stiffness was highest in the age group of 70-79 years (6.7±0.80 kPa) compared to other age groups. There were significant differences between the mean liver stiffness values among different age groups (p=0.01). Patients in the obese class I category showed higher mean liver stiffness value (5.54±0.42 kPa) than other BMI categories. However, mean liver stiffness values showed no significant difference among different BMI groups (p=0.322). Conclusions: Liver stiffness values measured using S-Shear wave elastography in healthy adults ranged between 2.4 kPA to 7.4 kPa.There were significant differences in mean liver stiffness values between men and women and among different age groups. However, no significant difference was found among different BMI categories.
    Type of Medium: Online Resource
    ISSN: 2091-1378 , 2091-136X
    URL: Article
    DOI: 10.3126/njr.v12i2.54595
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2022
    detail.hit.zdb_id: 2704256-X
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  • 3
    Online Resource
    Online Resource
    Multimodality treatment of a primary vulvar melanoma in a low resource setting: A case report
    Elsevier BV ; 2023
    In:  Gynecologic Oncology Reports Vol. 47 ( 2023-06), p. 101206-
    Details
    In: Gynecologic Oncology Reports, Elsevier BV, Vol. 47 ( 2023-06), p. 101206-
    Type of Medium: Online Resource
    ISSN: 2352-5789
    URL: Article
    DOI: 10.1016/j.gore.2023.101206
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2023
    detail.hit.zdb_id: 2818505-5
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  • 4
    Online Resource
    Online Resource
    Normal Adrenal Gland Thickness on Computed Tomography in Nepalese Adults Presenting to Tertiary Referral Hospital
    Nepal Journals Online (JOL) ; 2022
    In:  Medical Journal of Shree Birendra Hospital Vol. 21, No. 2 ( 2022-09-30), p. 21-24
    Details
    In: Medical Journal of Shree Birendra Hospital, Nepal Journals Online (JOL), Vol. 21, No. 2 ( 2022-09-30), p. 21-24
    Abstract: Introduction: Various benign and malignant conditions may alter the morphology and dimensions of adrenal gland. There is limited data on normal dimensions of adrenal gland in Nepalese population. Our study aimed to find out the normal adrenal gland thickness measurement. Methods: It is a descriptive cross-sectional study conducted in a tertiary referral hospital over a period of one year. Ethical approval was taken from the institutional review committee. All the patients referred to Radiology Department for abdominal Computed Tomography evaluation unrelated to adrenal pathology were included. We measured maximum thickness of adrenal limb and body along with diaphragmatic crus on either side. Results: Mean adrenal gland thickness of right medial limb, right lateral limb and body was 3.57 ± 0.87 mm, 3.33 ± 0.79 mm, 5.69 ± 1.19 mm respectively. Similarly, mean adrenal gland thickness of left medial limb, left lateral limb and body was 4.16 ± 0.9 mm, 3.84 ± 0.85 mm, 6.07 ± 1.35 mm respectively. On comparison of medial and lateral limbs to ipsilateral diaphragmatic crus thickness, 298 (99.3%) and 296 (98.6 %) cases had ratio less than one on right side and 280 (93.3%) and 268 (89.3 %) cases had ratio less than one on left side. Conclusions: Our study has established the reference measurement of normal adrenal gland thickness in Nepalese adult population. Similarly, the ratio of adrenal limb thickness to ipsilateral diaphragmatic crus thickness can also be a helpful parameter for predicting the normality.
    Type of Medium: Online Resource
    ISSN: 2091-0193 , 2091-0185
    URL: Article
    DOI: 10.3126/mjsbh.v21i2.44502
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2022
    detail.hit.zdb_id: 3030595-0
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  • 5
    Online Resource
    Online Resource
    Sonographic assessment of thickness of normal diaphragm by B mode ultrasound
    Nepal Journals Online (JOL) ; 2022
    In:  Journal of Kathmandu Medical College ( 2022-12-31), p. 215-220
    Details
    In: Journal of Kathmandu Medical College, Nepal Journals Online (JOL), ( 2022-12-31), p. 215-220
    Abstract: Background: The thickness of diaphragm and diaphragmatic thickness fraction can be assessed by ultrasonography which can be used in early detection of the neuromuscular conditions and follow-up. Objectives: To measure the thickness of diaphragm during inspiration and expiration; and diaphragmatic thickness fraction by B mode ultrasound in healthy patients. Methods: An analytical cross-sectional study was conducted in 260 patients. Data were collected from 2020 July 10 to 2021 July 9 in Department of Radiology, BPKIHS after ethical clearance. Patients who were referred for sonographic evaluation and without neurological complains were included. Purposive sampling was done. Inferential statistical analysis was done applying SPSS v.11.5. Results: Mean diaphragmatic thickness on deep inspiration was found to be 2.80 ± 0.57 mm (95% CI 2.73-2.87 mm) and 2.71 ± 0.53 mm (95% CI 2.64-2.77 mm) on right and left side respectively. Mean diaphragmatic thickness on end expiration was found to be 2.01 ± 0.41 mm (95% CI 1.96-2.06 mm) and 1.97 ± 0.40 mm (95% CI 1.92-2.01 mm) respectively on right and left side. Mean diaphragmatic thickness fraction was observed 40 ± 7.79% (22-67%) and 38 ± 7.98% (22- 60%) on right and left side respectively. The mean difference between right and left side on inspiration was found to be statistically significant. A weak positive correlation of diaphragmatic thickness with BMI on both sides and on both during inspiration and expiration was seen. There was no statistically significant correlation of diaphragmatic thickness fraction with age and BMI. Conclusion: Sonographic diaphragm thickness measurement and diaphragm thickness fraction can provide both anatomical and physiological evaluation quickly.
    Type of Medium: Online Resource
    ISSN: 2091-1793 , 2091-1785
    URL: Article
    DOI: 10.3126/jkmc.v11i4.53549
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2022
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  • 6
    Online Resource
    Online Resource
    Incidentally Detected Residual Gallbladder Calculi by Computed Tomography in Acute Pancreatitis. Case Report
    Springer Science and Business Media LLC ; 2020
    In:  SN Comprehensive Clinical Medicine Vol. 2, No. 9 ( 2020-09), p. 1702-1704
    Details
    In: SN Comprehensive Clinical Medicine, Springer Science and Business Media LLC, Vol. 2, No. 9 ( 2020-09), p. 1702-1704
    Type of Medium: Online Resource
    ISSN: 2523-8973
    URL: Article
    DOI: 10.1007/s42399-020-00447-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2947252-0
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  • 7
    Online Resource
    Online Resource
    Correlation of Duplex Ultrasonographic Parameters with Glomerular Filtration Rate in Chronic Kidney Disease
    Nepal Health Research Council ; 2019
    In:  Journal of Nepal Health Research Council Vol. 17, No. 01 ( 2019-04-28), p. 32-37
    Details
    In: Journal of Nepal Health Research Council, Nepal Health Research Council, Vol. 17, No. 01 ( 2019-04-28), p. 32-37
    Abstract: Background: Chronic kidney disease encompasses a spectrum of different pathophysiological processes associated with abnormal renal function and a progressive decline in glomerular filtration rate. Duplex ultrasonography is widely available and important imaging investigation required in the work?up of chronic kidney disease. The objective of the study was to assess correlation of renal duplex ultrasonographic parameters with decreased glomerular filtration rate in patients with chronic kidney disease.Methods: This was a crosssectional hospital-based study. A total of sixty-two patients with chronic kidney disease referred for ultrasonography were included in the study. Patients were evaluated by duplex ultrasonography. Correlation of renal length, parenchymal thickness, cortical thickness, cortical echogenicity, peak systolic velocity, end diastolic velocity pulsatility index and resistive index with glomerular filtration rate was evaluated by using Pearson’s correlation coefficient.Results: Chronic kidney disease was seen more prevalent in 41-50 years of age group. The major risk factors associated with Chronic kidney disease was Hypertension and Diabetes Mellitus. A significant positive correlation of renal length, parenchymal thickness, cortical thickness (p value 〈 0.01) and end diastolic velocity (p value 〈 0.05) with eGFR and significant negative correlation of cortical echogenicity, resistive index and pulsatility index (p value 〈 0.01) with eGFR was derived.Conclusions: Duplex sonographic findings of renal length, parenchymal thickness, cortical thickness, cortical echogenicity, end diastolic velocity, pulsatility index and resistive index are found to be useful parameters in evaluation of chronic kidney disease.Keywords: Chronic kidney disease; duplex ultrasonography; glomerular filtration rate.
    Type of Medium: Online Resource
    ISSN: 1999-6217 , 1727-5482
    URL: Issue
    URL: Article
    DOI: 10.33314/jnhrc.v17i01
    DOI: 10.33314/jnhrc.v17i01.1277
    Language: Unknown
    Publisher: Nepal Health Research Council
    Publication Date: 2019
    detail.hit.zdb_id: 2551251-1
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  • 8
    Online Resource
    Online Resource
    Evaluation of variation of portal vein branching pattern on Multidetector Computed Tomography in adult population
    Nepal Journals Online (JOL) ; 2021
    In:  Nepalese Journal of Radiology Vol. 11, No. 1 ( 2021-06-30), p. 12-18
    Details
    In: Nepalese Journal of Radiology, Nepal Journals Online (JOL), Vol. 11, No. 1 ( 2021-06-30), p. 12-18
    Abstract: Introduction: The main aim of this study was to determine the prevalence of main and right portal vein variation in study population and evaluate their branching patterns on abdominal CT. Methods: A hospital based cross sectional study was carried out in Department of Radiology, BPKIHS over a period of 6 months after taking ethical approval from institutional review committee. 375 cases referred for abdominal CT for various indications were included in the study. Results: Classic main portal vein branching pattern (Type 1) was identified in 305 (81.3%) cases. Main portal vein branching variations were identified in 70 (18.7 %) cases of which most common variation was trifurcation pattern (Type 2) seen in 48 (12.8%) cases followed by  right posterior portal vein as first branch of main portal vein (Type 3) seen in 21 (5.6%) cases. Out of 305 cases with Type 1 branching pattern, classic branching pattern of right portal vein was noted in 285 (93.4%) cases. Right portal vein variations were identified in 20 (6.5%) cases. Common variations of right portal vein noted in our study were early origin of segment VlI branch from right portal vein seen in 5 cases (1.6%), early origin of segment VI branch from right portal vein seen in 4 (1.3%) cases and quadrifurcation pattern seen in 3 cases (0.98%). Conclusion:  Prevalence of portal vein variations is high on routine abdominal CT scans. Knowledge about branching patterns of these variations can be useful to reduce liver injury and complications during hepatic surgeries and interventions.  
    Type of Medium: Online Resource
    ISSN: 2091-1378 , 2091-136X
    URL: Article
    DOI: 10.3126/njr.v11i1.35533
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2021
    detail.hit.zdb_id: 2704256-X
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  • 9
    Online Resource
    Online Resource
    Chylous ascites following retroperitoneal lymphadenectomy in a patient with recurrent dysgerminoma of ovary: A case report
    Elsevier BV ; 2023
    In:  Gynecologic Oncology Reports Vol. 48 ( 2023-08), p. 101221-
    Details
    In: Gynecologic Oncology Reports, Elsevier BV, Vol. 48 ( 2023-08), p. 101221-
    Type of Medium: Online Resource
    ISSN: 2352-5789
    URL: Article
    DOI: 10.1016/j.gore.2023.101221
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2023
    detail.hit.zdb_id: 2818505-5
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  • 10
    Online Resource
    Online Resource
    Complications of Ultrasonography Guided Percutaneous Renal Biopsy in Children: A Retrospective Study in a Tertiary Hospital in Nepal
    Nepal Journals Online (JOL) ; 2022
    In:  Nepalese Journal of Radiology Vol. 12, No. 1 ( 2022-06-30), p. 39-43
    Details
    In: Nepalese Journal of Radiology, Nepal Journals Online (JOL), Vol. 12, No. 1 ( 2022-06-30), p. 39-43
    Abstract: Introduction:  Percutaneous renal biopsy is done under ultrasonographic guidance in recent times due to which the diagnostic yield has increased and complications have been severely curtailed. We aimed to retrospectively evaluate the complications following kidney biopsy in children. Methods: After obtaining ethical clearance, retrospective evaluation of sixty pediatric renal biopsies done in BPKIHS from October 1, 2018, to September 30, 2020, were included in the study. Biopsies were done by 18G biopsy guns under ultrasound guidance and the complications were evaluated. Results: Of sixty patients, 13.33% had gross hematuria, 3.33% had a perirenal hematoma and the biopsy failure rate was 3.3%. None of the patients required blood transfusion and had major complications requiring further intervention. Conclusions: Percutaneous renal biopsy under ultrasonographic guidance is a safe procedure with a better success rate.
    Type of Medium: Online Resource
    ISSN: 2091-1378 , 2091-136X
    URL: Article
    DOI: 10.3126/njr.v12i1.44567
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2022
    detail.hit.zdb_id: 2704256-X
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