Journal of Gandaki Medical College-Nepal最新文献_第3页

Assessment of root and root canal morphology of mandibular premolars using cone beam computed tomography in a tertiary center of Nepal 在尼泊尔第三中心使用锥束计算机断层扫描评估下颌前磨牙的根和根管形态

Journal of Gandaki Medical College-Nepal Pub Date : 2022-12-31 DOI: 10.3126/jgmcn.v15i2.48971

Shikha Bantawa, Deepa Niraula, S. Dahal, R. Pradhan, A. Thapa, R. Shrestha, S. Agrawal

{"title":"Assessment of root and root canal morphology of mandibular premolars using cone beam computed tomography in a tertiary center of Nepal","authors":"Shikha Bantawa, Deepa Niraula, S. Dahal, R. Pradhan, A. Thapa, R. Shrestha, S. Agrawal","doi":"10.3126/jgmcn.v15i2.48971","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i2.48971","url":null,"abstract":"Introduction: Mandibular premolars are considered an enigma in dentistry because of their variability in anatomical and morphological features making it difficult to treat endodontically. This study was conducted to determine the root and canal morphology of mandibular premolars in the Nepalese population by using cone beam computed tomography imaging.\u0000Methods: One hundred and thirty-four cone beam computed tomography images of the Nepalese population were collected by convenience sampling method from April 1 to August 31, 2022 in Bir Hospital, Kathmandu, Nepal. A total of 536 premolars (268 mandibular first premolars and 268 mandibular second premolars) were evaluated by two examiners (one endodontist and one oral radiologist). Canal configuration was classified according to Vertucci’s classification.\u0000Results: In mandibular premolar teeth, the majority had one root followed by two roots and fused roots. The most common configuration in mandibular premolars was Vertucci’s type I (83.88% and 96.65% in the first and second premolar respectively) followed by type V (9.89%) in the first premolar and type III (1.86%) in the second premolar. Vertucci’s type VII (0.37%), C-shaped configuration (1.46%), and an unusual configuration (0.37%) were observed in the first premolar. In mandibular first premolars, males showed more variation than females; while in second premolars, females showed more variation than males.\u0000Conclusions: Mandibular premolar teeth showed variation in root and canal morphology with one root and Vertucci’s type I in the majority of the cases.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128427875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Satisfaction with life among senior citizens in Pokhara metropolitan city: A cross-sectional study 博卡拉市老年人生活满意度的横断面研究

Journal of Gandaki Medical College-Nepal Pub Date : 2022-12-31 DOI: 10.3126/jgmcn.v15i2.48003

R. Karmacharya, Nirupa Thapa

{"title":"Satisfaction with life among senior citizens in Pokhara metropolitan city: A cross-sectional study","authors":"R. Karmacharya, Nirupa Thapa","doi":"10.3126/jgmcn.v15i2.48003","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i2.48003","url":null,"abstract":"Introduction: The number of senior citizens in the world is growing rapidly so life satisfaction is the best indicator for evaluating successful aging. The aim of the study was to assess life satisfaction among senior citizens in Pokhara metropolitan city.\u0000Methods: This community-based cross-sectional study was conducted among 325 samples from 17 cluster of Pokhara metropolitan city. Life satisfaction were measured through life satisfaction index-A. Descriptive statistics and inferential statistics were computed at a 5% level of significance. Study participants were aged 60 years and above, residing permanently in the study sites. Wards, households, and respondents were selected randomly. Data were entered in Epi Data and analyzed using statistical package for the social sciences 16.0 version.\u0000Results: Findings revealed that 53.5% respondents were not satisfied with their life. Likewise, age below 70 (52.4%), male respondents (53.7%), senior citizens (60+) living with partner (50.8%) were more satisfied. In multivariate analysis pension (OR=0.482, CI=0.248, 0.935), sufficient money for expenditure (OR=2.370, CI=1.362, 4.123), family income (OR=4.391, CI=2.019, 9.551), state of health (OR= 0.464, CI= 0.215, 0.923) and role in family decision making (OR=2.001, CI=1.055, 3.793) were positively associated with life satisfaction.\u0000Conclusions: More than half of the senior citizens were dissatisfied with their life. Financial state, state of health and role in family decision making are the main determinant factors of life satisfaction. Therefore, the authority body needs to be developing proper old age policies to resolute the socioeconomic problems of old people.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121884374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors associated with final visual outcome in traumatic hyphema 外伤性前房积血最终视力结果的相关因素

Journal of Gandaki Medical College-Nepal Pub Date : 2022-12-31 DOI: 10.3126/jgmcn.v15i2.43744

Bishow Raj Timalsina, J. Shrestha, P. Gautam, Kabiraj Poudel

{"title":"Factors associated with final visual outcome in traumatic hyphema","authors":"Bishow Raj Timalsina, J. Shrestha, P. Gautam, Kabiraj Poudel","doi":"10.3126/jgmcn.v15i2.43744","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i2.43744","url":null,"abstract":"Introduction: Hyphema is the accumulation of blood in anterior chamber of the eye that can directly affect our vision. Various factors play role in final visual outcome among patients with hyphema, and there are very few related studies. Therefore, this study aimed to determine the factors related to final visual outcome among patients with traumatic hyphema.\u0000Methods: This cross-sectional study was conducted among 62 cases of traumatic hyphema presenting to the emergency department of Tribhuwan University Teaching Hospital and outpatient department of Bisheshwar Prasad Koirala Lions Centre for Ophthalmic Studies from July 2018 to July 2019. A detailed clinical history was obtained, followed by an ophthalmic examination and relevant investigation. Data was analysed using descriptive and inferential statistics at 5% level of significance using IBM statistical package for the social sciences.\u0000Results: Projectile (54.8%) and fall injury (12.5%) were the most common mode and causes of trauma, respectively. The best visual acuity of the involved eye at presentation was 6/9 (6.5%), and the worst was non-perception of light (3.2%). At presentation, the most common grade of hyphema was grade I (48.4%), and the least common was microhyphema (6.5%). Grades of hyphema (p=0.014) were significantly associated with the final visual outcome. Anterior segment findings such as of lid (p<0.001) and lens (p=0.014) and posterior segment findings such as of vitreous (p<0.001) and retina (p=0.048) were also significantly associated with final visual acuity.\u0000Conclusions: For the most optimal visual outcome in traumatic hyphema, all associated periocular and intraocular findings must be prioritized and addressed accordingly.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121576736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of oral corticosteroids with adjunct to intravenous antibiotics in treatment of orbital cellulitis 口服皮质类固醇辅助静脉注射抗生素治疗眼眶蜂窝织炎的作用

Journal of Gandaki Medical College-Nepal Pub Date : 2022-12-31 DOI: 10.3126/jgmcn.v15i2.44620

Sangeeta Shah, P. Lavaju, M. Gupta, S. Pokharel, S. Chaudhary, Santosh Chaudhary

{"title":"Role of oral corticosteroids with adjunct to intravenous antibiotics in treatment of orbital cellulitis","authors":"Sangeeta Shah, P. Lavaju, M. Gupta, S. Pokharel, S. Chaudhary, Santosh Chaudhary","doi":"10.3126/jgmcn.v15i2.44620","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i2.44620","url":null,"abstract":"Introduction: The standard treatment protocol of orbital cellulitis includes the use of broad-spectrum intravenous antibiotics. This study was done to evaluate the role of oral corticosteroids in the treatment of orbital cellulitis in order to address the inflammatory component.\u0000Methods: A prospective comparative interventional study was carried out on 17 cases of orbital cellulitis over 16 months. All the patients were treated with intravenous antibiotics and were allotted to Group A or B. The former consisted of eight cases (intravenous antibiotics) while group B consisted of nine cases (intravenous antibiotics and oral corticosteroids). The oral corticosteroids were started after 24 to 48 hours of initiation of antibiotics. The outcomes compared between the two groups were hospital stay, visual analogue score, temperature, peri-orbital edema, proptosis, visual acuity, extra-ocular movement and conjunctival chemosis. Results: The age of the participants ranged from 7 to 77 years with M:F = 6:11. The mean duration of hospital stay was 7.75±2.7 and 8.22± 2.53 days in group A and B. The result showed that the changes in the other parameters were significant on the 3rd day after starting treatment in both groups but insignificant between the groups at the end of 7th and 14th day.\u0000Conclusions: In our study, addition of oral corticosteroids to intravenous antibiotics showed no added beneficial effect over the useof intravenous antibiotics alone in the treatment of orbital cellulitis. However, it was noted that there was no furtherdeterioration of the disease with the use of steroids.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132976382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge on child rights among private and government school teachers, Pokhara, Kaski district Kaski地区，博卡拉，私立和公立学校教师对儿童权利的了解

Journal of Gandaki Medical College-Nepal Pub Date : 2022-12-31 DOI: 10.3126/jgmcn.v15i2.44594

I. Sah, Harikala Soti, L. Paudyal, N. Gautam

{"title":"Knowledge on child rights among private and government school teachers, Pokhara, Kaski district","authors":"I. Sah, Harikala Soti, L. Paudyal, N. Gautam","doi":"10.3126/jgmcn.v15i2.44594","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i2.44594","url":null,"abstract":"Introduction: Children play vital role to the nation’s present and its future. The healthy and educated child of today is the intelligent and active citizen of tomorrow. Hence, the objective of our study was to assess the level of knowledge regarding child rights among teachers, compare the knowledge about child rights in context of private and government school, measure the association between knowledge regarding child rights with selected demographic variables.\u0000Methods: This is a cross-sectional comparative study conducted among 200 school teachers 100 each from four government and three private schools of Pokhara using purposive sampling method. Data was collected from November 1 to December 1, 2021. Structured self-administered questionnaire tool on knowledge regarding child rights was prepared by the researcher herself. The data were collected by self-administered tool by researcher herself within 30 minutes. The quantitative data was analyzed using statistical package for social sciences version 20.0 descriptive statistics and non-parametric test were used for analyzing knowledge and association. P-value of <0.05 was regarded as significant.\u0000Results: Private school teachers had high level of knowledge (68%) while government school teachers had comparatively lower knowledge level (61%) on child rights. There was statistically significant association between knowledge and education level among government school teachers. Sililarly, there was statistically significant association between knowledge and ethnicity, religion and information among private school teachers.\u0000Conclusions: Private school teachers are more knowledgeable about child rights compared to government school teachers which emerges the need for further training to teachers.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114553200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The outcome of Transversus Abdominis Release for complex ventral hernia: A one-year of follow-up experience 腹侧松解术治疗复杂腹疝的疗效:为期一年的随访经验

Journal of Gandaki Medical College-Nepal Pub Date : 2022-12-31 DOI: 10.3126/jgmcn.v15i2.47379

Sagar Khatiwada, N. Belbase, S. Baral, H. Upadhyay, Sushim Bhujel, Nishnata Koirala

{"title":"The outcome of Transversus Abdominis Release for complex ventral hernia: A one-year of follow-up experience","authors":"Sagar Khatiwada, N. Belbase, S. Baral, H. Upadhyay, Sushim Bhujel, Nishnata Koirala","doi":"10.3126/jgmcn.v15i2.47379","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i2.47379","url":null,"abstract":"Introduction: Transversus Abdominis Release is a noble technique for the repair of complex ventral hernia, where the posterior component separation allows a huge pre-peritoneal space advantageous for the placement of large-sized mesh. It has less wound morbidity as compared to anterior component separation due to the preservation of skin perforators. The main objective of this study was to evaluate one-year follow-up results in terms of recurrence, wound morbidity, and various techniques for managing complications of Transversus Abdominis Release.\u0000Methods: This is a descriptive crosssectional study that was conducted at the department of surgery, College of Medical Sciences Teaching Hospital. Among 41 patients with complex ventral hernia, 34 patients met the inclusion criteria. Demographic data, intra-operative events like bleeding, operative duration, intraoperative complications, post-operative events like duration of hospital stay, wound morbidity, and follow-up data were analyzed.\u0000Results: Posterior rectus sheath closure at midline was possible in 30 (88.2%) patients. In patients, where posterior rectus sheath closure was not possible, the peritoneum of hernia sac was tailored to patch the defect or in some omentum was placed below the raw surface of mesh. The average operative duration and blood losses were 130±12 minutes and 301±133 ml respectively. The semilunar line injury occurred in one case that was diagnosed and repaired at the same time and the TAR plane was re-established. Wound morbidity occurred in three cases that were managed by dressing with commercially available collagen and mupirocin granule. No recurrence was observed in one-year follow-up.\u0000Conclusions: Transversus Abdominis Release has a better result with no recurrence in short term follow up and fewer complications which are easily manageable.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133450778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Study of academic performance in medical students at the time of COVID-19 pandemic 新冠肺炎大流行时期医学生学业成绩研究

Journal of Gandaki Medical College-Nepal Pub Date : 2022-12-31 DOI: 10.3126/jgmcn.v15i2.45797

Neebha Amatya, R. Prajapati, Rajab Rana Magar, Ripti Shrestha

{"title":"Study of academic performance in medical students at the time of COVID-19 pandemic","authors":"Neebha Amatya, R. Prajapati, Rajab Rana Magar, Ripti Shrestha","doi":"10.3126/jgmcn.v15i2.45797","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i2.45797","url":null,"abstract":"Introduction: The world has faced a disastrous period at the time of the pandemic of corona virus- 19. The education system was hampered along with all the sectors of life and therefore, it was realized that a switch from the conventional way of teaching to online teaching is needed. The current study was done to analyze the impact of the COVID-19 lockdown on the academic performance of medical students at Gandaki medical college of Pokhara, Nepal.\u0000Methods: It was a descriptive study of the first and second-year medical students of Gandaki Medical College. The Likert scale was used to measure the effect of the COVID-19 lockdown on academic performance and to evaluate online education. A census sampling technique was used to collect the data.\u0000Results: A total of 171 participants answered the questionnaire with a response rate of 87%. The data showed that covid-19 lockdown affected the academic performance of most participants of 98.2% with varying degrees. The mean evaluation score for online theory education was 4.7±2.06 while for the practical lessons was 2.06±1.4.\u0000Conclusions: COVID-19 pandemic lockdown affected the academic performance of most participants to varying degrees. The academic performance of medical students with the online teaching method is effective during COVID-19 lockdown.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125353040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is daycare tonsillectomy a safe outpatient surgery at Pokhara ENT Center, Nepal 日托扁桃体切除术是尼泊尔Pokhara耳鼻喉科中心安全的门诊手术吗

Journal of Gandaki Medical College-Nepal Pub Date : 2022-12-31 DOI: 10.3126/jgmcn.v15i2.48086

R. Nepali, T. Dubey, N. K C, B. Gurung

{"title":"Is daycare tonsillectomy a safe outpatient surgery at Pokhara ENT Center, Nepal","authors":"R. Nepali, T. Dubey, N. K C, B. Gurung","doi":"10.3126/jgmcn.v15i2.48086","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i2.48086","url":null,"abstract":"Introduction: Tonsillectomy is one of the most common surgical procedure in the world performed by Ear, Nose and Throat surgeon. Over the past decade, there has been progress in surgical techniques for tonsillectomy, yet pain and bleeding after tonsillectomy remain important surgical complications. With the increasing need to reduce healthcare costs in developing countries, there is currently a trend towards performing tonsillectomy on a daycare basis and this study aims at evaluating how efficacious it may be in our setting.\u0000Methods: A retrospective review of all the daycare tonsillectomy surgeries performed at the Pokhara ENT Center, Pokhara, Nepal from February 2018 to January 2019. Patients aged 15 years and up of either sex who met the paradise criteria were included while patients who met the same but had a contraindication for tonsillectomy surgery were excluded. Demographic information as well as complications within six hours of surgery before discharge and on follow-up on the seventh post-operative day were evaluated, as were any emergency room visits in the first 24 hours and any complications requiring a visit to a healthcare facility.\u0000Results: On day of surgery 17% had worst pain and on seventh post-operative day 75% had no pain, only 2% presented with primary hemorrhage and 3% presented with secondary hemorrhage. None of them required revision surgery.\u0000Conclusions: Daycare tonsillectomy is being done in only some of the centers owing to the risk of postoperative complications in our country. In our study, the number of complications was lower and not life-threatening. It can be considered a safe and cost-effective method, though patient selection is crucial.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115766704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shock Index in predicting fluid resuscitation in patients with hypovolemic shock 休克指数在预测低血容量性休克患者液体复苏中的应用

Journal of Gandaki Medical College-Nepal Pub Date : 2022-12-31 DOI: 10.3126/jgmcn.v15i2.50286

M. Pradhan, Alok Pradhan, H. Upadhyay, A. Shrestha

{"title":"Shock Index in predicting fluid resuscitation in patients with hypovolemic shock","authors":"M. Pradhan, Alok Pradhan, H. Upadhyay, A. Shrestha","doi":"10.3126/jgmcn.v15i2.50286","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i2.50286","url":null,"abstract":"Introduction: Hypovolemic shock is diagnosed by the signs of hemodynamic instability and when the source of volume loss is obvious. Among various types, hypovolemic shock is the most common which results either from the loss of blood from hemorrhage or from the loss of plasma alone due to extravascular fluid sequestration or gastrointestinal, urinary, and insensible losses. The objective of this research was to find the use of shock index in predicting fluid resuscitation in patients with hypovolemic shock.\u0000Methods: An analytical cross-sectional study was conducted among 120 patients with hypovolemic shock visiting to the Emergency department of College of Medical Sciences and Teaching Hospital from July 2022 to September 2022. Data was collected from patients and checked for completeness, accuracy and then entered and analyzed using SPSS-20. Data was analyzed using descriptive and inferential statistical tools. P-value <0.05 was considered as statistically significant.\u0000Results: Out of 120 patients, majority of the patients were >50 years. Minority of the patients only required blood transfusion. Among total patients 60% of the patients were admitted in ICU, 25% of them were admitted in ward and 4.17% of them were expired. In 60% cases shock index was <1 while in 40% case shock index was ≥1. The number of patients receiving blood transfusion at ER increased with increase in shock index and that the number of patients with hypovolemic shock are admitted in hospital more in shock index category ≥1 as compared to shock index <1 (p-value <0.05).\u0000Conclusions: This study reveals that shock index is accurate in predicting the amount of fluid. The risk of all clinical complication is increased with increase in shock index.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123816611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of open surgical outcome of patients with lower limb varicose vein disease at a tertiary care center of Eastern Nepal 尼泊尔东部三级医疗中心下肢静脉曲张患者开放性手术疗效评估

Journal of Gandaki Medical College-Nepal Pub Date : 2022-12-31 DOI: 10.3126/jgmcn.v15i2.48939

B. Sah, L. Jaiswal, R. Gupta

{"title":"Assessment of open surgical outcome of patients with lower limb varicose vein disease at a tertiary care center of Eastern Nepal","authors":"B. Sah, L. Jaiswal, R. Gupta","doi":"10.3126/jgmcn.v15i2.48939","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i2.48939","url":null,"abstract":"Introduction: The trend of varicose vein disease seems to be rising globally and its treatment options and outcome vary from the institution by institution. Management of the disease has also changed from high ligation, stripping, avulsion, and sclerotherapy to minimally invasive endovenous thermal ablation.\u0000Methods: A retrospective observational study was carried out to find out the treatment methods and outcome of lower limb varicose vein disease at the cardiothoracic vascular surgery unit of the surgery department of B.P. Koirala Institute of Health Science from February 2019 to February 2020. The medical record of the patients was studied, relevant data entered and analyzed in statistical package for social sciences statistical software. \u0000Results: Total registered patient during the study period were 46; which included 29(63%) male and 17(37%) female with mean age 38.41±10.12. Saphenous femoral junction reflux was seen in 38(82.60%) cases, saphenous popliteal junction reflux was seen in nine (19.60%) cases while perforator reflux was seen in 37(80.40%) cases. Saphenous femoral junction ligation, saphenous popliteal junction ligation was performed in 36(78.30%) and 7(15.20%) cases respectively. Stripping of the greater saphenous vein was done in 35(76.10%) cases, and 9(19.60%) cases were managed conservatively. Only 5(10.90%) cases developed infection, and none of the cases were found with recurrence or nerve injury. All the cases remained satisfied during the management course.\u0000Conclusions: Saphenous femoral junction reflux was seen common and saphenous femoral junction ligation was performed on majority of the cases. Only 10% cases developed infection and all patients were satisfied during management course. Early surgical management of the disease overcomes complications and improves in the quality of life of the patients.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127165522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0