Introductions: Colorectal carcinoma is the third most common cancer worldwide. The incidence is increasing in developing countries including Nepal. The aim of this study is to find out the clinicopathological pattern of colorectal carcinoma locally.
Methods: Data were recorded retrospectively by reviewing the charts of the patients who were diagnosed and treated for in patients having colorectal cancer managed during three years period of 2016-9 at Patan Hospital, the university teaching hospital of Patan Academy of health sciences, Nepal. Clinicopathological profile, age, gender, surgery, histopathological findings were descriptively analised.
Results: There were 36 colorectal cancer patients, male 20 (56%) and females 16 (44%), mean age 56.9 years (range 24 to 89). Curative surgery was possible in 17 (47.2%) and adenocarcinoma of moderate differentiation was found in 25 (70%) of the resected specimen.
Conclusions: Colorectal carcinoma was found in old age, slightly more in male than female, adenocarcinoma being most common histology type.
The thoracic kidney is the rarest form of an ectopic kidney that usually present on the left thoraxand twice more common in males. No case has been reported from Nepal and very few cases arereported worldwide. We report a 24 years-old female with right thoracic kidney with Bochdalekhernia diagnosed incidentally. We have included clinico-radiological and surgical findings of thecase with a review of the literature.
Introduction: Acute appendicitis is one of the most common causes of acute abdomen with lifetime occurrence of approximately 7% and with perforation of 17-20%. There are various scoring systems and investigations which are used to ruling in the conditions but none of these are 100% accurate. The aim of this study was to observe relationship between neutrophil lymphocyte ratio (NLR) and simple and complicated acute appendicitis.
Methods: This is a prospective observational study conducted for a period of 12 months. Clinical, laboratory and USG parameters were used to diagnose acute. HPE findings were taken as final diagnosis and the objective of the study compared.
Results: Total of 100 patients were evaluated in this study. The mean age of the patients with acute appendicitis in this study was 30 years .The mean Alvarado score in this study was 7 and the mean NLR was 6.6. In this study, 24% of case who had TLC of more than 10000 per cubic millimeter had complicated appendicitis (p=0.685). 16% of total cases had complicated acute appendicitis with neutrophil percentage between 81%-90%, 20% with NLR >8 had complicated acute appendicitis and 20% with NLR >8 had HPE proven complicated acute appendicitis (p=0.001)
Conclusion: Both neutrophil percentage and NLR were statistically significant in differentiating complicated acute appendicitis from simple acute appendicitis than total leucocyte count alone as shown by study.
Introduction: Pilonidal sinus is a common disease. Various surgical techniques for management of sacrococcygeal pilonidal sinus have been described. Among them, the most commonly used is the rhomboid excision with the Limberg flap. With this technique of flattening the natal cleft and tension-free repair is made using a wide, well-vascularized flap. It is reported the best treatment methods, with 0-16 % of surgical area-related complications and a recurrence rate of 0-5 %. We conducted a study to evaluate the patient’s profile and outcomes of the patients of pilonidal sinus treated with rhomboid excision and Limberg flap reconstruction at our center.
Methods: Data were recorded retrospectively by reviewing the charts of patients who underwent rhomboid excision and Limberg flap operation for sacrococcygeal pilonidal sinus from September 2015 to September 2019.
Results: Thirty-four patients were included in the study. Twenty-nine (85.4%) were males and 5 (14.7%) were females. The mean age was 25.29 years (range 17-40 years). Mean hospital stay was 4.5 days (range 3 – 7 days. Nine (26.5%) patients had surgical site infections. Two patients (5.9%) had a recurrence.
Conclusion: Limberg flap for reconstruction after rhomboid excision of pilonidal sinus is an effective and feasible technique with good outcome.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.