J Nepal Health Res Counc
October 2024
Background: In pneumothorax patients requiring surgery for various indications, thoracotomy was the traditional approach until the advent of video-assisted thoracoscopic surgery. In the last decade, role of thoracoscopy in the surgical management of pneumothorax has been consolidated and established. In this study, we aim to report our experience of thoracoscopy in the surgical management of pneumothorax.
View Article and Find Full Text PDFObjective: Data collected from various institutions around the country was analyzed to assess the current status of cardiovascular and thoracic surgery in the country.
Methods: We collected data from institutions performing cardiovascular and thoracic surgery from all over the country through direct correspondence for the year 2019. Individual institution data on the number of surgeries performed for cardiac, vascular, and thoracic surgery and its outcome in terms of mortality were compiled.
Currently, applying uniform distribution of chemical herbicide through a sprayer without considering the spatial distribution information of crops and weeds is the most common method of controlling weeds in commercial agricultural production system. This kind of weed management practice lead to excessive amounts of chemical herbicides being applied in a given field. The objective of this study was to perform site-specific weed control (SSWC) in a corn field by: (1) using a unmanned aerial system (UAS) to map the spatial distribution information of weeds in the field; (2) creating a prescription map based on the weed distribution map, and (3) spraying the field using the prescription map and a commercial size sprayer.
View Article and Find Full Text PDFThe burden of respiratory and upper-gastrointestinal diseases especially affects low- and middle-income countries. Five billion people lack access to safe, timely, and affordable surgical care, including thoracic surgical care. Minimally invasive thoracic surgery (MITS) has been shown to reduce complications, shorten hospital lengths of stay, and minimize health care costs, thereby enabling patients to pay less out-of-pocket and/or limit time away from work and families.
View Article and Find Full Text PDFAirway foreign bodies are common in children, and usually present as emergencies. However, they may sometimes present late, due to a number of reasons. Chronic lodgement of foreign bodies in trachea is rarer than that in bronchial tree.
View Article and Find Full Text PDFBackground: Ingestion of sharp foreign bodies is uncommon and often underreported. It can present with esophageal perforation which is a life-threatening complication requiring prompt diagnosis and management. We report a case of accidental ingestion of a razor blade in a chronic alcoholic who presented with hematemesis after an esophageal perforation, the diagnosis of which was confirmed by radiology.
View Article and Find Full Text PDFInt J Surg Case Rep
October 2021
Introduction And Importance: MPL (myxoid pleomorphic liposarcoma) is an uncommon type of liposarcoma that affects mostly children and infants. Its aggressive behavior and tendency to recur warrant complete excision despite the challenges of troublesome locations.
Case Presentation: A 12-month-old infant presented with an insidious onset of noisy breathing and respiratory distress not relieved by supplemental oxygen via face mask.
Most pathology of the thymus gland warrant its surgical removal; and this requires significant expertise and adequate medical set-up. This study aimed to audit the results of thymectomies performed in a specialised tertiary level centre in a resource-poor country. The outcomes of open and minimally invasive video-assisted thoracoscopic surgery (VATS) thymectomies were also compared.
View Article and Find Full Text PDFMucocele of the native esophagus is a rare complication after esophageal bypass surgery for various indications. Esophageal mucoceles rarely get infected, forming a 'pyocele' which becomes symptomatic. Various approaches have been utilized in the management of such pyoceles.
View Article and Find Full Text PDFBronchial disruptions are uncommon but nevertheless grievous injuries and are usually secondary to major thoracic trauma. Although many are associated with other catastrophic injuries causing early mortality, their presentations can be late and they are often difficult to diagnose. Their management is frequently challenging and the ideal course of treatment is not yet clearly defined.
View Article and Find Full Text PDFPulmonary parasitic infestations are a worldwide problem associated with significant morbidity and socioeconomic impact. They are known to have varied clinical presentations and radiological appearances. Prevention of parasite transmission and medical treatment of cases form the two pillars of control of these diseases.
View Article and Find Full Text PDFInflammatory myofibroblastic tumour (IMT) is an uncommon mesenchymal tumour, which can occur anywhere in the body, rarely in esophagus. Mostly, the diagnosis is postoperative, after the hispathological evaluation of the specimen. There are no definite guidelines regarding the diagnosis and management.
View Article and Find Full Text PDFPulmonary embolism carries a significant morbidity and mortality. Metastatic choriocarcinoma presenting as pulmonary embolism is a rare event. Here, we report a case of a 25-year-lady with a history of worsening shortness of breath for 4 months who was treated as a case of pneumonia and tuberculosis.
View Article and Find Full Text PDFIntroduction: Post-operative nasogastric intubation after emergency laparotomy is a common practice in many centers, with the intent of hastening the return of bowel function, relieving gastrointestinal discomfort, reducing various post-operative complications and reducing hospital stay. However, bowel rest and gastric decompression have been re-examined in the light of more recent data. Many studies and meta-analyses over the last 50 years have challenged the routine use of nasogastric tubes after laparotomy.
View Article and Find Full Text PDFAsian Cardiovasc Thorac Ann
July 2014
Background: Thoracotomy is considered to be the most painful surgical access, the main culprit being intercostal nerve injury. Despite the use of many techniques, this remains a major problem, pointing towards prevention as a better strategy. The effect of protecting both the upper and lower intercostal nerves during surgery has attracted many researchers.
View Article and Find Full Text PDFMissile injuries to heart are one of the most severe penetrating chest injuries, and mostly fatal. The presentation in those who survive may be unusual and insidious. Pseudoaneurysms of the heart, usually sequel to myocardial infarction, may rarely present after penetrating cardiac wounds.
View Article and Find Full Text PDFAsian Pac J Cancer Prev
December 2014
Background: The overall incidence of breast cancer in South Asian countries, including Nepal, is low compared to Western countries. However, the incidence of breast cancer among young women is relatively high. Breast cancer in such cases is characterized by a relatively unfavorable prognosis and unusual pathological features.
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