Browsing by Author "Bista, Apeksha"
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Publication Hydrocele among Patients undergoing Surgery in the Department of Surgery in a Tertiary Care Center: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Deo, Kishor; Chaudhary, Arun Kumar; Shrestha, Reshika; Chaudhary, Aashutosh; Adhikari, Bindira; Bista, Apeksha; Jha, Devesh; Shakya, Niliza; Maharjan, Suresh; Shrestha, Manisha; Shrestha, Ashish; Dahal, Isha; Sutihar, AnshuAbstract Introduction: Hydrocele, an accumulation of serous fluid within the remnant of the processus vaginalis, is a common cause of painless scrotal enlargement. While prevalent, few studies have been conducted to assess the extent and risk factors of hydrocele in Nepal. This study aimed to assess the prevalence and associated factors of hydrocele among patients undergoing the surgery department at a tertiary care center in Nepal. Methods: This descriptive cross-sectional study was conducted at a tertiary care center. Data were retrospectively collected from medical records over one year (2021 July to 2022 June), including all patients undergoing surgery in the general surgery department. Ethical Approval was received from the Institutional Review Committee of the same institute (Reference number: 820/2080/81) Cases of hydrocele surgery were identified, and relevant data were extracted using a structured proforma. Descriptive analyses were performed using Microsoft Excel 2016. Results: Out of 1812 surgeries, 95 (9.72%) were hydrocele surgeries. Of these, 94 (98.95%) were non-communicating hydroceles, 79 (83.16%) were unilateral, and 90 (94.74%) showed positive transillumination tests. The mean age of patients was 50.84 ± 17.02 years, with the highest number of cases in the 46-55 age group (20%). Postoperative complications occurred in 19 (20%) patients, with seroma and surgical site infection being the most common (31.58% each). Conclusions: Hydrocele surgeries comprised a significant portion (5.24%) of surgical cases at the tertiary care center, with the majority being non-communicating and unilateral types.Publication Normative Data for The Dimensions and Volume of Pituitary Gland in The General Population Undergoing Magnetic Resonance Imaging Under a Tertiary Care Center: An Observational Study(Nepal Medical Association, 2025) Paudel, Suman; Rokaha, Prerana Singh; Rokaha, Pratik Singh; Bista, Apeksha; Subedi, Nischal; Thapa, Narayan BikramAbstract Introduction: The pituitary gland is a pivotal neuroendocrine organ responsible for regulating essential physiological functions. Normative data on its dimensions and volume are crucial for identifying pathological changes in clinical settings. However, such reference values are often limited or population-specific. This study aimed to establish normative data for pituitary gland dimensions and volume in the general population undergoing magnetic resonance imaging (MRI) at a tertiary care center. Methods: A total of 870 subjects of all age groups presumed normal pituitary morphology were evaluated using magnetic resonance imaging. Mid sagittal T1 weighted image and coronal T2 weighted images on magnetic resonance imaging were used to measure height, length and width of the pituitary gland. Data was stratified into 10 groups on the basis of age group in each sex to observe the differences. Results: The height and volume of the pituitary gland showed variations with age. Positive correlation was observed between the mean height and volume for the sexes combined which was statistically significant with Pearson correlation coefficient r=0.82 (p<0.001). Conclusions: This study provides normative data for measurements of the pituitary gland and its variations based on age and sex.