Browsing by Author "Chaudhary, Arun Kumar"
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Publication Epidemiology and Management of Open Fractures in a Tertiary Care Hospital in Nepal: An Observational Study(Nepal Medical Association, 2025) Maharjan, Sagar; Chaudhary, Arun Kumar; Shrestha, Rohit; Shrestha, Pramit Ram; Gautam, Prabesh; Basi, Ashkal; Malla, Manasil; Acharya, Shreedhar Prasad; Khadka, Sushant KumarAbstract Introduction: An open fracture is an orthopedic emergency that requires immediate resuscitation and stabilization. Understanding presentation and management patterns can help prepare in emergency settings. This retrospective descriptive cross-sectional study stated the demographic profile, management pattern, and seasonal distribution of patients presenting with open fractures. Methods: An observational cross-sectional study was conducted in a tertiary care center, Medical records of all patients with open fractures who underwent immediate orthopedic interventions between January 2021 and December 2023 were evaluated retrospectively after obtaining ethical approval from the Institutional Review Committee (Reference number: 29/24). Descriptive statistics were used to analyze data. Results: The study included a total of 133 cases of open fractures managed during the study period. Out of these, male patients were 104 (78.20%) and female patients 29 (21.80%), with a median age of 35.00 (25.00 - 42.00) years. Mode of injuries included road traffic accidents 53 (39.85%) and falls 32 (24.06%). Tibia fracture was seen in 56 (42.11%) cases, and spinal anesthesia was used in 52.63% of cases. External fixators 36 (27.07%) and intramedullary nails 29 (21.80%) were the primary surgical interventions. Conclusions: Male patients with open fractures were more in comparison to female patients. Road traffic accidents were the most common cause of injury. Gustilo IIIB fractures were the most frequent kind of injury with tibia most commonly involved. External fixator application was the most common procedure for immediate stabilization.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.