Browsing by Author "Gurung, G"
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Publication A simple new technique of performing myomectomy for a predominantly subserosal myoma quickly within few minutes(Kathmandu University, 2007) Rana, A; Gurung, G; Amatya, A; Khatri, RRemoving a degenerated myoma located around the uterine cornu by an innovative technique shelling the myoma a little away from the base by choice of a low placed incision, advantageous in terms of no requirement of blood transfusion because of the reduction in the surgical time is described in a 24 years old lady demanding a fertility conserving surgery.Publication Comparison of Outcome of Borderline and Normal Amniotic Fluid Index in Term Pregnancy(Kathmandu University, 2021) Ansari, SN; Baral, J; Gurung, G; Jha, AABSTRACT Background Determination of Amniotic Fluid Index (AFI) is an important component of antepartum assessment of all normal pregnancies. Objective To compare the obstetric interventions and neonatal outcomes in term pregnancies with borderline Amniotic Fluid Index versus normal Amniotic Fluid Index. Method This hospital based prospective study was conducted at Tribhuwan University Teaching Hospital over 1 year between 2017 and 2018 in 128 women having uncomplicated term pregnancy admitted in labor ward. Of the 128 women, 64 women had borderline Amniotic Fluid Index (5.1-8 cm) and 64 normal AFI (8.1 - 24 cm). Parameters studied were induction of labor, cesarean section, instrumental delivery, intrapartum abnormal fetal heart rate, meconium staining of liquor, APGAR score at 5 and 7 minutes, birth weight, neonatal intensive care unit (NICU) admission and neonatal death. Data was analyzed using software OpenEpi. Result Statistically significant difference in result was obtained in the two groups in terms of rate of induction of labor (73.4% vs 35.9%, p = 0.0001, OR = 4.9), rate of cesarean section (42.1% vs 28 .1%, p = 0.04, OR = 1.8), tachypnea (50% vs 11.1%, p = 0.01) and low birth weight (9.1% vs 4.5%, p = 0.04). No statistical significance was found in meconium staining of liquor (33% vs 38.3%, p = 0.3) and APGAR score of <7 at 5 minutes (3.1% vs 1.5%, p = 0.06). There were no neonatal intensive care unit admissions and neonatal mortality in any of the babies. Conclusion Detection of amniotic fluid volume at term is important for timely maternal interventions to improve the overall fetal outcome. KEY WORDS Borderline amniotic fluid index, Cesarean section, Induction of labor, Meconium stained liquor, TachypnoeaPublication Correlation Of Linear Measurements Of Spleen With Splenic Volume in Computed Tomography(Institute of Medicine, 2018) Suwal, S; Subedi, K; Gurung, GAbstract Introduction: The purpose of this study was to assess the normal linear measurements of spleen in Nepalese adults by Computed Tomography (CT) and their correlation with splenic volume. Methods: This was a prospective cross sectional observational study done in 264 peoples undergoing abdominal CT examination for various clinical indications not pertaining to spleen, in Department of Radiology & Imaging, Tribhuvan University Teaching Hospital (TUTH). Four linear measurements of spleen were obtained in axial plane. Craniocaudal length of the spleen was also obtained. The volume was obtained by adding cross-sectional area of spleen from 10 mm contiguous axial images and multiplying them with the slice thickness. The relationships between various linear measurements of spleen with spleenic volume were derived. Results: The mean length of spleen along long axis was 9.3 +/-1.3 cm, and the mean length along the craniocaudal axis was 7.6+/-1.5 cm. The mean width, maximum thickness, and thickness at hilum of the spleen were 9.3 +/- 1.7 cm, 5.1+/-1.2 and 3.2+/-0.6 cm respectively. The mean splenic volume was 151.20 cm3 ± 59.62 cm3. Significant positive correlations were noted between linear measurements and volume, the strongest being the width followed by the craniocaudal length. Conclusion: Linear measurements of the spleen in CT show stong correlation with volume and hence can replace the splenic volume measurements while defining splenomegaly. Key words: Computed Tomography, Spleen, Linear measurement, VolumePublication Health Education for Peon to Improve Infection Prevention Practices in Government Health Facilities of Morang(Nepal Health Research Council, 2008) Dhakal, S; Gurung, GPublication Knowledge and Attitude on HIV/AIDS and Sexual Behaviour of Street Teenagers in Kathmandu Valley(Nepal Health Research Council, 2004) Gurung, G