Browsing by Author "Khaniya, S"
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Publication Abdominal Cocoon in an Adolescent Male(Kathmandu University, 2012) Shakya, VC; Agrawal, CS; Rajbanshi, SK; Pradhan, A; Khaniya, S; Adhikary, SABSTRACT Abdominal cocoon is an uncommon peritoneal condition characterized by partial or complete encasement of small bowel by a thick rind of fibrous tissue and adhesions. Only few cases of this disease have been reported in world literature. The etiology of this condition is unknown, and most often it is found in adolescent girls from tropical or subtropical countries, and usually diagnosed incidentally on exploration. Surgery (membrane dissection and extensive adhesiolysis) is the treatment of choice. Here, we report a case of abdominal cocoon in a 20-year-old male patient, with a brief review of the literature. KEYWORDS Abdominal cocoon; adhesiolysis; intestinal obstructionPublication Endoscopic Excision of A Fibroadenoma Breast: Trans Axillary Approach(Kathmandu University, 2012) Adhikary, S; Sood, S; Dhungel, K; Rajbanshi, S; Shakya, V; Khaniya, SABSTRACT Benign breast lumps affect 10% of females in their lifetime. Surveillance, assurance, medications and surgical excision are options available to surgeons. Avoiding scars on the breast is an inherent feminine desire. Numerous minimal invasive approaches have evolved due to this concern. The time honoured circumareolar incisions camouflages the scar to a large extent, yet the incision still remains on the breast tissue and unfortunately the scar undergoes the same old sequelae as with any other scars both aesthetically or psychosocially. The close by anatomical space; axilla provides an easy access for endoscopic breast surgery. We utilized this area and applied our expertise to remove a fibroadenoma in a teenager which spared her breast from the scar. The technique was safe and effective. It conserved aesthetics and led to a better compliance. KEY WORDS breast lump, endoscopic breast surgeryPublication Postoperative intussusception following transverse colostomy: A case report with its pathogenesis(Kathmandu University, 2009) Shakya, VC; Agrawal, CS; Koirala, R; Khaniya, S; Shrestha, AB; Adhikary, SAbstract Postoperative idiopathic intussusception is considered to be a distinct entity, and has been reported following different operations. We present a 45-year-old female with postoperative ileoileal intussusception following a transverse loop colostomy for sigmoid volvulus, in which there was a kinked loop of bowel forming the lead point. The pathogenesis and literature review of this disorder is discussed. Key words: postoperative intussusception, lead point, kink, motility disorder