Browsing by Author "Khanna, R"
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Publication Abdomino-scrotal hydrocele in 35 years old: A case report(Kathmandu University, 2007) Tiwary, SK; Kumar, S; Agarwal, A; Khanna, R; Khanna, AKAbstract: Abdomino-scrotal hydrocele is a condition usually affecting children. It is unusual to find an abdomino- scrotal hydrocele in middle aged adult. Most of the patients are asymptomatic except cystic abdominal mass and discomfort occasionally. We hereby report an unusual presentation of abdomino-scrotal hydrocele at age of 35 years and presenting as large cystic abdominal mass extending into scrotum. Key words: Hydrocele, Cystic mass, Abdomino-scrotal, Abdominal, Scrotal.Publication Cervical epidural anaesthesia for thyroid surgery(Kathmandu University, 2009) Khanna, R; Singh, DKAbstract Background: Cervical epidural anaesthesia is a regional anaesthesia technique which has been used for upper limb surgery, upper thoracic wall surgery, carotid artery surgery and neck dissections. Anaesthesia for thyroid surgery can be complicated due to the altered functional status of the thyroid or its large size. Objective: This prospective study was designed to assess the effectiveness and safety of cervical epidural anaesthesia for thyroid surgery. Material and methods: Cervical epidural anaesthesia was attempted in 9 patients and the results compared with 44 patients who underwent thyroid surgery under conventional general anaesthesia with endotracheal intubation. The epidural catheter was placed in the C7 – T1 vertebral interspace and 10 – 15 ml of 1% Lignocaine with adrenaline was injected. Results: The technique of cervical epidural anaesthesia was successfully used in 8 out of 9 patients in whom it was attempted All patients were maintained in a state of conscious – sedation and effective analgesia was obtained in all 8 patients. There were no significant complications especially those related to diaphragmatic function and cardiovascular stability. In contrast patients undergoing surgery under conventional general anaesthesia had complications related to endotracheal intubation, cardiac arrhythmias and hypotension Conclusion: The technique of cervical epidural anaesthesia should be considered in thyroid patients where difficult endotracheal intubation is anticipated and in those in whom alterations in thyroid functional state make them vulnerable to cardiovascular complications under conventional general anaesthesia. Key words: thyroid surgery, cervical epidural anaesthesiaPublication Isolated tuberculosis of testis(Kathmandu University, 2006) Biswas, M; Rahi, R; Tiwary, SK; Khanna, R; Khanna, AKIsolated epididymo-orchitis is an uncommon presentation of tuberculosis. We report a case of left sided epididymo- orchitis and scrotal involvement due to tuberculosis in a young male patient. The diagnosis was suspected on clinical examination of scrotum and confirmed by FNAC of scrotal and testis. Patient improved after taking antitubercular treatment. Key words: infection, scrotum, treatmentPublication Leiomyosarcoma of stomach: A case report(Kathmandu University, 2006) Biswas, M; Rahi, R; Tiwary, SK; Khanna, AK; Khanna, RWe report a rare case of leiomyosarcoma of stomach infiltrating into the spleen and tail of pancreas, which presented at the age of 28 years of age with haematemesis and was diagnosed after exploratory laparotomy. En block excision of tail of pancreas, spleen and part of the greater curvature of stomach containing the mass was done. Key words: Leiomyosarcoma, Leiomyoma, StomachPublication Lipid peroxidation and antioxidant enzyme status in oral carcinoma patients(Kathmandu University, 2005) Khanna, R; Thapa, PB; Khanna, HD; Khanna, S; Khanna, AK; Shukla, HSObjective: To measure the lipid peroxidation and endogenous antioxidant enzyme status in oral carcinoma and the protective role of exogenous antioxidants. Meterial and methods: 20 new cases of histologically proven oral squamous cell carcinoma, 20 of leukoplakia and 20 age and sex matched healthy conrols were included. Intra oral pH of patients and controlled were measured by quantitative litmus paper test and serum was analysed for malonialdehyde (MDA), super oxide bismutase (SOD), catalase and glutathione peroxidase (GP). Patients with leukoplakia were treated with exogenous antioxidants for 3 months and the same were reassessed. Results: Oral pH of oral cancer patients was neutral (PH-7) but that of leukoplakia and controls were mildly acidic (6.64 and 6.58 respectively). Serum malonialdehyde levels were highest in oral cancer group. With antioxidant enzymes super oxide bismutase, catalase and glutathione peroxidase different pattern was noticed. Antioxidant enzymes remained almost the same (P > 0.005 each) in patients with leukoplakia after 3 months of vitamin A,C and E. but there was marginal increase in catalase level (P<0.05). Conclusion: This study shows the positive benefit of vitamin (A,C,E) and nutrition supplementation on the antioxidant enzyme defense system hence prevention of oral carcinogenesis in patients with leukoplakia. Keywords: Lipid peroxidation, malonialdehyde, catalase, glutathione peroxidase, superoxide dismutase, oral cancerPublication Penile fracture presenting as eggplant deformity(Kathmandu University, 2006) Tiwary, SK; Singh, MK; Khanna, R; Khanna, AKPenile fracture is caused by sudden trauma to erect penis leading to tear of corpora cavernosa. Although penile fracture is a rare condition, it can lead to crippling penile deformity and erectile impotence, if intervention is delayed. We describe a case of penile fracture caused by masturbation and satisfactory outcome after early surgical intervention. Usually only clinical assessment is sufficient for diagnosis. Key words: Penis, Fracture, Prognosis.