Browsing by Author "Koirala, R"
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Publication 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 disorderPublication Prolapsed uterus with huge rectocele and omentocele following cervical amputation: A rare and unusual case presentation(Kathmandu University, 2006) Pokharel, H; Banerjee, B; Koirala, RPelvic organ prolapse is a common condition whose incidence is increasing. Many cases of prolapse of the posterior vaginal wall occur along with other pelvic support defects. Pelvic surgeons who treat rectocele must have an excellent understanding of the normal anatomy, interactions of the connective tissue and muscular supports of the pelvic, and the relationship between anatomy and function. Pelvic pressure, the need to splint the perineum to defecate, impaired sexual relations, difficult defecation, and faecal incontinence are some of the symptoms that have been described in patients with rectocele. Key words: Rectocele, fothergills operation, utero- vaginal prolapse.