Browsing by Author "Lamichhane, Suman"
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Publication Correlation of Spinopelvic Parameters in Lumbar Prolapsed Disc in Armed Police Personnel(Rapti Academy of Health Sciences (RAHS), 2024) Karki, Sunder; Chapagain, Sunder; Karki, Netra; Nepal, Prabin; Shrestha, Sailendra Kumar Duwal; Lamichhane, SumanAbstract: Introduction: A prolapsed intervertebral disc is a common problem in armed police personnel due to their demanding job nature. Spinopelvic parameters affect the stability of the spine and play a role in the load sharing of the intervertebral disc, contributing to the disc degeneration. Spinopelvic parameters measured in standing radiographs may provide a hint to disc degeneration. This study was conducted to assess the correlation of spinopelvic parameters in lumbar prolapsed intervertebral discs. Methods: An observational, retrospective study was conducted at Nepal Armed Police Force Hospital over a period from January 01, 2020, to October 10, 2023. The spinopelvic parameters were measured on lateral lumbar X-rays of the armed police personnel and were collected from the PACS system. The correlation between the spinopelvic parameters pelvic incidence (PI), sacral slope (SS), lumbar lordosis (LL), and pelvic tilt (PT) and prolapsed intervertebral disc (PIVD) was done. Results: A total of 73 patients (55 M/18 F) with the most common site for PIVD being L4-L5 (50%), and L5-S1 (28%). The measured mean spinopelvic parameters were LL (30.43°±5.77°), PT (15.67°±8.04°), PI (48.99°±9.52°), and SS (30.02°±9.5°). Statistically significant weak correlations were found between LL and PIVD at the L4-L5 level as well as between PI and PIVD at the L4-L5 level. Conclusion: There exists a negative correlation between the lumbar lordosis and pelvic incidence with PIVD at the most common site, L4-L5. So, patients with lower lumbar lordosis and pelvic incidence have a high chance of PIVD.Publication Metastatic Supraclavicular Lymph Nodes among Patients with Lung Carcinoma in a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2023) Lamichhane, Suman; Thapa, Ajit; Chataut, Dinesh; Suwal, Sundar; Ansari, Mukhtar Alam; Yadav, Birendra KumarAbstract Introduction: Metastatic spread of lung cancer to supraclavicular lymph nodes is considered distant metastasis for treatment purposes. Detection of supraclavicular lymph node metastasis in patients with lung cancer serves for tissue diagnosis by itself and also helps avoid more invasive biopsy from the primary lung mass itself. Ultrasonography of the lower neck can detect supraclavicular lymph nodes before they are palpable and can also be used for safe sampling of these lymph nodes. The aim of this study was to find out the prevalence of metastatic supraclavicular lymph nodes among patients with lung carcinoma in a tertiary care centre. Methods: A descriptive cross-sectional study done in a tertiary care center, carried out from 15 September 2019 to 14 September 2020. Ethical approval was obtained from the Institutional Review Committee (Reference number: 84(611)E2/076/077). The study was done among 92 patients with biopsy-proven lung cancer (lung mass or supraclavicular lymph node biopsy) who were referred for evaluation, and/or percutaneous transthoracic biopsy. Convenience sampling method was used. Point estimate and 90% Confidence Interval were calculated. Results: Among 92 patients with proven lung cancer, metastatic supraclavicular lymph nodes were seen in 13 patients (14.10%) (8.17- 19.73, 90% Confidence Interval). Among 13 patients with metastatic lymph nodes, 9 (69.23%) had palpable supraclavicular lymph nodes. The majority 11 (84.61%) had round-shaped lymph nodes. All metastatic lymph nodes showed loss of echogenic fatty hilum. A total of 12 (92.30%) metastatic lymph nodes showed a peripheral disorganized pattern of vascularity. Conclusions: The prevalence of metastatic supraclavicular lymph nodes was lower than in similar studies done in international settings.