Browsing by Author "Lohani, I"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Epidemiological study of hand injury in a tertiary care centre in Nepal(Institute of Medicine, 2018) Sharma, S; Shrestha, JM; Rayamajhi, S; Manandhar, K; Lohani, IAbstract Introduction: The epidemiology and pattern of hand injury may vary from one region to the other. Due to the lack of systematic documentation, not much is known regarding the epidemiology of hand injury in Nepal. The purpose of this study was to determine the patterns of hand injury in a tertiary care centre in a developing country like Nepal. Methods: A cross-sectional descriptive study was carried out in the Department of Plastic Surgery and Burns, Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal. The study included 174 patients presenting with hand injury in the emergency room and the outpatient department. Results: There were 129 (74.1%) males and 45 (25.9%) female patients, the mean age of all patients being 30.3 years. The top four occupations concerned with hand injuries were carpenters, students, manual labourers and factory workers. Most injuries occurred in furniture and wood workshops. Electrically powered saw belt and grinding machinery were the culprits for majority of crush/avulsion injuries whereas broken glass was the commonest cause of sharp cut injury. Tendon injury was the most common diagnosis followed by fractures and fingertip injuries. Accordingly, tendon repair followed by fixation of fractures were the commonly carried out treatment procedures. Conclusion: Hand injuries are very common among young male furniture and wood factory workers as well as manual labourers having occupational exposure to different machines. Formulating safety protocols in the furniture and industrial settings and other machinery related workplaces would play a significant role in reducing the incidence of hand injuries. Keywords: Hand, hand injuries, occupational exposurePublication Use of reverse sural artery flap for reconstruction of defects of distal leg, ankle and foot(Institute of Medicine, 2017) Shrestha, JM; Rayamajhi, S; Lohani, I; Manandhar, K; Sharma, SAbstract Introduction: Reverse sural artery flap has been used effectively to cover defects of distal leg, ankle and foot. This flap is easier and quick to harvest and is a versatile flap in terms of extensive mobility and reliable vascularity and, in many instances it has obviated the need for free tissue transfer. Methods: This is a retrospective study of sural flaps done at the Department of Plastic Surgery and Burns in Tribhuvan University Teaching Hospital over a period of 4 years from April 2011 to March 2015. It included 21 flaps carried out in 21 patients with soft tissue defects at distal lower leg, ankle and foot. Results: Among 21 patients, 10 were men and 11 were women with an average age of 41 years (17 – 81). Successful flap coverage was obtained in 16 cases out of 21 (76%) which included 10 cases of complete survival (48%) and 6 cases (28%) of marginal flap necrosis. Four cases (19%) had partial flap loss and one case (5%) lost flap completely. Conclusion: we found that reverse sural artery flap has good reliability with low incidence of complications and is a versatile flap for the reconstruction of defects in distal leg, ankle and foot Key words: sural flap, distal leg, ankle, foot, flap survival, flap necrosis, skin strip