Browsing by Author "Paudyal, Nabin"
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Publication Major Spinal Surgery Between Two Documented COVID-19 Infections in an Elderly Female: A Case Report Authors(Nepal Medical Association, 2021) Sharma, Bishruti; Paudyal, Nabin; Rajbhandari, Binod; Pradhanang, Amit; Dwa, Nikita; Pradhan, Ajay; Sharma, Mohan RajAbstract: Documented re-infection of COVID-19 is uncommon and doing a major spinal surgery in an elderly patient right after the recovery from the first event is itself a major undertaking. Re-infection after successful surgery points to the possibility of COVID-19 infection being a post-surgical complication. Here, we report a case of a 72-years-old elderly female who had presented to us with features of COVID-19 infection confirmed by reverse transcription polymerase chain reaction assay and unstable spinal fracture who underwent a pedicle screw fixation for the fracture of the third and fourth thoracic vertebrae after two consecutive negative serology assays. A month after discharge from the hospital, she presented with severe symptoms of COVID-19 again confirmed by two consecutive polymerase chain reaction assays. She was managed conservatively and was discharged without significant respiratory and neurological complications. We described this case in detail in addition to reviewing the pertinent literature.Publication Role of Conservative Management in Stump Appendicitis: A Case Series(Nepal Medical Association, 2022) Paudyal, Nabin; Saeed, Fathmath Asra; Shrestha, BijayaAbstract Stump appendicitis is a rare, delayed complication of appendectomy. It is seen following both open and laparoscopic appendectomy and may occur weeks to years following the initial appendectomy. We report two cases of stump appendicitis seen at our hospital. Both cases were diagnosed based on radiological findings and successfully managed conservatively with antibiotics. Although the usually recommended treatment for stump appendicitis is completion appendectomy, conservative management may be suitable for some patients. This report highlights the possibility of utilizing a conservative approach in the management of stump appendicitis compared to the recommended operative intervention. Awareness of the possibility of stump appendicitis is crucial for early diagnosis and treatment, to prevent potentially catastrophic complications.