Browsing by Author "Regmi, Sadikshya"
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Publication Exploratory Laparotomy for Severe Dowry-related Spousal Violence Injuries in a Young Woman(Nepal Health Research Council, 2024) Sapkota, Arbin Dev; Bhattarai, Abhishek; Rimal, Sudesha; Shrestha, Roshan; Regmi, Sadikshya; Atreya, AlokThis case report highlights the severity of dowry-related intimate partner violence in Terai, Nepal. A 24-year-old married female presented with multiple stab injuries to the abdomen and a cut-throat injury inflicted by her husband under the influence of alcohol due to dissatisfaction with dowry demands. Successful management involved exploratory laparotomy, anterior abdominal wall repair, cholecystectomy, and neck injury repair. However, on the third postoperative day, due to persistent pain and feeding difficulties, the patient was referred to a tertiary care center, where a re-exploratory laparotomy revealed missed diaphragmatic injury and bowel herniation requiring further repair. This case underscores the need for high clinical suspicion and early specialist referral in complex trauma scenarios. It also highlights the role of cultural and societal factors in intimate partner violence and the need for a multidimensional approach involving healthcare, legal, and social services. Keywords: Abdominal trauma; dowry; intimate partner violence; Nepal; stab injuryPublication Hoarseness of Voice following Left Supraclavicular Brachial Plexus Block: A Case Report Authors(Nepal Medical Association, 2021) Shrestha, Subin; Regmi, Sadikshya; Deo, Gopendra; Shrestha, Indra NarayanAbstract: Supraclavicular brachial plexus block is extensively used for primary regional anaesthesia as well as postoperative analgesia for the surgical procedures of the upper limb. The evidence for the use of ultrasound in supraclavicular brachial plexus is growing day by day as it has the advantage of allowing real time visualisation of the plexus, pleura and vessels along with the needle and local anaesthetics spread. Despite this, complications can even arise with ultrasound guided supraclavicular brachial plexus block. Hoarseness of voice due to recurrent laryngeal nerve block is a rare complication of supraclavicular brachial plexus block. There are few reported cases of hoarseness of voice following the right supraclavicular block. There is only one reported case of hoarseness of voice following the left supraclavicular block. Here, we report a case of a 16-year-old boy who developed hoarseness of voice due to left recurrent laryngeal nerve following ultrasound guided left supraclavicular brachial plexus block.