Browsing by Author "Sah, Sumit Kumar"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Haemorrhoids among Patients Visiting the Department of Surgery in a Tertiary Care Military Hospital of Nepal: An Observational Study(Nepal Medical Association, 2024) Bista, Chiran Bhakta; Chhetri, Suchit Thapa; Kunwor, Bishal; Sah, Sumit Kumar; Adhikari, Tekendra; Kafle, Nilam; Gurung, Dhiran; Tamang, Priyanka; Thayayat, Prem Khadka; Shah, Nitesh KumarAbstract Introduction: Haemorrhoids is a common issue in the anorectal region and involves venous engorgement in the region. It greatly diminishes the overall quality of life of affected individuals by disrupting their physical and mental health. This descriptive cross-sectional study aimed to ascertain the prevalence of haemorrhoids and the associated risk factors among patients visiting a tertiary care center's surgery department. Methods: A descriptive cross-sectional study was conducted in the Department of Surgery of a tertiary care center from July 2023 to November 2023 after obtaining ethical approval. Convenience sampling method was used. The total sample size included in the study was 385. The data was analyzed in IBM SPSS Statistics software. Point estimate was calculated at 95% confidence interval. Results: Among 385 patients included in the study, haemorrhoids was prevalent in 53 (13.76%, 95% CI: 8.76%-18.76%). Internal haemorrhoids was most prevalent with 30 (56.60%) cases. 22 (41.51%) cases presented with Grade 1 haemorrhoids. The most prevalent symptoms were bleeding in 29 (54.72%) cases, perianal pain in 25 (47.17%) cases, itching in 28 (33.96%) cases and burning sensationin 15 (28.30%) cases. Conclusions: The prevalence of haemorrhoids in our center was found to be higher as compared to similar studies done in Southeast Asian region but similar with studies done in other region.Publication Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital: An Observational Study(Nepal Medical Association, 2025) Jha, Manoj Kumar; Shah, Kunda Bikram; Thapa, Anup; Basukala, Sunil; Sah, Sumit KumarAbstract Introduction: The Clavien-Dindo Classification is an easy way to grade any deviation from the post-operative course that is not a normal part of the procedure and does not indicate a failure to achieve the desired cure, regardless of the physician’s age or level of competence. We aimed to conduct a this study to determine the prevalence of post-operative complications after major abdominal surgery and to grade them using the Clavien-Dindo Classification. Methods: This was an observational cross-section study conducted after approval from the Institutional Review Committee (Reference Number: 656). A retrospective data of patients admitted to surgical wards for major surgery from January to June 2022 was included in the study. The post-operative complications were divided as per Clavien-Dindo classification from grade I to grade V. Descriptive statistics was used to analyse data. Results: Out of 78 patients, 45 (57.69%; 95% CI: 52.69%-62.69%) patients had complication after major abdominal surgery. Among them, 17 (37.78%) patients belonged to age group more than 60 years and 24 (53.33%) patients were female. Amongst the morbidities, diabetes mellitus was seen in 7 (15.56%) patients, hypertension in 6 (13.33%), chronic obstructive pulmonary disease in 5 (11.11%) cases and anaemia in 3 (6.67%) cases. There were 19 (42.22%) patient with Clavien-Dindo Classification Grade II and surgical site infection was observed in 26 (57.78%) cases. Conclusions: The prevalence of post-operative complication after major abdominal surgery in our study was found to be comparatively higher as compared to similar studies done in similar settings.