Browsing by Author "Shrestha, Rahul"
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Publication Burden of Gallstone Disease Among Patients Presenting to the Surgery Department in a Tertiary Care Center: A Descriptive Cross-Sectional Study(Rapti Academy of Health Sciences (RAHS), 2024) Dwa, Manoranjan; Bajagain, Santosh; Patel, Om Prakash; Shrestha, Rahul; Shrestha, DristiAbstract: Introduction: The frequency of gallstone disease varies worldwide. Female gender, a family history of gallstones, obesity, diabetes, metabolic syndrome, estrogen therapy, dietary habits, and an inactive lifestyle increase the risk. Symptomatic individuals experience abdominal pain and indigestion, occasionally leading to complications, while many remain asymptomatic. Methods: A retrospective, descriptive, cross-sectional study was conducted at Nepal Armed Police Force Hospital. Data of patients visiting the surgery department over a period from December 01, 2023 to November 30, 2024 was taken from the record section of the hospital. The ethical clearance was obtained from the Institutional Review Committee (registration number: NAPFH-007/2024). Patients aged 18 years or above were included, and those having common bile duct calculus, with biliary malignancy, in an immunocompromised state, and pregnancy were excluded. Results: Out of 1835 patients, gallstone disease was observed in 210 (11.44%). 149 of them (70.95%) were females. 128 (60.95%) cases had multiple gallstones while 82 (39.05%) cases had a solitary gallstone. 170 (80.95%) cases presented with abdominal pain, whereas 30 (14.29%) remained asymptomatic. 19 (9.05%) cases presented with acute cholecystitis. Laparoscopic cholecystectomy was the commonest modality of management (76.19%). Conclusion: Prevalence of gallstone disease was 11.44%, similar to other literature. Further research on gallstone disease helps to understand the disease in these settings.Publication Increased Great Saphenous Vein Diameter at the Level of Knee among Patients with Varicose Veins in a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Tuladhar, Abhushan Siddhi; Pradhan, Sunil; Shrestha, Amit; Shah, Simant; Shrestha, RahulAbstract Introduction: Colour Doppler ultrasonography plays an important role in determining the morphological and hemodynamic information of the venous system. This study aimed to find out the prevalence of increased great saphenous vein diameter at the level of the knee among patients with varicose veins in a tertiary care centre. Methods: A descriptive cross-sectional study was carried out in the Department of Radiology at a tertiary care centre from 30 October 2021 to 31 March 2022 after taking ethical approval from the Institutional Review Committee (Reference number: 028-077/078). A convenience sampling technique was used for the study. The study group consisted of patients over 18 years, coming for ultrasonography examination of the lower limb with the clinical symptoms and signs of varicose veins. The great saphenous vein diameter was measured at the level of the medial femoral condyle of the knee using the software in the ultrasonography unit. B mode, colour Doppler and spectral analysis were done. A cut-off value of 5 mm for the diameter of the great saphenous vein was taken to indicate the presence or absence of varicosity and saphenofemoral reflux. Point estimate and 90% Confidence Interval were calculated. Results: Among 72 patients with varicose veins, the diameter of the great saphenous vein was increased in 59 (81.94%) (74.50-89.38, 90% Confidence Interval) patients. Conclusions: The mean diameter of the great saphenous vein in our study was similar when compared to other studies conducted in similar settings.Publication Study of Intraocular Pressure following Neodynium Yttrium Aluminium Garnet Laser Capsulotomy with the Use of Brimonidine: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Manandhar, Laxmi Devi; Gurung, Nanda; Shrestha, Koshal; Bhattarai, Binita; Godar, Manita; Shrestha, RahulAbstract: Introduction: Posterior capsular opacification is a common complication after cataract surgery. Neodynium Yttrium Aluminium Garnet laser capsulotomy is still the preferred treatment for posterior capsular opacification. This study was done to determine the use of Brimonidine eye drop in preventing the rise of intraocular pressure post-Neodynium Yttrium Aluminium Garnet laser capsulotomy. Methods: A descriptive cross-sectional study was conducted in Lumbini eye institute and research center, Bhairahawa, Nepal, in 200 eyes with posterior capsular opacification using Brimonidine from Feb 1, 2019, to July 30, 2019. The Institutional Review Committee approved the study with approval number 0237. A convenient sampling method was used. Pre-capsulotomy best-corrected visual acuity, slit-lamp examination of the anterior segment, and dilated fundus examination were done. Intraocular pressure was measured with Goldmann Applanation Tonometer. Post capsulotomy patients were evaluated after one hour, two hours, and two weeks for intraocular pressure and any complications. The statistical analysis was done using Statistical Package of Social Sciences version 20.0 statistical analysis software. The descriptive statistical analysis of the study was done after the collection of the data. Results: Mean age of patients at presentation was 61.61±SD 1.09. The mean intraocular pressure following Neodynium Yttrium aluminum garnet laser capsulotomy using brimonidine at 1 hour was 12.73±3.3 mmHg.and two hours was 11.98±3.2 mmHg. The mean energy per pulse was 2.3±SD 0.3 mJ. The mean duration of posterior capsular opacification from cataract surgery was 22.28 weeks. Conclusions: Neodynium Yttrium Aluminium Garnet laser capsulotomy had lower intraocular pressure after the Brimonidine eye drop procedure. The maximum mean reduction in intraocular pressure was observed after two hours.