item: #1 of 23 id: jssn-15172 author: Mukhia, Rupesh title: JSSN Online date: 2016-07-04 words: 178 flesch: 54 summary: Jssn Vol 17 No1_final to print copy.pdf 1JSSN Journal of Society of Surgeons of Nepal JSSN 2014; 17 (1) Editorial JSSN Online Journal of Society of Surgeons of Nepal (JSSN) is an on peer reviewed research materials of surgical interests; JSSN has served as a prominent form of communication among surgeons of Nepal with great effort from previous editors and eminent surgeons of the country. On the process of digitization, JSSN has started to archive all past issues into electronic versions. keywords: journal cache: jssn-15172.pdf plain text: jssn-15172.txt item: #2 of 23 id: jssn-15173 author: Kukum, Jha Gupta; Rajiv, Jha title: Oral contraceptive consumption and cerebral venous sinuses thrombosis date: 2016-07-04 words: 480 flesch: 29 summary: Women given OCP.13 history of headache with focal neurological symptoms, concomitant vascular disease), patients with liver disease, intracranial hypertension. Figure 1: Pre- and post treatment CT Scan JSSN Journal of Society of Surgeons of Nepal JSSN 2014; 17 (1) Figure 2: MR Venogram Showing obliteration of left Transverse and Sigmoid sinus Discussion varied clinical presentation usually affecting middle-aged healthcare cost and utilization project, estimated that deliveries, and that increased maternal age was a major of the estrogenic component irrespective of the route of administration. keywords: jssn; nepal cache: jssn-15173.pdf plain text: jssn-15173.txt item: #3 of 23 id: jssn-15174 author: Gnyawali, D; Sharma, U title: Correlation of prostate volume with 'International Prostate Symptom Score' and 'Benign Prostatic Hyperplasia-Impact Index' in benign prostatic hyperplasia date: 2016-07-04 words: 19 flesch: 71 summary: 403 Forbidden Forbidden You don't have permission to access this resource. Apache/2.4.54 (Ubuntu) Server at nepjol.info keywords: apache/2.4.54 cache: jssn-15174.pdf plain text: jssn-15174.txt item: #4 of 23 id: jssn-15175 author: Pradhan, S; Shah, S; Maharjan, S; Shah, JN title: Presence of choledocholithiasis in patients undergoing cholecystectomy for mild biliary pancreatitis date: 2016-07-04 words: 638 flesch: 40 summary: gallstone pancreatitis who underwent IOC does not differ acute gallstone pancreatitis undergoing cholecystectomy stone.11 Our study shows that patients recovering from acute gallstone pancreatitis who undergo cholecystectomy after increases with increases in the preoperative time interval, 12 Thus as a part of the usual treatment of gallstone pancreatitis, routine IOC at the time of cholecystectomy was performed choledocholithiasis. keywords: ioc; pancreatitis cache: jssn-15175.pdf plain text: jssn-15175.txt item: #5 of 23 id: jssn-15176 author: Poudyal, S; Singh, YP title: Early warning score in predicting the severity of acute pancreatitis date: 2016-07-04 words: 612 flesch: 54 summary: Jssn Vol 17 No1_final to print copy.pdf JSSN Journal of Society of Surgeons of Nepal JSSN 2014; 17 (1) Early warning score in predicting the severity of acute pancreatitis Poudyal S, Singh YP Correspondence: Abstract Introduction: warning score and severity of pancreatitis. Similarly there . and NPV of EWS in our study for predicting severity of Acute Pancreatitis EWS- 24hr EWS- 48hr EWS- 72hr EWS* Sensitivity 98.38 Figure 1: Receiver Operating Characteristics Curve of EWS on Day 1, 2 and 3 Discussion continuous as complications may occur at any time during admission. mediated. keywords: pancreatitis; severity cache: jssn-15176.pdf plain text: jssn-15176.txt item: #6 of 23 id: jssn-15177 author: Subedi, Pradip Prasad; Shilpakar, Sushil Krishna title: Correlation of D-Dimer level with outcome in traumatic brain injury date: 2016-07-04 words: 1153 flesch: 50 summary: The incidence in China is 11 for multiple reasons, including inconsistencies and complexities of diagnostic coding and inclusion criteria, hospital admissions versus door-to-door surveys), transfers to multiple care facilities (for example, patient admissions practices.12 The true data of the incidence of head injury in Nepal and its 13 centres outside the capital, most cases are either referred many as two thirds of those with moderate head injury will This cost of head injury is a Besides, head injury involves the younger productive age community. adults and fall injury in children. injury. In our study the most common cause of head injury was sustained mild head injuries similar to other injuries as facilities within the capital only. keywords: injury; jssn; nepal; surgeons cache: jssn-15177.pdf plain text: jssn-15177.txt item: #7 of 23 id: jssn-15178 author: Bhattarai, A title: Management of cysto-biliary communication in hydatid cyst of liver date: 2016-07-04 words: 672 flesch: 50 summary: Pre-operative diagnosis of minor CBC was rest was normal during clinical and radiological examination whereas in major CBC most of the patients presented with hydatid cyst of liver with right sided hypochondrial pain suspected to have CBC.2 in our study, whereas in some literature shows involvement 8 Surgery is the mainstay of the treatment for the hepatic the management of hepatic hydatid cyst and CBC. keywords: cyst; hydatid cache: jssn-15178.pdf plain text: jssn-15178.txt item: #8 of 23 id: jssn-15180 author: Ghimire, R; Subedi, S; Sharma, A; Bohara, Sandeep title: Anterior abdominal wall dermatofibrosarcoma protuberans: a case report date: 2016-07-04 words: 19 flesch: 71 summary: 403 Forbidden Forbidden You don't have permission to access this resource. Apache/2.4.54 (Ubuntu) Server at nepjol.info keywords: apache/2.4.54 cache: jssn-15180.pdf plain text: jssn-15180.txt item: #9 of 23 id: jssn-15267 author: None title: 403 Forbidden date: None words: 19 flesch: 71 summary: 403 Forbidden Forbidden You don't have permission to access this resource. Apache/2.4.54 (Ubuntu) Server at nepjol.info keywords: apache/2.4.54 cache: jssn-15267.htm plain text: jssn-15267.txt item: #10 of 23 id: jssn-15292 author: Jha, Prabhat; Lakhey, Paleswan title: Evaluation of complications of PTBD using Hull’s Risk Stratification Index date: 2016-07-25 words: 20 flesch: 30 summary: page 1-64_BW output.pdf ISSN 1815 -3984 VOLUME 18 JSSN SUPPLIMENTAL ISSUE 29 Correspondence: ABSTRACT Materials and Methods: Results: Conclusion: keywords: conclusion cache: jssn-15292.pdf plain text: jssn-15292.txt item: #11 of 23 id: jssn-15293 author: Simkhada, Shailesh; Mishra, Parashuram title: Role of alanine aminotransferase in determining the biliary etiology in acute pancreatitis date: 2016-07-25 words: 28 flesch: 18 summary: page 1-64_BW output.pdf ISSN 1815 -3984 VOLUME 18 JSSN SUPPLIMENTAL ISSUE 30 Role of Alanine Aminotransferase in determining the biliary Correspondence: ABSTRACT Materials and Methods: Results: Conclusion: keywords: conclusion cache: jssn-15293.pdf plain text: jssn-15293.txt item: #12 of 23 id: jssn-15296 author: Waiba, Suvechha; Joshi, Archana; Lama, Karjome; KC, Bidur; Shakya, Bikram; Thapa, Amit title: Aneurysmal bleed in traumatic SAH: are we missing something serious? date: 2016-07-25 words: 21 flesch: 24 summary: page 1-64_BW output.pdf ISSN 1815 -3984 VOLUME 18 JSSN SUPPLIMENTAL ISSUE 33 serious? Correspondence : ABSTRACT Materials and Methods: Results: Conclusion: keywords: page cache: jssn-15296.pdf plain text: jssn-15296.txt item: #13 of 23 id: jssn-15305 author: Malla, BR; Joshi, HN; Rajbhandari, N; Shakya, YR; Karki, B; Gyanwali, D; Shrestha, S; Koju, R title: Laparoscopic cholecystectomy: Conversion rate and complcation date: 2016-07-25 words: 20 flesch: 30 summary: page 1-64_BW output.pdf ISSN 1815 -3984 VOLUME 18 JSSN SUPPLIMENTAL ISSUE 43 Correspondence ABSTRACT Materials and Methods: Results: Conclusion: keywords: conclusion cache: jssn-15305.pdf plain text: jssn-15305.txt item: #14 of 23 id: jssn-15307 author: None title: 403 Forbidden date: None words: 19 flesch: 71 summary: 403 Forbidden Forbidden You don't have permission to access this resource. Apache/2.4.54 (Ubuntu) Server at nepjol.info keywords: apache/2.4.54 cache: jssn-15307.htm plain text: jssn-15307.txt item: #15 of 23 id: jssn-24353 author: Ghimire, Bikal title: Sick Surgeon: Problem and the panacea! date: 2018-12-31 words: 2019 flesch: 56 summary: The problem The surgeon faces a myriad of health issues related to musculoskeletal disorders, cardiovascular diseases, sleep deprivation, burn out and mental health issues apart from the risks involved in the operation theater. All clinicians are at risk of developing mental health problems but surgeons have been found to be the ones least likely to seek help.8 In the UK where the quality of life of surgeons is lot better than most developing countries, 10 to 20% become depressed at some point in their carrier.9 Suicide is a common issue among doctors, and relative to the general population female doctors have a 3.7-fold to 4.5-fold increased risk of death from suicide, and male doctors have a 1.5-fold to 3.8-fold increased risk.10, 11 In a review of doctors presenting to the Practitioner Health Program (PHP), a confidential London based health service for doctors and dentists, it was observed that surgeons had myriads of health issues mainly 55% depression and anxiety, 30% complex mental health issues and 16% with addiction. keywords: doctors; health; jssn; mental; review; surgeons; surgery; work cache: jssn-24353.pdf plain text: jssn-24353.txt item: #16 of 23 id: jssn-24537 author: Bhattarai, Abhishek; Devkota, Pragya; Kandel, Bishu Prasad; Ghimire, Bikal; Kansakar, Prasan Bir Singh; Bhandari, Ramesh Singh; Tamrakar, Kishor Kumar; Lakhey, Palaswan Joshi; Mishra, Parshuram; Singh, Yogendra Prasad; Vaidya, Pradeep; Singh, Keshaw Prasad title: Comparison of clinical course of Acute Biliary and Non-Biliary Pancreatitis date: 2017-06-30 words: 4928 flesch: 57 summary: Some of the Hospital- based studies from Australia, America and India showed that incidence of non-biliary pancreatitis is more common than that of biliary pancreatitis in their institute, whereas, from Nepal, it showed a higher incidence of the biliary pancreatitis than non-biliary pancreatitis. Therefore, we compare the clinical course of acute biliary and non-biliary pancreatitis at the Tribhuvan University Teaching Hospital (TUTH) as well as we compare the morbidity and mortality and duration of hospital stay in these groups. keywords: acute; biliary; complications; group; incidence; journal; nepal; non; pancreatitis; patients cache: jssn-24537.pdf plain text: jssn-24537.txt item: #17 of 23 id: jssn-24552 author: Gurung, Ghanshyam title: 3T MR imaging evaluation of perianal fistulas: an initial experience in Nepal date: 2016-06-30 words: 3168 flesch: 65 summary: 24 25JSSN JSSNJournal of Society of Surgeons of Nepal Journal of Society of Surgeons of Nepal JSSN 2016; 19 (1) JSSN 2016; 19 (1) 3T MR imaging evaluation of perianal fistulas: an initial experience in Nepal Ghanshyam Gurung Department of Radiology and Imaging, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal Correspondence: Dr. Ghanshyam Gurung Email: ghanshyam_gurung@yahoo.com Abstract Introduction: Fistula–in–ano is an abnormal perianal tract that connects anal canal to the perianal skin. The objective of the study was to evaluate the role of 3T MR in imaging of perianal fistulas. keywords: fistula; grade; imaging; nepal; perianal; tract cache: jssn-24552.pdf plain text: jssn-24552.txt item: #18 of 23 id: jssn-50808 author: Adhikari, Suman Bikram; Chaudhary, Ramanandan Prasad; Gurung, Tul Maya; Sah, Sanjay; Rana, Shovita title: Outcome analysis of Cohen’s cross trigonal ureteric reimplantation in paediatric age group date: 2022-12-30 words: 1165 flesch: 50 summary: Keywords Original article cross trigonal ureteric reimplantation in pediatric age group. • Patients who needed ureteric reimplantation as an • Patient who were lost in follow up Operative technique All ureteric reimplantations were performed using the Cohen cross-trigonal technique. keywords: cohen; patients; reimplantation; surg cache: jssn-50808.pdf plain text: jssn-50808.txt item: #19 of 23 id: jssn-50809 author: Khanal, Sandeep title: Indications and Outcomes of Abdominal Drain in Laparoscopic Cholecystectomy in a Tertiary Care Center in Central Nepal: A Descriptive Cross-sectional Study date: 2022-12-30 words: 2266 flesch: 52 summary: However in developing countries like indications of IAD in LC and association of the outcomes was quite similar on comparison with other studies in various countries. Drains should not be placed routinely after LC as it increases pain and does not help in detecting or decreasing complications.29,30 Conclusion The prevalence of IAD placement in LC in our study is almost double as compared to similar studies done in other countries which could be due to limited resources. keywords: drain; iad; placement; study cache: jssn-50809.pdf plain text: jssn-50809.txt item: #20 of 23 id: jssn-50810 author: J, BALAPRASANTH; P B, Vinod title: Comparative study of Fine-Needle Aspiration Cytology and Histopathological diagnosis of salivary gland swelling date: 2022-12-30 words: 2160 flesch: 47 summary: needle aspiration cytology in salivary glands lesions. show wide variation in reporting of study population 8. for diagnosing salivary gland tumors. keywords: diagnosis; fnac; gland; salivary; study; swelling cache: jssn-50810.pdf plain text: jssn-50810.txt item: #21 of 23 id: jssn-50816 author: Dangol, Ellina; Yadav, Aditya; Yadav, Umesh Kumar; Rai, Binod Kumar; Pathak, Bipul Vivek title: Traumatic Diaphragmatic Hernia: An Uncommon Entity date: 2022-12-30 words: 1061 flesch: 49 summary: 2004 Nov current status of traumatic diaphragmatic injury: lessons learned from 105 patients over 13 years. Traumatic diaphragmatic hernia is secondary to penetrating injuries and blunt abdominal and thoracic trauma. keywords: case; diaphragmatic; injury; traumatic cache: jssn-50816.pdf plain text: jssn-50816.txt item: #22 of 23 id: jssn-50821 author: Basukala, Sunil; Bohara, Sujan; Thapa, Anup; Shah, Aashish; Pahari, Souyma; Khand, Yugant; Thapa, Ojas; Tamang, Ayush; Bhagat, Bivek; Rayamajhi, Bikash Bahadur title: Patient Safety and organizational Safety Culture in Surgery: A Need of an Hour in the developing countries date: 2022-12-30 words: 2708 flesch: 44 summary: The purpose of this challenge is to improve surgical care safety worldwide by creating a core set of safety criteria that can an agreement on four areas where major improvements in surgical safety may be realized. It does not look for individuals on whom Finally, and fundamentally, it is a culture that compels us our colleagues so that everyone can learn from them. create a climate of patient safety as an organizational goal and a priority, the concepts of patient safety culture and safety climate and their implications for health care and organizations must be correctly understood by everyone involved in health care.40-42 Surgical resources and environment Trained personnel, clean water, a consistent light source, equipment, and sterile instruments Prevention of Surgical Site Infection Safe Anesthesia Safe Surgical Teams Hand washing Presence of a trained anesthesiologist Improved communication Appropriate and judicious use of antibiotics Professional anesthesia machine and medication Correct patient, site, and procedure Antiseptic skin preparation Safety check Informed consent Atraumatic wound care Availability of all team members Instrument decontamination and sterility Heart rate monitoring Adequate team preparation and Blood pressure monitoring Planning for the procedure Temperature monitoring patient allergies Measurement of Surgical Services Quality assurance Peer review Monitoring outcomes Table 2. keywords: care; culture; health; journal; nepal; patient; quality; safety; surgery cache: jssn-50821.pdf plain text: jssn-50821.txt item: #23 of 23 id: jssn-50828 author: Bhattarai, Sameer; Pyakurel, Kumud; Nalbo, Dinesh; Khanal, Kanak; Pandit, Narendra title: Reduction of postoperative pain after infiltration of local anesthetic at the port site and subdiaphragmatic space in laparoscopic cholecystectomy: A cross-sectional study date: 2022-12-30 words: 19 flesch: 71 summary: 403 Forbidden Forbidden You don't have permission to access this resource. Apache/2.4.54 (Ubuntu) Server at nepjol.info keywords: apache/2.4.54 cache: jssn-50828.pdf plain text: jssn-50828.txt