A Two year Retrospective Study of Congenital Inguinal Hernia at Western Regional Hospital

In a retrospective study of 133 cases of inguinal hernia in infants and children upto the age of14 years, treated surgically at Western Regional Hospital, Pokhara, Nepalbetween April 1st 1997 and March 31st 1999, it was found that male patients out numberfemale patients in the ratio of 13.7:1 Right sided hernia was almost twice as common ascompared to left. Only 1.5% of patients (2cases) had bilateral inguinal hernia. 4patients (3%) presented with obstructive features. Routine exploration of contralateralside was not done as most surgeons do not recommend this, as only 20% develop herniaon the contralateral side.1 Only one patient had recurrent hernia.Key words: Congenital, hernia, inguinal, retrospective, incarceration.

Download Full-text

Progressive pneumoperitoneum in giant bilateral inguinal hernia

Cirugía Andaluza ◽

10.37351/2021321.13 ◽

2021 ◽

Vol 32 (1) ◽

pp. 67-69

Author(s):

G Cabello Calle ◽

MÁ García Martínez ◽

T Gallart Aragón ◽

AL Romera López ◽

B Mirón Pozo

Keyword(s):

Inguinal Hernia ◽

Bilateral Inguinal Hernia ◽

Hernia Inguinal

Resumen Las hernias inguinales gigantes son un problema quirúrgico exigente, ya que en ocasiones la reintroducción del contenido herniario en la cavidad abdominal puede causar un aumento de la presión intraabdominal. Se han descrito varias técnicas que disminuyen este riesgo, entre ellas el neumoperitoneo progresivo que presentamos a continuación, así como el uso de toxina botulínica o la necesidad de resección visceral. Presentamos el caso de un paciente varón de 50 años con hernia inguinal bilateral gigante. Aplicamos el uso del neumoperitoneo progresivo en nuestro hospital y hernioplastia mediante un abordaje inguinal anterior y reparación según Rutkow-Robbins. Esta técnica hace posible el tratamiento exitoso de hernias inguinales gigantes sin necesidad de resección visceral.

Download Full-text

Vacuum Deliveries: A Retrospective Study on Immediate Maternal and Neonatal Outcomes in Western Regional Hospital, Pokhara

Medical Journal of Pokhara Academy of Health Sciences ◽

10.3126/mjpahs.v3i1.31918 ◽

2020 ◽

Vol 3 (1) ◽

pp. 234-238

Author(s):

Deepak Raj Kafle ◽

Prem Raj Pageni

Keyword(s):

Retrospective Study ◽

Vaginal Delivery ◽

Apgar Score ◽

Genital Tract ◽

Neonatal Morbidity ◽

Regional Hospital ◽

Assisted Vaginal Delivery ◽

Second Stage ◽

Vaginal Deliveries ◽

Western Regional

Introduction: The overall rate of operative vaginal delivery is diminishing, but the proportion of operative vaginal deliveries conducted by vacuum is increasing. As forceps assisted delivery requires more skill and has more complications on maternal genital tract, this procedure is being less frequently practiced. By the 1970s, the vacuum extractor virtually replaced forceps for assisted deliveries in most of the countries. Vacuum assisted vaginal delivery reduces maternal as well as neonatal morbidity and mortality in prolonged second stage of labor, non reassuring fetal status and maternal conditions requiring a shortened second stage. Materials and Methods: This was a record based retrospective study of 217 vacuum assisted vaginal deliveries conducted at Western Regional Hospital, Pokhara for a period of one year. Patient’s discharge charts were studied and details of indications for vacuum application, maternal genital tract status, amount of blood loss, postpartum hemorrhage (PPH), birth weight, APGAR score at 1 and 5 minute, Neonatal Intensive Care Unit (NICU) admission and neonatal death (NND) were collected. Descriptive data analysis was done using SPSS program. Results: Out of the 8778 deliveries conducted during the study period, 217 (2.47%) cases were vacuum assisted vaginal deliveries. No significant adverse obstetrics outcomes were noted. Most frequent indication was fetal distress which accounted for 53.9%. Though 3rd/4th degree perineal tears were less, episiotomy rate was higher (69.1%). Regarding neonatal outcomes, mean APGAR score at 5 minute was 7.42 ± 1.11 SD and 12.4% neonates had APGAR score of less than 7 at 5 minute. Conclusion: When standard criteria for vacuum application are met and standard norms are followed, there is no evidence of adverse obstetrics outcomes in vacuum assisted vaginal delivery. Prompt delivery by a skilled clinician in non reassuring fetal cardiac status reduces neonatal morbidity and mortality.

Download Full-text

Psychosocial Study of Depression Amongst Women in Western Region of Nepal

Asian Journal of Medical Sciences ◽

10.3126/ajms.v3i4.7777 ◽

2013 ◽

Vol 3 (4) ◽

pp. 39-46 ◽

Cited By ~ 1

Author(s):

Khim Bahadur Lamichhane ◽

Asis De ◽

PK Chakraborty ◽

Brijesh Sathian ◽

Sonu H Subba ◽

...

Keyword(s):

Mental Illness ◽

Statistical Analysis ◽

Teaching Hospital ◽

Mental Health Problems ◽

Medical Science ◽

Regional Hospital ◽

Abnormal Behavior ◽

Female Patients ◽

Male Patients ◽

Western Regional

Background In Nepal, 1 - 2 % of the population suffers from severe mental illness, 5 % from moderate mental problems, while 20 - 30 % of all the patients coming to health institutions have some problems related to mental illness. Aims The aim of the study was to describe the socio-demographic profile and problems of the female patients with depression attending psychiatry OPD of Western Regional Hospital & Manipal Teaching Hospital, Pokhara Settings and Design The study was carried out in the Out Patient Department of Psychiatry at Manipal Teaching Hospital and Western Regional Hospital, Pokhara, from May 2005 to April 2006. Material and Method Cohort data of 50 patients from MTH and 50 patients from WRH were collected. The screening criteria for cases for inclusion in the study were as follows: Female patients with headache, mental tension, feeling of hopelessness and persisted sadness in women with abnormal behavior. The diagnosis and management of all the cases were done by the Psychiatrists and doctors of MTH and WRH. The primary source of data was interview of the patients, their relatives and doctors and observation by the study group Statistical Analysis Data were analyzed using descriptive statistics with SPSS, version 16, statistical analysis program (SPSS, Inc., Chicago, IL). Results 71.51% female patients and 48.29% male patients visited psychiatry OPD at MTH during the study period. Likewise, compare to male patients (47.5%), female patients (52.5%) were higher in WRH during the study period. Most of the women in depression were in productive age group in both the hospitals ; 42% between 21-30 yrs followed by 33% in 31- 40yrs, 16% in 41-50yrs and 4% in 51-60 yrs . 17% women were service holder in different fields, 39% were housewives, 7% in Business, 33% were working in Agriculture / laborer and 4% were in miscellaneous fields. Conclusion Higher caste women suffered more from depression and incidence is more in rural than in urban areas. Due to lack of awareness, most of the mental disorders go unreported. Sociological intervention in needed for the treatment of mental health problems. DOI: http://dx.doi.org/10.3126/ajms.v3i4.7777 Asian Journal of Medical Science Vol.3(4) 2012 pp.39-46

Download Full-text

Uncomplicated adult inguinal hernia repair under local anaesthesia and spinal anaesthesia

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i3.2437 ◽

2020 ◽

Vol 11 (3) ◽

pp. 3212-3221

Author(s):

Naniwadekar R G

Keyword(s):

Inguinal Hernia ◽

Hospital Stay ◽

Spinal Anaesthesia ◽

Local Anaesthesia ◽

Control Group ◽

Early Ambulation ◽

Inguinal Hernias ◽

Hernia Inguinal ◽

The Subject ◽

Prolonged Hospital

Multiple researchers have given numerous guidelines in the clinical management of this disorder in the late nineteenth and twentieth centuries, after comprehensive works on the subject. As a result, a very wide variety of surgical procedures are now available to the surgeon to suit the requirement. There have been numerous advances in the management of inguinal hernia. Inguinal hernias can conveniently be repaired under all kinds of anaesthesia, namely general, spinal and local. Whereas the general anaesthesia requires the services of an experienced anaesthetist and new devices and spinal anaesthesia requires postoperative impairment while local anaesthesia is safe to prescribe, easy and efficient and does not cause postoperative complications. This work consisted of a study group of twenty-five adult patients of uncomplicated inguinal hernias, who after repair of hernias, which after repair of hernias were allowed early ambulation and had a short hospital, stay of one day post operatively. The second control group consisted of similar twenty-five patients who are subjected to conventional delayed ambulation and prolonged hospital stay. The results of repair in the two groups were compared; the available literature on the subject was reviewed. The implementation of ”shortstay surgery” not only relieves the waiting list in hospitals but also offers an economic boost and provides the patient with some social advantages.

Download Full-text

Incarcerated inguinal hernia secondary to diffuse peritoneal hidatidosis

Cirugía Andaluza ◽

10.37351/2020312.24 ◽

2020 ◽

Vol 31 (2) ◽

pp. 187-189

Author(s):

AB Vico Aria ◽

SC Alonso García ◽

S Calzado Baeza ◽

M Martín Díaz ◽

F Herrera Fernández

Keyword(s):

Inguinal Hernia ◽

Echinococcus Granulosus ◽

Incarcerated Inguinal Hernia ◽

Hernia Inguinal

Resumen Antecedentes: la enfermedad hidatídica es una antropozoonosis causada en la mayoría de las ocasiones por el cestodo Echinococcus granulosus (EG), caracterizada por la aparición de quistes que pueden desarrollarse en diversos órganos, fundamentalmente en hígado y pulmones. Sin embargo, la aparición de estos quistes a nivel inguinal es muy infrecuente, con muy pocos casos registrados en la literatura científica. Objetivo: presentar el caso de un paciente diagnosticado de hernia inguinal incarcerada secundaria a hidatidosis peritoneal difusa. Caso clínico: varón de 27 años e intervenido de forma urgente por tumoración inguinal irreductible y dolorosa de 24 horas de evolución. En quirófano se evidencia una hernia inguinal indirecta con presencia de saco herniario que contenía epiplón sin signos de sufrimiento y en su parte distal una tumoración, pétrea y adyacente al teste derecho, la cual fue extirpada en su totalidad. El paciente fue estudiado tras los hallazgos quirúrgicos y anatomopatológicos que informaron de lesión pseudoquística y granulomatosa, por lo que se realizó una tomografía computarizada (TC) que informó de una hidatidosis peritoneal difusa. Conclusión: la presentación de la enfermedad hidatídica peritoneal como una hernia inguinal complicada es extremadamente rara.

Download Full-text