Sabina Lamichhane's research while affiliated with Nobel Medical College Teaching Hospital And Research Centre and other places

Publications (11)

Article
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Introduction: Guillain Barre Syndrome in pregnant ladies, undergoing cesarean section, has not yet reported in Nepal. Anaesthetic management of 15 patients with Guillain Barre Syndrome who underwent lower segment cesarean section at Nobel Medical College Teaching Hospital is reported here. Objective: The purpose of this study is to assess the benef...
Article
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p> Background: Rising rates of cesarean section is a matter of great concern and trial of labor in previous cesarean section women is an attractive alternative. Vaginal Birth After Caesarean (VBAC) may be one of the strategy developed to control the rising rate of cesarean deliveries in our country. Analyzing outcome of previous caesarean pregnanci...
Article
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Introduction: Post cesarean surgical site infection (SSI) is one of the common complications diagnosed in 2.5%-16% of the cases and is associated with significant increase in maternal morbidity, hospital stay, costs, and psychological stress to the new parents. This study was designed to study the incidence of SSI and the antimicrobial resistance p...
Article
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p> Background TORCH is a group of organisms like Toxoplasma, Rubella, Cytomegalo virus and Herpes simplex virus. These groups of organisms causing infections in pregnant lady leads to various degree of adverse pregnancy outcomes in the form of spontaneous abortion, preterm delivery, intrauterine growth restriction, severe congenital defect with syn...
Article
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In the present case study we are reporting a case of thoracoomphalopagus conjoined twins. A 24 years old gravida two para 0+1 carrying thoracoomphalopagus conjoined twins was diagnosed by ultrasonography at early second trimester with single placenta attached posteriorly and low lying. The mortality and morbidity of conjoined twins are high so maki...
Article
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p>Conjoined twin is a rare occurrence and its management presents with unique challenges. We report a case of a 23 year primigravida with a thoracophagus conjoined twin with complex cardiac fusion who presented to us at 34weeks of gestation. Condition was diagnosed by ultrasound; degree of fusion was assessed by computed tomography. Inspite of poor...
Article
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Background: Since the introduction of laparoscopic cholecystectomy in 1987 by Philips Mouret its popularity has increased tremendously and very rapidly because of its several advantages. But reports of randomized large control series are not yet available so we plan to report our experience of 5000 cases of single incision laparoscopic cholecystect...
Article
Introduction: Infertility is a global health issue and a socially destabilizing condition for couples with several stigmas including medical, social, psychological burdens and a marital disharmony. The aim was to study the incidence of infertility in couples attending outdoor of Nobel Medical College and to know the contributing factors among the...
Article
Introduction: The field of minimal invasive surgery has flowered explosively in the recent past. Modern endoscopy has changed the approach to diagnosis as well as the operative procedure. This study was done with the aim of sharing the experiences of gynecological laparoscopic procedures done at Nobel Medical College and Teaching Hospital, Nepal....
Article
Introduction: Uterine myomas are the most common benign tumors of the female reproductive tract with myomectomy being one of the major modalities of the treatment in our set up. The aim of this study was to share the experiences of open myomectomy from a Teaching Hospital. Methods: A observational study was conducted from a records of myomectomy ca...

Citations

... It affects about 15% of couples of reproductive age. 2 It is called "primary" if the couple has never gotten pregnant, and "secondary" if the couple has been pregnant before, even if it wasn't a live birth. 3 The factors that can lead to infertility have been divided into two categories: those that affect men, such as low semen parameters, and those that affect women, such as uterine abnormalities, obstructed fallopian tubes, or anovulation. Male infertility is more common. ...
... SSIs, which are one of the most common causes of nosocomial infections, are a common surgical consequence [4]. Surgical site infection after caesarean delivery is a common complication that affects 2.5% to 16% of women and is linked to a considerable increase in maternal morbidity, hospital stay, expenses, and psychological stress for new parents [5]. Microbial contamination in the operating room can come from a variety of sources, including frequent movement of the surgical and medical teams, movement within the theatre, a large human population, particularly theatre staff and medical students, theatre gowns, foot wares, wound drainage, and patient transportation. ...
... According to various studies conducted in India, they were shown to be nearly compatible with the current results which showed that the prevalence of toxoplasmosis and Herpes-2 antibodies varies from 3.6% to 61.3% [15], and another study which reported that the seropositivity rate of Herpes simplex virus-IgM was 31.06% [16]. Another result was also almost similar to the results of the current study which reported that the toxoplasmosis and Herpes-2 IgM rate was 73.9% in the patients group [17]. ...
... [1] There are ample of publications in MIS globally but very limited Nepalese publications related to different gynecological minimal invasive surgeries are found. [2,3,4,5,6] Minimal invasive gynecological surgeries are being regularly performed in Dhulikhel Hospital (DH) since early years of its establishment. Over the period we have noticed the shifting of surgical approaches from conventional to minimal invasive mostly in benign gynecological cases. ...
... It is more commonly done in developed countries than in developing countries (1,3,4). IOL is done to achieve vaginal delivery before spontaneous labor starts, and it is recommended when the benefits of childbirth outweigh the risk of continuing the pregnancy (3)(4)(5)(6)(7). Its indication includes the mother's medical condition, pregnancy-related hypertension, post-term pregnancy, premature rupture of membrane (PROM), and intrauterine fetal death (IUFD) (4). ...
... The incidence of intra-and post-operative complications like dizziness, nausea, vomiting, and length of hospital stay (3.5 days) was less in group 1 than group 2. Similar findings were reported in the study of 5000 patients, with lower incidence of intra-and post-operative complications, and 92.5% of patients discharged by post-operative day 3 16 . Lower consumption of opioid in patients with interpleural analgesia. ...