JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Oct 2023
Case ReportsPercutaneous Fluoroscopy-guided Retrieval of a Fractured Pelvic Drain after Caesarean Section: A Case Report.
Iatrogenic retention of surgical drains following drain entrapment and breakage is a never event and a preventable complication. The traditional approach for removing a fractured drain from the intra-peritoneal cavity involves exploratory laparotomy. However, over the last few decades, minimal access surgery has been a more popular retrieval method for retained surgical items from peritoneal and extraperitoneal cavities. We report a case of a 32-year-old woman with a fractured pelvic drain post-caesarean section. Postoperatively, the patient developed the signs of infection and features of bowel obstruction. The mechanical obstruction was ruled out by computed tomography scan. Multiple attempts were made to pull the pelvic drain out but the tube snapped, leaving about a quarter of its length. The drain remnant was retrieved using a non-invasive, inexpensive interventional radiology technique. We could not find any such report in the literature describing this innovative approach for retrieving a fractured pelvic drain. ⋯ case report; drain fragment retrieval; fractured pelvic drain; pelvic drain remnant.
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JNMA J Nepal Med Assoc · Oct 2023
Traumatic Spinal Cord Injury among Patients Admitted to the Spine Unit in a Tertiary Care Centre.
Spinal cord injury usually results in disabling conditions. The incidence of spinal trauma is region-specific due to unique geography and demography. The epidemiology of spinal trauma changes with economic and social factors even in different periods. The aim of this study was to find out the prevalence of traumatic spinal cord injury among patients admitted to the Spine Unit in a tertiary care centre. ⋯ falls; prevalence; spinal cord injuries.
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Identity and identification have long been a source of interest and concern in forensic dentistry, whether in the context of a criminal investigation or the identification of a deceased person. Lip print has demonstrated a high level of potential as one of the best options, as well as its usage as supporting evidence. The aim of this study was to find out the prevalence of Type I lip patterns among medical students of a medical college. ⋯ biometric identification; forensic science; lips; medical students; photography.
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JNMA J Nepal Med Assoc · Oct 2023
Obstetric Cholestasis among Pregnant Women Visiting a Tertiary Care Centre.
Obstetric cholestasis is one of the most frequent hepatic disorders specific to pregnancy. It occurs commonly during the latter half of pregnancy. The data regarding this issue is rare in our settings. The aim of this study was to find out the prevalence of obstetric cholestasis among pregnant women visiting a tertiary care centre. ⋯ Nepal; obstetric cholestasis; pregnancy.
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JNMA J Nepal Med Assoc · Oct 2023
Acne among Patients Visiting Outpatient Department of Dermatology Centres.
Acne vulgaris is a common chronic inflammatory skin disease affecting the pilosebaceous unit. The clinical manifestations of acne include the development of comedones, papules, and pustules. Although generally considered benign, acne can have psychological impacts and cause disfiguring scars. The aim of this study was to find out the prevalence of acne among patients visiting outpatient department of dermatology centres. ⋯ acne; scars; prevalence.