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28/05/2022

30 years female had bile duct injury while doing laparoscopic cholecystectomy. After stabilization and ptbd, later hepaticojejunostomy was being done like shown above.

30/07/2021

42 yr female came with pain abdomen, melena, and vomiting for 6 mths. This is a case of carcinoma stomach for which D2 distal gastrectomy is done.
PC: Dr. Romi Dahal

27/07/2021

SIGMOID VOLVULUS
Volvulus is a twisting of the intestine around its own blood supply axis. The twist occurs at the base of the sigmoid mesentery in the sigmoid volvulus. This condition most commonly presents in patients who are less mobile; who are bedridden and who usually have a history of chronic constipation. It is the most common form of volvulus of the gastrointestinal tract.

PC: Dr. Sujan Regmee

26/07/2021

Pc - Dr. Nayan Mahato

23/07/2021

Pc - Dr. Nayan Mahato

13/07/2021

54 years gentleman has uncontrolled diabetes mellitus. A small prick over the forefoot has grown into a painful spreading lesion with the black bullous lesion. Comment the correct case among the below options👇👇.
a. cellulitis
b. necrotizing fascitis
c. abscess

PC: Dr. Suman Dahal

12/07/2021

40 years male came to ER with severe pain abdomen for 2 days with features of peritonitis. His abdomen was rigid and he had rebound tenderness. The X-ray of this patient is given above. What do you see?

PC: Dr. Sushil Gyawali, TUTH, MS General Surgery

11/07/2021

This patient has congenital hydrocephalus. This typical progressive enlargement of the head has a typical eye finding as shown known as:
a. moonset sign
b. nystagmus
c. sunset sign
d. down rolling of eyes

PC: Dr Asim Gurung, NeuroSurgery

09/07/2021

65 years female with shortness of breath. On chest X-ray, shows a typical feature of pleural effusion.
Pleural effusion is the homogenous opacity seen in CXR due to the collection of fluid in the pleural cavity showing meniscus signs.

PC: Dr Sushila Gyawali (Patan Hospital)

08/07/2021

35 years male had a non-healing ulcer for 1 year. The patient had moderate pain with this ulcer starting above the medial malleolus. He had itching over the area. This patient gave a typical history of having Left lower limb deep vein thrombosis(DVT).
What is the diagnosis?

PC: Dr Akriti Sharma, CTVS , TUTH

07/07/2021

Skin grafting is a procedure where transplantation of skin is done to cover large defects in the skin. It is used to treat conditions where there is a loss of skin due to extensive wound or trauma, burns, infections (like necrotizing fasciitis), or after removal of large skin cancers. Such grafts can be split-thickness or full-thickness skin grafts. A split-thickness skin graft (STSG) is a skin graft including the epidermis and part of the dermis. A full-thickness graft consists of the epidermis and the entire thickness of the dermis. The skin grafts do not have its own blood supply, it vascularizes from the surface on which it resides.

SKIN FLAPS on the other hand consists of one or more tissue components including skin, deeper subcutaneous tissues, muscle, etc, and has its own blood supply.

PC : Dr. Nischal Shrestha

29/06/2021

When you anastomose between jejunum and jejunum , it is called Jejunostomy.
Case of corrosive acid poisoning with GOO.

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