Accès ouvert
2026
article
OpenAlex
Sudesh Lamsal, Gaurav Karki, Suman Shumsher Thapa, Bikash Bikram Thapa
Introduction: Megacystis-megaureter is a rare condition referring to chronic dilatation of the ureter in the absence of identifiable organic obstruction. It is rare in adulthood. Case presentation: We report a rare case of megacystis-megaureter presenting for the first time in adulthood. The …
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Accès ouvert
2025
article
OpenAlex
Anjan Singh Karki, Ashim Gurung, Bikash Bikram Thapa, Suman Phuyal et autres
Introduction: Chronic subdural hematoma (cSDH) presents a significant neurosurgical challenge, particularly in elderly patients and those with predisposing factors such as chronic alcohol consumption or coagulopathies. While burr-hole evacuation is the standard surgical technique, alternative approaches exist. The cSDH score, incorporating variables …
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Accès ouvert
2025
article
OpenAlex
Bikash Bikram Thapa, Ritesh Kumar Sinha, Sailendra Kumar Duwal Shrestha, Satya Priya Shivakotee et autres
Introduction: Lateral epicondylitis is a common cause of lateral elbow pain that impairs grip strength and daily activities. While corticosteroid injection offers rapid symptom relief, dry needling is a newer, minimally invasive technique that may enhance tendon healing and provide longer-lasting benefits. …
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Accès ouvert
2025
article
OpenAlex
Bikash Bikram Thapa, Suman Shumsher Thapa, Narayan Bahadur Thapa, Pratik Man Singh Gurung
INTRODUCTION: Percutaneous nephrolithotomy (PCNL) is the standard practice for the treatment of large renal stones. There has been a gradual shift from "standard" PCNL to increasingly less invasive forms of PCNL in recent years. Innovations in both the technology and techniques of …
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Accès ouvert
2025
article
OpenAlex
Bikash Bikram Thapa, Bina Basnet, Gaurav Karki, Narayan Bahadur Thapa
Abstract Prostate carcinoma is the most common carcinoma in male. The evaluation of the suspected prostate carcinoma is based on the abnormal digital rectal examination, raised serum prostate specific antigen (PSA), followed by prostate biopsy with or without magnetic resonance imaging (MRI). …
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Accès ouvert
2024
article
OpenAlex
Aanand Mehta, Manish Yadav, Bishal Gupta, Bikash Bikram Thapa et autres
Introduction and importance: Brain abscess (BA) is a pyogenic infection of the brain parenchyma caused by various organisms. Multiple BAs are uncommon in neonates, and Candida albicans as a causative agent is very rare. If left untreated, BAs are invariably fatal. Early …
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Accès ouvert
2023
article
OpenAlex
Parash Thapa, Ganesh Bhattarai, Santosh Kumar Kharel, Pratiksha Kunwar et autres
Introduction: The incidence of chronic subdural haematoma (cSDH) is relatively high among the elderly population. Other known risk factors for cSDH include male sex, dependency on anti-platelet or anticoagulant medication, and chronic alcoholism. Although, the standard mode of treatment for cSDH is …
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Accès ouvert
2023
article
OpenAlex
Binita Timilsina, Anil Suryabanshi, Niranjan Adhikari, Prajjwol Luitel et autres
Introduction and importance: A subgaleal abscess is a collection of pus in a potential space between the galea aponeurotica and pericranium. De novo subgaleal abscesses are a subset of subgaleal abscesses that develop in the absence of identifiable risk factors such as …
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Accès ouvert
2023
article
OpenAlex
Sunil Basukala, Oshan Shrestha, Niranjan Thapa, Sagun Karki et autres
BACKGROUND: Informed consent-taking is a part of clinical practice that has ethical and legal aspects attached to it. This protects the autonomy of the patients by providing complete information regarding the rationale, modality, potential risks, benefits, and alternatives of the planned procedure …
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Accès ouvert
2023
article
OpenAlex
Sajina Thapa, Shila Awal, Sunil Basukala, Narayan Bahadur Thapa et autres
Urethral duplication is uncommon with few cases reported in the literature. We report a case in which a patient presented with discharge from proximal part of penis since childhood and recent history of infection. The diagnosis of pre-pubic sinus was made and …
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Accès ouvert
2022
article
OpenAlex
Bharat Bahadur Bhandari, Sunil Basukala, Narayan Bahadur Thapa, Bikash Bikram Thapa et autres
Introduction: Various pathologic and metabolic diseases might manifest as renal stones. Acquiring knowledge of the urinary stone constituents is important. Kidney stone analysis is recommended in the basic evaluation of stone disease. This study aims to identify the chemical composition of renal …
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Accès ouvert
2022
article
OpenAlex
Bina Basnet, Sujit Pant, Rajive Raj Shahi, Kalpana Rai et autres
Introduction: COVID-19 pandemic is grappling the world with the surge of infection time and again. Clinicians are trying to justify the ethics of public health care. Asymptomatic COVID-19 cases are going undocumented and most of them practice self-isolation. Studies have revealed significant …
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