Rima Maharjan - Academia.edu (original) (raw)
Papers by Rima Maharjan
DOAJ (DOAJ: Directory of Open Access Journals), Dec 14, 2021
BACKGROUND Dermoid cyst, a common benign neoplasm of ovary in women, needs treatment because of t... more BACKGROUND Dermoid cyst, a common benign neoplasm of ovary in women, needs treatment because of the risk of torsion, rupture, and malignant change. Laparoscopic surgery nowadays is the preferred treatment modality, but the only issue is its safety in case of rupture and spillage of its contents with the risk of chemical peritonitis and malignant dissemination. Aim of the study was to find out the safety of laparoscopic surgery for dermoid cyst of ovary. METHODS It was a retrospective study done from January 2017 to December 2019. All the women with diagnosis of dermoid cyst of ovary managed laparoscopically either salpingoophorectomy or cystectomy were taken into study. Analysis of size of the cyst operated, the time taken, spillage rate, duration of hospital stay, and post-operative complications especially chemical peritonitis was done. RESULTS There were 61 women who had undergone laparoscopic surgery. Laparoscopic cystectomy was done in 68.9% (n=42), laparoscopic salpingoophorectomy in 29.5% (n=18). Mean age of the patient was 31.74±8.38 years. Mean size was 6.21±1.99 cm. Rupture and spillage were observed in 21.3% (n=13) that were > 5cm in diameter (X2= 3.62, p=0.05). Larger the size of the cyst, more the surgical time was noted (X2=6.26, p=0.04). Significant difference in mean operating time in case of cyst rupture and spillage (p=0.004) was observed. Mean hospital stay was 53.5±1.3 hours. No case of chemical peritonitis was observed with spillage. All cases had histopathology of mature cystic teratoma. CONCLUSIONS Laparoscopic surgery is safe for dermoid cyst of ovary even with rupture and spillage of its contents.
Nepal Journal of Obstetrics and Gynaecology, Jun 3, 2017
Journal of Perinatal Society of Nepal
Introduction: Caesarean delivery is the most commonly performed lifesaving procedure in obstetric... more Introduction: Caesarean delivery is the most commonly performed lifesaving procedure in obstetrics. Caesarean section can be done in emergency and elective basis. There has been rising trend of caesarean section over the last few decades. Both the caesarean sections are associated with fetal risks than vaginal delivery. Objectives: To assess and compare the perinatal outcomes of emergency and elective caesarean sections. Methods: It was a cross-sectional comparative study done in Civil Service Hospital of Nepal over the period of one year starting from January 2021 to December 2021. All the patients who underwent caesarean section during the study period were taken into study. Data regarding perinatal outcomes were analysed by SPSS software. Results: During the study period, there were 1349 total deliveries. Caesarean sections accounted for 52.2% (n=705) of all deliveries. There were a total of 373 (52.9%) emergency CS and 332 (47.1%) elective CS. Most common indications of emergenc...
Journal of Nepal Health Research Council, 2021
BACKGROUND Dermoid cyst, a common benign neoplasm of ovary in women, needs treatment because of t... more BACKGROUND Dermoid cyst, a common benign neoplasm of ovary in women, needs treatment because of the risk of torsion, rupture, and malignant change. Laparoscopic surgery nowadays is the preferred treatment modality, but the only issue is its safety in case of rupture and spillage of its contents with the risk of chemical peritonitis and malignant dissemination. Aim of the study was to find out the safety of laparoscopic surgery for dermoid cyst of ovary. METHODS It was a retrospective study done from January 2017 to December 2019. All the women with diagnosis of dermoid cyst of ovary managed laparoscopically either salpingoophorectomy or cystectomy were taken into study. Analysis of size of the cyst operated, the time taken, spillage rate, duration of hospital stay, and post-operative complications especially chemical peritonitis was done. RESULTS There were 61 women who had undergone laparoscopic surgery. Laparoscopic cystectomy was done in 68.9% (n=42), laparoscopic salpingoophorec...
Uterine Cancer Treatment: Experience in Two Centers in Nepal Isha Shrestha, Binod Aryal, Saujanya... more Uterine Cancer Treatment: Experience in Two Centers in Nepal Isha Shrestha, Binod Aryal, Saujanya Karmacharya, Neer Shobha Chitrakar, Arun Prasad Joshi, 1 Rima Maharjan , Pabitra Maharjan , Samir Neupane, Srijana Koirala, Pratit Pokharel, Simit Sapkota, Subhas Pandit, Jitendra Pariyar Gynecology Department, Civil Service Hospital, Kathmandu, Nepal, Pathology Department, Civil Service Hospital, Kathmandu, Nepal , Radiology Department, Civil Service Hospital, Kathmandu, Nepal, Clinical Oncology Department, Civil Service Hospital, Kathmandu, Nepal Corresponding Author: Dr. Jitendra Pariyar, Email/Contact: jipariyar@yahoo.com , Phone: 9855060371. ABSTRACT Background: Information and studies regarding uterine cancer are limited in Nepal. The aim of this study is to assess the clinical characteristic features and treatment outcomes of uterine cancer managed in two hospitals of Nepal. Methods: A retrospective descriptive study was conducted of all uterine cancer cases managed in gynecology...
Nepal Journal of Obstetrics and Gynaecology, 2016
Nepal Journal of Obstetrics and Gynaecology, Dec 26, 2016
DOAJ (DOAJ: Directory of Open Access Journals), Dec 14, 2021
BACKGROUND Dermoid cyst, a common benign neoplasm of ovary in women, needs treatment because of t... more BACKGROUND Dermoid cyst, a common benign neoplasm of ovary in women, needs treatment because of the risk of torsion, rupture, and malignant change. Laparoscopic surgery nowadays is the preferred treatment modality, but the only issue is its safety in case of rupture and spillage of its contents with the risk of chemical peritonitis and malignant dissemination. Aim of the study was to find out the safety of laparoscopic surgery for dermoid cyst of ovary. METHODS It was a retrospective study done from January 2017 to December 2019. All the women with diagnosis of dermoid cyst of ovary managed laparoscopically either salpingoophorectomy or cystectomy were taken into study. Analysis of size of the cyst operated, the time taken, spillage rate, duration of hospital stay, and post-operative complications especially chemical peritonitis was done. RESULTS There were 61 women who had undergone laparoscopic surgery. Laparoscopic cystectomy was done in 68.9% (n=42), laparoscopic salpingoophorectomy in 29.5% (n=18). Mean age of the patient was 31.74±8.38 years. Mean size was 6.21±1.99 cm. Rupture and spillage were observed in 21.3% (n=13) that were > 5cm in diameter (X2= 3.62, p=0.05). Larger the size of the cyst, more the surgical time was noted (X2=6.26, p=0.04). Significant difference in mean operating time in case of cyst rupture and spillage (p=0.004) was observed. Mean hospital stay was 53.5±1.3 hours. No case of chemical peritonitis was observed with spillage. All cases had histopathology of mature cystic teratoma. CONCLUSIONS Laparoscopic surgery is safe for dermoid cyst of ovary even with rupture and spillage of its contents.
Nepal Journal of Obstetrics and Gynaecology, Jun 3, 2017
Journal of Perinatal Society of Nepal
Introduction: Caesarean delivery is the most commonly performed lifesaving procedure in obstetric... more Introduction: Caesarean delivery is the most commonly performed lifesaving procedure in obstetrics. Caesarean section can be done in emergency and elective basis. There has been rising trend of caesarean section over the last few decades. Both the caesarean sections are associated with fetal risks than vaginal delivery. Objectives: To assess and compare the perinatal outcomes of emergency and elective caesarean sections. Methods: It was a cross-sectional comparative study done in Civil Service Hospital of Nepal over the period of one year starting from January 2021 to December 2021. All the patients who underwent caesarean section during the study period were taken into study. Data regarding perinatal outcomes were analysed by SPSS software. Results: During the study period, there were 1349 total deliveries. Caesarean sections accounted for 52.2% (n=705) of all deliveries. There were a total of 373 (52.9%) emergency CS and 332 (47.1%) elective CS. Most common indications of emergenc...
Journal of Nepal Health Research Council, 2021
BACKGROUND Dermoid cyst, a common benign neoplasm of ovary in women, needs treatment because of t... more BACKGROUND Dermoid cyst, a common benign neoplasm of ovary in women, needs treatment because of the risk of torsion, rupture, and malignant change. Laparoscopic surgery nowadays is the preferred treatment modality, but the only issue is its safety in case of rupture and spillage of its contents with the risk of chemical peritonitis and malignant dissemination. Aim of the study was to find out the safety of laparoscopic surgery for dermoid cyst of ovary. METHODS It was a retrospective study done from January 2017 to December 2019. All the women with diagnosis of dermoid cyst of ovary managed laparoscopically either salpingoophorectomy or cystectomy were taken into study. Analysis of size of the cyst operated, the time taken, spillage rate, duration of hospital stay, and post-operative complications especially chemical peritonitis was done. RESULTS There were 61 women who had undergone laparoscopic surgery. Laparoscopic cystectomy was done in 68.9% (n=42), laparoscopic salpingoophorec...
Uterine Cancer Treatment: Experience in Two Centers in Nepal Isha Shrestha, Binod Aryal, Saujanya... more Uterine Cancer Treatment: Experience in Two Centers in Nepal Isha Shrestha, Binod Aryal, Saujanya Karmacharya, Neer Shobha Chitrakar, Arun Prasad Joshi, 1 Rima Maharjan , Pabitra Maharjan , Samir Neupane, Srijana Koirala, Pratit Pokharel, Simit Sapkota, Subhas Pandit, Jitendra Pariyar Gynecology Department, Civil Service Hospital, Kathmandu, Nepal, Pathology Department, Civil Service Hospital, Kathmandu, Nepal , Radiology Department, Civil Service Hospital, Kathmandu, Nepal, Clinical Oncology Department, Civil Service Hospital, Kathmandu, Nepal Corresponding Author: Dr. Jitendra Pariyar, Email/Contact: jipariyar@yahoo.com , Phone: 9855060371. ABSTRACT Background: Information and studies regarding uterine cancer are limited in Nepal. The aim of this study is to assess the clinical characteristic features and treatment outcomes of uterine cancer managed in two hospitals of Nepal. Methods: A retrospective descriptive study was conducted of all uterine cancer cases managed in gynecology...
Nepal Journal of Obstetrics and Gynaecology, 2016
Nepal Journal of Obstetrics and Gynaecology, Dec 26, 2016