Neurosurgery was started in Far-Eastern Nepal as Department of Neurosurgery at B&C Hospital in early 2015 by signing memorandum of understanding between Annapurna Neurological Institute and Allied Sciences (ANIAS) and B&C Medical College Teaching Hospital to provide services in door steps. The renowned senior neurosurgeon and chairman of ANIAS, Prof.Dr.Basant Pant played a key role to establish and give astounding start with all technical supports possible. Dr. Chandra P Limbu and I joined the institute at the beginning from ANIAS. Since last one year the department is led by Dr. Pankaj Raj Nepal, who is one of the finest trainee of Prof. Upendra P. Devkota. Since its start many patients had received different kinds of neurosurgical as well neurological support. It is situated in Birtamode, rapidly growing small town of Far Eastern Nepal.
Our hospital is situated near the Indo-Nepal border where Siliguri and Biratnagar were the key referral centers before. Being about two hours distant from larger cities with neurosurgical facilities, most trauma patients were unable to get timely intervention. So we aimed to save patients with trauma at our center though all kinds of elective cases are in routine schedule.
Hereby, I am briefly summarizing cases managed surgically in different stream of neurosciences at our center in last 3 years.
Head Injury:
The incidence of road traffic accident is high all over Nepal and south Asia, where about 7/100 000 population dies in accident in 2011–20121. B&C Hospital is located at the edge of East-West Highway and similar to other parts of the country this part is also prone to road traffic accident. So the incidence of trauma registry is high at our center. The diagrams below summarize the overall scenario of head injury patient who were managed surgically.