Prabineshwor Prasad Lekhak: Saving a Girl with Hemophilia When Every Drop Counts
Prabineshwor Prasad Lekhak, Doctor at Kathmandu Medical College Teaching Hospital, shared on LinkedIn about a recent article he and his colleagues co-authored, adding:
”An 8-year-old girl with hemophilia A—a condition so rare in females it’s often overlooked—walked into the ER with appendicitis, and the surgical team had every reason to brace for catastrophic bleeding.
Instead, they opted for 3 mm laparoscopic instruments, perioperative factor VIII replacement, and zero margin for error.
The result?
Even resource limited country like us can perform an entirely uneventful recovery with powerful reminder that even the most unlikely surgical candidates can have optimal outcomes when precision and teamwork replace fear.
I extend my sincere gratitude to Dr. Ashish Lal Shrestha, Sir, an inspiring paediatric surgeon, for his invaluable guidance, encouragement, and opportunity; and to Dr. Para Ghimire Bohara Didi for her expert guidance and encouragement in compiling this case report.
It is a honor to learn under such a dedicated team.”
Title: Acute recurrent appendicitis in a hemophiliac Nepalese girl: beyond just… avoidance of formidable cuts! – A case report
Authors: Ashish Lal Shrestha, Para Ghimire, Prabineshwor Prasad Lekhak
Read the Full Article on International Journal of Surgery Case Reports

Stay updated on all scientific advances with Hemostasis Today.
-
Oct 10, 2026, 17:58Archo Farzana Batool: Exploring Medical Writing Through an Article on Iron Deficiency Anemia
-
Oct 10, 2026, 17:53Assessing Frailty in Adults With Hemophilia – JTH
-
Oct 10, 2026, 17:52Fatma Sadeghi: Reducing Maternal Health Inequalities Through Nursing Advocacy
-
Oct 10, 2026, 17:50Grzegorz Hensler: How Apheresis Transformed Blood Cell Separation and Collection
-
Oct 10, 2026, 17:47Hemant K Sharma: Japan’s Universal Artificial Blood Research – A Potential Breakthrough in Transfusion Medicine
-
Oct 10, 2026, 17:40John Strouse: Learning About Bleeding Disorders and Sickle Cell Disease at FWGBD
-
Oct 10, 2026, 17:34Mae Caime: Speaking at the Annual Women’s Retreat for the Hemophilia Community in Florida
-
Oct 10, 2026, 17:30Chokri Ben Lamine: PNH beyond the Textbook Triad
-
Oct 10, 2026, 17:29Ruah Alyamany: Thrombosis and Anticoagulation in Hematological Malignancies at SOHO KSA 2026