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NRK SPECIALITY CLINIC Orthopedics & Gynaecology
Surgical Outcomes & Evidence

Clinical Case Repository

Peer-reviewed style summaries of landmark cases managed at NRK Speciality Clinic across Orthopedics, Spine, and Gynaecology.

Obstetrics & Gynec Ref: NRK-OG-2026-04

Laparoscopic Myomectomy & Fertility Restoration in Symptomatic Fibroid Disease

Attending Consultant: Dr. P. Shankari (MD OG, DRM Kiel Germany, FMAS)

Successful keyhole laparoscopic removal of a 7.5 cm intramural uterine leiomyoma in a 29-year-old primary subfertility patient, preserving uterine architecture with smooth conception recovery.

Orthopedics & Spine Ref: NRK-OR-2026-02

L4-L5 Micro-Decompression & Discectomy in Severe Sciatica Radiculopathy

Attending Consultant: Dr. N. Rajkumar (DNB Ortho, AO Spine Davos)

Targeted microscopic lumbar discectomy for a 44-year-old patient with acute foot drop and neurological compression, achieving immediate nerve release and complete functional recovery.

High-Risk Obstetrics Ref: NRK-OG-2026-09

Successful Management of Severe Preeclampsia in Twin Gestation

Attending Consultant: Dr. P. Shankari (MD OG, DRM Kiel Germany)

Multi-disciplinary management of severe gestational hypertension in a 34-week dichorionic diamniotic twin pregnancy, resulting in healthy birth of both neonates without maternal complications.

Trauma Surgery Ref: NRK-OR-2026-07

Comminuted Femoral Shaft Fracture ORIF with Interlocking Nailing

Attending Consultant: Dr. N. Rajkumar (DNB Ortho, Mainz Germany Fellow)

Open reduction and internal fixation (ORIF) with closed intramedullary interlocking nail for a complex high-velocity road traffic injury, restoring anatomical axis and early weight-bearing.