Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54804
L. Chirdan, A. Uba, F. Bode‐Thomas, B. Mandong
Infantile haemangioendothelioma is a rare tumour of infancy arising from mesenchymal tissue. The liver is the commonest site for this tumour in children. This is a report of a 3 month old boy who presented with hepatomegaly, hypertension, congestive cardiac failure and protracted diarrhea. Abdominal ultrasonography demonstrated diffuse hepatic nodules involving the whole liver. A diagnosis of infantile hepatic haemangioendothelioma was made on histologic examination of tissue following an open liver biopsy. The patient died 3 days after liver biopsy. We report this case to raise awareness of this rare tumour of infancy in our environment.
{"title":"Infantile hepatic haemangioendothelioma: a case report","authors":"L. Chirdan, A. Uba, F. Bode‐Thomas, B. Mandong","doi":"10.4314/NJSR.V6I1-2.54804","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54804","url":null,"abstract":"Infantile haemangioendothelioma is a rare tumour of infancy arising from mesenchymal tissue. The liver is the commonest site for this tumour in children. This is a report of a 3 month old boy who presented with hepatomegaly, hypertension, congestive cardiac failure and protracted diarrhea. Abdominal ultrasonography demonstrated diffuse hepatic nodules involving the whole liver. A diagnosis of infantile hepatic haemangioendothelioma was made on histologic examination of tissue following an open liver biopsy. The patient died 3 days after liver biopsy. We report this case to raise awareness of this rare tumour of infancy in our environment.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74438164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54800
B. Gali, A. Madziga, H. Nggada, A. Hamid
This is a report of a 4-year old female Nigerian patient with phaeochromocytoma, a rare surgically correctable cause of hypertension, highlighting the problems in diagnosis and management in our sub region with review of the literature.
{"title":"Phaeochromocytoma in a 4-year old girl: case report","authors":"B. Gali, A. Madziga, H. Nggada, A. Hamid","doi":"10.4314/NJSR.V6I1-2.54800","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54800","url":null,"abstract":"This is a report of a 4-year old female Nigerian patient with phaeochromocytoma, a rare surgically correctable cause of hypertension, highlighting the problems in diagnosis and management in our sub region with review of the literature.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73804115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54778
I. Adigun, L. Abdulrahaman
Background : Diffuse necrotizing fasciitis is the most treacherous soft tissue infection particularly because it may masquerade as simple cellulitis, thereby delaying diagnosis and treatment. Necrotizing fascitis correspond to deeper burns and require resuscitation, early debridement and skin coverage. It runs a rapid clinical course. Method : Ten patients with necrotizing fascitis were managed in the division of plastic and reconstructive surgery at the University of Ilorin Teaching Hospital, Nigeria. The hospital records of these patients were reviewed and form the basis of this report. Result : The duration of symptoms ranged between one day and three weeks. Most patients presented with associated high grade fever and rigor. Four of the patients had pre-morbid state which could have predisposed them to the infection. They were managed with intravenous fluids, antibiotics and analgesics, most patients had extensive debridement with subsequent wound dressing before skin grafting. Five patients survived while the remaining five died with a crude mortality of 50%. Conclusion : Early diagnosis, aggressive surgical intervention combined with supportive therapy is crucial to the successful treatment of the disease. If we must reduce the high mortality rate of the condition in our sub-region, early referral to a burns team should be considered as a treatment option by clinicians dealing with such cases.
{"title":"Necrotizing fasciitis in a plastic surgery unit: a report of ten patients from Ilorin","authors":"I. Adigun, L. Abdulrahaman","doi":"10.4314/NJSR.V6I1-2.54778","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54778","url":null,"abstract":"Background : Diffuse necrotizing fasciitis is the most treacherous soft tissue infection particularly because it may masquerade as simple cellulitis, thereby delaying diagnosis and treatment. Necrotizing fascitis correspond to deeper burns and require resuscitation, early debridement and skin coverage. It runs a rapid clinical course. Method : Ten patients with necrotizing fascitis were managed in the division of plastic and reconstructive surgery at the University of Ilorin Teaching Hospital, Nigeria. The hospital records of these patients were reviewed and form the basis of this report. Result : The duration of symptoms ranged between one day and three weeks. Most patients presented with associated high grade fever and rigor. Four of the patients had pre-morbid state which could have predisposed them to the infection. They were managed with intravenous fluids, antibiotics and analgesics, most patients had extensive debridement with subsequent wound dressing before skin grafting. Five patients survived while the remaining five died with a crude mortality of 50%. Conclusion : Early diagnosis, aggressive surgical intervention combined with supportive therapy is crucial to the successful treatment of the disease. If we must reduce the high mortality rate of the condition in our sub-region, early referral to a burns team should be considered as a treatment option by clinicians dealing with such cases.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78701628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-12-31DOI: 10.4314/NJSR.V8I3-4.54869
M. Mozaffar, P. Kharazm, Mohsen Talebian Far, Kamel Firoozi
Background : Acute Mesenteric Ischemia (AMI) is one of the causes of acute abdomen which occurs because of significant decrement in bowel perfusion. Mortality rates of 60 to 100 percent have been reported in different studies in relation to this fatal disease(1, 5, ,11, 16,18,28). In this study, we review clinical features, laboratory findings, abdominal x rays, ECGs, intraoperative findings and results of treatment in 32 patients who were admitted in Shohada-E-Tajrish hospital with final diagnosis of AMI from March 1996 to March 2002. Methods : 32 patients with final diagnosis of AMI who were admitted in Shohada-E-Tajrish hospital were included in this retrospective study by means of review of their files and medical records. Results : The disease was more common in men than women, with a 2:1 male: female ratio. The mean age of patients was 60 years. Abdominal pain was the most common symptom of patients followed by nausea, vomiting, obstipation, hematemesis, and melena. On physical exam tachycardia was prevalent. Oliguria was seen in approximately 70% of patients and it was related to mortality. 10% of patients were in shock status related to mortality. 30% of patients had peritoneal signs, but it was not related to mortality. In laboratory tests, leukocytosis was present in 95% of patients, and in 50% of cases it was more than 20000/mm³. Acidosis was seen in 80% of patients and overall mortality rate was 75%. Conclusion : The final advice of the study is to pay intensive attention to resuscitation of the patients, correction of metabolic and homodynamic derangements, and performing laparotomy as soon as these derangements were corrected. In some patients it is necessary to perform second look operation to evaluation of the viability of the intestine.
{"title":"Mesenteric ischemia: Results of surgical treatment and a review of literature","authors":"M. Mozaffar, P. Kharazm, Mohsen Talebian Far, Kamel Firoozi","doi":"10.4314/NJSR.V8I3-4.54869","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54869","url":null,"abstract":"Background : Acute Mesenteric Ischemia (AMI) is one of the causes of acute abdomen which occurs because of significant decrement in bowel perfusion. Mortality rates of 60 to 100 percent have been reported in different studies in relation to this fatal disease(1, 5, ,11, 16,18,28). In this study, we review clinical features, laboratory findings, abdominal x rays, ECGs, intraoperative findings and results of treatment in 32 patients who were admitted in Shohada-E-Tajrish hospital with final diagnosis of AMI from March 1996 to March 2002. Methods : 32 patients with final diagnosis of AMI who were admitted in Shohada-E-Tajrish hospital were included in this retrospective study by means of review of their files and medical records. Results : The disease was more common in men than women, with a 2:1 male: female ratio. The mean age of patients was 60 years. Abdominal pain was the most common symptom of patients followed by nausea, vomiting, obstipation, hematemesis, and melena. On physical exam tachycardia was prevalent. Oliguria was seen in approximately 70% of patients and it was related to mortality. 10% of patients were in shock status related to mortality. 30% of patients had peritoneal signs, but it was not related to mortality. In laboratory tests, leukocytosis was present in 95% of patients, and in 50% of cases it was more than 20000/mm³. Acidosis was seen in 80% of patients and overall mortality rate was 75%. Conclusion : The final advice of the study is to pay intensive attention to resuscitation of the patients, correction of metabolic and homodynamic derangements, and performing laparotomy as soon as these derangements were corrected. In some patients it is necessary to perform second look operation to evaluation of the viability of the intestine.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2006-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89219027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : The incidence of civilian gunshot injuries has been reported to be on the increase globally. This study was undertaken to determine the epidemiology of gunshot injuries in Kano, Northern Nigeria. Patients and Methods : A retrospective analysis of patients with gunshot injuries seen at five major government hospitals in Kano metropolis over a four year period (1999-2002). Results : There were 224 cases, with males out-numbering females by a ratio of 27:1. Eighty -one point three percent of patients were aged between 20 and 44 years. The most commonly injured body regions were the lower limbs (31.6%), chest (15.6%), upper limbs (9.4%) and head (9.0%). A fatal outcome was recorded in 12.5% of cases. Most injuries occurred among traders, students, farmers and security agents, and armed robbery attacks and civil conflicts were the aetiological factors in majority of cases. Conclusion : Gunshot injuries are a major cause of morbidity among adult men in Kano. Addressing the root causes of violence such as poverty, unemployment, and substance abuse will reduce the incidence of gunshot injuries in our society. Keywords : gun-shot injuries, firearms, epidemiology Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 296-299
{"title":"Epidemiology of gunshot injuries in Kano, Nigeria","authors":"A. Mohammed, S. Edino, O. Ochicha, A. Umar","doi":"10.4314/NJSR.V7I3.12301","DOIUrl":"https://doi.org/10.4314/NJSR.V7I3.12301","url":null,"abstract":"Background : The incidence of civilian gunshot injuries has been reported to be on the increase globally. This study was undertaken to determine the epidemiology of gunshot injuries in Kano, Northern Nigeria. Patients and Methods : A retrospective analysis of patients with gunshot injuries seen at five major government hospitals in Kano metropolis over a four year period (1999-2002). Results : There were 224 cases, with males out-numbering females by a ratio of 27:1. Eighty -one point three percent of patients were aged between 20 and 44 years. The most commonly injured body regions were the lower limbs (31.6%), chest (15.6%), upper limbs (9.4%) and head (9.0%). A fatal outcome was recorded in 12.5% of cases. Most injuries occurred among traders, students, farmers and security agents, and armed robbery attacks and civil conflicts were the aetiological factors in majority of cases. Conclusion : Gunshot injuries are a major cause of morbidity among adult men in Kano. Addressing the root causes of violence such as poverty, unemployment, and substance abuse will reduce the incidence of gunshot injuries in our society. Keywords : gun-shot injuries, firearms, epidemiology Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 296-299","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"40 1","pages":"296-299"},"PeriodicalIF":0.0,"publicationDate":"2006-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84106832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : There is an upward trend in facial injuries following changes in population pattern, increasing industrialization and urbanization, hence maxillofacial trauma is becoming a burden and a leading medical problem in emergency rooms worldwide. Method : A retrospective study of patients with maxillofacial fractures seen and treated at the Oral and Maxillofacial Unit, Ahmadu Bello University Teaching Hospital, Kaduna, Nigeria between January 1993 to January 2003. Data extracted from the patients' records include aetiology, age, sex, types and sites of fractures, treatment modality and concomitant injuries. Results : There were 820 fractures of the maxillofacial skeleton and 70 concomitant injuries from 543 patients. Road traffic accident (50.8%) was the most common aetiologic factor, followed by falls (22.3%) and fights (18.8%). The age range was from 3½ years to 67 years (mean=39.7) with a peak incidence in the 4 th decade (n=197, 36.3%) with a male–female sex ratio of 3.7:1. The most common location of maxillofacial fractures was the mandible 615(75%) and middle third 205(25%). There were 316(58.2%) isolated mandibular fracture, 124(22.8%) isolated middle third fractures and 65(12%) combined mandibular and middle third fractures. Majority of the patients were treated by closed reduction. Concomitant injuries were 8.5% with orthopaedic injuries accounting for the majority (67.10%). Conclusion : Maxillofacial fractures are on the increase. We advocate the establishment of regionalized trauma centers. Keywords : Maxillofacial, trauma, aetiology, concomitant Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 251-255
{"title":"An epidemiologic survey of maxillofacial fractures and concomitant injuries in Kaduna, Nigeria","authors":"S. Ajike, E. Adebayo, Eu Amanyiewe, C. Ononiwu","doi":"10.4314/NJSR.V7I3.12290","DOIUrl":"https://doi.org/10.4314/NJSR.V7I3.12290","url":null,"abstract":"Background : There is an upward trend in facial injuries following changes in population pattern, increasing industrialization and urbanization, hence maxillofacial trauma is becoming a burden and a leading medical problem in emergency rooms worldwide. Method : A retrospective study of patients with maxillofacial fractures seen and treated at the Oral and Maxillofacial Unit, Ahmadu Bello University Teaching Hospital, Kaduna, Nigeria between January 1993 to January 2003. Data extracted from the patients' records include aetiology, age, sex, types and sites of fractures, treatment modality and concomitant injuries. Results : There were 820 fractures of the maxillofacial skeleton and 70 concomitant injuries from 543 patients. Road traffic accident (50.8%) was the most common aetiologic factor, followed by falls (22.3%) and fights (18.8%). The age range was from 3½ years to 67 years (mean=39.7) with a peak incidence in the 4 th decade (n=197, 36.3%) with a male–female sex ratio of 3.7:1. The most common location of maxillofacial fractures was the mandible 615(75%) and middle third 205(25%). There were 316(58.2%) isolated mandibular fracture, 124(22.8%) isolated middle third fractures and 65(12%) combined mandibular and middle third fractures. Majority of the patients were treated by closed reduction. Concomitant injuries were 8.5% with orthopaedic injuries accounting for the majority (67.10%). Conclusion : Maxillofacial fractures are on the increase. We advocate the establishment of regionalized trauma centers. Keywords : Maxillofacial, trauma, aetiology, concomitant Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 251-255","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"1 1","pages":"251-255"},"PeriodicalIF":0.0,"publicationDate":"2006-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89059919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Septic sacroilitis is a rare complication of abortion. We present a 34 year old woman, who presented with three days history of pain in the right buttock, inability to walk and a large induration over the right sacro-illac joint. These followed spontaneous abortion at 21 weeks gestational age. Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 317-318
{"title":"Post abortal Staphylococcal sacroilitis: A case report","authors":"A. Adesiyun, M. Samaila, W. Kayode","doi":"10.4314/NJSR.V7I3.12306","DOIUrl":"https://doi.org/10.4314/NJSR.V7I3.12306","url":null,"abstract":"Septic sacroilitis is a rare complication of abortion. We present a 34 year old woman, who presented with three days history of pain in the right buttock, inability to walk and a large induration over the right sacro-illac joint. These followed spontaneous abortion at 21 weeks gestational age. Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 317-318","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"12 1","pages":"317-318"},"PeriodicalIF":0.0,"publicationDate":"2006-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85769376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim : To establish the prevalence of cutaneous malignancies in Zaria, Northern Nigeria. Method : This is a histopathological analysis of three hundred and eighty two cases of cutaneous malignancies seen and diagnosed in the department of Pathology, Ahmadu Bello University Teaching Hospital, Zaria from January 1991 to December 2000. The specimens were fixed in formalin, processed in paraffin wax and stained with haematoxylin and eosin. The slides were studied and the lesions were characterized. Results : Three hundred and eighty two cutaneous malignancies were analysed. The M: F ratio of all the tumours was 1.9:1.0. Nonmelanoma skin tumours were the commonest and accounted for 254 (66.8%). They comprised of squamous cell carcinoma 239 (62.9%), basal cell carcinoma 15 (3.9%) and malignant adnexal tumours which were the least common accounting for 2 (0.5%). Sarcomas accounted for 72(18.9%) and kaposi sarcoma 41(10.7%), was the commonest in this group. Malignant melanoma cases were 54 (14.1%). There were two peak age distributions in the 4th and 6th decades (63.6%) for all tumours. The lower limb was the prevalent site of distribution of all the tumours with sixty five percent cases. Conclusion : Cutaneous malignancies are common in our setting and the commonest was squamous cell carcinoma. Prompt and adequate treatment of chronic leg ulcers and burns injury as well as control of HIV infection should help to reduce the burden of these cancers. Keywords : cutaneous malignancy squamous cell carcinoma sarcomas Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 300-304
{"title":"A histopathological analysis of cutaneous malignancies in a tropical African population","authors":"M. Samaila, S. Adewuyi","doi":"10.4314/NJSR.V7I3.12302","DOIUrl":"https://doi.org/10.4314/NJSR.V7I3.12302","url":null,"abstract":"Aim : To establish the prevalence of cutaneous malignancies in Zaria, Northern Nigeria. Method : This is a histopathological analysis of three hundred and eighty two cases of cutaneous malignancies seen and diagnosed in the department of Pathology, Ahmadu Bello University Teaching Hospital, Zaria from January 1991 to December 2000. The specimens were fixed in formalin, processed in paraffin wax and stained with haematoxylin and eosin. The slides were studied and the lesions were characterized. Results : Three hundred and eighty two cutaneous malignancies were analysed. The M: F ratio of all the tumours was 1.9:1.0. Nonmelanoma skin tumours were the commonest and accounted for 254 (66.8%). They comprised of squamous cell carcinoma 239 (62.9%), basal cell carcinoma 15 (3.9%) and malignant adnexal tumours which were the least common accounting for 2 (0.5%). Sarcomas accounted for 72(18.9%) and kaposi sarcoma 41(10.7%), was the commonest in this group. Malignant melanoma cases were 54 (14.1%). There were two peak age distributions in the 4th and 6th decades (63.6%) for all tumours. The lower limb was the prevalent site of distribution of all the tumours with sixty five percent cases. Conclusion : Cutaneous malignancies are common in our setting and the commonest was squamous cell carcinoma. Prompt and adequate treatment of chronic leg ulcers and burns injury as well as control of HIV infection should help to reduce the burden of these cancers. Keywords : cutaneous malignancy squamous cell carcinoma sarcomas Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 300-304","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"37 1","pages":"300-304"},"PeriodicalIF":0.0,"publicationDate":"2006-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73526316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ipsilateral dislocation of the shoulder and elbow is uncommon. Shoulder dislocation is often misdiagnosed on admission. We report the case of an 31-year old male whose dislocations were both recognised at the initial examination. Diagnosis pitfalls, mechanism, and management of this rare injury are reviewed. Keywords : dislocation, elbow, ipsilateral Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 319-320
{"title":"Ipsilateral dislocation of the shoulder and elbow: A case report","authors":"J. Essoh, M. Kodo, A. Traoré, Y. Lambin","doi":"10.4314/NJSR.V7I3.12307","DOIUrl":"https://doi.org/10.4314/NJSR.V7I3.12307","url":null,"abstract":"Ipsilateral dislocation of the shoulder and elbow is uncommon. Shoulder dislocation is often misdiagnosed on admission. We report the case of an 31-year old male whose dislocations were both recognised at the initial examination. Diagnosis pitfalls, mechanism, and management of this rare injury are reviewed. Keywords : dislocation, elbow, ipsilateral Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 319-320","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"1 1","pages":"319-320"},"PeriodicalIF":0.0,"publicationDate":"2006-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89857985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective : to determine the efficacy of hydrodissection in the reduction of posterior capsule opacity. Methods : A non-randomised controlled comparative study carried out at the University College Hospital Ibadan between November 1999 and July 2004. 23 subjects with uncomplicated cataract who had cataract surgery using Extracapsular cataract surgery with out hydrodissection were compared to 33 subjects with similar cataracts who had surgery using hydrodissection. Results : A total of 56 subjects were included in the study comprising 33 subjects in the hydrodissection group (22 males, 11 females, age range 8-88, mean 59.7years). No-hydrodissection group (8 males and 15 females, age range 29-73, mean 60.8years). Early post op complications consisted of cornea striate (hydrodissection group 3%, non-hydrodissection group 34.7%), microcystic epithelial oedema (hydrodissection group78.8%, non-hydrodissection group 39.1%), iritis and irregular pupil. Late post operative complications consisted of cornea oedema 1 in each group, irregular pupil (16.3% more common in the hydrodissection group), and posterior capsule opacity (hydrodissection group 6.1%, and no-hydrodissection group 8.7%). The difference in posterior capsule opacity between the 2 groups was not statistically significant (P>0.05). Conclusion : Hydrodissection is associated with a marginal reduction in post-operative posterior capsule opacity formation following ECCE-IOL surgery. It may however be associated with early post operative complications presumably due to increased manipulation during the procedure. Its use is therefore encouraged but with generous use of viscoelastic material to reduce effect of manipulation on the eye. Keywords : hydrodissection, posterior capsule opacity, cataract extraction Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 278-280
{"title":"Hydro-dissection and posterior capsule opacifi","authors":"C. Bekibele, Al Musoro","doi":"10.4314/NJSR.V7I3.12296","DOIUrl":"https://doi.org/10.4314/NJSR.V7I3.12296","url":null,"abstract":"Objective : to determine the efficacy of hydrodissection in the reduction of posterior capsule opacity. Methods : A non-randomised controlled comparative study carried out at the University College Hospital Ibadan between November 1999 and July 2004. 23 subjects with uncomplicated cataract who had cataract surgery using Extracapsular cataract surgery with out hydrodissection were compared to 33 subjects with similar cataracts who had surgery using hydrodissection. Results : A total of 56 subjects were included in the study comprising 33 subjects in the hydrodissection group (22 males, 11 females, age range 8-88, mean 59.7years). No-hydrodissection group (8 males and 15 females, age range 29-73, mean 60.8years). Early post op complications consisted of cornea striate (hydrodissection group 3%, non-hydrodissection group 34.7%), microcystic epithelial oedema (hydrodissection group78.8%, non-hydrodissection group 39.1%), iritis and irregular pupil. Late post operative complications consisted of cornea oedema 1 in each group, irregular pupil (16.3% more common in the hydrodissection group), and posterior capsule opacity (hydrodissection group 6.1%, and no-hydrodissection group 8.7%). The difference in posterior capsule opacity between the 2 groups was not statistically significant (P>0.05). Conclusion : Hydrodissection is associated with a marginal reduction in post-operative posterior capsule opacity formation following ECCE-IOL surgery. It may however be associated with early post operative complications presumably due to increased manipulation during the procedure. Its use is therefore encouraged but with generous use of viscoelastic material to reduce effect of manipulation on the eye. Keywords : hydrodissection, posterior capsule opacity, cataract extraction Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 278-280","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"47 1","pages":"278-280"},"PeriodicalIF":0.0,"publicationDate":"2006-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89654380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：