Background Dermatofibrosarcoma protuberans (dfsp) is a rare tumour originating from the dermis, it is slow growing, nodular, polypoid neoplasm that invade the subcutaneous tissue and does not usually metastasis.Clinical presentation is not uniform and may mimic common tropical benign skin lesions.We intend to study the behaviour of this tumour in our environment . Materails and method . A Clinicopathologic study of 36 cases of histologically diagnosed Dermatofibrosarcoma protuberans in University Maiduguri Teaching Hospital was carried out.DFSP constitutes 3.05% of all cases of all cancers and 10.2 % of all skin cancers. The peak age incidence was the 4th and 6th decades with a median age 37.6 years. The males to female ratio was 2:1. The commonest site was the trunk 17(48.8%), followed by the lower limbs 8 (22.9%); upper limbs 6(17.1%); head and neck 3(8.6%) and buttock 1(2.9%) were not frequently affected.. Conclsusion : DFSP is a common lesion in our environment that warrants proper clinical assessment, and histological characterisation.
{"title":"A clinicopathological study of Dermatofibrosarcoma Protuberans in Maiduguri, Northeastern Nigeria","authors":"H. Nggada, B. Gali, H. Na'aya","doi":"10.4314/NJSR.V8I1.54839","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54839","url":null,"abstract":"Background Dermatofibrosarcoma protuberans (dfsp) is a rare tumour originating from the dermis, it is slow growing, nodular, polypoid neoplasm that invade the subcutaneous tissue and does not usually metastasis.Clinical presentation is not uniform and may mimic common tropical benign skin lesions.We intend to study the behaviour of this tumour in our environment . Materails and method . A Clinicopathologic study of 36 cases of histologically diagnosed Dermatofibrosarcoma protuberans in University Maiduguri Teaching Hospital was carried out.DFSP constitutes 3.05% of all cases of all cancers and 10.2 % of all skin cancers. The peak age incidence was the 4th and 6th decades with a median age 37.6 years. The males to female ratio was 2:1. The commonest site was the trunk 17(48.8%), followed by the lower limbs 8 (22.9%); upper limbs 6(17.1%); head and neck 3(8.6%) and buttock 1(2.9%) were not frequently affected.. Conclsusion : DFSP is a common lesion in our environment that warrants proper clinical assessment, and histological characterisation.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84732940","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}
Intra -abdominal infection continues to defy advances in surgical care with considerable mortality. It is characterized by a spectrum of presentations of varying disease severity. The need to ensure standards for comparing studies and antibiotic trials on intraabdominal infection led to the emergence of several scoring systems. There is paucity of information on this subject in local literature, even though a Nigerian scientist pioneered one of the earliest stratification systems. This is a review of literature on one of the scoring systems that has made an impact in the standardization of intraabdominal sepsis:the APACHE II scoring system. This study will review the genesis, bedside application, uses, limitations and alternatives as a scoring system for intraabdominal infection. Over two decades of use, it is simple and continues to be a reliable indicator of severity of intraabdominal infection.
{"title":"Assessing the severity of intraabdominal Infections; the value of APACHE II Scoring System","authors":"A. Ukwenya, Ilyas Muhammad, P. T. Nmadu","doi":"10.4314/NJSR.V8I1.54851","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54851","url":null,"abstract":"Intra -abdominal infection continues to defy advances in surgical care with considerable mortality. It is characterized by a spectrum of presentations of varying disease severity. The need to ensure standards for comparing studies and antibiotic trials on intraabdominal infection led to the emergence of several scoring systems. There is paucity of information on this subject in local literature, even though a Nigerian scientist pioneered one of the earliest stratification systems. This is a review of literature on one of the scoring systems that has made an impact in the standardization of intraabdominal sepsis:the APACHE II scoring system. This study will review the genesis, bedside application, uses, limitations and alternatives as a scoring system for intraabdominal infection. Over two decades of use, it is simple and continues to be a reliable indicator of severity of intraabdominal infection.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84189682","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}
N. Dakum, V. Ramyil, M. Misauno, E. Ojo, E. I. Ogwuche, A. Sani
Objective : The numerous economic and social benefits associated with the practice of day care surgery could be eroded by frequent cancellations. We therefore determined the reasons for such cancellations in a tertiary care centre in Nigeria. Patients and Methods : This was a prospective study of all consecutive urologic day cases seen at Jos University Teaching hospital, Nigeria from January 2003 to December 2004. Results : A total of 270 patients were seen during the study period with ages from 2 weeks to 100 years (median 55 years) and male to female ratio of 14:1. The procedures carried out were mainly urethroscopy /urethrocystoscopy in 103 (38.2%) patients, visual internal urethrotomy in 48 (17.8%) and trucut prostatic biopsy in 33 (12.2%) patients. Sixteen (5.9%), 16(5.9%), 9(3.3%) and 8(3.0%) patients had examination under anaesthesia / bladder biopsy for suspected bladder carcinoma, urethral dilatation, testicular biopsy and total orchidectomy for carcinoma of the prostate respectively. There was a cancellation rate of 15.6% (n=42) mainly due to the inability of the patients to come (24 patients, 57.1%), inadequate materials in the theatre (9 patients, 21.4%), power failure (4 patients, 9.5%), strike action (3 patients, 7.1%) and financial difficulties (2 patients, 4.8%). Conclusion : We are still faced with a high cancellation rate of urologic day cases and these are mainly due to avoidable reasons. Patient as well as physician education and provision of adequate materials and infrastructural development are recommended to reduce these; so as to gain maximally from urologic day surgery practice.
{"title":"Reasons for cancellations of urologic day care surgery","authors":"N. Dakum, V. Ramyil, M. Misauno, E. Ojo, E. I. Ogwuche, A. Sani","doi":"10.4314/NJSR.V8I1.54812","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54812","url":null,"abstract":"Objective : The numerous economic and social benefits associated with the practice of day care surgery could be eroded by frequent cancellations. We therefore determined the reasons for such cancellations in a tertiary care centre in Nigeria. Patients and Methods : This was a prospective study of all consecutive urologic day cases seen at Jos University Teaching hospital, Nigeria from January 2003 to December 2004. Results : A total of 270 patients were seen during the study period with ages from 2 weeks to 100 years (median 55 years) and male to female ratio of 14:1. The procedures carried out were mainly urethroscopy /urethrocystoscopy in 103 (38.2%) patients, visual internal urethrotomy in 48 (17.8%) and trucut prostatic biopsy in 33 (12.2%) patients. Sixteen (5.9%), 16(5.9%), 9(3.3%) and 8(3.0%) patients had examination under anaesthesia / bladder biopsy for suspected bladder carcinoma, urethral dilatation, testicular biopsy and total orchidectomy for carcinoma of the prostate respectively. There was a cancellation rate of 15.6% (n=42) mainly due to the inability of the patients to come (24 patients, 57.1%), inadequate materials in the theatre (9 patients, 21.4%), power failure (4 patients, 9.5%), strike action (3 patients, 7.1%) and financial difficulties (2 patients, 4.8%). Conclusion : We are still faced with a high cancellation rate of urologic day cases and these are mainly due to avoidable reasons. Patient as well as physician education and provision of adequate materials and infrastructural development are recommended to reduce these; so as to gain maximally from urologic day surgery practice.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86702949","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}
B. Kaan, A. İnan, M. Saçar, A. Güler, M. Us, A. Yilmaz
{"title":"Výdeoendoscopýc retroperýtoneal lumbar sympathectomy for selected cases: a new technýque","authors":"B. Kaan, A. İnan, M. Saçar, A. Güler, M. Us, A. Yilmaz","doi":"10.4314/NJSR.V8I1.54847","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54847","url":null,"abstract":"","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79022831","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 : Some studies have described the pattern of limb fractures and dislocation in Nigeria. However, with recent increase in vehicle and motorbike transport, we aimed to describe the pattern to note any differences from previous reports. METHODS : This was a retrospective study of all patients with accidental fractures and dislocations treated at the Federal Medical Centre Owerri between January 2000 and December 2003. RESULTS : A change in the major causative factors was observed as Road Traffic Accident (RTA) is now the major cause of injuries accounting for 72 percent of all cases. Fall from height was previously the major cause. In adults the tibia was the most frequently fractured bone accounting for 28.9 percent of all fractures while the femur was mostly involved in children accounting for 35 percent of all fractures. Again, different from previous reports lower limb fractures occurred in over 70 percent of cases while upper limb fractures accounted for only 20 percent. CONCLUSION : There is a major change in both the causative factors and pattern of fractures among accident victims in Nigeria.
{"title":"The anatomic pattern of fractures and dislocations among accident victims in Owerri, Nigeria","authors":"I. Okoro, C. Ohadugha","doi":"10.4314/NJSR.V8I1.54821","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54821","url":null,"abstract":"BACKGROUND : Some studies have described the pattern of limb fractures and dislocation in Nigeria. However, with recent increase in vehicle and motorbike transport, we aimed to describe the pattern to note any differences from previous reports. METHODS : This was a retrospective study of all patients with accidental fractures and dislocations treated at the Federal Medical Centre Owerri between January 2000 and December 2003. RESULTS : A change in the major causative factors was observed as Road Traffic Accident (RTA) is now the major cause of injuries accounting for 72 percent of all cases. Fall from height was previously the major cause. In adults the tibia was the most frequently fractured bone accounting for 28.9 percent of all fractures while the femur was mostly involved in children accounting for 35 percent of all fractures. Again, different from previous reports lower limb fractures occurred in over 70 percent of cases while upper limb fractures accounted for only 20 percent. CONCLUSION : There is a major change in both the causative factors and pattern of fractures among accident victims in Nigeria.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73649609","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 : 2010-05-28DOI: 10.4314/NJSR.V8I3-4.54884
I. Ntia, I. Mungadi
Background :Island flap techniques currently used in urethroplasty utilize the prepuce and the dorsal penile skin. Our experience with a one-stage island flap urethroplasty for urethral strictures utilizing the ventral penile skin is described. Patients and Method : This is a longitudinal study of seventy six consecutive patients with impassable and complicated urethral strictures treated using this technique over a seven-year period. Sixty were bulbous while sixteen were bulbomembranous urethral strictures. Following operation the patients were assessed using urine flow rates, urethrograms and some urethroscopy. Restrictures were successfully reoperated. Results : Sixty-eight patients (89.5%) had satisfactory voiding with good urine stream without complication at one year after operation. Five patients (6.6%) had restricture and three (3.9%) others had urethral bagginess and postmicturition dribbling. The overall complication rate was 10.5%. At three years after initial operation and reoperation seventy-five patients (98.7%) were voiding satisfactorily. There was one complete failure, no death. Conclusion : This technique has produced satisfactory results compared with other similar techniques in current use. Further work is required to make valid conclusions about the value of this procedure.
{"title":"Experience With Ventral Penile Skin Island Flap urethroplasty","authors":"I. Ntia, I. Mungadi","doi":"10.4314/NJSR.V8I3-4.54884","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54884","url":null,"abstract":"Background :Island flap techniques currently used in urethroplasty utilize the prepuce and the dorsal penile skin. Our experience with a one-stage island flap urethroplasty for urethral strictures utilizing the ventral penile skin is described. Patients and Method : This is a longitudinal study of seventy six consecutive patients with impassable and complicated urethral strictures treated using this technique over a seven-year period. Sixty were bulbous while sixteen were bulbomembranous urethral strictures. Following operation the patients were assessed using urine flow rates, urethrograms and some urethroscopy. Restrictures were successfully reoperated. Results : Sixty-eight patients (89.5%) had satisfactory voiding with good urine stream without complication at one year after operation. Five patients (6.6%) had restricture and three (3.9%) others had urethral bagginess and postmicturition dribbling. The overall complication rate was 10.5%. At three years after initial operation and reoperation seventy-five patients (98.7%) were voiding satisfactorily. There was one complete failure, no death. Conclusion : This technique has produced satisfactory results compared with other similar techniques in current use. Further work is required to make valid conclusions about the value of this procedure.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73849352","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 : 2010-05-28DOI: 10.4314/NJSR.V8I3-4.54889
D. Irabor
Introduction Fiberoptic colonoscoscopy is about 43 years old now. Improvement in instruments led rapidly to wide acceptance of colonoscopy in diagnosis and therapy of colorectal diseases. The diagnosis of benign and malignant neoplasms was revolutionized by colonoscopy. Flexible fiberoptic endoscopes have now replaced rigid endoscopes because of the enhanced safety, ease of application and ability to link to a monitor (videoscopes) so that the patient may even follow the procedure. The use of these flexible fiberoptic endoscopes for both upper and lower gastrointestinal tract examinations started in the University College Hospital Ibadan as far back as 1986; however most of these examinations were carried out by the physicians of the gastroenterology unit. From 1989 to 1990 some sporadic endoscopic examinations were done by one surgeon, but when he left the service surgical endoscopy was done by the medical gastroenterologists. Recently, the hospital acquired new scopes available for gastrointestinal surgeons, medical gastroenterologists, pulmonologists, otorhinolaryngologists and thoracic surgeons. Surgical endoscopy is now done in the Division of Surgical Gastroenterology routinely . This is a preliminary report of our experience with surgical upper and lower gastrointestinal endoscopies in the University College Hospital Ibadan, Nigeria.
{"title":"Surgical gastrointestinal endoscopy in Ibadan, Nigeria","authors":"D. Irabor","doi":"10.4314/NJSR.V8I3-4.54889","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54889","url":null,"abstract":"Introduction Fiberoptic colonoscoscopy is about 43 years old now. Improvement in instruments led rapidly to wide acceptance of colonoscopy in diagnosis and therapy of colorectal diseases. The diagnosis of benign and malignant neoplasms was revolutionized by colonoscopy. Flexible fiberoptic endoscopes have now replaced rigid endoscopes because of the enhanced safety, ease of application and ability to link to a monitor (videoscopes) so that the patient may even follow the procedure. The use of these flexible fiberoptic endoscopes for both upper and lower gastrointestinal tract examinations started in the University College Hospital Ibadan as far back as 1986; however most of these examinations were carried out by the physicians of the gastroenterology unit. From 1989 to 1990 some sporadic endoscopic examinations were done by one surgeon, but when he left the service surgical endoscopy was done by the medical gastroenterologists. Recently, the hospital acquired new scopes available for gastrointestinal surgeons, medical gastroenterologists, pulmonologists, otorhinolaryngologists and thoracic surgeons. Surgical endoscopy is now done in the Division of Surgical Gastroenterology routinely . This is a preliminary report of our experience with surgical upper and lower gastrointestinal endoscopies in the University College Hospital Ibadan, Nigeria.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75997350","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 : 2010-05-28DOI: 10.4314/NJSR.V8I3-4.54870
M. Asuku, Ds Adeola, A. Obiadazie, C. Ononiwu
A retrospective series of thirty-six cases of human bites to the face with tissue losses requiring reconstruction during a five-year period, January 1999 to December 2003 is presented. The unmarried female in her third decade dominated both as victim and assailant in incidences related to love affairs and love gone sour. The middle third of the lower lip was the most commonly bitten part with a majority of these presenting early. Copious larvage under broad-spectrum systemic antibiotic cover as well as anti-tetanus regimen allowed delayed primary repair in the first week of injury in a majority of the patients. Our reconstructive armamentarium included V-excisions and closure for lip defects, the superiorly based naso-labial flap for nasal ala defects and the retro-auricular tubed flap for helical rim and ear-lobe defects. Outcome was generally satisfactory though a longer follow-up data is desirable. Experience with hypertrophic scarring and keloid formation in our patient population continues to be a major factor in the choice of reconstructive techniques in our regional practice.
{"title":"Human Bites of the Face with Tissue Losses in Cosmopolitan Northern Nigeria","authors":"M. Asuku, Ds Adeola, A. Obiadazie, C. Ononiwu","doi":"10.4314/NJSR.V8I3-4.54870","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54870","url":null,"abstract":"A retrospective series of thirty-six cases of human bites to the face with tissue losses requiring reconstruction during a five-year period, January 1999 to December 2003 is presented. The unmarried female in her third decade dominated both as victim and assailant in incidences related to love affairs and love gone sour. The middle third of the lower lip was the most commonly bitten part with a majority of these presenting early. Copious larvage under broad-spectrum systemic antibiotic cover as well as anti-tetanus regimen allowed delayed primary repair in the first week of injury in a majority of the patients. Our reconstructive armamentarium included V-excisions and closure for lip defects, the superiorly based naso-labial flap for nasal ala defects and the retro-auricular tubed flap for helical rim and ear-lobe defects. Outcome was generally satisfactory though a longer follow-up data is desirable. Experience with hypertrophic scarring and keloid formation in our patient population continues to be a major factor in the choice of reconstructive techniques in our regional practice.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"123 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80386819","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 -In many patients presenting with an acute surgical abdomen, the outcome of management is determined by the promptness of the appropriate surgical intervention. The average interval the patient has to spent waiting for treatment at first presentation to hospital with an acute abdominal emergency is unknown in our center. This study was designed to evaluate the waiting time between hospital presentation and operation,to highlight causes of the delay and outcome of treatment among patients admitted with emergency abdominal events in a Nigerian tertiary health Centre. Method - This is a prospective study of all consecutive patients with the clinical diagnosis of acute surgical abdomen admitted over an 8- month period [March to October 2005] into the surgical services of Usmanu Danfodiyo University Teaching Hospital [UDUTH], Sokoto. Results - One hundred and thirty six patients were studied. There were 95 males and 41 females aged between 3-days and 75 years [median age 25 years]. The waiting time ranged between 4 to 180 hours [> 7 days]; with a mean of 44 hours. Only 13(9.6%) of the patients were operated within 6-hours of hospital admission, considered prompt treatment. Operations after six hours in 123 others was due to several reasons but the commonest reason in [65.4%] was financial constraint. The commonest complication responsible for significant morbidity was wound infection in 31 (22.8%) patients, the majority of whom had delayed surgical operation (n=23/31). Twenty-eight (20.6%) patients died in this study. All but one were from the group operated beyond 6-hours of hospital presentation. Conclusion : The adverse consequences of prolonged waiting time in our center among patients admitted with acute surgical abdomen are most commonly due to financial difficulties. A hospital-based credit scheme available to emergency aptients will rapidly improve the quality of care we give our patients.
{"title":"Waiting time among acute abdominal emergencies in a Nigerian teaching hospital: causes of delay and consequences","authors":"N. Mbah, W. Opara, N. Agwu","doi":"10.4314/NJSR.V8I1.54835","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54835","url":null,"abstract":"Background -In many patients presenting with an acute surgical abdomen, the outcome of management is determined by the promptness of the appropriate surgical intervention. The average interval the patient has to spent waiting for treatment at first presentation to hospital with an acute abdominal emergency is unknown in our center. This study was designed to evaluate the waiting time between hospital presentation and operation,to highlight causes of the delay and outcome of treatment among patients admitted with emergency abdominal events in a Nigerian tertiary health Centre. Method - This is a prospective study of all consecutive patients with the clinical diagnosis of acute surgical abdomen admitted over an 8- month period [March to October 2005] into the surgical services of Usmanu Danfodiyo University Teaching Hospital [UDUTH], Sokoto. Results - One hundred and thirty six patients were studied. There were 95 males and 41 females aged between 3-days and 75 years [median age 25 years]. The waiting time ranged between 4 to 180 hours [> 7 days]; with a mean of 44 hours. Only 13(9.6%) of the patients were operated within 6-hours of hospital admission, considered prompt treatment. Operations after six hours in 123 others was due to several reasons but the commonest reason in [65.4%] was financial constraint. The commonest complication responsible for significant morbidity was wound infection in 31 (22.8%) patients, the majority of whom had delayed surgical operation (n=23/31). Twenty-eight (20.6%) patients died in this study. All but one were from the group operated beyond 6-hours of hospital presentation. Conclusion : The adverse consequences of prolonged waiting time in our center among patients admitted with acute surgical abdomen are most commonly due to financial difficulties. A hospital-based credit scheme available to emergency aptients will rapidly improve the quality of care we give our patients.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77690781","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}
In our a study a giant wide–necked vertebrobasilar junction aneurysms previously treated with endovascular detachable coils is followed up meticulously.The outcome was satisfactory A 52 year old man presented with 2 year history of headache and was diagnosed as partially thrombosed giant aneurysm at the vertebrobasilar junction on cerebral angiographic examination. The patient underwent coil embolization by inserting a detachable and hydrogel coated coils successfully. He became symptom free after embolization on the next day. But 16 months later he was readmitted with a reccurrent episode of headache. Subsequent cerebral angiography revealed a new baby aneurysm formation at the same level near by the neck of the previous aneurysm. Although giant vertebrobasilar junction aneurysm seems to be successfully blocked off initially, it should be remembered long- term follow-up as 1,5-2 years is required to further validate the importance of coil embolization technique.
{"title":"The optimum radiographic follow-up of a giant vertebrobasilar junction aneurysm which treated with endovascular coil embolization","authors":"Lc Sahika, Eu Mehmet, S. Karaköse","doi":"10.4314/NJSR.V8I1.54848","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54848","url":null,"abstract":"In our a study a giant wide–necked vertebrobasilar junction\u0000aneurysms previously treated with endovascular detachable coils is\u0000followed up meticulously.The outcome was satisfactory A 52 year old man\u0000presented with 2 year history of headache and was diagnosed as\u0000partially thrombosed giant aneurysm at the vertebrobasilar junction on\u0000cerebral angiographic examination. The patient underwent coil\u0000embolization by inserting a detachable and hydrogel coated coils\u0000successfully. He became symptom free after embolization on the next\u0000day. But 16 months later he was readmitted with a reccurrent episode of\u0000headache. Subsequent cerebral angiography revealed a new baby aneurysm\u0000formation at the same level near by the neck of the previous aneurysm.\u0000Although giant vertebrobasilar junction aneurysm seems to be\u0000successfully blocked off initially, it should be remembered long- term\u0000follow-up as 1,5-2 years is required to further validate the importance\u0000of coil embolization technique.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82367978","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}
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