Pub Date : 2010-05-28DOI: 10.4314/NJSR.V8I3-4.54882
G. Rahman, I. Adigun, I. Yusuf, C. Ofoegbu
Background Many sophisticated dressings are available to the wound care practitioner in the developed countries. These materials are made from a wide range of products like polyurethane, salts of alginic acid and other gelable polysaccharides. The situation is different in the developing countries where what is commonly available to wound care provider are traditional agents such as sodium hypochlorite, hydrogen-peroxide, cetrimide solution, chlorhexidine and others. The aim of this study is to reappraise the problem of limitation of wound dressing selection in the developing countries and to sensitize the wound care practitioner on the use of the commonly available products based on the needs of a different wound or even the same wound throughout its healing course. Patients and methods Patients attending the General Outpatient Department (GOPD) of our hospital for wound dressing were used for the study. Five surgeons who are familiar with wound care management visited the dressing unit of the GOPD daily for one week in October 2005. A proforma was designed where information on each of the patient was recorded. Results Fifty-three patients attended the dressing unit of our GOPD during the study period. Twenty-six patients (49.1%) had their wounds dressed with hypochlorite solution (Eusol), seventeen patients (32.1%) had their wounds dressed with honey and two patients, wound were being dressed with hydrogen peroxide. Conclusion While we are still awaiting the availability of the newer products in the developing countries, we should make use of the traditional products that are readily available to us according to the need of a particular wound, by this, our choice of wound dressing will not be arbitrary, ineffective and wasteful both in terms of time and physical resources.
{"title":"Wound dressing where there is limitation of choice","authors":"G. Rahman, I. Adigun, I. Yusuf, C. Ofoegbu","doi":"10.4314/NJSR.V8I3-4.54882","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54882","url":null,"abstract":"Background Many sophisticated dressings are available to the wound care practitioner in the developed countries. These materials are made from a wide range of products like polyurethane, salts of alginic acid and other gelable polysaccharides. The situation is different in the developing countries where what is commonly available to wound care provider are traditional agents such as sodium hypochlorite, hydrogen-peroxide, cetrimide solution, chlorhexidine and others. The aim of this study is to reappraise the problem of limitation of wound dressing selection in the developing countries and to sensitize the wound care practitioner on the use of the commonly available products based on the needs of a different wound or even the same wound throughout its healing course. Patients and methods Patients attending the General Outpatient Department (GOPD) of our hospital for wound dressing were used for the study. Five surgeons who are familiar with wound care management visited the dressing unit of the GOPD daily for one week in October 2005. A proforma was designed where information on each of the patient was recorded. Results Fifty-three patients attended the dressing unit of our GOPD during the study period. Twenty-six patients (49.1%) had their wounds dressed with hypochlorite solution (Eusol), seventeen patients (32.1%) had their wounds dressed with honey and two patients, wound were being dressed with hydrogen peroxide. Conclusion While we are still awaiting the availability of the newer products in the developing countries, we should make use of the traditional products that are readily available to us according to the need of a particular wound, by this, our choice of wound dressing will not be arbitrary, ineffective and wasteful both in terms of time and physical resources.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84953358","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.V8I3-4.54875
E. Adebayo, S. Ajike, A. Adebola, E. O. Adekeye
Background : Soft tissue sarcomas (STS) are not common and account for less than 1% of all malignancies in the maxillofacial region. These tumours are under reported in Africa South of the Sahara in current literature. This report is a review of our experience with STS over a 23 year period at a busy Tertiary Oral care centre in Kaduna, Northern Nigeria. Methods : Patients presenting to the Maxillofacial Unit, of the Ahmadu Bello University Teaching Hospital, Kaduna, with oral and maxillofacial malignancies between the years 1977 and 1999 were retrospectively studied. Soft tissue sarcomas were studied. Demographic features, clinical presentation, treatment options , outcome and histologic variants were studied. Results : There were 38( median 28 years). There were more adults (79%) than children (21%). There were eleven histologic types but the more frequent ones were rhabdomyosarcoma (10/38,(), fibrosarcoma (10/38 (26%), liposarcoma ( 5/38 (13%) and malignant fibrous histiocytoma (5/38(13%) . Site of primary occurrence was mainly the mandible (32%), palate (21%) and cheek (18%). Surgery was the mainstay of treatment 28/38 (74%) while 10/38(26%) patients had no active treatment. Conclusion : Most patients present late with difficult deforming tumours. We can blame patients knowledge, Socio-economic
{"title":"Oral and Maxillo-facial soft tissue sarcomas in an Africa population","authors":"E. Adebayo, S. Ajike, A. Adebola, E. O. Adekeye","doi":"10.4314/NJSR.V8I3-4.54875","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54875","url":null,"abstract":"Background : Soft tissue sarcomas (STS) are not common and account for less than 1% of all malignancies in the maxillofacial region. These tumours are under reported in Africa South of the Sahara in current literature. This report is a review of our experience with STS over a 23 year period at a busy Tertiary Oral care centre in Kaduna, Northern Nigeria. Methods : Patients presenting to the Maxillofacial Unit, of the Ahmadu Bello University Teaching Hospital, Kaduna, with oral and maxillofacial malignancies between the years 1977 and 1999 were retrospectively studied. Soft tissue sarcomas were studied. Demographic features, clinical presentation, treatment options , outcome and histologic variants were studied. Results : There were 38( median 28 years). There were more adults (79%) than children (21%). There were eleven histologic types but the more frequent ones were rhabdomyosarcoma (10/38,(), fibrosarcoma (10/38 (26%), liposarcoma ( 5/38 (13%) and malignant fibrous histiocytoma (5/38(13%) . Site of primary occurrence was mainly the mandible (32%), palate (21%) and cheek (18%). Surgery was the mainstay of treatment 28/38 (74%) while 10/38(26%) patients had no active treatment. Conclusion : Most patients present late with difficult deforming tumours. We can blame patients knowledge, Socio-economic","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80796335","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 : - Eye injuries are becoming relatively important, not only as a cause of presentation but also a cause for admission at health centres in Nigeria. In view of this trend being observed and the fact that most eye injuries requiring hospital admission may give rise to grave ocular consequences. This study set out to highlight the pattern of eye injuries admitted into the eye ward of a Nigerian Teaching Hospital over one year. This is with a view to providing suitable protocols in the management and prevention of such injuries and their attendant ocular complications. MATERIALS AND METHODS : - A retrospective study of all cases of eye injury admitted into the eye ward of the University of Nigeria Teaching Hospital, Enugu, Nigeria in the year 2003 was conducted. All the hospital records of such cases were studied. RESULTS : - Eye trauma constituted 15.95% of 257 admissions. Males comprised 78%, and children comprised 22%. The commonest agents of injury were gunshot pellets, glass, metal and wood pieces. Activities implicated commonly were assault/combat, agricultural/artisan work-related accidents and road traffic accidents. A variety of sight threatening complications were noted in these subjects. Visual acuity on presentation ranged between 6/12 and no light perception (NPL). After treatment, approximately 80% of the injured eyes were blind. CONCLUSION : - Eye injuries requiring hospitalisation in Nigeria are not only common, but also severe. Safety measures and health education campaigns should help reduce this public health problem.
{"title":"Eye injury requiring hospitalisation in Enugu Nigeria: A one-year survey","authors":"O. Okoye","doi":"10.4314/NJSR.V8I1.54813","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54813","url":null,"abstract":"BACKGROUND : - Eye injuries are becoming relatively important, not only as a cause of presentation but also a cause for admission at health centres in Nigeria. In view of this trend being observed and the fact that most eye injuries requiring hospital admission may give rise to grave ocular consequences. This study set out to highlight the pattern of eye injuries admitted into the eye ward of a Nigerian Teaching Hospital over one year. This is with a view to providing suitable protocols in the management and prevention of such injuries and their attendant ocular complications. MATERIALS AND METHODS : - A retrospective study of all cases of eye injury admitted into the eye ward of the University of Nigeria Teaching Hospital, Enugu, Nigeria in the year 2003 was conducted. All the hospital records of such cases were studied. RESULTS : - Eye trauma constituted 15.95% of 257 admissions. Males comprised 78%, and children comprised 22%. The commonest agents of injury were gunshot pellets, glass, metal and wood pieces. Activities implicated commonly were assault/combat, agricultural/artisan work-related accidents and road traffic accidents. A variety of sight threatening complications were noted in these subjects. Visual acuity on presentation ranged between 6/12 and no light perception (NPL). After treatment, approximately 80% of the injured eyes were blind. CONCLUSION : - Eye injuries requiring hospitalisation in Nigeria are not only common, but also severe. Safety measures and health education campaigns should help reduce this public health problem.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"57 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85453057","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.V8I3-4.54879
K. Soro, A. Coulibaly, P. Yapo, G. Koffi, S. Ehua, M. Kanga
The authors relate on the outcomes of traumatic diaphragmatic injuries unknown early. The files of three patients have been reviewed retrospectively. All of them presented early undiagnosed injuries. The first patient had a left diaphragmatic injury consecutive to a stab wound to the left hypochondrium. The diagnosis was made 18 days later. He died 2 days after operation because of septicaemia. The second patient presented a colonic strangulation through a left diaphragmatic rupture consecutive to a stab wound three years before. A resection and anastomosis to the colon was performed. The patient left the hospital with a definitive pachypleuritis. The third patient was admitted for blunt trauma to the chest with dyspnoea. The chest X-ray showed the diaphragmatic rupture. The peri- operative exploration showed an old rupture with fibrosis banks. The lesion had been respected. The outcomes of early missed traumatic diaphragmatic rupture are various. Their treatment is sometime difficult and dangerous.
{"title":"Outcome of undiagnosed traumatic diaphragmatic injuries: A review of our management","authors":"K. Soro, A. Coulibaly, P. Yapo, G. Koffi, S. Ehua, M. Kanga","doi":"10.4314/NJSR.V8I3-4.54879","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54879","url":null,"abstract":"The authors relate on the outcomes of traumatic diaphragmatic injuries unknown early. The files of three patients have been reviewed retrospectively. All of them presented early undiagnosed injuries. The first patient had a left diaphragmatic injury consecutive to a stab wound to the left hypochondrium. The diagnosis was made 18 days later. He died 2 days after operation because of septicaemia. The second patient presented a colonic strangulation through a left diaphragmatic rupture consecutive to a stab wound three years before. A resection and anastomosis to the colon was performed. The patient left the hospital with a definitive pachypleuritis. The third patient was admitted for blunt trauma to the chest with dyspnoea. The chest X-ray showed the diaphragmatic rupture. The peri- operative exploration showed an old rupture with fibrosis banks. The lesion had been respected. The outcomes of early missed traumatic diaphragmatic rupture are various. Their treatment is sometime difficult and dangerous.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86979571","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 :Urethral mucosa prolapse before menarche and so in the child is an uncommon entity that affects the distal urethra and is rarely diagnosed. It is associated with significant morbidity and there is a danger of urethral loss if appropriate treatment is not initiated promptly. We have reviewed our experience managing these children over a ten year period. Results :All the patients were native African girls with ages 3-9 years and an average age of 5.3 years. The clinical presentation was i. genital bleeding 75%, ii,genital swelling 25% and iii painful micturition in 41% of cases. Two (16%) of the 12 patients, had had some form of female genital mutilation. Of the 9 patients that had urine culture in their preoperative evaluation, 4 (44.5%) of them had their urine culture positive for bacterial growth. Sitz bath was the only form of non surgical treatment offered to 3 (25%) patients. The 12 patients had surgical excision of the prolapsed mucosa; 7 (58%) patients had four quadrant excisional technique, 4 (33%) and 1 (8%) patient(s) had excision without a catheter insitu and excision with a catheter insitu respectively. Post operative urinary retention occurred in one patient. There was no case of recurrence during the 6 months follow-up period. Conclusion :Though a rare condition, surgical management of premenarcheal urethral mucosa prolapse is associated with good outcome.
{"title":"Childhood urethral mucosa prolapse: outcome of surgical treatment","authors":"A. Adesiyun, M. Samaila","doi":"10.4314/NJSR.V8I1.54827","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54827","url":null,"abstract":"Background :Urethral mucosa prolapse before menarche and so in the child is an uncommon entity that affects the distal urethra and is rarely diagnosed. It is associated with significant morbidity and there is a danger of urethral loss if appropriate treatment is not initiated promptly. We have reviewed our experience managing these children over a ten year period. Results :All the patients were native African girls with ages 3-9 years and an average age of 5.3 years. The clinical presentation was i. genital bleeding 75%, ii,genital swelling 25% and iii painful micturition in 41% of cases. Two (16%) of the 12 patients, had had some form of female genital mutilation. Of the 9 patients that had urine culture in their preoperative evaluation, 4 (44.5%) of them had their urine culture positive for bacterial growth. Sitz bath was the only form of non surgical treatment offered to 3 (25%) patients. The 12 patients had surgical excision of the prolapsed mucosa; 7 (58%) patients had four quadrant excisional technique, 4 (33%) and 1 (8%) patient(s) had excision without a catheter insitu and excision with a catheter insitu respectively. Post operative urinary retention occurred in one patient. There was no case of recurrence during the 6 months follow-up period. Conclusion :Though a rare condition, surgical management of premenarcheal urethral mucosa prolapse is associated with good outcome.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74852060","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 : This hospital based study was designed to elucidate the outcome of Traditional Bone Setting (TBS) practice in four states of the middle belt of Nigeria, via complications presenting in select hospitals. Methods : A combination of retrospective and prospective study of complications arising from traditional bone setting in Plateau and Nasarawa States and southern parts of the Kaduna and Bauchi States was undertaken. Results : Fifteen patients were retrospectively studied in the one year period between December 1999 and November 2000 inclusive, while seventy-six patients were recruited into a 1 year prospective study (January 2001 to December 2001). There were sixty-nine males and twenty-two females giving a male: female ratio of 3.1:1. The most frequently encountered patients were children in the first decade of life (34.1%), while the 3rd and 4th decades accounted for 20.9% and 18.7% respectively. 61.5% of the study population were residents in Jos, Plateau State, and 19.8% were admitted from Nasarawa State. 12.1% came from Kaduna State while 6.6% were recruited from Bauchi State. The study population cut across all social strata with a preponderance of illiterates, children and primary school certificate holders. The presenting injuries clustered around femur, tibia and fibula, humerus and forearm with 19.61 each. These were followed by dislocations of hip, elbow and shoulders (15.2%). The presentation of complications included non union (13.1%), mal union (21.5%), volkman’s ischaemic contractures and compartment syndrome (8.4%), infections (24.4%), stiffness/ankylosis (15.9%) and gangrene (8.4%) among others. Eight two orthopaedic interventions were carried out ranging from minor procedures to open reduction and internal fixations (15.9%), amputations (7.3%) and arthroplasties (4.9%). Five portalities were recorded giving a mortality rate of (5.5%). Conclusion : 91 complications with 5 mortalities, largely avoidable in two years calls for a serious look at traditional bone setting practice in the Middle Belt of Nigeria. We recommend that other zones undertake similar studies so that a national picture would emerge and policy dialogue initiated.
{"title":"Outcome of traditional bone setting in the Middle belt of Nigeria","authors":"H. Nwadiaro, P. Nwadiaro, A. Kidmas, K. Ozoilo","doi":"10.4314/NJSR.V8I1.54817","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54817","url":null,"abstract":"Background : This hospital based study was designed to elucidate the outcome of Traditional Bone Setting (TBS) practice in four states of the middle belt of Nigeria, via complications presenting in select hospitals. Methods : A combination of retrospective and prospective study of complications arising from traditional bone setting in Plateau and Nasarawa States and southern parts of the Kaduna and Bauchi States was undertaken. Results : Fifteen patients were retrospectively studied in the one year period between December 1999 and November 2000 inclusive, while seventy-six patients were recruited into a 1 year prospective study (January 2001 to December 2001). There were sixty-nine males and twenty-two females giving a male: female ratio of 3.1:1. The most frequently encountered patients were children in the first decade of life (34.1%), while the 3rd and 4th decades accounted for 20.9% and 18.7% respectively. 61.5% of the study population were residents in Jos, Plateau State, and 19.8% were admitted from Nasarawa State. 12.1% came from Kaduna State while 6.6% were recruited from Bauchi State. The study population cut across all social strata with a preponderance of illiterates, children and primary school certificate holders. The presenting injuries clustered around femur, tibia and fibula, humerus and forearm with 19.61 each. These were followed by dislocations of hip, elbow and shoulders (15.2%). The presentation of complications included non union (13.1%), mal union (21.5%), volkman’s ischaemic contractures and compartment syndrome (8.4%), infections (24.4%), stiffness/ankylosis (15.9%) and gangrene (8.4%) among others. Eight two orthopaedic interventions were carried out ranging from minor procedures to open reduction and internal fixations (15.9%), amputations (7.3%) and arthroplasties (4.9%). Five portalities were recorded giving a mortality rate of (5.5%). Conclusion : 91 complications with 5 mortalities, largely avoidable in two years calls for a serious look at traditional bone setting practice in the Middle Belt of Nigeria. We recommend that other zones undertake similar studies so that a national picture would emerge and policy dialogue initiated.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87202233","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}
K. Attipou, D. Dossed, A. Abousalem, C. Sodji, J. Komlavi
Objective : The purpose of this study, was studying of the epidemiological factors and the results of management of these caustic stenosis of the oesophagus. Material And Method : A retrospective study. 38 cases of caustic stenosis of the oesophagus were, admitted and treated at the surgical departments of CHU of Lome, Togo, during the period January 1st 1983 to 31st December 2004. Result : The caustic stenosis of the oesophagus represented the second most common oesophageal disease treated at the surgical department [ 38/15153(24.84%)]. 21 were male and 17 female. Caustic soda was the commonest substance ingested (14 cases / 38). Suicide was the most frequent reason for ingestion of caustic substances. The majority of our patients 28(71.05%) had early surgical intervention. The others were managed by endoscopy. The overall outcome was satisfactory in 37 cases. One patient died in this study. After a follow-up of a median of 7 years, four patients re- presented a moderate residual dysphagia. Conclusion : This caustic stenosis of the oesophagus represents a disease with an increasing frequency inside our societies. Adequate measures must be carried out to prevent the caustic burns of the oesophagus among our peoples.
{"title":"Caustic stenosis of the oesophagus at Centre Hôpital D’Université(CHU) of Lome :Epidemiological and therapeutic aspects","authors":"K. Attipou, D. Dossed, A. Abousalem, C. Sodji, J. Komlavi","doi":"10.4314/NJSR.V8I1.54815","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54815","url":null,"abstract":"Objective : The purpose of this study, was studying of the epidemiological factors and the results of management of these caustic stenosis of the oesophagus. Material And Method : A retrospective study. 38 cases of caustic stenosis of the oesophagus were, admitted and treated at the surgical departments of CHU of Lome, Togo, during the period January 1st 1983 to 31st December 2004. Result : The caustic stenosis of the oesophagus represented the second most common oesophageal disease treated at the surgical department [ 38/15153(24.84%)]. 21 were male and 17 female. Caustic soda was the commonest substance ingested (14 cases / 38). Suicide was the most frequent reason for ingestion of caustic substances. The majority of our patients 28(71.05%) had early surgical intervention. The others were managed by endoscopy. The overall outcome was satisfactory in 37 cases. One patient died in this study. After a follow-up of a median of 7 years, four patients re- presented a moderate residual dysphagia. Conclusion : This caustic stenosis of the oesophagus represents a disease with an increasing frequency inside our societies. Adequate measures must be carried out to prevent the caustic burns of the oesophagus among our peoples.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86719230","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.V8I3-4.54902
A. Oguntayo, A. Adesiyun, P. Onwuhafua
We report a case of a 27 year old Para 1+O house wife who presented with a four months history of a rapidly increasing tumor of the anterior abdominal wall. The abdomen was swollen to the size of a 16 weeks gravid uterus. At laparatomy a tumor measured 15cm by 10cm attached to the posterior aspect of the rectus sheath. The resected mass proved on histology to be Rhabdomyoma of the anterior abdominal wall. Rhabdomyoma is an exceedingly rare tumor in females and when it does occur, it is found in the genitalia (Genital Rhabdomyoma). The origin in the anterior rectus is extremely rare.
{"title":"Anterior Abdominal wall Rhabdomyoma mimicking fibroid: A Case Report","authors":"A. Oguntayo, A. Adesiyun, P. Onwuhafua","doi":"10.4314/NJSR.V8I3-4.54902","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54902","url":null,"abstract":"We report a case of a 27 year old Para 1+O house wife who presented with a four months history of a rapidly increasing tumor of the anterior abdominal wall. The abdomen was swollen to the size of a 16 weeks gravid uterus. At laparatomy a tumor measured 15cm by 10cm attached to the posterior aspect of the rectus sheath. The resected mass proved on histology to be Rhabdomyoma of the anterior abdominal wall. Rhabdomyoma is an exceedingly rare tumor in females and when it does occur, it is found in the genitalia (Genital Rhabdomyoma). The origin in the anterior rectus is extremely rare.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82504985","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 :Fracture of a normal tibia shaft constitutes a major trauma mostly sustained by young adults during high-energy injuries. Its superficial location and the subcutaneous characteristics of its anteromedial aspect easily causes open fracture. The objectives of this study were to determine the pattern of presentation, and determinants of management outcome in open fractures of the tibia. Methods : This is a prospective hospital based study. A total of 89 patients aged 4 to 80 years with open fractures of the tibia with or without fibula involvement were studied. All the patients received anti tetanus prophylaxis and intravenous antibiotics as well as wound irrigation, debridement and skeletal stabilisation. Results : Students and traders accounted for the majority of the cases (57.3%). Most of the open tibia fractures 69 (77.5%) had above knee Plaster of Paris cast. The majority of the cases were Gustilo and Anderson type II 32 (36.0%) cases and type I 22(24.7%) cases. There was Correlation between the presence of wound infection and (i) Gustilo and Anderson grading (F -.352, P .001); (ii) Injury to Debridement time in hours (F -.304, P .004); (iii) Osteomyelitis (F .397, P .001); (iv) Delayed union (F .253, P .017); and (v) Union time in weeks (F -.350, P .001). There was also correlation between the following: (i) Injury to Debridement time in hours and the distance from the accident scene to the hospital (F .464, P .001); (ii) The fracture pattern and the union time in weeks (F .353, P .001); and (iii) The presence of osteomyelities and delayed union (F .382, P .001). The commonest complications observed were wound infection 35(39.3%) patients and delayed union 30(33.7%) patients. Conclusion :This study shows that the higher the Gustilo and Anderson grading of the open fractures of the tibia, the more severe the wound and bone infection that occurred. The interval between injury time and wound debridement time affected the treatment outcome.
背景:正常胫骨干骨折是青年人高能损伤中常见的主要创伤。它的表面位置和前内侧面的皮下特征容易引起开放性骨折。本研究的目的是确定开放性胫骨骨折的表现模式和治疗结果的决定因素。方法:这是一项基于医院的前瞻性研究。共89例4 ~ 80岁的开放性胫骨骨折伴或不伴腓骨受累的患者进行了研究。所有患者均给予破伤风预防、静脉注射抗生素、伤口冲洗、清创和骨骼稳定。结果:以学生和商贩居多(57.3%);开放性胫骨骨折69例(77.5%)均采用膝上石膏石膏。以Gustilo和Andersonⅱ型32例(36.0%)和ⅰ型22例(24.7%)为主。(1) Gustilo和Anderson评分(F -)与伤口感染存在相关性。352, p .001);(ii)损伤至清创时间(以小时为单位)(F -。304, p .004);(iii)骨髓炎(F .397, P .001);(iv)延迟结合(F .253, P .017);(v)以周为单位的工会时间(F -。350, p .001)。伤至清创时间(h)与事故现场至医院的距离(F .464, P .001)也存在相关性;(ii)骨折类型及周愈合时间(F .353, P .001);(iii)存在骨髓瘤和延迟愈合(F .382, P .001)。最常见的并发症为伤口感染35例(39.3%)，延迟愈合30例(33.7%)。结论:胫骨开放性骨折Gustilo和Anderson评分越高，创面和骨感染越严重。损伤时间与创面清创时间的间隔影响治疗效果。
{"title":"Determinants of management outcome in open tibia fractures in ile-ife","authors":"I. Ikem, L. Oginni, J. Ogunlusi","doi":"10.4314/NJSR.V8I1.54845","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54845","url":null,"abstract":"Background :Fracture of a normal tibia shaft constitutes a major trauma mostly sustained by young adults during high-energy injuries. Its superficial location and the subcutaneous characteristics of its anteromedial aspect easily causes open fracture. The objectives of this study were to determine the pattern of presentation, and determinants of management outcome in open fractures of the tibia. Methods : This is a prospective hospital based study. A total of 89 patients aged 4 to 80 years with open fractures of the tibia with or without fibula involvement were studied. All the patients received anti tetanus prophylaxis and intravenous antibiotics as well as wound irrigation, debridement and skeletal stabilisation. Results : Students and traders accounted for the majority of the cases (57.3%). Most of the open tibia fractures 69 (77.5%) had above knee Plaster of Paris cast. The majority of the cases were Gustilo and Anderson type II 32 (36.0%) cases and type I 22(24.7%) cases. There was Correlation between the presence of wound infection and (i) Gustilo and Anderson grading (F -.352, P .001); (ii) Injury to Debridement time in hours (F -.304, P .004); (iii) Osteomyelitis (F .397, P .001); (iv) Delayed union (F .253, P .017); and (v) Union time in weeks (F -.350, P .001). There was also correlation between the following: (i) Injury to Debridement time in hours and the distance from the accident scene to the hospital (F .464, P .001); (ii) The fracture pattern and the union time in weeks (F .353, P .001); and (iii) The presence of osteomyelities and delayed union (F .382, P .001). The commonest complications observed were wound infection 35(39.3%) patients and delayed union 30(33.7%) patients. Conclusion :This study shows that the higher the Gustilo and Anderson grading of the open fractures of the tibia, the more severe the wound and bone infection that occurred. The interval between injury time and wound debridement time affected the treatment outcome.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77157055","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}
H. Yangni-Angate, G. Ayegnon, C. Ménéas, Y. Yapobi, M. Kangah
Objective : The goal of this retrospective study is to present our epidemiological , clinical and surgical experience of the arterial injuries of extremities for 23 years(1977 to 2000). Materials and Methods : 35 patients were operated on over the study period. Their case files have been reviewed and forms the subject of this study Results : 30 were men and 5 women with an age range of 14 months - 63 years and a median age of 25.4 years. The etiology of these injuries were side-arms(n=15), fire arms (n=5) , road or work accident (n=6) and iatrogenic (n=9 ). The injured arteries were: the femoral artery 18 , the popliteal artery 2 , the subclavian artery 2 the axillary artery 1 , the brachial artery 10 , the ulnar artery 1 ,the radial artery 1patient . Complete arterial rupture was the most frequent lesion n = 14. An incomplete arterial rupture was noted in 6 patients , and arterial thrombosis 6, a thrombosis coexisting with an intima damage in 1 case, and avulsion in 1, an arteriovenous fistula (n = 3) and a false aneurysm (n = 3). Adjacent Injuries were encountered :Bone fractures (n = 9), muscle tear (n = 10), nerve section(n = 12), vein section (n = 11), tendon section (n = 1), and haemothorax (n = 1) . Clinically most patients presented with complete or partial limb ischemia (28 patients). The arterial repair was by end to end anastomosis with saphenous vein (8 patients), or without graft (5 patients), lateral suture (8 patients), arterial clot extraction by balloon catheter (8 patients), direct vessel suture via longitudinal venotomy (2 patient) or arterotomy (1 patient), an aneurysmectomy 1 case. In one patient the limb was amputated because arterial repair was not possible; . There two 2 operative deaths due to reperfusion injury (1 case) and biliary peritonitis(1 case). Conclusion Arterial injury is a true surgical emergencies and repair should be urgent to avoid limb loss and even death.
{"title":"Arterial trauma of the extremities. An Ivorian surgical experience(Côte d’Ivoire)","authors":"H. Yangni-Angate, G. Ayegnon, C. Ménéas, Y. Yapobi, M. Kangah","doi":"10.4314/NJSR.V8I1.54818","DOIUrl":"https://doi.org/10.4314/NJSR.V8I1.54818","url":null,"abstract":"Objective : The goal of this retrospective study is to present our epidemiological , clinical and surgical experience of the arterial injuries of extremities for 23 years(1977 to 2000). Materials and Methods : 35 patients were operated on over the study period. Their case files have been reviewed and forms the subject of this study Results : 30 were men and 5 women with an age range of 14 months - 63 years and a median age of 25.4 years. The etiology of these injuries were side-arms(n=15), fire arms (n=5) , road or work accident (n=6) and iatrogenic (n=9 ). The injured arteries were: the femoral artery 18 , the popliteal artery 2 , the subclavian artery 2 the axillary artery 1 , the brachial artery 10 , the ulnar artery 1 ,the radial artery 1patient . Complete arterial rupture was the most frequent lesion n = 14. An incomplete arterial rupture was noted in 6 patients , and arterial thrombosis 6, a thrombosis coexisting with an intima damage in 1 case, and avulsion in 1, an arteriovenous fistula (n = 3) and a false aneurysm (n = 3). Adjacent Injuries were encountered :Bone fractures (n = 9), muscle tear (n = 10), nerve section(n = 12), vein section (n = 11), tendon section (n = 1), and haemothorax (n = 1) . Clinically most patients presented with complete or partial limb ischemia (28 patients). The arterial repair was by end to end anastomosis with saphenous vein (8 patients), or without graft (5 patients), lateral suture (8 patients), arterial clot extraction by balloon catheter (8 patients), direct vessel suture via longitudinal venotomy (2 patient) or arterotomy (1 patient), an aneurysmectomy 1 case. In one patient the limb was amputated because arterial repair was not possible; . There two 2 operative deaths due to reperfusion injury (1 case) and biliary peritonitis(1 case). Conclusion Arterial injury is a true surgical emergencies and repair should be urgent to avoid limb loss and even death.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79653722","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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