Long loop vas, encountered during orchidopexy for undescended testis, is a rare entity and deserves a note. We report the case of an 8-year-old child who presented with pain in the left groin and was clinically diagnosed to have undescended testis and palpable in the left groin. Ultrasonography confirmed the presence of testis in the left inguinal region. The incidental finding of long loop vas intraoperatively mandates careful dissection during surgery to preserve the viability of the testis. Examination for a looping vas by inspecting structures caudal to the testis should be done during orchidopexy to avoid inadvertent transection. In view of paucity of literature of long loop vas, our aim is to enhance the already existing scanty literature and suggest the effective single-stage management of this rare condition.
{"title":"Long loop vas – A rare entity: Case report and review of literature","authors":"P. Joshi, Nikhil Gawde, S. Shetye","doi":"10.4103/njss.njss_9_20","DOIUrl":"https://doi.org/10.4103/njss.njss_9_20","url":null,"abstract":"Long loop vas, encountered during orchidopexy for undescended testis, is a rare entity and deserves a note. We report the case of an 8-year-old child who presented with pain in the left groin and was clinically diagnosed to have undescended testis and palpable in the left groin. Ultrasonography confirmed the presence of testis in the left inguinal region. The incidental finding of long loop vas intraoperatively mandates careful dissection during surgery to preserve the viability of the testis. Examination for a looping vas by inspecting structures caudal to the testis should be done during orchidopexy to avoid inadvertent transection. In view of paucity of literature of long loop vas, our aim is to enhance the already existing scanty literature and suggest the effective single-stage management of this rare condition.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"29 1","pages":"17 - 19"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48027169","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: Catheter-associated urinary tract infection (CAUTI) is a source of morbidity in patients on indwelling urinary catheters. Patients in both outpatient and inpatient general wards can be on indwelling urinary catheters at one time or the other due to various underlying pathologies. These indwelling urinary catheters can attract microorganisms into the urinary tract causing CAUTI. The aim is to determine the offending pathogens, antimicrobial sensitivity, and complications in CAUTI. Patients and Methods: This was a prospective interventional study involving catheterized patients without prior urinary tract infection. The catheters were inserted due to various underlying pathologies either on an outpatient basis or on admission in the general ward. On suspicion of infection by the presence of any of these, cloudy urine, pericatheter pain, suprapubic pain, fever, chills or hematuria, and urine samples were aseptically collected by the laboratory scientist for culture and sensitivity. Any significant bacteriuria either asymptomatic or symptomatic was documented, and the offending pathogens also identified. Antimicrobial sensitivity patterns were recorded, and any complications noted in the patients were recorded. Results: A total of 460 patients, 376 (81.7%) males and 84 (18.3%) females were recruited into the study. The prostatic disease was the most common pathology necessitating urinary catheterization, accounting for 59.5% of all the cases. There were 100% recorded cases of CAUTI in the study. Escherichia coli was the most common organism isolated 45.2%. There was asymptomatic bacteriuria in 81% of the patients, while in 19%, it was symptomatic. There was multidrug resistance to the commonly used antimicrobials. Conclusions: CAUTI still poses enormous challenges to both the outpatients and general inpatients. To minimize CAUTI, indiscriminate use of urinary catheters should be discouraged and urinary catheters should be removed immediately; they serve the purpose for which they were inserted.
{"title":"Catheter associated urinary tract infection offending pathogens, antimicrobial sensitivity, and complications","authors":"C. Odoemene, C. Adiri","doi":"10.4103/njss.njss_6_20","DOIUrl":"https://doi.org/10.4103/njss.njss_6_20","url":null,"abstract":"Background: Catheter-associated urinary tract infection (CAUTI) is a source of morbidity in patients on indwelling urinary catheters. Patients in both outpatient and inpatient general wards can be on indwelling urinary catheters at one time or the other due to various underlying pathologies. These indwelling urinary catheters can attract microorganisms into the urinary tract causing CAUTI. The aim is to determine the offending pathogens, antimicrobial sensitivity, and complications in CAUTI. Patients and Methods: This was a prospective interventional study involving catheterized patients without prior urinary tract infection. The catheters were inserted due to various underlying pathologies either on an outpatient basis or on admission in the general ward. On suspicion of infection by the presence of any of these, cloudy urine, pericatheter pain, suprapubic pain, fever, chills or hematuria, and urine samples were aseptically collected by the laboratory scientist for culture and sensitivity. Any significant bacteriuria either asymptomatic or symptomatic was documented, and the offending pathogens also identified. Antimicrobial sensitivity patterns were recorded, and any complications noted in the patients were recorded. Results: A total of 460 patients, 376 (81.7%) males and 84 (18.3%) females were recruited into the study. The prostatic disease was the most common pathology necessitating urinary catheterization, accounting for 59.5% of all the cases. There were 100% recorded cases of CAUTI in the study. Escherichia coli was the most common organism isolated 45.2%. There was asymptomatic bacteriuria in 81% of the patients, while in 19%, it was symptomatic. There was multidrug resistance to the commonly used antimicrobials. Conclusions: CAUTI still poses enormous challenges to both the outpatients and general inpatients. To minimize CAUTI, indiscriminate use of urinary catheters should be discouraged and urinary catheters should be removed immediately; they serve the purpose for which they were inserted.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"29 1","pages":"6 - 13"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41723732","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}
Tetralogy of Fallot is the most common form of cyanotic congenital heart disease. Survival after the age of 12 years without corrective surgery is rare. We present a case of 42-year-old Indian male with uncorrected tetralogy of Fallot. Possible reasons for the longevity in this patient are left ventricular hypertrophy and systemic to pulmonary shunting through mediastinal collaterals.
{"title":"Unoperated tetralogy of fallot: A natural survivor who refused for surgery at the age of 42 years – Was it ever too late to operate?","authors":"Ravisagar Patel, Abhinav Singh, R. Mathur","doi":"10.4103/njss.njss_31_14","DOIUrl":"https://doi.org/10.4103/njss.njss_31_14","url":null,"abstract":"Tetralogy of Fallot is the most common form of cyanotic congenital heart disease. Survival after the age of 12 years without corrective surgery is rare. We present a case of 42-year-old Indian male with uncorrected tetralogy of Fallot. Possible reasons for the longevity in this patient are left ventricular hypertrophy and systemic to pulmonary shunting through mediastinal collaterals.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"29 1","pages":"14 - 16"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47764857","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 most common treatment for displaced femoral neck fractures in the elderly patient is hemiarthroplasty. Postoperative wound infection is considered early when it occurs within 30 days of orthopedic operations. Infection rates vary in the literature. Availability of descriptive data is limited. Patients and Methods: Medical records of 40 out of 52 patients who had hemiarthroplasties in Irrua Specialist Teaching Hospital, Irrua, Edo State and Delta State University Teaching Hospital Oghara, 2007–2016 were reviewed retrospectively. All patients had prophylactic as well as presumptive antibiotic treatment. All had ceftriaxone and metronidazole at one point or the other. Results: Of the 40 patients, age range was 17–91 years; median age was 65 years with a slight female to male preponderance. Twenty-two (55%) patients were 60–90 years of age. Trivial/domestic falls accounted for the majority, 26 (65%) patients. Only 3 (7.5%) patients presented within 24 h. Hypertension (HT) was the most common comorbid medical condition, 67.5%. Wound infection was the most common complication noted 7 (17.5%). Polymicrobial (mixed) infection agents ranked the highest among the microbes' cultures. Five out of the seven patients with wound infection had superficial wound infection. Two had deep wound infections. Ceftriaxone and metronidazole were the most commonly used antibiotics and the most effective against infections. Genticin was uncommon. Conclusion: Sixty-seven percent of patients studied had wound infection. Superficial wound infections were the most predominant type of early postoperative wound infection, and polymicrobial mixed infection agents were the most implicated. HT was the most common comorbid medical condition identified.
{"title":"Early postoperative wound infections in hemiarthroplasties in South-South, Nigeria: A multicenter-based study","authors":"E. Edomwonyi, R. Enemudo","doi":"10.4103/njss.njss_2_18","DOIUrl":"https://doi.org/10.4103/njss.njss_2_18","url":null,"abstract":"Background: The most common treatment for displaced femoral neck fractures in the elderly patient is hemiarthroplasty. Postoperative wound infection is considered early when it occurs within 30 days of orthopedic operations. Infection rates vary in the literature. Availability of descriptive data is limited. Patients and Methods: Medical records of 40 out of 52 patients who had hemiarthroplasties in Irrua Specialist Teaching Hospital, Irrua, Edo State and Delta State University Teaching Hospital Oghara, 2007–2016 were reviewed retrospectively. All patients had prophylactic as well as presumptive antibiotic treatment. All had ceftriaxone and metronidazole at one point or the other. Results: Of the 40 patients, age range was 17–91 years; median age was 65 years with a slight female to male preponderance. Twenty-two (55%) patients were 60–90 years of age. Trivial/domestic falls accounted for the majority, 26 (65%) patients. Only 3 (7.5%) patients presented within 24 h. Hypertension (HT) was the most common comorbid medical condition, 67.5%. Wound infection was the most common complication noted 7 (17.5%). Polymicrobial (mixed) infection agents ranked the highest among the microbes' cultures. Five out of the seven patients with wound infection had superficial wound infection. Two had deep wound infections. Ceftriaxone and metronidazole were the most commonly used antibiotics and the most effective against infections. Genticin was uncommon. Conclusion: Sixty-seven percent of patients studied had wound infection. Superficial wound infections were the most predominant type of early postoperative wound infection, and polymicrobial mixed infection agents were the most implicated. HT was the most common comorbid medical condition identified.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"29 1","pages":"1 - 5"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45774531","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}
This article provides surgeons with a simplistic method to convert an injection needle into a suture needle in the operating theater itself. In the following procedure, we take an injection needle and a suture material (polypropylene number 1) and create a curved suturing needle ready to be used with minimal fuss and with the help of simple instruments. This method will definitely save time and the cost of an extra suture.
{"title":"Emergency intraoperative construction of a suture needle from a hypodermic/injection needle","authors":"S. Prashant, P. Subodh, R. Prakash, T. Hamza","doi":"10.4103/njss.njss_27_14","DOIUrl":"https://doi.org/10.4103/njss.njss_27_14","url":null,"abstract":"This article provides surgeons with a simplistic method to convert an injection needle into a suture needle in the operating theater itself. In the following procedure, we take an injection needle and a suture material (polypropylene number 1) and create a curved suturing needle ready to be used with minimal fuss and with the help of simple instruments. This method will definitely save time and the cost of an extra suture.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"28 1","pages":"38 - 40"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49243860","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}
{"title":"An unusual clinical presentation of pancreatic pseudocyst","authors":"A. Juneja, R. Jhamb","doi":"10.4103/njss.njss_2_20","DOIUrl":"https://doi.org/10.4103/njss.njss_2_20","url":null,"abstract":"","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"28 1","pages":"42 - 43"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48767425","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: Distal femoral intra-articular fractures present a serious surgical challenge to an orthopedic surgeon. These fractures are usually complex and are difficult to treat, and the operative treatment is usually recommended. Problems encountered in the fixation of these fractures include poor exposure of the articular surface, loss of fixation, and joint incongruence. Materials and Methods: This was a prospective review of all patients treated with distal femoral locking plates (including patients presenting with nonunion) between January 2017 and January 2018 using the Swashbuckler's approach. Fractures were categorized using the AO/OTA classification. Patients with AO type A fractures were excluded from this study. Results: Six patients (5 females and 1 male) were recruited into this study. The mean age of the patients was 43.2 years (age range of 31–63 years). Mechanism of injury was road traffic accident in 83.3% of cases. The mean time for radiological union was 12 weeks, and all (100%) patients achieved union without any further intervention. Conclusion: The use of the Swashbuckler's approach for distal intra-articular fractures improves exposure of the articular surface and aids reduction and proper application of the locking distal femoral plate. High union rates can usually be achieved with these implants.
{"title":"Locking compression plate in distal intra-articular femoral fractures: The swashbuckler's approach","authors":"Obinna Obiegbu, C. Ndukwu","doi":"10.4103/njss.njss_4_19","DOIUrl":"https://doi.org/10.4103/njss.njss_4_19","url":null,"abstract":"Background: Distal femoral intra-articular fractures present a serious surgical challenge to an orthopedic surgeon. These fractures are usually complex and are difficult to treat, and the operative treatment is usually recommended. Problems encountered in the fixation of these fractures include poor exposure of the articular surface, loss of fixation, and joint incongruence. Materials and Methods: This was a prospective review of all patients treated with distal femoral locking plates (including patients presenting with nonunion) between January 2017 and January 2018 using the Swashbuckler's approach. Fractures were categorized using the AO/OTA classification. Patients with AO type A fractures were excluded from this study. Results: Six patients (5 females and 1 male) were recruited into this study. The mean age of the patients was 43.2 years (age range of 31–63 years). Mechanism of injury was road traffic accident in 83.3% of cases. The mean time for radiological union was 12 weeks, and all (100%) patients achieved union without any further intervention. Conclusion: The use of the Swashbuckler's approach for distal intra-articular fractures improves exposure of the articular surface and aids reduction and proper application of the locking distal femoral plate. High union rates can usually be achieved with these implants.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"28 1","pages":"23 - 25"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48794995","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}
{"title":"Parosteal osteosarcoma of the maxilla: A case report and review of the literature","authors":"M. Al-Mendalawi","doi":"10.4103/njss.njss_3_20","DOIUrl":"https://doi.org/10.4103/njss.njss_3_20","url":null,"abstract":"","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"28 1","pages":"41 - 41"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43930953","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: Acute appendicitis is the most common surgical abdominal emergency worldwide. The diagnosis is mainly clinical and the treatment of choice is appendicectomy. Aim: The aim of the study was to examine the clinical features, diagnoses, treatments, and outcomes in patients with acute appendicitis. Patients and Methods: This was a prospective descriptive study carried out over a year period from September 2009 to August 2010 at the University of Benin Teaching Hospital, Benin City. All consenting and consecutive adult patients from the age of 18 years and above with a diagnosis of acute appendicitis were recruited. Demographic, clinical features, treatments, and outcomes were noted and entered into a pro forma and later analyzed using SPSS 16 version. Results: Acute appendicitis was preoperatively diagnosed in 86 patients but confirmed in 71 patients on histology. Twenty-nine were male, while 57 were female with a mean age of 28.36 ± 10.40 years. The most common age range affected was 21–30 years. All the patients had appendicectomy. Fifteen patients had a negative histology, of which two were male, while 13 were female, with an overall negative appendicectomy rate of 17%. All the patients were well and discharged. Conclusion: Acute appendicitis occurred most commonly in the age range of 21–30 years. Females accounted for a higher number of acute appendicitis, although negative appendicectomy rate was higher in them. The overall outcome was good.
{"title":"Acute appendicitis at University of Benin Teaching Hospital, Benin city","authors":"N. Nwashilli, Chukwunonso Agogbua","doi":"10.4103/njss.njss_6_16","DOIUrl":"https://doi.org/10.4103/njss.njss_6_16","url":null,"abstract":"Background: Acute appendicitis is the most common surgical abdominal emergency worldwide. The diagnosis is mainly clinical and the treatment of choice is appendicectomy. Aim: The aim of the study was to examine the clinical features, diagnoses, treatments, and outcomes in patients with acute appendicitis. Patients and Methods: This was a prospective descriptive study carried out over a year period from September 2009 to August 2010 at the University of Benin Teaching Hospital, Benin City. All consenting and consecutive adult patients from the age of 18 years and above with a diagnosis of acute appendicitis were recruited. Demographic, clinical features, treatments, and outcomes were noted and entered into a pro forma and later analyzed using SPSS 16 version. Results: Acute appendicitis was preoperatively diagnosed in 86 patients but confirmed in 71 patients on histology. Twenty-nine were male, while 57 were female with a mean age of 28.36 ± 10.40 years. The most common age range affected was 21–30 years. All the patients had appendicectomy. Fifteen patients had a negative histology, of which two were male, while 13 were female, with an overall negative appendicectomy rate of 17%. All the patients were well and discharged. Conclusion: Acute appendicitis occurred most commonly in the age range of 21–30 years. Females accounted for a higher number of acute appendicitis, although negative appendicectomy rate was higher in them. The overall outcome was good.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"28 1","pages":"34 - 37"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45569509","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: Delay in presentation and treatment of abdominal wall hernias is phenomenal in Africa. The three-pronged problem of delayed presentation, multiple comorbidities, and advancing age makes management of complicated abdominal wall hernias more tasking and hazardous. The purpose of this study was to determine the causes of delayed presentation and treatment outcomes of complicated abdominal wall hernias in our environment. Patients and Methods: This was a 3-year multicenter prospective study of the causes of delayed presentation and treatment outcomes of complicated abdominal wall hernias in rural Southeast Nigeria. Results: A total of 138 patients with complicated abdominal wall hernias were enrolled and comprised of 117 males and 21 females. Of the entire patients, those with inguinal hernia represented 76.1% followed by umbilical hernia (8.0%). Only 18.1% presented within 24 h after the onset of complications, 24.6% between 24 and 48 h, 29.0% between 49 and 72 h, and 28.3% after 72 h. In the preoperative period, theater waiting time was 0–12 h in 10.9%, 13–24 h in 23.2%, 25–48 h in 39.1%, and >48 h in 18.1%. The major barriers against early presentation were financial constraint (23.9%) and treatment at alternative homes (15.9%). The overall morbidity rate was 58.0%, whereas the mortality rate was 13.8%. The bowel resection rate was 26.1%, and majority of the resection (77.8%) and deaths (73.7%) occurred in those who had overall delay beyond 72 h before surgical repair. Conclusion: The rates of morbidity and mortality were proportionally related to the length of delay in the presentation and duration of waiting time before operative repair.
{"title":"Delay in presentation and challenges of treatment of complicated abdominal wall hernias in rural Southeast Nigeria","authors":"A. Ogbuanya, David Amah","doi":"10.4103/njss.njss_4_20","DOIUrl":"https://doi.org/10.4103/njss.njss_4_20","url":null,"abstract":"Background: Delay in presentation and treatment of abdominal wall hernias is phenomenal in Africa. The three-pronged problem of delayed presentation, multiple comorbidities, and advancing age makes management of complicated abdominal wall hernias more tasking and hazardous. The purpose of this study was to determine the causes of delayed presentation and treatment outcomes of complicated abdominal wall hernias in our environment. Patients and Methods: This was a 3-year multicenter prospective study of the causes of delayed presentation and treatment outcomes of complicated abdominal wall hernias in rural Southeast Nigeria. Results: A total of 138 patients with complicated abdominal wall hernias were enrolled and comprised of 117 males and 21 females. Of the entire patients, those with inguinal hernia represented 76.1% followed by umbilical hernia (8.0%). Only 18.1% presented within 24 h after the onset of complications, 24.6% between 24 and 48 h, 29.0% between 49 and 72 h, and 28.3% after 72 h. In the preoperative period, theater waiting time was 0–12 h in 10.9%, 13–24 h in 23.2%, 25–48 h in 39.1%, and >48 h in 18.1%. The major barriers against early presentation were financial constraint (23.9%) and treatment at alternative homes (15.9%). The overall morbidity rate was 58.0%, whereas the mortality rate was 13.8%. The bowel resection rate was 26.1%, and majority of the resection (77.8%) and deaths (73.7%) occurred in those who had overall delay beyond 72 h before surgical repair. Conclusion: The rates of morbidity and mortality were proportionally related to the length of delay in the presentation and duration of waiting time before operative repair.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"28 1","pages":"26 - 33"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47648404","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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