Pub Date : 2016-07-01DOI: 10.4103/1116-5898.207751
T. Alshee, S. Shafi, K. Alsalman, M. Malah
Introduction: With the increased awareness and use of breast cancer screening programs, detection of nonpalpable lesion of breast is also increasing in incidence. Previously, wire guidance under ultrasonography was used for localization of these occult lesions, and in the second stage, sentinel node biopsy (SNB) was taken under radioactive guidance or blue dye injection. Materials and Methods: We conducted a study to combine radioactive-guided occult lesion localization (ROLL) with SNB. Results and Conclusion: We concluded that ROLL is an efficient method for the detection of these occult lesions, enabling more effective planning of skin incision, precise excision of the lesion with minimal normal tissue edge excision, and ultimately better postoperative cosmetics. When combined with SNB, it effectively decreases the intraoperative time.
{"title":"Evaluation of nonpalpable breast mass excision and sentinel node biopsy using radio-guided occult lesion localization: A Single-stage Procedure","authors":"T. Alshee, S. Shafi, K. Alsalman, M. Malah","doi":"10.4103/1116-5898.207751","DOIUrl":"https://doi.org/10.4103/1116-5898.207751","url":null,"abstract":"Introduction: With the increased awareness and use of breast cancer screening programs, detection of nonpalpable lesion of breast is also increasing in incidence. Previously, wire guidance under ultrasonography was used for localization of these occult lesions, and in the second stage, sentinel node biopsy (SNB) was taken under radioactive guidance or blue dye injection. Materials and Methods: We conducted a study to combine radioactive-guided occult lesion localization (ROLL) with SNB. Results and Conclusion: We concluded that ROLL is an efficient method for the detection of these occult lesions, enabling more effective planning of skin incision, precise excision of the lesion with minimal normal tissue edge excision, and ultimately better postoperative cosmetics. When combined with SNB, it effectively decreases the intraoperative time.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"26 1","pages":"25 - 28"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381133","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 study reports a rare case of parosteal osteosarcoma, a low-grade malignant lesion diagnosed in a 67-year-old female who presented with a slow growing oval-shaped, well circumscribed, bony hard, left maxillary swelling of 4 months' duration; extending from the region of the left upper lateral incisor tooth (22) to the left upper first molar tooth (26) and fixed to the overlying gingival. Oblique lateral radiograph showed the left maxillary alveolar ridge with lobulated ossified mass. The clinical differential diagnoses of the lesion were osteoma, and fibrous dysplasia histopathological diagnosis of parosteal osteosarcoma was made after incisional biopsy of the lesion. Surgical resection (with a wide margin) of the affected maxillary segment and the associated teeth was performed, and postsurgical biopsy confirmed the diagnosis of parosteal osteosarcoma. Parosteal osteosarcoma shares similar clinicopathological characteristics with some periosteal lesions. However, special imaging techniques and histopathological evaluation remain the most reliable tools for definitive diagnosis of these lesions.
{"title":"Parosteal osteosarcoma of the maxilla: A case report and review of the literature","authors":"O. Omoregie, A. Osaguona, E. Ogbeide","doi":"10.4103/njss.njss_23_13","DOIUrl":"https://doi.org/10.4103/njss.njss_23_13","url":null,"abstract":"This study reports a rare case of parosteal osteosarcoma, a low-grade malignant lesion diagnosed in a 67-year-old female who presented with a slow growing oval-shaped, well circumscribed, bony hard, left maxillary swelling of 4 months' duration; extending from the region of the left upper lateral incisor tooth (22) to the left upper first molar tooth (26) and fixed to the overlying gingival. Oblique lateral radiograph showed the left maxillary alveolar ridge with lobulated ossified mass. The clinical differential diagnoses of the lesion were osteoma, and fibrous dysplasia histopathological diagnosis of parosteal osteosarcoma was made after incisional biopsy of the lesion. Surgical resection (with a wide margin) of the affected maxillary segment and the associated teeth was performed, and postsurgical biopsy confirmed the diagnosis of parosteal osteosarcoma. Parosteal osteosarcoma shares similar clinicopathological characteristics with some periosteal lesions. However, special imaging techniques and histopathological evaluation remain the most reliable tools for definitive diagnosis of these lesions.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"28 1","pages":"18 - 21"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70836770","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 : 2016-01-01DOI: 10.4103/1116-5898.196273
F. Anolue, E. Ojiyi, E. Dike, C. Okeudo, Chimezie Ejikem, Kenneth Agwuna
Background: Infertility is a global problem that poses a lot of management dilemma to the practicing gynecologist. Diagnostic imaging techniques are invaluable in the traditional work-up of an infertile couple. Productive therapy can be instituted only after completion of a thorough evaluation that starts with a detailed, direct history, and physical examination. Objective: To evaluate the place of radioimaging in the work-up of the infertile couple. Materials and Methods: Data were sourced through Google search engine, Highwire press, Medline, PubMed, Cochrane database, and SAGES. Articles on diagnostic imaging techniques were identified and reviewed. Results: Radioimaging has continued to play a vital role in the evaluation of the infertile couple. This is due to the fact that they can detect most structural abnormalities and pathologies that can cause or/are associated with infertility. Conclusion: Diagnostic radioimaging has continued to play key roles in the evaluation of the infertile couple and this is further helped by the introduction and enhancement of newer imaging modalities. They can detect correctable abnormalities which can lead to a successful conception as well as reveal potentially life-threatening disorders in the course of an infertile evaluation.
{"title":"The role of imaging modalities in the management of infertility: A short communication","authors":"F. Anolue, E. Ojiyi, E. Dike, C. Okeudo, Chimezie Ejikem, Kenneth Agwuna","doi":"10.4103/1116-5898.196273","DOIUrl":"https://doi.org/10.4103/1116-5898.196273","url":null,"abstract":"Background: Infertility is a global problem that poses a lot of management dilemma to the practicing gynecologist. Diagnostic imaging techniques are invaluable in the traditional work-up of an infertile couple. Productive therapy can be instituted only after completion of a thorough evaluation that starts with a detailed, direct history, and physical examination. Objective: To evaluate the place of radioimaging in the work-up of the infertile couple. Materials and Methods: Data were sourced through Google search engine, Highwire press, Medline, PubMed, Cochrane database, and SAGES. Articles on diagnostic imaging techniques were identified and reviewed. Results: Radioimaging has continued to play a vital role in the evaluation of the infertile couple. This is due to the fact that they can detect most structural abnormalities and pathologies that can cause or/are associated with infertility. Conclusion: Diagnostic radioimaging has continued to play key roles in the evaluation of the infertile couple and this is further helped by the introduction and enhancement of newer imaging modalities. They can detect correctable abnormalities which can lead to a successful conception as well as reveal potentially life-threatening disorders in the course of an infertile evaluation.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"26 1","pages":"19 - 22"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381080","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 : 2016-01-01DOI: 10.4103/1116-5898.196269
N. Nwashilli, E. Ugiagbe
Lipomas are benign tumors composed of mature fat and are usually encapsulated. Majority of them are small and grow slowly. They are derived from mesenchymal tissue and are usually found wherever there is fatty tissue. Lipomas rarely occur in the breast and can cause diagnostic uncertainty. We present a case of a 40-year-old female who anxiously presented with a mass in her right breast that she thought it was cancer, but later confirmed after excision on histology as lipoma.
{"title":"Lipoma of the breast: An uncommon occurrence","authors":"N. Nwashilli, E. Ugiagbe","doi":"10.4103/1116-5898.196269","DOIUrl":"https://doi.org/10.4103/1116-5898.196269","url":null,"abstract":"Lipomas are benign tumors composed of mature fat and are usually encapsulated. Majority of them are small and grow slowly. They are derived from mesenchymal tissue and are usually found wherever there is fatty tissue. Lipomas rarely occur in the breast and can cause diagnostic uncertainty. We present a case of a 40-year-old female who anxiously presented with a mass in her right breast that she thought it was cancer, but later confirmed after excision on histology as lipoma.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"19 1","pages":"12 - 14"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381014","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 : 2016-01-01DOI: 10.4103/1116-5898.196271
K. Okonta, T. Gbeneol, Emmanuel O Ocheli
Chest wall reconstruction (CWR) is desirable, especially after the excision of huge chest wall tumor, and using mechanical prostheses for the closure of defects is fraught with some complications. We present a case of a 45-year-old man with a 6-week history of recurrent left-sided lower chest wall mass. Chest examination showed a linear surgical scar 8 cm lower and lateral to the left nipple with an underlying huge mass, whose histology from the previous excisional biopsy revealed dermatofibrosarcoma protuberance. He had the excision of the chest wall tumor and subsequently the superior advancement of the diaphragm and using rectus muscle for the CWR. This method was effective in closing the defect without the known complications.
{"title":"Superior advancement of the diaphragm and rectus muscle flap as an alternative to prosthetic chest wall reconstruction following the excision of huge lower chest wall tumor","authors":"K. Okonta, T. Gbeneol, Emmanuel O Ocheli","doi":"10.4103/1116-5898.196271","DOIUrl":"https://doi.org/10.4103/1116-5898.196271","url":null,"abstract":"Chest wall reconstruction (CWR) is desirable, especially after the excision of huge chest wall tumor, and using mechanical prostheses for the closure of defects is fraught with some complications. We present a case of a 45-year-old man with a 6-week history of recurrent left-sided lower chest wall mass. Chest examination showed a linear surgical scar 8 cm lower and lateral to the left nipple with an underlying huge mass, whose histology from the previous excisional biopsy revealed dermatofibrosarcoma protuberance. He had the excision of the chest wall tumor and subsequently the superior advancement of the diaphragm and using rectus muscle for the CWR. This method was effective in closing the defect without the known complications.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"26 1","pages":"15 - 18"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381069","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 : 2016-01-01DOI: 10.4103/1116-5898.196258
V. Goyal
Background: Retrospective analysis of the patients of hydatid disease of the lung. Patients and Methods: From November 2012 to October 2014, six patients of hydatid disease of the lung were referred to us. Their mean age, sex, presentation, radiological features, and outcome after surgery was evaluated. The study was conducted at Dr. Rajendra Prasad Govt. Medical College, Kangra at Tanda, India. Results: The ratio of male: female in the study was 5:1. Mean age of the patients was 32.50 ± 20.89 years. There was no operative mortality, and there was no recurrence. Follow-up was completed for all the patients in the study and mean follow-up time was 13.83 ± 05.56 months. Conclusion: Hydatid disease of the lung is more common in patients of poor socioeconomic status and those involved in cattle grazing and farming.
{"title":"Hydatid disease of the lung: Demographic features, clinical presentation, radiologic features, and patient outcome after surgery in a tertiary care hospital in rural area","authors":"V. Goyal","doi":"10.4103/1116-5898.196258","DOIUrl":"https://doi.org/10.4103/1116-5898.196258","url":null,"abstract":"Background: Retrospective analysis of the patients of hydatid disease of the lung. Patients and Methods: From November 2012 to October 2014, six patients of hydatid disease of the lung were referred to us. Their mean age, sex, presentation, radiological features, and outcome after surgery was evaluated. The study was conducted at Dr. Rajendra Prasad Govt. Medical College, Kangra at Tanda, India. Results: The ratio of male: female in the study was 5:1. Mean age of the patients was 32.50 ± 20.89 years. There was no operative mortality, and there was no recurrence. Follow-up was completed for all the patients in the study and mean follow-up time was 13.83 ± 05.56 months. Conclusion: Hydatid disease of the lung is more common in patients of poor socioeconomic status and those involved in cattle grazing and farming.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"26 1","pages":"5 - 7"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380986","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 : 2016-01-01DOI: 10.4103/1116-5898.196267
O. Afuwape, O. Ayandipo, T. Adigun
Introduction: Laparoscopic appendectomy is becoming accepted as the standard treatment for uncomplicated appendicitis. Appendicectomy consumes a significant portion of hospital resources and also disrupts routine life style of the patients′ families; reduction in hospital stay will minimize hospital cost and disruption of the household life style. This study presents our initial experience with short-stay laparoscopic appendicectomy. Methods: This is an observational study from January 2012 to December 2012. The exclusion criteria included patients less than 16 years of age (pediatric patients), elderly patients (60 years and above), and obese patients. The patients were admitted on the evening of surgery and discharged as soon as they were fit for discharge based on the protocol. Results: Twenty patients fulfilled the selection criteria, but only 11 patients consented consisting of four females and seven males. Age range was 16-42 years with a mean of 22 ± 8.15 standard deviation (SD). There was one conversion to open surgery due to an ileocecal. The duration of surgery ranged from 45 to 110 min with a mean operation time of 50 ± 18.03 SD min. Five patients were discharged in the evening about 7-8 h after the surgery. Three patients were discharged home early the next day <24 h after the surgery. Two patients were discharged about 36 h after the surgery while one patient was discharged 4 days after the surgery. Conclusion: Short-stay surgery is safe and may become a standard protocol in future. Reduction in appropriate duration of hospital admission requires hospital organization.
{"title":"Short-stay surgery experience with laparoscopic appendicectomy in Ibadan","authors":"O. Afuwape, O. Ayandipo, T. Adigun","doi":"10.4103/1116-5898.196267","DOIUrl":"https://doi.org/10.4103/1116-5898.196267","url":null,"abstract":"Introduction: Laparoscopic appendectomy is becoming accepted as the standard treatment for uncomplicated appendicitis. Appendicectomy consumes a significant portion of hospital resources and also disrupts routine life style of the patients′ families; reduction in hospital stay will minimize hospital cost and disruption of the household life style. This study presents our initial experience with short-stay laparoscopic appendicectomy. Methods: This is an observational study from January 2012 to December 2012. The exclusion criteria included patients less than 16 years of age (pediatric patients), elderly patients (60 years and above), and obese patients. The patients were admitted on the evening of surgery and discharged as soon as they were fit for discharge based on the protocol. Results: Twenty patients fulfilled the selection criteria, but only 11 patients consented consisting of four females and seven males. Age range was 16-42 years with a mean of 22 ± 8.15 standard deviation (SD). There was one conversion to open surgery due to an ileocecal. The duration of surgery ranged from 45 to 110 min with a mean operation time of 50 ± 18.03 SD min. Five patients were discharged in the evening about 7-8 h after the surgery. Three patients were discharged home early the next day <24 h after the surgery. Two patients were discharged about 36 h after the surgery while one patient was discharged 4 days after the surgery. Conclusion: Short-stay surgery is safe and may become a standard protocol in future. Reduction in appropriate duration of hospital admission requires hospital organization.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"26 1","pages":"8 - 11"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380998","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 : 2016-01-01DOI: 10.4103/1116-5898.196256
Patricia A Osemwenkha, J. Osaikhuwuomwan
Objective: Uterine rupture is one of the major obstetric complications of labour which contributes significantly to maternal and perinatal mortality in the low resource and developing countries This study determined the incidence, predisposing factors and feto-maternal outcome of ruptured uterus. Methods: A 10-year retrospective study of all cases of uterine ruptures that were managed in University of Benin Teaching Hospital, Benin City, Nigeria between 1st January, 2005 and 31st December, 2014 was undertaken. Data collected from maternity records were transferred to a data sheet. The data were entered and analyzed using SPSS statistical software, version 15.0. Results: Out of 15,818 deliveries over the study period, 92 had uterine rupture, giving a prevalence of 0.58% or 1 in 172 deliveries. The majority of the patients 56, (60.8%) were Para 1 and 2. Majority (77.2%) were unbooked. Of the 92 patients with uterine rupture, 73 (85.9%) had emergency caesarean section. Fourteen patients had prolonged labour: 2 were primigravidas and 12 were multigravidas. Case fatality rate was 2.2% while the perinatal mortality rate was 61.9%. Conclusion: Uterine rupture constituted a major obstetric emergency in the study hospital and its environs. An "unbooked" status was a key associated factor. The incidence and perinatal mortalities were high. There is therefore a need for education of women on health-related issues, utilization of available health facilities, adequate supervision of labour and provision of facilities for emergency obstetric care.
{"title":"A 10-year review of uterine rupture and its outcome in the University of Benin Teaching Hospital, Benin City","authors":"Patricia A Osemwenkha, J. Osaikhuwuomwan","doi":"10.4103/1116-5898.196256","DOIUrl":"https://doi.org/10.4103/1116-5898.196256","url":null,"abstract":"Objective: Uterine rupture is one of the major obstetric complications of labour which contributes significantly to maternal and perinatal mortality in the low resource and developing countries This study determined the incidence, predisposing factors and feto-maternal outcome of ruptured uterus. Methods: A 10-year retrospective study of all cases of uterine ruptures that were managed in University of Benin Teaching Hospital, Benin City, Nigeria between 1st January, 2005 and 31st December, 2014 was undertaken. Data collected from maternity records were transferred to a data sheet. The data were entered and analyzed using SPSS statistical software, version 15.0. Results: Out of 15,818 deliveries over the study period, 92 had uterine rupture, giving a prevalence of 0.58% or 1 in 172 deliveries. The majority of the patients 56, (60.8%) were Para 1 and 2. Majority (77.2%) were unbooked. Of the 92 patients with uterine rupture, 73 (85.9%) had emergency caesarean section. Fourteen patients had prolonged labour: 2 were primigravidas and 12 were multigravidas. Case fatality rate was 2.2% while the perinatal mortality rate was 61.9%. Conclusion: Uterine rupture constituted a major obstetric emergency in the study hospital and its environs. An \"unbooked\" status was a key associated factor. The incidence and perinatal mortalities were high. There is therefore a need for education of women on health-related issues, utilization of available health facilities, adequate supervision of labour and provision of facilities for emergency obstetric care.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"26 1","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381436","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 : 2015-07-01DOI: 10.4103/1116-5898.182675
K. Okonta, T. Gbeneol, Emmanuel O Ocheli
Background: The treatment protocol for penetrating chest injury has not been previously documented in our setting for open pneumothorax. We decided to use the horizontal mattress suture closure (HMSC) because of the initial problems of using the traditional three taping method to abolish the open pneumothorax following penetrating chest injury. This retrospective study was to evaluate the effect of HMSC of open pneumothorax in penetrating chest trauma and to determine the outcome. Methods: We retrospectively examined 65 patients with open peumothorax following penetrating chest trauma treated at the Thoracic Surgery Unit of University of Port Harcourt Teaching Hospital and the Federal Medical Centre, Owerri between January 2012 and December 2014. We assessed the impact of HMSC on chest wound following penetrating thoracic trauma. Excluded were patient who required a thoracotomy. No ethical consideration was required for this retrospective study. Results: Sixty-five (25.4%) patients out of 256 who had chest trauma were managed for open pneumothorax following penetrating chest injury. There were 59 males and 6 females, aged 4-55 years (mean age, 29.9 ± 9.7 years). The causes of penetrating chest injury were gunshot injury in 44 patients (68%), stab injury in 20 patients (30%), and gunshot and stab injury in two patients (3%). The mean time between sustaining the injury and presentation at the emergency was 16.1 ± 34.2 h with 40 patients (61.5%) presenting within 12 h. Thirty-three patients had pneumohemothorax, 12 had only pneumothorax and 20 had subcutaneous emphysema with "sucking" chest wound and the sizes of the chest wall defects were between 3-8 cm. The mean volume drainage at the insertion of closed tube thoracostomy drainage was 724.4 ± 557.6 ml while the total drainage was 1115 ± 724 ml, three patients (4.6%) had empyema thoracis, three patients (4.6%) died and the total number of days on admission was 13.2 ± 7.8 days. The diagnosis of open pneumothorax was made by clinical evaluation of the patient. Conclusion: The technique of HMSC for open pneumothorax and insertion of a chest tube is a useful method for the treatment of penetrating chest injury and pleural fluid collections and, therefore, the method is recommended in well-selected patients.
{"title":"The technique of horizontal mattress suture closure of chest wall wound in penetrating chest trauma: Experience with 65 cases","authors":"K. Okonta, T. Gbeneol, Emmanuel O Ocheli","doi":"10.4103/1116-5898.182675","DOIUrl":"https://doi.org/10.4103/1116-5898.182675","url":null,"abstract":"Background: The treatment protocol for penetrating chest injury has not been previously documented in our setting for open pneumothorax. We decided to use the horizontal mattress suture closure (HMSC) because of the initial problems of using the traditional three taping method to abolish the open pneumothorax following penetrating chest injury. This retrospective study was to evaluate the effect of HMSC of open pneumothorax in penetrating chest trauma and to determine the outcome. Methods: We retrospectively examined 65 patients with open peumothorax following penetrating chest trauma treated at the Thoracic Surgery Unit of University of Port Harcourt Teaching Hospital and the Federal Medical Centre, Owerri between January 2012 and December 2014. We assessed the impact of HMSC on chest wound following penetrating thoracic trauma. Excluded were patient who required a thoracotomy. No ethical consideration was required for this retrospective study. Results: Sixty-five (25.4%) patients out of 256 who had chest trauma were managed for open pneumothorax following penetrating chest injury. There were 59 males and 6 females, aged 4-55 years (mean age, 29.9 ± 9.7 years). The causes of penetrating chest injury were gunshot injury in 44 patients (68%), stab injury in 20 patients (30%), and gunshot and stab injury in two patients (3%). The mean time between sustaining the injury and presentation at the emergency was 16.1 ± 34.2 h with 40 patients (61.5%) presenting within 12 h. Thirty-three patients had pneumohemothorax, 12 had only pneumothorax and 20 had subcutaneous emphysema with \"sucking\" chest wound and the sizes of the chest wall defects were between 3-8 cm. The mean volume drainage at the insertion of closed tube thoracostomy drainage was 724.4 ± 557.6 ml while the total drainage was 1115 ± 724 ml, three patients (4.6%) had empyema thoracis, three patients (4.6%) died and the total number of days on admission was 13.2 ± 7.8 days. The diagnosis of open pneumothorax was made by clinical evaluation of the patient. Conclusion: The technique of HMSC for open pneumothorax and insertion of a chest tube is a useful method for the treatment of penetrating chest injury and pleural fluid collections and, therefore, the method is recommended in well-selected patients.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"25 1","pages":"25 - 28"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381339","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 : 2015-07-01DOI: 10.4103/1116-5898.182678
J. N. Nwashilli, McGee O Ezeokenwa, J. Ukwuoma
Wandering spleen is a rare condition that accounts for < 0.25% of all indications for splenectomy. It is characterized by ectopic localization of the spleen owing to the lack or weakening of its ligaments. Clinical presentation is varied and ranges from asymptomatic abdominal mass to an abdominal mass with recurrent pain and acute abdomen following torsion of its pedicle. We report a case of wandering spleen in a 47-year-old female presenting with recurrent abdominal pain for a year duration, which was treated by splenectomy.
{"title":"Wandering spleen causing recurrent abdominal pain","authors":"J. N. Nwashilli, McGee O Ezeokenwa, J. Ukwuoma","doi":"10.4103/1116-5898.182678","DOIUrl":"https://doi.org/10.4103/1116-5898.182678","url":null,"abstract":"Wandering spleen is a rare condition that accounts for < 0.25% of all indications for splenectomy. It is characterized by ectopic localization of the spleen owing to the lack or weakening of its ligaments. Clinical presentation is varied and ranges from asymptomatic abdominal mass to an abdominal mass with recurrent pain and acute abdomen following torsion of its pedicle. We report a case of wandering spleen in a 47-year-old female presenting with recurrent abdominal pain for a year duration, which was treated by splenectomy.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"25 1","pages":"37 - 40"},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70381424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：