Nigerian Journal of Surgery最新文献_第2页

A Self-Insertion of an Uncommon Urethrovesical Foreign Body for Autoerotism. 自体性行为不常见尿道异物自体插入术。

Nigerian Journal of Surgery Pub Date : 2021-01-01 Epub Date: 2021-03-09 DOI: 10.4103/njs.NJS_6_20

Friday Emeakpor Ogbetere, Eshiobo Irekpita

引用次数: 2

Management of Thyroglossal Cyst in Adults: A Single-Institution Experience. 成人甲状腺舌囊肿的治疗:单一机构的经验。

Nigerian Journal of Surgery Pub Date : 2021-01-01 Epub Date: 2021-03-09 DOI: 10.4103/njs.NJS_25_20

Chinedu Udochukwu Ndegbu, Olalekan Olasehinde, Adekunle Adeyemo, Olusegun I Alatise, Yemisi B Amusa

{"title":"Management of Thyroglossal Cyst in Adults: A Single-Institution Experience.","authors":"Chinedu Udochukwu Ndegbu, Olalekan Olasehinde, Adekunle Adeyemo, Olusegun I Alatise, Yemisi B Amusa","doi":"10.4103/njs.NJS_25_20","DOIUrl":"https://doi.org/10.4103/njs.NJS_25_20","url":null,"abstract":"Objectives: Thyroglossal duct cyst (TDC) is the most common congenital anterior neck mass in clinical practice. Due to its congenital origin, presentation in adulthood is uncommon with only 7% of cases presenting in this age group. Data are therefore limited on the management of TDC in adults, particularly in Sub-Saharan Africa. This study describes the pattern of the presentation and treatment outcomes, following the management of TDC in a series of adults in a Nigerian tertiary hospital.Subjects and methods: A retrospective review of all adult patients with TDCs over a 5-year period was carried out. Sociodemographic data, operative details, and postoperative outcomes were obtained and presented as descriptive statistics.Results: Seven adult patients, including five males and two females, were managed during the period. Their ages ranged from 19 to 60 years, with a mean of 37 ± 16.4 years. All the patients presented with anterior neck swellings which had been present for a median duration of 3 years. Cysts were located in the infrahyoid position in all instances, and all had Sistrunk operation over a mean operative time of 78 ± 16 min. There were no intraoperative complications. The mean duration of the postoperative stay was 2 days. There was no recurrence after a median follow-up period of 15 months.Conclusion: This study highlights the rarity of TDC in adults and describes a single institution's experience with the management of adult cases of TDC using the classical Sistrunk operation.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"27 1","pages":"38-41"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/29/NJS-27-38.PMC8112365.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38999696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Contralateral Axillary Metastasis in Breast Carcinoma: Case Report and Review of Literature. 乳腺癌对侧腋窝转移一例报告及文献复习。

Nigerian Journal of Surgery Pub Date : 2021-01-01 Epub Date: 2021-03-09 DOI: 10.4103/njs.NJS_9_20

Harish Neelamraju Lakshmi, Mohit Sharma, Ketul S Puj, Shashank J Pandya

引用次数: 1

Challenging Airway Management in a Patient with Retrosternal Goiter Presenting in Respiratory Distress. 以呼吸窘迫为表现的胸骨后甲状腺肿患者气道管理的挑战。

Nigerian Journal of Surgery Pub Date : 2021-01-01 Epub Date: 2021-03-09 DOI: 10.4103/njs.NJS_58_19

Babatunde B Osinaike, Alaba O Ogunsiji, Olufunke C Joseph

引用次数: 1

The Role of Antibiotic Prophylaxis in Lichtenstein Repair of Primary Inguinal Hernia: A Prospective Double-Blind Randomized Placebo-Controlled Trial. 预防抗生素在原发性腹股沟疝列支敦士登修复中的作用:一项前瞻性双盲随机安慰剂对照试验。

Nigerian Journal of Surgery Pub Date : 2021-01-01 Epub Date: 2021-03-09 DOI: 10.4103/njs.NJS_52_19

Sudhir Kumar Jain, Tariq Hameed, Dhruv Jain, Mohak Singh, Adiba Nizam

{"title":"The Role of Antibiotic Prophylaxis in Lichtenstein Repair of Primary Inguinal Hernia: A Prospective Double-Blind Randomized Placebo-Controlled Trial.","authors":"Sudhir Kumar Jain, Tariq Hameed, Dhruv Jain, Mohak Singh, Adiba Nizam","doi":"10.4103/njs.NJS_52_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_52_19","url":null,"abstract":"Objective: The objective is to study the role of antibiotic prophylaxis, if any, in the prevention of wound infection after open mesh repair of primary inguinal hernias.Materials and methods: Patients coming to outpatient department for open mesh repair of inguinal hernia were randomized into the placebo group and antibiotic group, a total of 150 patients were enrolled in the study. Follow-up was done up to 1 month to look for any evidence of surgical site infection using the criteria of Centers for Disease Control on wound infection.Results: Twelve patients in the antibiotic group and nine patients in the placebo group were found to have evidence of surgical site infection. This difference was found to be insignificant with P = 0.14. Three patients in the placebo group developed deep surgical site infection but on analysis, this difference was also found to be insignificant with P = 0.122.None of these patients required mesh removal.Conclusion: The result of the present study suggests that the use of prophylactic antibiotics during mesh repair of primary inguinal hernias does not give any extra protection from infections. Multicenter meta-analysis is required to give definite guidelines regarding the use of prophylactic antibiotics.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"27 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/af/5b/NJS-27-5.PMC8112363.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38998681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Giant Schwannoma on Thenar Aspect of the Hand: A Rare Case Report. 手部大鱼际巨大神经鞘瘤:罕见病例报告。

Nigerian Journal of Surgery Pub Date : 2021-01-01 Epub Date: 2021-03-09 DOI: 10.4103/njs.NJS_40_19

Rituparna Dasgupta, Bikram Kumar

引用次数: 3

Left Paraduodenal Hernia: A Cause of Double Intestinal Obstruction. 左侧十二指肠旁疝:双肠梗阻的一个原因。

Nigerian Journal of Surgery Pub Date : 2021-01-01 Epub Date: 2021-03-09 DOI: 10.4103/njs.NJS_43_20

Isaac Assam Udo, Victor Obong

引用次数: 0

A Comparative Study of Fine-Needle Aspiration and Nonaspiration Cytology Diagnosis in Thyroid Lesions. 细针穿刺与非穿刺细胞学诊断甲状腺病变的比较研究。

Nigerian Journal of Surgery Pub Date : 2020-07-01 Epub Date: 2020-07-27 DOI: 10.4103/njs.NJS_29_20

Elangovan Archana, Chellappa Vijayakumar, Nagarajan Raj Kumar, Gopal Balasubramanian, Krishnamachari Srinivasan, G S Sreenath, N Siddaraju

{"title":"A Comparative Study of Fine-Needle Aspiration and Nonaspiration Cytology Diagnosis in Thyroid Lesions.","authors":"Elangovan Archana, Chellappa Vijayakumar, Nagarajan Raj Kumar, Gopal Balasubramanian, Krishnamachari Srinivasan, G S Sreenath, N Siddaraju","doi":"10.4103/njs.NJS_29_20","DOIUrl":"https://doi.org/10.4103/njs.NJS_29_20","url":null,"abstract":"Background: Aspiration cytology is one of the first-line diagnostic tests in thyroid malignancies. Fine-needle aspiration cytology (FNAC) in thyroid lesions causes hemorrhagic smear and cell trauma, often leading to the repetition of smear and delay in diagnosis. This study was conducted to identify the diagnostically superior technique with regard to thyroid swelling and to assess the quality of smears obtained from FNAC and fine-needle nonaspiration cytology (FNNAC).Methodology: This was a prospective diagnostic study carried out for 2 years in a tertiary care center from South India. All patients with complaints of thyroid swellings, after examination, underwent FNNAC, followed by FNAC of the lesion. They underwent thyroidectomy when indicated. The final postoperative biopsy reports were compared with the preoperative reports of these two techniques (FNNAC and FNAC). The quality of smears was compared using Mair's score.Results: The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy in diagnosing malignancy were 93.4%, 100%, 100%, 98.78%, and 98.96% for FNNAC and 94.12%, 100%, 100%, 98.82%, and 99% for FNAC, respectively, which were comparable. Regarding the quality of smears, FNNAC had more smears with less blood in the background. FNAC had more smears with adequate cellularity. The difference in overall Mair's score between the two techniques was not significant (P = 0.28).Conclusion: No difference was found in the accuracy of FNAC and FNNAC in diagnosing thyroid lesions. Furthermore, the smear quality of both techniques was comparable. Hence, either can be used based on the operator's preference and experience.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"147-152"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/31/NJS-26-147.PMC7659761.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38630273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Impact of Nighttime Emergency Surgeries on Patients' Outcome: A Prospective Study. 夜间急诊手术对患者预后的影响:一项前瞻性研究

Nigerian Journal of Surgery Pub Date : 2020-07-01 Epub Date: 2020-07-27 DOI: 10.4103/njs.NJS_32_19

Ashok Kshirsagar, Shirish Kannur

{"title":"Impact of Nighttime Emergency Surgeries on Patients' Outcome: A Prospective Study.","authors":"Ashok Kshirsagar, Shirish Kannur","doi":"10.4103/njs.NJS_32_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_32_19","url":null,"abstract":"Background and aim: The aim of this study was to evaluate the relationship between the time of the day the surgery is conducted and its outcome to provide better protection for patients against fatigue-related errors and reduce the incidence of postoperative morbidity/mortality.Methods: All general surgical emergency operations recorded prospectively on the operation theater database of Krishna Hospital and Medical Research Centre, Karad, between April 01, 2018, and March 31, 2019, were included in this study. The operations were categorized according to whether they commenced during the daytime (08:01-20:00 h), or nighttime (20:01-08:00 h). The type of procedure and grade of the participating surgical personnel were also recorded.Results: In total, 1128 emergency operations were performed over the study period. The number of emergency procedures performed during the daytime and nighttime was 652 (57.8%) and 476 (42.2%), respectively. Laparotomies and complex vascular procedures collectively accounted for half of all the cases performed after midnight, whereas they represented only 30% of the combined daytime emergency workload. Thirty-two percent (n = 152) of all nighttime operations were supervised or performed by a consultant surgeon.Conclusion: When considering a surgical procedure, surgeons must bear in mind that cases that start after the routine hours may face an elevated risk of complications that warrants further evaluation and surgical start times are associated with risk-adjusted patient outcomes.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/98/NJS-26-99.PMC7659759.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38632406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Fibrolipomatous Hamartoma of the Median Nerve: An Outcome of Surgical Management in Six Consecutive Cases. 正中神经纤维脂肪瘤错构瘤:连续6例手术治疗的结果。

Nigerian Journal of Surgery Pub Date : 2020-07-01 Epub Date: 2020-07-27 DOI: 10.4103/njs.NJS_16_20

Avinash Prabhu, R Anil, Niranjan Kumar

{"title":"Fibrolipomatous Hamartoma of the Median Nerve: An Outcome of Surgical Management in Six Consecutive Cases.","authors":"Avinash Prabhu, R Anil, Niranjan Kumar","doi":"10.4103/njs.NJS_16_20","DOIUrl":"https://doi.org/10.4103/njs.NJS_16_20","url":null,"abstract":"Background: Lipoma is a nonneurogenic benign tumor. Neurolipoma and fibrolipomatous hamartoma are variants of this universal tumor. All these variants are grouped under lipomatosis of the nerve. Majority of these tumors are asymptomatic, which can be observed. Symptomatic patients require surgery, which is not standardized. As there are insufficient number of cases, no randomized controlled studies have been performed in the treatment of fibrolipomatous hamartoma. The aim of our study was to determine the pattern of presentation of fibrolipomatous hamartoma, surgical management offered, and the outcome in the form of recovery and complications.Materials and methods: This retrospective descriptive study includes six patients diagnosed with fibrolipomatous hamartoma over a period of 12 years. Patient details were collected from the medical records. Patients diagnosed of fibrolipomatous hamartoma in the hand were included. Patients with other soft-tissue tumors were excluded from the study. Out of six patients, four required excision of nerve followed by reconstruction using sural nerve graft and two underwent microsurgical dissection of neural element. Patients were instructed to take care of the operated hand during the recovery phase. Institutional physiotherapy protocol was started during the 3rd postoperative week. Follow-up period was between 1 and 3 years.Results: All the six patients were free from symptoms postoperatively. Minimal complications were noted in two patients, which were managed conservatively.Conclusion: Surgical excision of fibrolipomatous hamartoma of median nerve below elbow, with nerve dissection or with nerve reconstruction using sural nerve graft, followed by proper postoperative care and physiotherapy has proven beneficial for the patients in our study.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 2","pages":"153-158"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/29/NJS-26-153.PMC7659758.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38629840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4