Nigerian Journal of Surgery最新文献_第4页

Laparoscopy-assisted Transanal Endorectal Pull-through for the Management of Hirschsprung's Disease in Nigeria: Report of Two Cases. 腹腔镜辅助经肛门直肠内牵引治疗尼日利亚巨结肠病2例报告

Nigerian Journal of Surgery Pub Date : 2020-01-01 Epub Date: 2020-02-10 DOI: 10.4103/njs.NJS_39_18

Adesoji O Ademuyiwa, Olumide A Elebute, Olanrewaju S Balogun, Ibironke Desalu, Lohfa B Chirdan, Christopher O Bode

引用次数: 0

Investing in Pediatric Surgical Research to Advance Universal Health Coverage for Children in Nigeria. 投资于儿科外科研究，促进尼日利亚儿童的全民健康覆盖。

Nigerian Journal of Surgery Pub Date : 2020-01-01 Epub Date: 2020-02-10 DOI: 10.4103/njs.NJS_43_19

Justina O Seyi-Olajide, Emmanuel A Ameh

{"title":"Investing in Pediatric Surgical Research to Advance Universal Health Coverage for Children in Nigeria.","authors":"Justina O Seyi-Olajide, Emmanuel A Ameh","doi":"10.4103/njs.NJS_43_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_43_19","url":null,"abstract":"About 1.7 billion children and adolescents most of whom are in low- and middle-income countries lack access to safe and affordable surgical and anesthesia care when needed. 43% of Nigeria's population of 199 million are below the age of 15 years. In 2015, Nigeria had a pediatric surgeon workforce deficit of 693 for children <15 years. While threats and constraints to achieving universal health coverage in Nigeria have been highlighted, the role of research is often not included. Over the years, there has been a slow but progressive increase in pediatric surgical workforce and research output, both locally and with international collaborations, and in trainee involvement in research as lead authors. There has unfortunately been a challenge with translation of research findings, outcomes, and recommendations into actions. Despite the various challenges mitigating against pediatric surgery research, efforts must be committed to developing and implementing innovative approaches to address the problems and challenges, as well as implementing quality improvement programs and deploying technology to advance children's care. It is hoped that inclusion of children's surgery in the National Surgical, Obstetrics, Anaesthesia, and Nursing Plan would strengthen pediatric surgical research in Nigeria.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/fe/NJS-26-1.PMC7041358.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37732699","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

Binding Pancreaticojejunostomy: Is It Safe? 结合胰空肠吻合术:安全吗?

Nigerian Journal of Surgery Pub Date : 2020-01-01 Epub Date: 2020-02-10 DOI: 10.4103/njs.NJS_17_19

Sanjay Gupta, Ashok K Attri, Rajeev Sharma, Monika Gureh, Md Imran Nasir

{"title":"Binding Pancreaticojejunostomy: Is It Safe?","authors":"Sanjay Gupta, Ashok K Attri, Rajeev Sharma, Monika Gureh, Md Imran Nasir","doi":"10.4103/njs.NJS_17_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_17_19","url":null,"abstract":"Background: Postoperative pancreatic fistula (POPF) or leak from pancreaticojejunostomy (PJ) is one of the most common complications after pancreaticoduodenectomy (PD), with an incidence of 5%-30%. Various techniques have been advocated to bring down the incidence of POPF, but there is still none that can be called the \"gold standard\". Peng's binding PJ (BPJ) was proposed as a good method of performing PJ with low fistula rates; we present our results with BPJ.Methods: The data of all patients who underwent PD with BPJ between January 2016 and March 2018 were retrospectively analyzed for demographics, clinical features, type of procedure performed, complications (especially POPF), hospital stay, morbidity, and mortality.Results: A total of 24 patients (18 males and 6 females) were identified. The mean age at the diagnosis was 65.5 ± 6.4 years. Majority of the patients had ampullary carcinoma (62.5%). The most common postoperative complication was delayed gastric emptying seen in 10 patients, whereas only 2 (8.33%) had POPF and there was one mortality.Conclusion: BPJ is safe and is associated with a low incidence of POPF.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 1","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/e4/NJS-26-48.PMC7041346.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37733190","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: 2

Prevalence, Awareness, and Factors Associated with Noise-induced Hearing Loss in Occupational Motorcyclists in Southwestern Nigeria. 尼日利亚西南部职业摩托车手噪声性听力损失的患病率、意识和相关因素

Nigerian Journal of Surgery Pub Date : 2020-01-01 Epub Date: 2020-02-10 DOI: 10.4103/njs.NJS_26_19

Shuaib Kayode Aremu, Rasaq Kayode Adewoye, Alao Taiye Adeyanju, David Sylvanus Ekpo

{"title":"Prevalence, Awareness, and Factors Associated with Noise-induced Hearing Loss in Occupational Motorcyclists in Southwestern Nigeria.","authors":"Shuaib Kayode Aremu, Rasaq Kayode Adewoye, Alao Taiye Adeyanju, David Sylvanus Ekpo","doi":"10.4103/njs.NJS_26_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_26_19","url":null,"abstract":"Background: There is generally a lack of awareness among professional motorcycle riders on the risk of noise-induced hearing loss; due to a variety of factors, they are exposed to by the nature of their job. This study, therefore, aimed to determine the prevalence, awareness, and factors associated with noise-induced hearing loss among motorcycle riders in Ido-Ekiti, Ekiti State, Nigeria.Methodology: A cross-sectional descriptive study was conducted between February and March 2019 among 420 motorcycle riders in Ido-Ekiti, Ekiti State, Southwestern Nigeria. Data analyses were performed using the SPSS software version 20. P ≤ 0.05 was considered as statistically significant. Three hundred and sixty of the total of 420 consented for pure-tone audiometry which was done to assess their hearing thresholds.Results: Majority of the respondents had at least a secondary level of education. About 14.5% of the total study population had hearing loss, among which 15% also reported an accompanying ear discharge. All of the respondents did not have any history of hearing loss before they started the occupation. More than half of the study population was aware of noise-induced hearing loss and was able to link it to their profession. None of the study participants used a hearing aid, but 17.9% reported using ear mufflers and 16.2% used earphones while riding.Conclusion: Majority of our respondents had secondary school education and 14.5% of the total study population reported hearing loss, among which 15% also reported an accompanying ear discharge. Furthermore, more than half of the study population was aware of noise-induced hearing loss and was able to link it to their profession, whereas 50% agreed that their occupation placed them at risk of hearing loss.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 1","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/a9/NJS-26-53.PMC7041349.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37733191","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

Situs Ambiguous Anomaly during Laparoscopic Cholecystectomy in an Adult Female. 1例成年女性腹腔镜胆囊切除术中位置不明确异常。

Nigerian Journal of Surgery Pub Date : 2020-01-01 Epub Date: 2020-02-10 DOI: 10.4103/njs.NJS_47_183

Brij Mohan Joshi, Sumitoj Singh, Ashok Kumar, Mandeep Singh Sandhu, Deepak Rana

{"title":"Situs Ambiguous Anomaly during Laparoscopic Cholecystectomy in an Adult Female.","authors":"Brij Mohan Joshi, Sumitoj Singh, Ashok Kumar, Mandeep Singh Sandhu, Deepak Rana","doi":"10.4103/njs.NJS_47_183","DOIUrl":"https://doi.org/10.4103/njs.NJS_47_183","url":null,"abstract":"Situs anomalies are rare structural defects affecting 0.01% of general population. They present with multisystem structural defects mostly involving cardiovascular, respiratory and GI systems. Situs abnormality with presence of multiple spleen is termed as left atrial isomerism with anatomical and structural differences to its countertype situs ambiguous with asplenia (right atrial isomerism). In this case report, we present an adult case of situs ambiguous anomaly which was diagnosed incidentally during laparoscopic cholecystectomy. The patient had enlarged left lobe of liver, multiple splenules on right side, malrotated small and large gut, interrupted inferior vena cava with azygos continuation, and bilateral bilobed lungs. It is concluded that variations in situs ambiguous cases differ and a single description is not possible. It is crucial to reveal these variations by using imaging modalities and being aware of them prior to surgery and invasive intervention to prevents the possible risks and complications.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 1","pages":"72-77"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/6a/NJS-26-72.PMC7041347.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37733125","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: 0

Influence of Implant Neck Design on Crestal Bone Loss: A Comparative Study. 种植体颈部设计对牙冠骨丢失影响的比较研究。

Nigerian Journal of Surgery Pub Date : 2020-01-01 Epub Date: 2020-02-10 DOI: 10.4103/njs.NJS_28_19

Yojana B Patil, Swati Joshi Asopa, Deepa, Aashana Goel, Divya Jyoti, Nagaveni S Somayaji, Robin Sabharwal

{"title":"Influence of Implant Neck Design on Crestal Bone Loss: A Comparative Study.","authors":"Yojana B Patil, Swati Joshi Asopa, Deepa, Aashana Goel, Divya Jyoti, Nagaveni S Somayaji, Robin Sabharwal","doi":"10.4103/njs.NJS_28_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_28_19","url":null,"abstract":"Background: The success rate of dental implants depends on the amount of crestal bone around the implants. Crestal module is the transosteal region of implant that is designed to receive the prosthetic component. The design of crestal module influences the crestal bone loss around implants.Aim: The purpose of this study was to evaluate and compare the crestal bone loss around implants with smooth collar and implants with micro threaded rough collar design.Materials and methods: A total of 150 individuals received 100 dental implants. Each individual received one implant with smooth collar design (Group-A) and one implant with microthreaded rough collar design (Group-B) in the posterior edentulous region. All the 100 implants were prosthetically loaded after a healing period of 3 months. Crestal bone loss was measured on mesial, distal, buccal, and lingual side of each implant using periapical radiographs before loading (baseline), immediately after loading, 6, and 12 months after loading.Results: The average crestal bone loss 12 months after loading the implants in Group A and Group B was 3.75 mm and 3.23 mm, respectively, the value being statistically significant (P < 0.05). In both Group A and Group B, the average crestal bone loss was maximum on the lingual side followed by buccal, distal, and mesial sides.Conclusion: Crestal bone loss around rough-surfaced microthreaded neck implants was significantly lower than smooth-surfaced neck implants.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 1","pages":"22-27"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/2d/NJS-26-22.PMC7041357.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37733188","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

Primary Infertility Secondary to Posterior Urethral Valve. 继发于后尿道瓣膜的原发性不育症。

Nigerian Journal of Surgery Pub Date : 2020-01-01 Epub Date: 2020-02-10 DOI: 10.4103/njs.NJS_24_19

Timothy Uzoma Mbaeri, Chukwuemeka Okwudili Ezeama, Chinonso Odo

引用次数: 0

"Tracheomalacia after Thyroidectomy," Does it Truly Exist? “甲状腺切除术后的气管软化症”，它真的存在吗?

Nigerian Journal of Surgery Pub Date : 2020-01-01 Epub Date: 2020-02-10 DOI: 10.4103/njs.NJS_31_19

Neda Valizadeh, Peyvand Mohammadi, Rahim Mahmodlou, Seyed Arman Seyed Mokhtari, Gohar Ramezani

{"title":"\"Tracheomalacia after Thyroidectomy,\" Does it Truly Exist?","authors":"Neda Valizadeh, Peyvand Mohammadi, Rahim Mahmodlou, Seyed Arman Seyed Mokhtari, Gohar Ramezani","doi":"10.4103/njs.NJS_31_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_31_19","url":null,"abstract":"Aim: Tracheomalacia is a potentially life-threatening, but a rare complication of thyroidectomy. In previous studies, the incidence rate was very different. Considering the relatively high prevalence of goiter and thyroidectomy in the West Azerbaijan region, we designed this study to determine the tracheomalacia incidence in patients who underwent thyroidectomy within a 10-year interval.Materials and methods: This retrospective study was done in Urmia Imam Khomeini Hospital in West Azarbayjan Province. Demographic characteristics including the age and sex of patients who underwent thyroidectomy between 2007 and 2017 and also the incidence of tracheomalacia after surgery were recorded.Results: From 2007 to 2017, total 1236 thyroidectomy were performed. The patients' age ranged from 15 to 83-year-old with a mean age of patients was 44.5 ± 13.81 years old. Two hundred and twenty-nine patients (19%) were male and 1007 (81%) were female. We did not find any cases of tracheomalacia after thyroidectomy in our study population.Conclusion: Based on the results of this study, it seems that with the necessary precautions, the incidence of tracheomalacia can reach zero.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 1","pages":"59-62"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/83/NJS-26-59.PMC7041345.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37733122","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: 2

Incidence and Pattern of Extremity Fractures seen in Accident and Emergency Department of a Nigerian Teaching Hospital. 尼日利亚某教学医院急诊科四肢骨折的发生率及类型分析。

Nigerian Journal of Surgery Pub Date : 2020-01-01 Epub Date: 2020-02-10 DOI: 10.4103/njs.NJS_42_19

Njoku Isaac Omoke, Francis Oji Ekumankama

{"title":"Incidence and Pattern of Extremity Fractures seen in Accident and Emergency Department of a Nigerian Teaching Hospital.","authors":"Njoku Isaac Omoke, Francis Oji Ekumankama","doi":"10.4103/njs.NJS_42_19","DOIUrl":"https://doi.org/10.4103/njs.NJS_42_19","url":null,"abstract":"Background: Extremity fracture is an important component of musculoskeletal injury worldwide. The distributions of etiological factors and types of extremity fractures vary from and within subregions and have implications in preventive and treatment strategies. This study aimed at determining the incidence and pattern of extremity fractures seen in accident and emergency department (A and ED) of a teaching hospital in a developing country.Patients and methods: This was a prospective study of all patients with extremity fractures seen in A and ED of Federal Teaching Hospital Abakaliki over 12 months between February 1, 2016 and January 31, 2017.Results: Extremity fractures necessitated visit in 251 patients with 306 fractures giving an incidence of 22.6/1000/year of A and ED attendances (39.2/1000 males and 9.2/1000 females), with age range of 2-90 years and a mean of 35.6 ± 16.7 years. Road traffic accident (RTA) (184, 73.3%), fall from height (23, 9.2%), and gunshot (13, 5.2%) were the three top causes of fractures, whereas tibia, femur, and humerus were three top bones involved. Of the 306 fractures, 270 (88%) involved the long bones, 193 (63.1%) were close, and 113 (36.9%) were open fractures. Forty-four (17.5%) of them were multiply injured patient and head injury in 32 (12.8%) the topmost associated injury. One hundred and ninety-four (77.3%) were admitted into surgical ward and 28 (11.2%) self-discharged against medical advice.Conclusion: Appropriate preventive mechanisms based on the observed pattern is needed; a policy response to curb the menace of RTAs may invariably reduce the incidence of extremity fractures. Treatment strategies entail appropriate facilities and skilled workforce to deal with fractures of varying degrees of severity and complexity observed.","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"26 1","pages":"28-34"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/73/NJS-26-28.PMC7041343.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37733186","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: 8

Pemphigus in Sarcomatoid Renal Cell Carcinoma: A Rare Paraneoplastic Manifestation. 类肉瘤性肾细胞癌的天疱疮:一种罕见的副肿瘤表现。

Nigerian Journal of Surgery Pub Date : 2020-01-01 Epub Date: 2020-02-10 DOI: 10.4103/njs.NJS_4_19

Amit Gupta, Ashish Gupta, Sweety Gupta, Prashant Durgapal, Bina Ravi, Rohik Anjum T Sideek

引用次数: 2