Nigerian Journal of Surgery最新文献

{"title":"An Alternative Technique in the Control of Massive Presacral Rectal Bleeding: Fixation of GORE-TEX^® Aortic Patch.","authors":"Mustafa Ozsoy,&nbsp;Zehra Ozsoy,&nbsp;Suleyman Sahin,&nbsp;Yüksel Arikan","doi":"10.4103/njs.NJS_36_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_36_17","url":null,"abstract":"<p><p>The presacral venous system is located under the pelvic fascia covering the anterior of the sacrum and consists of two lateral sacral veins, middle sacral vein, and the veins that communicate them. The presacral venous system can be easily damaged and causes serious bleeding which is difficult to control and may cause intraoperative mortality. Its incidence varies between 3% and 9.4%. Although several methods have been tried to control presacral bleeding, the definitive method of treatment has not yet been identified. We present here our alternative technique in control of massive presacral massive bleeding developed from the presacral plexus secondary to the traction of the specimen during the dissection. The bleeding could not be controlled despite the use of all technical possibilities such as packing, ligation, and hemostatic agents. Bleeding control was provided by GORE-TEX^® graft. We conclude that fıxatıon of GORE-TEX^® aortic patch should be kept in mind for uncontrolled massive presacral bleeding.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"24 1","pages":"60-62"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/16/NJS-24-60.PMC5883855.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35999261","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}

{"title":"Transient Femoral Nerve Palsy Following Ilioinguinal Nerve Block for Inguinal Hernioplasty.","authors":"Isaac Assam Udo,&nbsp;Kingsley U Umeh,&nbsp;Catherine S Eyo","doi":"10.4103/njs.NJS_20_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_20_17","url":null,"abstract":"<p><strong>Background: </strong>Elective inguinal hernia repair in young fit patients is preferably done under ilioinguinal nerve block anesthesia in the ambulatory setting to improve throughput, save cost, and increase patient satisfaction. A rare complication of ilioinguinal nerve block is transient femoral nerve palsy (TFNP).</p><p><strong>Objectives: </strong>The aim of this study is to examine the incidence of TFNP among adults undergoing ambulatory inguinal hernia repair under ilioinguinal nerve block.</p><p><strong>Patients and methods: </strong>Patients 18 years and older in the American Society of Anesthetists classes I and II who underwent ambulatory inguinal hernia repair over a 3-year period under ilioinguinal nerve block only were assessed for evidence of TFNP. All patients had power on the ipsilateral limb checked 30 min before and 1 h after the procedure. TFNP was considered present if there was sensory loss over the anterior aspect of the thigh, weakness of extension at the knee joint, or reduction in power of the ipsilateral limb.</p><p><strong>Results: </strong>One hundred and twelve patients were involved in the study; 90 (80.3%) males and 22 (19.6%) females with the mean age of 45.7 years. All had normal power (Grade 5) in the ipsilateral limb before instituting the nerve block. Postoperatively, 3 (2.6%) patients had grade 4 and recovered normal power over a 2-6-h period and were subsequently discharged.</p><p><strong>Conclusion: </strong>TFNP is a rare complication of ilioinguinal nerve block which delays patient discharge postambulatory hernioplasty.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"24 1","pages":"23-26"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/2d/NJS-24-23.PMC5883846.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35999420","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}

{"title":"Early Versus Delayed Oral Feeding after Uncomplicated Cesarean Section under Spinal Anesthesia: A Randomized Controlled Trial.","authors":"Adamu O Ogbadua,&nbsp;Teddy E Agida,&nbsp;Godwin O Akaba,&nbsp;Olumide A Akitoye,&nbsp;Bissallah A Ekele","doi":"10.4103/njs.NJS_26_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_26_17","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to compare the safety of early versus delayed oral feeding after uncomplicated cesarean section (CS) under spinal anesthesia.</p><p><strong>Methods: </strong>This was a randomized, controlled trial that enrolled 152 women who had uncomplicated CS under spinal anesthesia between January 2014 and June 2014. Women in the early feeding group had sips of oral fluid 6 h postoperatively while those in the delayed feeding group were on nil per oral for the first 24 h after surgery before commencement on liquid diet. Primary outcome measure was development of symptoms of paralytic ileus while secondary outcome measures included time interval to return of bowel sound, duration of hospital stay, and patients satisfaction which was determined using a visual analog score.</p><p><strong>Results: </strong>The incidence of mild ileus symptoms was similar in both groups. Early-fed group had significantly shorter mean postoperative time intervals to return of bowel sound, (7.3 h vs. 11.5 h [<i>P</i> = 0.005]), passage of flatus, (30.7 h vs. 37.5 h [<i>P</i> = 0.009]). Hospital stay was also significantly shorter in the early feeding group, (4.2 days vs. 4.9 days [<i>P</i> < 0.001]). Early-fed women had higher levels of satisfaction.</p><p><strong>Conclusion: </strong>Early initiation of oral feeding after uncomplicated CS under subarachnoid block is not associated with increased incidence of gastrointestinal symptoms or paralytic ileus.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"24 1","pages":"6-11"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b5/d3/NJS-24-6.PMC5883854.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35999418","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}

{"title":"Use of Otoscope as a Diagnostic and Therapeutic Aid in Umbilical Pilonidal Sinus: A Novel Technique.","authors":"Farhanul Huda,&nbsp;Sudhir Kumar Singh","doi":"10.4103/njs.NJS_10_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_10_17","url":null,"abstract":"<p><strong>Introduction: </strong>Umbilical disorders are frequently encountered in general surgical practice. Although the sacrococcygeal region is the most common site for pilonidal sinus disease, it can be seen occasionally in periumbilical area. Treatment is mostly conservative for umbilical pilonidal sinus in contrast to the sacrococcygeal sinus where it is always surgical. In the era of endoscopy and minimally invasive surgery, we describe the use of otoscope as a novel technique for the diagnosis and treatment of umbilical pilonidal sinus.</p><p><strong>Subject and method: </strong>In this prospective study, patients with a clinical suspicion of umbilical pilonidal sinus were included and diagnosis was confirmed on the basis of otoscopic finding. All patients were planned for conservative management i.e. extraction of hair fragments with the help of an otoscope followed by oral antibiotics treatment. On follow-up, response of treatment was noted by evaluation of symptoms and otoscopic examination.</p><p><strong>Result: </strong>Total 15 patients were included in this study. By using otoscope for removal of hair fragments from umbilical sinus, we found successful result in all patients with conservative treatment.</p><p><strong>Discussion: </strong>In umbilical pilonidal sinus, the success of conservative treatment depends on the effective extraction of hair and maintenance of personal hygiene by the patient. Our study showed 100% successful result of conservative treatment, probably due to proper and complete extraction of hair fragment with the help of the otoscope.</p><p><strong>Conclusion: </strong>Otoscopic examination and hair extraction for umbilical pilonidal sinus is a simple, cost-effective, and easy treatment that can be done in the outpatient department and does not require any formal training for its use.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"24 1","pages":"16-18"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/48/NJS-24-16.PMC5883844.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35999415","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}

{"title":"Modified Laminoplasty for Degenerative Cervical Spondylosis: The Technique of Floating Laminoplasty.","authors":"Samuel C Ohaegbulam,&nbsp;Wilfred C Mezue,&nbsp;Chika Anele Ndubuisi,&nbsp;Mark O Chikani,&nbsp;Ndubuisi D Achebe,&nbsp;Uwadiegwu A Erechukwu","doi":"10.4103/njs.NJS_12_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_12_17","url":null,"abstract":"<p><strong>Background: </strong>Laminoplasty is an established alternative to laminectomy for posterior cervical decompression in spondylotic myelopathy. However, standard laminoplasty requires internal fixation, which is often not obtainable in developing countries. We present our experience with a technique of noninstrumented (floating) laminoplasty developed to avoid the need to anchor the laminoplasty to the anterior elements.</p><p><strong>Methods: </strong>We have used floating laminoplasty (FL) for posterior cervical decompression in patients with cervical spondylosis since 2004 and report the technique and our experience with it between 2009 and 2014 when C-arm and magnetic resonance imaging became available in our unit. Patients who had classical laminectomy and hemilaminectomies were excluded. The operation involved bilateral approach to the laminae through a midline incision with generous sparing of the supraspinous, interspinal and interlaminar ligaments. During closure the laminoplasty was hitched to the ligamentum nuchae. Nurick grading was used for clinical evaluation. Patients were followed for at least 1 year.</p><p><strong>Results: </strong>There were 36 patients with age range between 32 and 72 years (mean: 56.5 years). Male to female ratio was 3:1. Most patients presented with advanced disease, with 25%, 36%, and 30% at Nurick Grade 3, 4, and 5, respectively. Postoperatively, all (100%) patients with Nurick Grade 2 and 3 improved to Grade 1 or 0, while 9 (69%) of the 13 at Grade 4 improved to Grade 2 or better. Only 1 (9.1%) of 11 operated at Grade 5 did not improve while 3 (27%) improved to Grade 2 or better. No postoperative instability was identified on follow-up.</p><p><strong>Conclusion: </strong>FL is a safe and simple procedure that preserves spine stability and minimizes postoperative spinal deformity.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"24 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f1/12/NJS-24-1.PMC5883842.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35999416","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}

{"title":"Cutaneous Cancers in Nigerian Albinos: A Review of 22 Cases.","authors":"Oluwafemi Olasupo Awe,&nbsp;Terence Akhator Azeke","doi":"10.4103/njs.NJS_23_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_23_17","url":null,"abstract":"<p><strong>Context: </strong>Albinism is an inherited disorder of hypopigmentation involving the skin, eyes, and hair. This disorder results in the absence or reduction in melanin production. There are two main types of albinism which are ocular albinism and oculocutaneous albinism. It could also be classified as syndromic or nonsyndromic the melanin, which protects from the harmful effect of ultraviolet radiation of the sun on the normal skin, is deficient in the albino, predisposing them more, to cutaneous malignancies.</p><p><strong>Aim: </strong>This study is to highlight the epidemiology of cutaneous cancers in albinos in sub-urban Nigeria.</p><p><strong>Methodology: </strong>This is a retrospective review of all albinos with histological diagnoses of cutaneous malignancies that presented to Irrua Specialist Teaching Hospital, Irrua Edo State, Nigeria between September 2010 and August 2016. The following details were extracted from the patients' case-notes, operation register, and the histopathology register. These data include age, gender, site of the lesion, the diagnosis, no of lesions excised, and duration of the lesion (s). These were collated and analyzed using SPSS version 22.</p><p><strong>Results: </strong>There were 22 albinos with histopathologically diagnosed cutaneous malignancies. There were 11 males and 11 females with male:female of 1. The age range is from 25 to 55 years with the mean of 34.68.</p><p><strong>Conclusion: </strong>Albinism is one of the most common causes of cutaneous malignancies, and majority of them present with locally advanced lesions that will need excision biopsy resulting in disfigurement. This problem can be prevented in many cases with proper community education, support, and free health care. There is also need for them to present early whenever they noticed any skin changes.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"24 1","pages":"34-38"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a7/59/NJS-24-34.PMC5883848.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35999902","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}

{"title":"Resterilized Polypropylene Mesh for Inguinal Hernia Repair.","authors":"Isaac Assam Udo,&nbsp;Ifeanyi A Onwuezobe,&nbsp;Kingsley U Umeh","doi":"10.4103/njs.NJS_21_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_21_17","url":null,"abstract":"<p><strong>Purpose: </strong>The use of prosthetic biomaterials for reconstructing and reinforcing the posterior wall of the inguinal canal reduces the incidence of hernia recurrence. Cost, availability of mesh, and perhaps reluctance to adopt a new technique are factors which prevent widespread practice of hernioplasty in low-resource settings. Use of resterilized mesh significantly reduces the cost of hernioplasty and is safe.</p><p><strong>Patients and methods: </strong>Sheets of 30 cm × 30 cm polypropylene mesh were cut into 16 cm × 8 cm to produce mesh strips which were repackaged into SELFSEAL^® (Medical Action Industries Inc., USA) sterilizing pouches measuring 90 mm × 230 mm and autoclaved. At repair, the strips are shaped to fit the anatomy of the posterior wall of the inguinal canal, a slit created at one end and applied in Lichtenstein repair of inguinal hernias. Patients were monitored for seroma collection and wound infection up to 2 weeks postoperative period.</p><p><strong>Results: </strong>Sixty inguinal hernia repairs were done in 58 patients using the resterilized mesh; two cases being bilateral. One patient (1.7%) had seroma collection at 2 weeks which was aseptically aspirated. We did not record any case of wound infection.</p><p><strong>Conclusion: </strong>The use of sterilized polypropylene mesh for the repair of inguinal hernias is safe and reduced the cost of hernioplasty by reducing the cost of polypropylene mesh. This technique is recommended in low-resource settings.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"24 1","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/e8/NJS-24-19.PMC5883845.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35999419","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}

{"title":"Childhood Pyogenic Osteomyelitis in Abakaliki, South East Nigeria.","authors":"Njoku Isaac Omoke","doi":"10.4103/njs.NJS_17_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_17_17","url":null,"abstract":"<p><strong>Background: </strong>Pyogenic osteomyelitis is an important child health problem in developing countries. It is a one-disease state with a spectrum of pathological features and clinical forms ranging from acute to chronic presentation. Its pattern of presentation varies from and within subregions. The aim of this study was to determine the pattern and outcome of childhood pyogenic osteomyelitis in a low-resource environment.</p><p><strong>Materials and methods: </strong>This was a retrospective study of all the children aged 18 years and under seen with pyogenic osteomyelitis in Federal Teaching Hospital Abakaliki between January 2005 and December 2015.</p><p><strong>Results: </strong>In 76 patients, there was pyogenic osteomyelitis involving 85 bones. Female-to-male ratio was 1:1.7, and the mean age was 9.9 ± 5.1 years. The clinical forms of presentation were acute in 16 (21.1%), subacute in 10 (13.2%), and chronic in 50 (65.8%) patients. Acute osteomyelitis was the more likely form of presentation among infants (<i>P</i> < 0.001) and urban children (<i>P</i> < 0.011) whereas subacute and chronic osteomyelitis were more likely among the older children (<i>P</i> < 0.001) and rural residents (<i>P</i> < 0.011). <i>Staphylococcus aureus</i> was the most common isolated pathogen. Anemia, septic arthritis, and pathological fractures were the three top complications observed. Fifty patients (65.8%) recovered and adjudged cured, 9 (11.8%) were lost to follow-up, and 17 (22.4%) were unable to afford the financial cost of the treatment.</p><p><strong>Conclusion: </strong>In our environment, chronic pyogenic osteomyelitis sequel to acute hematogenous bone infection in childhood is common. Poverty is also a limiting factor in its definitive treatment. These calls for a policy response aimed at improved care and preventive strategies based on the observed pattern.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"24 1","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/86/25/NJS-24-27.PMC5883847.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35999421","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}

{"title":"Desmoid Fibromatosis of the Lower Abdominal Wall in Irrua Nigeria.","authors":"Oluwafemi Olasupo Awe,&nbsp;Sylvester Eluehike","doi":"10.4103/njs.NJS_8_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_8_17","url":null,"abstract":"<p><p>Desmoid fibromatosis (desmoid tumors) is rare tumors. It can occur as intra-abdominal, extraabdominal, or abdominal wall tumor depending on the site. The abdominal wall type is usually sporadic, but few have been associated with familial adenomatous polyposis. They are commonly seen in young females who are pregnant with a history of the previous cesarean section scar or within the 1^st year of the last childbirth. There is an association between this tumor, presence of estrogen receptors, and abdominal trauma. We present a 29-year-old Nigerian woman with fungating lower abdominal wall tumor. This tumor is rare, a high index of suspicion will be very important in making the diagnosis.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"24 1","pages":"52-55"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/56/NJS-24-52.PMC5883852.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35999906","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}

{"title":"Management of Brain Abscess: Changing Trend and Experience in Enugu, Nigeria.","authors":"Chika Anele Ndubuisi,&nbsp;Samuel C Ohaegbulam,&nbsp;Wilfred C Mezue,&nbsp;Mark C Chikani,&nbsp;Sunday P Nkwerem,&nbsp;Ignatius I Ozor","doi":"10.4103/njs.NJS_46_16","DOIUrl":"https://doi.org/10.4103/njs.NJS_46_16","url":null,"abstract":"<p><strong>Background: </strong>Intracranial abscess remains a significant health-care problem. Its causes, diagnosis, treatment, and outcome are changing.</p><p><strong>Aim: </strong>This paper reviewed the demography, examined new trends, and compared outcomes with different treatment options.</p><p><strong>Methodology: </strong>Retrospective analysis of intracranial abscesses managed at Memfys Hospital, Enugu (2004-2014) and University of Nigeria Teaching Hospital (2009-2014). Patients were followed up for at least 6 months. All patients had neuroimaging before intervention. Microscopy and culture were performed for the specimens. Intravenous antibiotics were given for 2 weeks before conversion to oral.</p><p><strong>Results: </strong>Seventy-nine parenchymal abscesses (eight cases per year) were managed. Peak age was the second decade of life. Previous head injury (21.5%) and meningitis (16.5%) were the most common predisposing factors. The frontal lobe was most common anatomical location (32%). Only 24% had positive culture result. Three cases were fungal infections. Seventy percent of patients managed with burr hole drainage and 37.5% of craniotomy made complete recovery. Overall, 58% of patients made complete recovery, whereas 19.0% died. Nine percent of cases died before definitive intervention. Among the 24% of patients that presented in coma, 47% died within 6 months. Most important factor influencing mortality was admission level of consciousness. Abscess recurred in 6% of cases.</p><p><strong>Conclusion: </strong>Intraparenchymal abscesses in Enugu were mostly solitary lesions resulting from poorly managed head injury and meningitis. Predisposition from otitis media and systemic diseases has reduced. The proportion of fungal organisms is increasing. A significant proportion of the patients present in coma. Burr hole and aspiration of abscess is less invasive and has very good outcome.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"106-110"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/60/NJS-23-106.PMC5649424.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35560805","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}