Nigerian Journal of Plastic Surgery最新文献_第6页

Wound bed assessment in patients at a tertiary hospital in Nigeria—A preliminary report 尼日利亚一家三级医院对病人伤口床的评估——初步报告

Nigerian Journal of Plastic Surgery Pub Date : 2016-07-01 DOI: 10.4103/0794-9316.202438

A. Iyun, S. Ademola, A. Michael, O. Olawoye, O. Oluwatosin

{"title":"Wound bed assessment in patients at a tertiary hospital in Nigeria—A preliminary report","authors":"A. Iyun, S. Ademola, A. Michael, O. Olawoye, O. Oluwatosin","doi":"10.4103/0794-9316.202438","DOIUrl":"https://doi.org/10.4103/0794-9316.202438","url":null,"abstract":"Introduction: Wound assessment is fundamental for the management of wounds. It is the foundation in the care plan and helps in determining the effectiveness of interventions. Wound assessment also assists in making appropriate decisions regarding the type of wound dressing to be applied. Detailed wound assessment takes into account all aspects of the patient’s well-being and not just the wounds the patient has. Objectives: The study assessed chronic wounds in the patients at a tertiary Nigerian hospital (University College Hospital, Ibadan) and utilized the information for preparing a standardized wound assessment format for health facilities in the subregion. Materials and Methods: The study was conducted at the University College Hospital, Ibadan, South West Nigeria. Patients with chronic wounds from various causes were treated prospectively in the hospital for over a month and had detailed assessment of their wounds performed. The data obtained were entered into a predesigned form, and this was subsequently analyzed using Statistical Package for the Social Sciences version 21 software. Results: Seventy-eight wounds were reviewed during the study period. The area of the wounds ranged from 1 to 1248 cm2 (median 24 cm2). The type of granulation tissue related to the wound type was not statistically significant. Assessment of the exudates of the wounds revealed that 44.9% of the wounds had seropurulent or purulent discharge, whereas 19.2% had serous discharge. Conclusion: Wound care management can be improved with appropriate wound assessments, which form the foundation in the care plan. Wound assessment will enhance objective measurement of the status of the wound and helps in choosing appropriate wound care dressing to promote wound healing.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129445071","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}

引用次数: 0

Clinico-pathological characteristics of Skin Cancers at Benue State University Teaching Hospital, Makurdi, North Central Nigeria 尼日利亚中北部马库尔迪贝努埃州立大学教学医院皮肤癌的临床病理特征

Nigerian Journal of Plastic Surgery Pub Date : 2016-07-01 DOI: 10.4103/0794-9316.202465

C. Ahachi, P. Akaa, I. Elachi, D. Mue, J. Ngbea, Ikenna N. Anakebe, Eunice O Onuh

{"title":"Clinico-pathological characteristics of Skin Cancers at Benue State University Teaching Hospital, Makurdi, North Central Nigeria","authors":"C. Ahachi, P. Akaa, I. Elachi, D. Mue, J. Ngbea, Ikenna N. Anakebe, Eunice O Onuh","doi":"10.4103/0794-9316.202465","DOIUrl":"https://doi.org/10.4103/0794-9316.202465","url":null,"abstract":"Objective: To document the clinico-pathological characteristics of skin malignancies seen at Benue State University Teaching Hospital, Makurdi. Materials and Methods: A 3-year retrospective study of patients with histologically-confirmed skin cancers presenting to our institution from April 1, 2012 to March 31, 2015 was done. Relevant data was extracted from the patients' records and subjected to statistical analysis. Results: Records were available for 43 patients with a mean age of 46 ± 18 years. There were 21 males and 22 females with a male:female ratio of approximately 1:1. Squamous cell carcinomas were the most common histologic type seen (44.2%) followed by melanoma and Kaposi's sarcoma (25.6% each) while basal cell carcinomas accounted for 4.7%. Farmers (37.2%) and artisans (23.3%) were the most common occupations seen. Human immunodeficiency virus (HIV)-positive patients accounted for 27.9% of the total and albinos 18.6%. Majority of the patients (60.4%) had history of prolonged exposure to sunlight with little regard for protective measures. The average duration of symptoms before presentation was 28 ± 33 months. Conclusion: The study suggested an association between skin cancer and prolonged, unprotected exposure to sunlight on one hand and HIV infection on the other. It highlights the need to promote basic preventive measures.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132643779","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}

引用次数: 1

Vulvar necrotizing soft tissue infection in a child: Review of a multi-disciplinary surgical emergency and management in the modern era 儿童外阴坏死性软组织感染:现代多学科外科急诊和治疗回顾

Nigerian Journal of Plastic Surgery Pub Date : 2016-07-01 DOI: 10.4103/0794-9316.202463

Rahul Krishnarao Patil, Harshal Patil, P. Varkey

引用次数: 1

Perception of healthcare professionals in University College Hospital, Ibadan toward wound care 伊巴丹大学学院医院医护人员对伤口护理的看法

Nigerian Journal of Plastic Surgery Pub Date : 2016-07-01 DOI: 10.4103/0794-9316.202437

A. Iyun, S. Ademola, A. Michael, O. Olawoye, O. Oluwatosin

{"title":"Perception of healthcare professionals in University College Hospital, Ibadan toward wound care","authors":"A. Iyun, S. Ademola, A. Michael, O. Olawoye, O. Oluwatosin","doi":"10.4103/0794-9316.202437","DOIUrl":"https://doi.org/10.4103/0794-9316.202437","url":null,"abstract":"Background: A survey of perception of healthcare workers in a tertiary hospital [University College Hospital (UCH), Ibadan] was done with a view to determine the need to introduce a curriculum in wound care for healthcare workers. Materials and Methods: A self-administered questionnaire was used to capture data related to knowledge and practices on wound care from healthcare workers in UCH, Ibadan. Descriptive analysis was done using the Statistical Package for the Social Sciences version 21 software (SPSS Inc., Chicago, IL, USA). Results: One hundred and four healthcare professionals working in UCH, Ibadan, comprising doctors, nurses, and physiotherapist, with 61.1% over 10 years of experience in wound care were surveyed. Seventy-seven percent agree or strongly agree that healthcare professionals are knowledgeable about best practices in wound care. 50.5% agree or strongly agree that UCH operates best practices in wound care while 49% agree or strongly agree that wound assessment is standardized in the hospital. 96.2% agree or strongly agree that an interprofessional wound care course will be beneficial to healthcare professionals and that it will enable healthcare professionals speak the same language with regard to wounds. Conclusion: Teamwork and definite wound care policy/protocol are essential for excellent outcomes in wound care. Introduction of this approach will enhance knowledge translation and encourage best practice in our health institutions.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127676215","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}

引用次数: 1

The relationship between cleft width and oronasal fistula 裂隙宽度与口鼻瘘的关系

Nigerian Journal of Plastic Surgery Pub Date : 2016-01-01 DOI: 10.4103/0794-9316.193732

E. Amirize

{"title":"The relationship between cleft width and oronasal fistula","authors":"E. Amirize","doi":"10.4103/0794-9316.193732","DOIUrl":"https://doi.org/10.4103/0794-9316.193732","url":null,"abstract":"Context: Width of cleft palate influences difficulty of surgical repair and indirectly the outcome. Palatoplasty complicated with oronasal fistula causes persistence of speech, feeding, and social problems. Subsequent closure of palatal fistula has high recurrence rate. Aim: To determine the relationship between palatal cleft width and oronasal fistula. Setting and Design: One-year prospective nonblinded study. Materials and Methods: All consecutive patients with cleft palate that presented to the study institutions within the period, and met inclusion criteria were studied. The width of the palatal cleft defect was measured intraoperatively. Statistical Analysis Used: Chi-square and Mann-Whitney U-tests were used. P < 0.05 were considered statistically significant. Results: Forty-six patients were studied out of 53 patients seen during the study period. These were 22 males and 24 females giving male to female ratio of 0.92:1. Patients′ ages ranged from 10 months to 28 years; 52.17% of the study population were 2 years and below while 47.83% were aged over 2 years. Cleft width ranged from 4 to 25 mm. Nineteen patients developed fistula. Thus, the overall rate is 41.30%. Likelihood of fistula occurring increased as the width of cleft increased. Fistula rate was higher for patients with cleft width above 15 mm. Fistula rate for intravelar veloplasty was 30% and 50% for von Langenbeck repair; this was not statistically significant. Conclusion: Cleft width is a strong factor in the development of oronasal fistula. The fistula rate suggests a high burden of the problem. Efforts should be made to improve management outcome.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124939628","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}

引用次数: 2

A simple penile dressing following hypospadias repair: Our institutional experience 尿道下裂修复后简单的阴茎敷料:我们的机构经验

Nigerian Journal of Plastic Surgery Pub Date : 2016-01-01 DOI: 10.4103/0794-9316.193731

A. Singh, A. Shukla, Pramila Sharma, Somya Ghosh

引用次数: 1

Early experience with tangential excision and skin grafting of deep dermal burns of the hand among diabetics and nondiabetics 糖尿病及非糖尿病患者手部深层烧伤切向切除植皮的早期经验

Nigerian Journal of Plastic Surgery Pub Date : 2016-01-01 DOI: 10.4103/0794-9316.193735

A. Bijli, Mir Yasir, Tahir Khan, Hayat Al Daheri, Mohanad M Banoqitah, Ammar Bagdadi

{"title":"Early experience with tangential excision and skin grafting of deep dermal burns of the hand among diabetics and nondiabetics","authors":"A. Bijli, Mir Yasir, Tahir Khan, Hayat Al Daheri, Mohanad M Banoqitah, Ammar Bagdadi","doi":"10.4103/0794-9316.193735","DOIUrl":"https://doi.org/10.4103/0794-9316.193735","url":null,"abstract":"Introduction: Deep dermal injury of the hand should have a special management because it has a high potential to affect the functional capabilities of the hand. This study was established to measure the outcome of managing these special types of patients and comparing their outcome with nondiabetics. The goal was to intervene and cover the wound within a time limit of <14 days. Patients and Methods: Between the period of November 2011 and October 2013, we managed a total number of 12 patients with deep dermal burn to the hands in the Burn Unit at King Fahad General Hospital, Jeddah . Four patients were insulin-dependent diabetics, and eight were nondiabetics. An early tangential excision and skin grafting was done in these patients within 14 days of injury. Results: All 12 patients were male. The average age was 45 years. The average total body surface area (TBSA) burnt was 35%, with a range of 2-65%. Four patients were insulin-dependent diabetics, whereas eight patients had no medical comorbidity. Two of the diabetics had an isolated hand burn, and the other two had 30% and 50% of TBSA full-thickness burn, respectively. The graft take was satisfactory among the patients with no difference between the diabetics and the nondiabetics. The grafted hands underwent physiotherapy following the procedure. Satisfactory outcomes were seen among all the grafted hands, with near return to full function. Conclusions: Tangential excision is recommended during the first 5 days postburn to reduce the risk of infection and graft loss. Diabetic patients do not behave differently from nondiabetic patients in their response to graft take, wound healing, and return to work.","PeriodicalId":325435,"journal":{"name":"Nigerian Journal of Plastic Surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125745556","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}

引用次数: 0

Abstracts of the Joint Conference of the Nigerian Association of Plastic and Reconstructive Surgeons and Nigerian Burn Injury Society Which Held Between September 2 nd and 5 th , 2015, at Osogbo, Osun State, Nigeria 2015年9月2日至5日，尼日利亚整形与重建外科医师协会与尼日利亚烧伤学会联合会议在尼日利亚奥松州奥索博召开

Nigerian Journal of Plastic Surgery Pub Date : 2016-01-01 DOI: 10.4103/0794-9316.193747

引用次数: 0

Cupping therapy burn in an African 拔火罐治疗烧伤在非洲

Nigerian Journal of Plastic Surgery Pub Date : 2016-01-01 DOI: 10.4103/0794-9316.193740

A. Michael, T. Akande

引用次数: 0

Combined turnover and deltopectoral flap in closure of persistent pharyngocutaneous fistula 翻转联合胸三角皮瓣治疗持续性咽皮瘘

Nigerian Journal of Plastic Surgery Pub Date : 2016-01-01 DOI: 10.4103/0794-9316.193737

A. Ogunkeyede, A. Aderibigbe, I. Lawal, H. Omokanye, O. Afolabi, A. Dunmade

引用次数: 0