Annals of African Surgery最新文献_第3页

Rupture of Splenic Artery Pseudoaneurysm with Pancreatitis: A Rare Case Report 脾动脉假性动脉瘤破裂并发胰腺炎1例

Annals of African Surgery Pub Date : 2023-06-15 DOI: 10.4314/aas.v20i2.6

T. Kang, Mi-Jin Kang

引用次数: 0

An Exceptional Presentation of “Watermelon Stomach” in a 30- Year-Old Cirrhotic Male 一例30岁男性肝硬化“西瓜胃”的罕见表现

Annals of African Surgery Pub Date : 2023-06-15 DOI: 10.4314/aas.v20i2.4

Radhika Salpekar, Keerthan Upadhya, Shiva Prasad

引用次数: 0

Preoperative hormonal stimulation in hypospadias: a systematic review 尿道下裂术前激素刺激:系统综述

Annals of African Surgery Pub Date : 2023-01-18 DOI: 10.4314/aas.v20i1.4

Indrayudha Pramono, Safendra Siregar, Jupiter Sibarani

{"title":"Preoperative hormonal stimulation in hypospadias: a systematic review","authors":"Indrayudha Pramono, Safendra Siregar, Jupiter Sibarani","doi":"10.4314/aas.v20i1.4","DOIUrl":"https://doi.org/10.4314/aas.v20i1.4","url":null,"abstract":"Introduction: Preoperative hormonal stimulation with testosterone or estrogen is an emerging treatment modality for hypospadias, which can potentially improve surgical outcomes and reduce the risk of complications. This review aims to evaluate the current knowledge on preoperative hormonal stimulation in hypospadias. Methods: This study was a combination of a systematic review followed by a meta-regression analysis performed on PubMed, Google Scholar, DOAJ, and Cochrane. The study included randomized controlled trials, prospective and retrospective cohort studies, and before-and-after studies with or without control. The search was performed in English and was limited to articles published between January 1, 2000, and December 31, 2020. Results: The database search yielded 188 articles, which were systematically eliminated, leaving 15 relevant articles. The analyzed articles showed that testosterone is the most commonly used hormonal treatment in hypospadias, followed by dihydrotestosterone (DHT) and estrogen. Testosterone may be given in topical, parenteral, or oral formulations, while DHT is most often used in topical form. Conclusions: Preoperative stimulation with testosterone or DHT is associated with increased penile length and glans circumference before surgery, which may ease the reconstruction process. In addition, testosterone and DHT increase the rate of neovascularization and reduce the risk of postoperative complications.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91378212","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

Frugal digitization of analog video endoscopic medical records in a Kenyan rural medical center 肯尼亚农村医疗中心模拟视频内窥镜医疗记录的节俭数字化

Annals of African Surgery Pub Date : 2023-01-18 DOI: 10.4314/aas.v20i1.2

Thomas Onyango Kirengo

{"title":"Frugal digitization of analog video endoscopic medical records in a Kenyan rural medical center","authors":"Thomas Onyango Kirengo","doi":"10.4314/aas.v20i1.2","DOIUrl":"https://doi.org/10.4314/aas.v20i1.2","url":null,"abstract":"Background: Digitization of healthcare data has led to widespread healthcare transformation. This has been enhanced by the availability of new technologies at lower costs. Video recording can improve the quality of care, provider skills, education, and patient follow-up. However, limitations such as the risk of litigation, patient privacy, and poor legal framework have curtailed adoption. Rural hospitals have older analog equipment due to limited financial resources. Objectives: This study aims to present an alternative low-cost option. Methods: We present an economical method of recording and digitizing endoscopic and laparoscopic procedures performed on analog video processing towers. We showcase a video of the step-by-step procedure that involves connecting a digital video home system (VHS) video recorder to an analog Olympus endoscopy machine (Model CV-100) and transferring media via a portable storage device to an electronic medical record database. Conclusion: Using simple home video recording devices provides a low-cost solution to creating digital records from analog video endoscopic machines. The technique, however, creates additional steps to the endoscopy process and the need for capacity building of the endoscopist. Patient consent forms should cover video creation. Medical centers should have a robust information management system to securely store and retrieve digitized video records.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73838228","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

Electronic health records – the ethical and legal issues 电子健康记录——伦理和法律问题

Annals of African Surgery Pub Date : 2022-12-30 DOI: 10.4314/aas.v20i1.1

James W M Kigera, Vincent Kipkorir

引用次数: 0

Pattern of HER2 overexpression in urinary bladder carcinomas in Kano, Nigeria 尼日利亚卡诺地区膀胱癌中HER2过表达模式

Annals of African Surgery Pub Date : 2022-12-21 DOI: 10.4314/aas.v20i1.3

M. Haruna, A. Atanda, Y. Iliyasu

{"title":"Pattern of HER2 overexpression in urinary bladder carcinomas in Kano, Nigeria","authors":"M. Haruna, A. Atanda, Y. Iliyasu","doi":"10.4314/aas.v20i1.3","DOIUrl":"https://doi.org/10.4314/aas.v20i1.3","url":null,"abstract":"Background: The worldwide distribution of bladder cancer varies, conforming to differences in environmental and genetic risk factors. HER2 neu is overexpressed in many human cancers, including urinary bladder carcinomas. The aim of this study is therefore to evaluate the pattern of HER2 positivity, and correlate HER2 positivity of urinary bladder carcinomas with age, gender of patients, histological subtypes, and tumor grades. Methods: This is a 2-year retrospective study from January 2015 to December 2016. Patients’ clinicopathological information was extracted from their case folders and pathology reports. The histological subtyping using the WHO 2016 classification and grading was done and then reviewed by authors. HER2 scoring was done using the recommendations of the American Society of Clinical Oncology/College of American Pathologists. Results: Sixty cases of bladder cancer were diagnosed during the study period. HER2/neu positivity (3+) was observed in 24 (40%) of all the cases. Statistically significant association was observed between HER2 neu protein overexpression and increasing tumor grade (p≤ 0.001). Conclusion: This study recorded HER2 overexpression in 40% of study subjects. There is a statistically significant association between HER2 overexpression and increasing tumor grade.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89180663","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

An uncommon case of primary synovial sarcoma of the lung with a rare intraoperative finding 一例罕见的原发性肺滑膜肉瘤，术中发现罕见

Annals of African Surgery Pub Date : 2022-09-20 DOI: 10.4314/aas.v19i4.9

Rajashekara Reddy Hosahalli Venkatappa, Chemuru Munisekhar Reddy

{"title":"An uncommon case of primary synovial sarcoma of the lung with a rare intraoperative finding","authors":"Rajashekara Reddy Hosahalli Venkatappa, Chemuru Munisekhar Reddy","doi":"10.4314/aas.v19i4.9","DOIUrl":"https://doi.org/10.4314/aas.v19i4.9","url":null,"abstract":"We report a case of a 32-year-old male who was evaluated for right chest pain and cough with streaky hemoptysis. Chest X-ray and contrast-enhanced computerized tomography scan of the chest showed a large (20x16×16 cm), heterogeneously enhancing mass arising from the right lower lobe. Ultrasound-guided Tru-cut biopsy revealed spindle cell sarcoma. In immunohistochemistry, tumor cells expressed epithelial membrane antigen, CD99, and bcl-2. The final diagnosis of primary pulmonary synovial sarcoma was confirmed after positron emission tomography-computed tomography revealed that the lesion was confined to the right lung. The patient was managed by multimodal treatment. The patient underwent right anterolateral thoracotomy and lower lobectomy with staged systematic mediastinal lymphadenectomy. Intra-operatively, he was given 2 units of packed red blood cells (RBCs). The patient developed dark-colored urine near the end of the transfusion of the second unit of packed RBCs, but without any hemodynamic instability. All the tests for possible blood transfusion reactions were negative; thus, we concluded that this event was probably secondary to tumor lysis due to the handling of the large primary lesions during surgery.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88439893","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

Value of tumor’s depth and width in predicting survival rate in non-muscle- invasive (pT1) bladder cancer 肿瘤深度和宽度对非肌侵及性膀胱癌生存率的预测价值

Annals of African Surgery Pub Date : 2022-09-19 DOI: 10.4314/aas.v19i4.4

Albert, Kevin Anthony Glorius Tampubolon, S. Pramod, Ferry Safriadi

{"title":"Value of tumor’s depth and width in predicting survival rate in non-muscle- invasive (pT1) bladder cancer","authors":"Albert, Kevin Anthony Glorius Tampubolon, S. Pramod, Ferry Safriadi","doi":"10.4314/aas.v19i4.4","DOIUrl":"https://doi.org/10.4314/aas.v19i4.4","url":null,"abstract":"Background: Bladder cancer is classified according to traditional American Joint Committee on Cancer TNM staging. In the absence of nodal (N stage) or distant metastases (M stage), the depth of tumor invasion (T stage) is the most important determination to be made: whether the tumor is invading into or beyond the lamina propria (muscle-invasive bladder cancer) or not (non- muscle-invasive bladder cancer). This study investigated the association between the cutoff value of tumor depth and width and survival rate in non-muscle- invasive (pT1) bladder cancer. Methods: This was a retrospective cohort design of randomly selected, single- centered study. The subjects were patients with pT1 urothelial carcinoma who were diagnosed on transurethral resection of bladder specimens at a tertiary hospital in West Java, Indonesia. The research sample was taken by consecutive sampling from 2015 to 2019. Results: Sixty-four patients from were included in this study. A tumor depth >2 mm resulted in a hazard ratio (HR) of 1.41 (95% confidence interval [CI], 1.27–3.94; p<0.007), with significant difference. A tumor width >2.4 mm also increased HR significantly (3.27; 95% CI, 1.69–5.87; p<0.006). The presence of lymphovascular invasion (LVI) in patients with bladder cancer resulted in an HR of 3.66 (95% CI, 1.5–4.77; p<0.001), with statistically significant difference in overall survival (OS). Conclusion: Tumor invasion depth, tumor width, and LVI appear to be predictive of poor prognosis in terms of OS in patients with pT1 bladder cancer.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85208642","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

Clinical spectrum, management, and outcome of rectovaginal fistulae 直肠阴道瘘的临床谱、处理和结果

Annals of African Surgery Pub Date : 2022-09-12 DOI: 10.4314/aas.v19i4.7

Silindokuhle Revivial Sibiya, S. Ramphal, T. Madiba, F. Anderson

{"title":"Clinical spectrum, management, and outcome of rectovaginal fistulae","authors":"Silindokuhle Revivial Sibiya, S. Ramphal, T. Madiba, F. Anderson","doi":"10.4314/aas.v19i4.7","DOIUrl":"https://doi.org/10.4314/aas.v19i4.7","url":null,"abstract":"Background: There are limited reports on rectovaginal fistulae in South Africa. Methods: This was a prospective analysis of all patients undergoing treatment for RVF at a tertiary referral hospital. Data was extracted from the database between2006 and 2018 and analysis included demographics, aetiology, management, and outcome. The main outcome measure was healing of the fistula. Results: Fifty patients were identified [Median age 36 (IQR 28-42) years]. HIV status was positive (31), negative (5) and unknown (14). Commonest causes were obstetric (17), perineal sepsis (14) and spontaneous (8) (Table 2). Median duration of symptoms was 34.5 months (IQR 5-72) (Diagram 1). Forty-two patients underwent 55 surgical procedures (including 14 redos). In 32 patients RVF repair was undertaken under colostomy cover and 28/42 fistulae healed after the initial repair (66.7%), final success rate was (41/42) 97.6%. Two of eight fistulae healed after non-operative management (25%). Conclusion: Obstetric injury was the leading cause of RVF. HIV positive patients predominated. Spontaneous fistulae were seen in immunocompromised patients. Success rate was 97.6% over a healing time of 3 months. Non-operative management led to healing in 25% of cases.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90283620","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

Post-priapism erectile dysfunction rates and associated factors in adult patients at a national referral hospital 某国家转诊医院成人患者阴茎勃起后勃起功能障碍发生率及相关因素

Annals of African Surgery Pub Date : 2022-09-09 DOI: 10.4314/aas.v19i4.8

Patrick Muigai Mararo, P. Ndaguatha, P. Mwika, E. Opot

{"title":"Post-priapism erectile dysfunction rates and associated factors in adult patients at a national referral hospital","authors":"Patrick Muigai Mararo, P. Ndaguatha, P. Mwika, E. Opot","doi":"10.4314/aas.v19i4.8","DOIUrl":"https://doi.org/10.4314/aas.v19i4.8","url":null,"abstract":"Background: Priapism is prolonged penile tumescence that goes on for 4 hours unassociated with sexual stimulation, and can lead to erectile dysfunction (ED). Methods: Using a cross-sectional study, 78 adult male patients managed with priapism at a national referral hospital were interviewed. Data were analyzed using Stata 16. Results: Seventy-seven (98.7%) participants had ischemic priapism, while only one had a non- ischemic type. The median duration of symptoms before presentation was 72 hours, [mean 112 hours (range 12– 720)]. The prevalence of ED after priapism was 100% compared with 74.4% before priapism. Forty-six patients (59%) developed severe ED. Longer duration of presentation (p = 0.001) and treatment method used, including T shunt (p = 0.014), Winter (p = 0.003), and Burnett (p = 0.048), were significantly associated with ED. Conclusion: Priapism contributes to significant sexual morbidity with patients presenting late for treatment, worsening the ED after priapism. Some medical conditions and surgical treatment methods are associated with ED. Public health awareness is needed to promote early presentation and training of clinicians on effective early management of priapism.","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79369090","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