African journal of paediatric surgery : AJPS最新文献_第9页

Congenital Urethrocutaneous Fistula. 先天性尿道皮肤瘘

African journal of paediatric surgery : AJPS Pub Date : 2024-01-01 Epub Date: 2023-07-20 DOI: 10.4103/ajps.ajps_97_22

Bijay Kumar Suman, Ram Jeewan Singh, Amit Kumar Sinha, Bindey Kumar

引用次数: 0

Foreign body in the gastrointestinal tract in children: A tertiary hospital experience. 儿童胃肠道异物：三级医院的经验。

African journal of paediatric surgery : AJPS Pub Date : 2023-07-01 DOI: 10.4103/ajps.AJPS_148_20

Chukwubuike Kevin Emeka, Nduagubam Obinna Chukwuebuka, Enebe Joseph Tochukwu

{"title":"Foreign body in the gastrointestinal tract in children: A tertiary hospital experience.","authors":"Chukwubuike Kevin Emeka, Nduagubam Obinna Chukwuebuka, Enebe Joseph Tochukwu","doi":"10.4103/ajps.AJPS_148_20","DOIUrl":"10.4103/ajps.AJPS_148_20","url":null,"abstract":"Background: Foreign body (FB) ingestion in the gastrointestinal tract (GIT) in children is common. Although most foreign bodies will pass spontaneously, surgical intervention is required when they fail to pass.Aims and objectives: The aim of this study was to evaluate our experience in the management of children who presented with FB in the GIT.Materials and methods: This was a retrospective study of children that underwent laparotomy for the removal of FB in the GIT at the paediatric surgery unit of Enugu State University Teaching Hospital, Enugu over a 10-year period.Results: A total of 272 children presented with FB in the GIT during the study period, out of which 30 patients had laparotomy. This gave an operative incidence rate of 11%. There was a slight male predominance and the ages of the patients ranged from 6 months to 5 years (median 3 years). About half of the patients had no symptoms and all the patients were investigated with an abdominal radiograph. Only one-third of the patients had a predisposing factor that could have led to FB impaction. FB impaction was the most common indication for surgery, and enterotomy with FB removal was the most performed surgical procedure. The most common FB removed were tiny parts of toys, and the most common post-operative complication was surgical site infection. There was no mortality.Conclusion: FB in GIT in children could be associated with complications that require surgical treatment. FB ingestion is preventable. Focus should be placed on caregivers preventing children from ingesting FB.","PeriodicalId":72123,"journal":{"name":"African journal of paediatric surgery : AJPS","volume":"20 3","pages":"224-228"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/32/ee/AJPS-20-224.PMC10450112.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10454077","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

Knowledge and awareness of aetiological and risk factors as determinants of health-seeking pattern of parents of children with epistaxis in a tertiary health institution: A 7-year prospective study. 三级卫生机构鼻出血患儿父母对病因和危险因素的了解和认识：一项为期7年的前瞻性研究。

African journal of paediatric surgery : AJPS Pub Date : 2023-07-01 DOI: 10.4103/ajps.ajps_3_22

Shuaib Kayode Aremu

{"title":"Knowledge and awareness of aetiological and risk factors as determinants of health-seeking pattern of parents of children with epistaxis in a tertiary health institution: A 7-year prospective study.","authors":"Shuaib Kayode Aremu","doi":"10.4103/ajps.ajps_3_22","DOIUrl":"10.4103/ajps.ajps_3_22","url":null,"abstract":"Aim: This prospective study aimed to assess the knowledge and awareness of aetiological and risk factors as determinants of the health-seeking pattern of parents of children with epistaxis in a tertiary health institution.Materials and methods: This was a 7-year cross-sectional prospective study where copies of the questionnaire were distributed to consenting parents whose children presented to our institution with epistaxis between January 2015 and December 2021. A total of 570 parents were enrolled in the study in the research time period.Results: Out of 570 patients, majority (39%) were aged between 11 and 15 years, followed by 35% aged between 6 and 10 years, 17% aged between 1 and 5 years and 11% aged between 16 and 18 years. Three hundred and eighty (66.67%) were male and 190 (33.33%) were female. Two hundred and ninety-five (51.75%) patients had primary education, followed by 189 (33.16%) patients with secondary education and 86 (15.09%) patients with preschool education. Three hundred and seventy-three (65.44%) patients had anterior bleeding and 107 (18.77%) patients had posterior bleeding while 90 (15.79%) patients had both anterior and posterior bleeding. The majority of the parents, 399 (70%), were aware about the epistaxis while 171 (30%) parents were unaware about the epistaxis.Conclusion: A significant number of parents are unaware of the epistaxis and also unaware of the various aetiological and risk factors of the epistaxis and these issues need a more nuanced analysis in light of Africa's rich cultural diversity.","PeriodicalId":72123,"journal":{"name":"African journal of paediatric surgery : AJPS","volume":"20 3","pages":"211-217"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/86/eb/AJPS-20-211.PMC10450115.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10078903","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

Treatment of long bone fractures in children by elastic stable intramedullary nailing: Outcome and challenges in a unit with restricted technical platform. 弹性稳定髓内钉治疗儿童长骨骨折：在技术平台受限的单元中的结果和挑战。

African journal of paediatric surgery : AJPS Pub Date : 2023-07-01 DOI: 10.4103/ajps.ajps_33_22

Eudes Ulrich Elvis Mahougnon Goudjo, Codjo Serge Metchihoungbe, Anani Komlan Mihluedo-Agbolan, Amoussou Sedjro Clotaire Romeo Houegban, Dede Virginie Teko, Octave Exupere Desire Dongmo Miaffo, Komla Gnassingbe

{"title":"Treatment of long bone fractures in children by elastic stable intramedullary nailing: Outcome and challenges in a unit with restricted technical platform.","authors":"Eudes Ulrich Elvis Mahougnon Goudjo, Codjo Serge Metchihoungbe, Anani Komlan Mihluedo-Agbolan, Amoussou Sedjro Clotaire Romeo Houegban, Dede Virginie Teko, Octave Exupere Desire Dongmo Miaffo, Komla Gnassingbe","doi":"10.4103/ajps.ajps_33_22","DOIUrl":"10.4103/ajps.ajps_33_22","url":null,"abstract":"Introduction: Elastic stable intramedullary nailing (ESIN), developed by the Nancy school in France, is the gold standard for surgical treatment of long bone fractures in children. In Africa, few works have been devoted specifically to this technique.Objective: This study aimed to describe the outcome and to present the challenges with this technique in the treatment of long bone fractures in children.Patients and methods: This was a prospective and descriptive study over 4 years including patients aged 0-15 years old operated using ESIN.Results: Sixty-two patients underwent ESIN, of whom 44 patients (70.96%) were for femur fractures, nine patients (14.52%) for tibia and fibula fractures and nine patients (14.52%) for humerus fractures. The majority of the patients treated with ESIN were children older than 6 years. Nine patients (14.51%) and 13 patients (20.98%) underwent ESIN following polytrauma and multiple fractures, respectively. Seven patients (11.29%) were operated on through-closed ESIN method. The unavailability of image intensifier (38.71%) and the presence of bone callus (40.32%) were the major reasons for using the open ESIN method. Thirty-three patients (53.23%) had minor or major complications. The majority of patients had satisfactory therapeutic outcomes.Conclusion: ESIN gives good results, even when the fracture site is approached.","PeriodicalId":72123,"journal":{"name":"African journal of paediatric surgery : AJPS","volume":"20 3","pages":"184-190"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/db/AJPS-20-184.PMC10450106.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10454073","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

Grafted tubularised incised plate: A right option in the management of failed mid-penile and distal hypospadias. 移植物管状切开钢板：治疗失败的阴茎中段和远端尿道下裂的正确选择。

African journal of paediatric surgery : AJPS Pub Date : 2023-07-01 DOI: 10.4103/ajps.ajps_19_22

Rajendra B Nerli, Shoubhik Chandra, Shreyas Rai, Neeraj S Dixit

{"title":"Grafted tubularised incised plate: A right option in the management of failed mid-penile and distal hypospadias.","authors":"Rajendra B Nerli, Shoubhik Chandra, Shreyas Rai, Neeraj S Dixit","doi":"10.4103/ajps.ajps_19_22","DOIUrl":"10.4103/ajps.ajps_19_22","url":null,"abstract":"Introduction: Hypospadias is a common congenital anomaly of the urogenital system. The goal of the initial repair is to correct any curvature, ensuring that the penis is straight, allowing for successful intercourse, to create a functional neourethra to direct the urinary stream in a forward direction and to produce a cosmetically normal-appearing penis with a slit-like meatus at the tip of the glans. Failures and complications do occur. Failed hypospadias repair is often associated with penile skin loss or deficient local tissue, which leaves the penis short, scarred and hypovascular. Repair of a failed hypospadias surgery represents one of the most challenging and difficult tasks. We retrospectively evaluated our series of children who underwent reoperative grafted tubularised incised plate (G-TIP) repair for a mid-penile or distal penile hypospadias.Materials and methods: With permission obtained from the university/institutional ethics committee, we retrospectively reviewed the inpatient and outpatient records of all children ≤18 years of age who underwent a reoperative G-TIP hypospadias repair.Results: During the study period, a total of 22 children (mean age: 6.8 years) underwent reoperative G-TIP repair. The mean number of previous repairs was 1.36. Nine (40.9%) of the children had persisting chordee. Complications were noted in five (22.7%) children.Conclusion: G-TIP is a good option in the management of mid-penile or distal penile failed hypospadias repairs. Although complications are noted, they are easily manageable.","PeriodicalId":72123,"journal":{"name":"African journal of paediatric surgery : AJPS","volume":"20 3","pages":"197-201"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/3b/AJPS-20-197.PMC10450109.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10454075","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

Giant choledochal cyst in infant: A rare case report. 婴儿巨大胆总管囊肿：一例罕见病例报告。

African journal of paediatric surgery : AJPS Pub Date : 2023-07-01 DOI: 10.4103/ajps.ajps_72_21

Ram Jeewan Singh, Md Mokarram Ali, Rashi Rashi, Amit Kumar, Shreyas Dudhani, Amit Kumar Sinha

引用次数: 0

Spectrum of paediatric blunt abdominal trauma in a tertiary care hospital in India. 印度一家三级护理医院的儿科钝性腹部创伤谱。

African journal of paediatric surgery : AJPS Pub Date : 2023-07-01 DOI: 10.4103/ajps.ajps_14_22

Gali Divya, Vijay Kumar Kundal, Rajasekhar Addagatla, Anil Kumar Garbhapu, Pinaki R Debnath, Amita Sen

{"title":"Spectrum of paediatric blunt abdominal trauma in a tertiary care hospital in India.","authors":"Gali Divya, Vijay Kumar Kundal, Rajasekhar Addagatla, Anil Kumar Garbhapu, Pinaki R Debnath, Amita Sen","doi":"10.4103/ajps.ajps_14_22","DOIUrl":"10.4103/ajps.ajps_14_22","url":null,"abstract":"Aim: To study the profile of paediatric blunt abdominal trauma and to assess the correlation of grade of injury with the outcome.Materials and methods: It is a prospective observational study from January 2015 to December 2020. Children below 12 years with blunt abdominal trauma were included. Patient demographic data, treatment given and the final outcome were recorded. All patients were followed up for a minimum of 6 months to maximum 5 years.Results: A total of 68 patients were included in the study. Fall from height was the most common mode of injury (62%) followed by road traffic accidents (35%) and the other causes included in the miscellaneous group (hit by animal and fall of heavy object on the abdomen; 3%). Most commonly injured organ was liver (n = 28, 41%) followed by spleen (n = 18, 26%) and kidney (n = 15, 22%). Other injuries were bowel perforations (jejunal [n = 4], ileal [n = 1] and large bowel [n = 1]; 9%), pancreaticoduodenal (n = 5, 7%), urinary bladder (n = 3, 4%), abdominal vascular injury (iliac vein-1, inferior vena cava-1;3%), adrenal haematoma (n = 2,3%) and common bile duct (CBD) injury (n = 1, 1%). More than one organ injury was seen in 13 cases (19%). Non-operative management was successful in 84% (n = 27) and laparotomy was done in 16% (n = 11). Most of the patients sustained Grade IV injury (n = 36, 53%) and majority of the patients (n = 60, 88%) had good outcome without any long-term complications.Conclusion: Profile of paediatric blunt abdominal trauma include solid organ injuries such as liver, spleen, kidney, pancreas, adrenal gland and others like bowel injury, CBD, urinary bladder and abdominal vascular injury. The grade of injury does not correlate with the outcome in a higher grade of injury and these children had good outcome.","PeriodicalId":72123,"journal":{"name":"African journal of paediatric surgery : AJPS","volume":"20 3","pages":"191-196"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/69/AJPS-20-191.PMC10450108.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10077970","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

Paediatric surgery on the african continent: How far have we come; How far can we go? 非洲大陆的儿科手术：我们已经走了多远；我们能走多远？

African journal of paediatric surgery : AJPS Pub Date : 2023-07-01 DOI: 10.4103/ajps.ajps_69_23

Alp Numanoglu

引用次数: 0

Towards appropriate and effective use of the trauma scoring systems in children. 在儿童中适当有效地使用创伤评分系统。

African journal of paediatric surgery : AJPS Pub Date : 2023-07-01 DOI: 10.4103/ajps.AJPS_65_21

O Abdur-Rahman Lukman

引用次数: 0

Assessment of risk factors in pyogenic liver abscesses in children. 儿童化脓性肝脓肿的危险因素评估。

African journal of paediatric surgery : AJPS Pub Date : 2023-07-01 DOI: 10.4103/ajps.ajps_15_22

Anurag Pandey, K Rajeshwari, Deepak Kumar, Garima Gupta

{"title":"Assessment of risk factors in pyogenic liver abscesses in children.","authors":"Anurag Pandey, K Rajeshwari, Deepak Kumar, Garima Gupta","doi":"10.4103/ajps.ajps_15_22","DOIUrl":"10.4103/ajps.ajps_15_22","url":null,"abstract":"Background: Pyogenic liver abscess (LA) is a significant contributor to morbidity and mortality in developing countries like India. The risk factors predisposing to the LA specifically in children are not known. Studies done in the past largely remain inconclusive and have identified only probable causes. The cause of LA in children with no coexisting illness remains unknown.Methodology: This prospective observational study was conducted at a tertiary teaching hospital located in New Delhi, India. All children between 2 months and 12 years of age with sonographically confirmed LA presenting to the hospital were included and managed with appropriate intravenous antibiotics and relevant investigations.Results: A total of 52 children were included. The mean age was 6 years and 4 months, and the male: female ratio was 1.4:1. Around 50% of the patients were malnourished. Fever, abdominal pain and loss of appetite were the most common symptoms. Nine patients (17%) were managed conservatively, 13 (25%) needed percutaneous needle aspiration and 30 (57.69%) required drainage using a pigtail catheter. Poor socioeconomic status and anaemia were found to be the most commonly associated risk factors. Selective immunoglobulin A (IgA) deficiency was the most common primary immunodeficiency disorder followed by T-cell defect. On multivariate analysis, it was seen that in those with clinical icterus, gamma-glutamyl transferases >350 IU/m, and those with impending rupture, the time to defervescence was significantly different (P = 0.05).Conclusion: Poor socioeconomic status causing malnutrition emerged as a significant risk factor for LA in children. Selective IgA deficiency was the most common immunodeficiency seen in a few children. Adopting a conservative approach like aspiration and percutaneous drainage led to lower mortality and good recovery rates.","PeriodicalId":72123,"journal":{"name":"African journal of paediatric surgery : AJPS","volume":"20 3","pages":"218-223"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/7b/AJPS-20-218.PMC10450120.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10077972","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