Journal of the West African College of Surgeons最新文献

{"title":"Priapism in South West Nigeria-Short and Intermediate-Term Outcomes.","authors":"Kehinde Habeeb Tijani, Chike John Okeke, Olukayode Yinka Oluyemi, Emmanuel Abayomi Animashaun, Rufus Wale Ojewola, Ismail A Habeeb-Tijani, Oluwaseun Samuel Alaba","doi":"10.4103/jwas.jwas_48_24","DOIUrl":"10.4103/jwas.jwas_48_24","url":null,"abstract":"<p><strong>Background: </strong>Priapism is usually defined as penile erection that lasts more than 4 h beyond sexual stimulation and orgasm or is unrelated to sexual stimulation. The overwhelmingly more common low-flow priapism is typically painful, while high-flow priapism is typically painless. Interventions are varied depending on the aetiology and timing of the presentation. The outcome in most cases depends on the timing of the intervention.</p><p><strong>Objective: </strong>This study aimed to review the presentation and short- and intermediate-term outcomes of treatment of priapism in patients in Southern Nigeria.</p><p><strong>Materials and methods: </strong>This was a retrospective 10-year study conducted from 2010 to 2019 of all adult patients diagnosed with priapism who were admitted to the adult urology units in two Government University Teaching hospitals in South West Nigeria.</p><p><strong>Results: </strong>The records of 61 patients were analysed. The mean age was 27.54 years ± 6.22 with a range of 15-56 years. The median duration of symptoms before presentation was 36 h with a range of 2 to 336 h. Eleven patients (18%) presented within 24 h of onset of symptoms. Sickle cell disease (SCD) and idiopathic aetiology were the most common causes of priapism, accounting for 44 (72.1%) and 8 (13.1%) respectively. Corporal aspiration resolved the priapism in 22 (36.1.%), while corpora-glandular shunt was the final treatment in 36 (59.1%). Fifty-seven per cent had erectile dysfunction (ED), while penile gangrene with autoamputation was observed in one patient (1.6%). Sixty-six per cent and 62% of patients who presented within < 36 h and 36-72 h, respectively, experienced normal erection at 6 months after surgery. Erectile function got progressively worse after 72 h, with all patients with ischemic priapism lasting more than 1 week developing ED. There was no statistically significant relationship between the variants of SCD and the risk of ED in patients who presented within 72 h.</p><p><strong>Conclusion: </strong>The incidence of ischemic priapism was high, with sickle cell disease being the most common cause. The risk of ED was significantly worse after 72 h. The aetiology of priapism did not significantly influence the risk of ED.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 3","pages":"269-274"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531501","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":"A Rare Case of External Jugular Vein Aneurysm Mimicking Branchial Cyst in a Nigerian Child.","authors":"Jideofor Okechukwu Ugwu, Udoka Victor Raymond, Innocent Ogundu Igwilo, Nwanneka Ogechukwu Ugwu, Emmanuel Samuel Ifeanyi","doi":"10.4103/jwas.jwas_28_24","DOIUrl":"10.4103/jwas.jwas_28_24","url":null,"abstract":"<p><strong>Background: </strong>An aneurysm of the external jugular vein is exceptionally rare. Its occurrence in children could present diagnostic challenges due to numerous potential differential diagnoses, including anomalies such as branchial cysts.</p><p><strong>Objective: </strong>This study aims to emphasize the necessity of raising suspicion for jugular venous aneurysms in children with cystic neck masses.</p><p><strong>Case summary: </strong>We report an 18-month-old boy with a left-sided neck swelling persisting for 10 months. The swelling was cystic and increased in size during straining or crying. A preoperative diagnosis of a branchial cyst was made but was inconsistent with intraoperative findings, where a venous aneurysm was diagnosed. Ligation and excision were performed without sequelae.</p><p><strong>Conclusion: </strong>External jugular venous aneurysms, though rare, should be considered as a potential differential diagnosis in case of lateral neck swellings, especially if they demonstrate compressibility with an increase in size on Valsalva maneuvers. Simple ligation and excision are curative measures.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 3","pages":"355-358"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531487","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":"An <i>in vitro</i> Evaluation of Periodontal Ligament Cell Viability in Honey as a Transport Medium for an Avulsed Tooth.","authors":"Adeola T Williams, Obafunke O Denloye, Bamidele O Popoola, Toluwanimi E Akinleye, Johnson A Adeniji, Olubusuyi M Adewumi, Clara A Akinyamoju","doi":"10.4103/jwas.jwas_42_24","DOIUrl":"10.4103/jwas.jwas_42_24","url":null,"abstract":"<p><strong>Background: </strong>Dental avulsion is the most severe form of injury to a tooth, and its prognosis is majorly affected by the type of the storage medium prior to re-implantation. Honey is a readily available household substance with anti-inflammatory properties. However, there is paucity of data regarding its use as a transport medium for avulsed teeth. Therefore, this study aims to evaluate the viability of periodontal Ligament (PDL) cells stored in honey and other recommended transport media.</p><p><strong>Materials and methods: </strong>An <i>in vitro</i> study involving the culture of PDL cells, harvested from premolars freshly extracted for orthodontic reasons. The cells were exposed to Dulbecco's Minimum Essential Medium (DMEM), honey, and Hanks Balanced Salt Solution (HBSS) at room temperature, and their viability was tested with the tetrazolium salt-based colorimetric (MTT) assay after 30 min, 2 h, and 24 h. The Optical Density (OD) of the cells were assessed with a spectrophotometer. The Mean Optical Density (MOD) of the cells stored in DMEM was compared with those of cells in other media at each interval with the independent <i>t</i>-test at <i>P</i> < 0.05.</p><p><strong>Results: </strong>The MOD of cells stored in DMEM, honey, and HBSS over the 24-h period ranged between 0.32 ± 0.04 -0.31 ± 0.05; 0.30 ± 0.07-0.28 ± 0.07, and 0.23 ± 0.0-0.21 ± 0.01, respectively. The mean difference between the OD of cells stored in honey and those in DMEM at the end of the study period was 0.03 (<i>t</i> = 1.37; <i>P</i> = 0.18).</p><p><strong>Conclusion: </strong>There was no difference in the viability of PDL cells stored in honey and DMEM over the study period.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 3","pages":"350-354"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531488","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":"An Appraisal of Anaesthesia Practices for Obstetric and Gynaecologic Surgeries in a Tertiary Health Center in Zaria, North Western Nigeria.","authors":"Anisah Yahya, Hamisu Yakubu, Aminatu Makarfi Umar, Shafa'atu Ismail Sada, Fadimatu Bakari, Hajara Umaru-Sule, Usman Mohammed, Mohammad El-Amin Idris, Rabi'at Muhammad Aliyu, Zubaida Garba Abdullahi, Bilkisu Adamu, Zulaihatu Sarkin-Pawa, Iliyasu Abbas","doi":"10.4103/jwas.jwas_71_24","DOIUrl":"10.4103/jwas.jwas_71_24","url":null,"abstract":"<p><strong>Background: </strong>Anaesthesia is a critical aspect of every surgical procedure. Various options exist depending on the type of procedure, nature and the clinical state of the patient. This study reviewed the anaesthesia practices for Obstetric and Gynaecologic surgeries at Ahmadu Bello University Teaching Hospital, Zaria.</p><p><strong>Materials and methods: </strong>It was a retrospective cross-sectional descriptive study conducted at Ahmadu Bello University Teaching Hospital, Zaria. Obstetric and Gynaecologic surgeries performed from 1 November 2022 to 31 October 2023 were included in the study. Relevant data for the study were obtained from the anaesthesia register in the theatre. The data were analysed with SPSS 20.</p><p><strong>Results: </strong>The mean age ± SD of patients who had surgery was 32.1 ± 9.1 years. A total of 547 cases were reviewed, of which 273 (49.9%) were elective cases and 274 (51.1%) were emergency cases. Out of these, 254 (46.4%) were obstetric emergencies, 20 (3.7%) were gynaecologic emergencies, 149 (27.2%) were elective gynaecologic cases, and 124 (22.7%) were elective obstetric cases. The majority of the cases, 407 (74.4%), were American Society of Anaesthesiologists II. Spinal anaesthesia was the commonest type of anaesthesia used in obstetric surgeries 336 (91.8%), while general anaesthesia was the commonest type of anaesthesia used in gynaecologic surgeries 89 (79.5%). Senior registrars gave anaesthesia in 457 (83.5%) cases. Heavy Bupivacaine (0.5%) was the commonest agent used for spinal anaesthesia in 327(89.3%) cases, while plain bupivacaine (0.5%) was the least agent used in 39(10.7%). Propofol was the most common agent used for the induction of general anaesthesia in 72 (64.3%) cases, while ketamine was the least used agent in 40 (35.7%). Anaesthesia complications were recorded in only 24 (4.4%) of cases. The complications were recorded in 13 (54.2%) procedures done under neuraxial anaesthesia and 11 (45.8%) cases done under general anaesthesia. Cardiovascular instability was the most common complication recorded in 10 (41.7%) cases.</p><p><strong>Conclusion: </strong>Spinal anaesthesia was the most common technique of anaesthesia in Obstetric surgeries, while general anaesthesia was the most common in Gynaecologic surgeries during the period under review. Complications of anaesthesia were uncommon.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 3","pages":"322-328"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531489","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":"Doppler Ultrasound Evaluation of Lower Extremity Deep Vein Thrombosis in Trauma Patient in Lagos, Nigeria.","authors":"Omotooke Lara Adebayo, Adekunle Ayokunle Adeyomoye, Olubukola Abeni Omidiji, Olasode Israel Akinmokun, Bukunmi Micheal Idowu, Itunu Opeyemi Owoeye","doi":"10.4103/jwas.jwas_35_24","DOIUrl":"10.4103/jwas.jwas_35_24","url":null,"abstract":"<p><p>Deep venous thrombosis (DVT) is a public health emergency worldwide and a major contributor to the global disease burden. It is a significant cause of morbidity and mortality amongst bedridden patients, especially those with lower extremity fractures. Early detection of DVT is crucial for the survival of the patient. This study aimed to assess the triplex sonographic features of lower extremity deep venous thrombosis (LEDVT) and identify risk factor(s) that are associated with its development in hospitalized orthopaedic patients. This was a descriptive cross-sectional study of a total of 80 participants: 40 hospitalized adult orthopaedic patients with pelvic and lower extremity fractures (PELEF) and 40 hospitalized adult orthopaedic trauma patients without PELEF (non-PELEF). Ethical approval was obtained from the institutional ethics committee and consented to by all the participants before inclusion. The risk factors for DVT were assessed using a risk assessment questionnaire. Wells score, D-dimer assay, and triplex Doppler ultrasound scanning of both lower limb veins were performed on the participants. Doppler ultrasound scan detected DVT in seven (8.8%) participants. D-dimer test was both positive in 21 (52.5%) and negative in 19 (47.5%) participants. Sonographic DVT findings correlated with Wells scores in those with LEDVT amongst cases. The highest occurring risk factors for DVT were being recently bedridden (92.5%) and major trauma (87.5%) which were observed in 70.0% of participants with LEDVT and 67.5% without LEDVT. LEDVT occurred more in the PELEF case group compared to the non-PELEF controls. Major trauma, recent immobilization, and collateral superficial veins were the major risk factors for DVT in this study.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 3","pages":"313-321"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531494","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":"Chordoma: Site-Wise Predilections and Pathological Tenets.","authors":"Anshima Singh, Ram Nawal Rao, Yash Billore, Raj Kumar","doi":"10.4103/jwas.jwas_27_24","DOIUrl":"10.4103/jwas.jwas_27_24","url":null,"abstract":"<p><strong>Background: </strong>Chordomas are rare tumours of presumptive notochordal origin, mostly occurring in the axial skeleton of the body. These tumours are slow growing but are locally invasive neoplasms. Diagnosis requires qualification of the radiological, histopathological, and immunohistochemical criteria. Management predominantly comprises surgical resection with negative margins.</p><p><strong>Objective: </strong>Our study aimed to analyse the clinico-pathological spectrum of these rare chordoma cases visiting our tertiary care institute.</p><p><strong>Materials and methods: </strong>The study was retrospective, comprising chordoma cases reported histopathologically between January 01, 2013, and August 31, 2023 (a total period of 10.5 years). Clinico-radiological data were recorded. Histopathological diagnosis was separately reviewed by two pathologists. All data were statistically analysed.</p><p><strong>Results: </strong>In total, 41 chordoma cases were received, with a mean age of 43.2 + 17.4 years (6-72 years). Male:female ratio was 1.2:1. Spheno-occipital region chordomas (27 cases) were most common, followed by sacrococcygeal (8 cases) and vertebral (6 cases) chordomas. Symptoms varied with location. However, the commonest presenting complaint was pain. These region-wise chordoma categories were statistically compared in terms of patients' age, male:female ratio, symptomatic duration, tumour size, histopathological tumour type, and recurrence on follow-up. Of these, only patients' age and tumour size were found to be statistically significant (<i>P</i> value was 0.011 and 0.0004, respectively).</p><p><strong>Conclusion: </strong>Clinico-pathological parameters vary with the anatomical location of chordoma. We present the experience of this rare tumour in terms of clinico-radiopathological features visiting our tertiary care institute in northern India.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 3","pages":"245-251"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531492","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":"Premalignant and Malignant Ocular Surface Squamous Cell Neoplasia: A Retrospective Hospital-Based Study Spanning 18 Years.","authors":"Dumebi Hedwig Kayoma, Dele Eradebamwen Imasogie","doi":"10.4103/jwas.jwas_6_24","DOIUrl":"10.4103/jwas.jwas_6_24","url":null,"abstract":"<p><p>Ocular surface squamous cell neoplasia can arise from a premalignant lesion (conjunctival intraepithelial neoplasia or ocular surface squamous cell intraepithelial neoplasia). Their respective magnitudes will provide an indication of early treatment or progression of the disease. This study, therefore, aims to determine the frequency of premalignant and malignant ocular surface squamous neoplasia. This is a retrospective study of all cases of premalignant and malignant ocular surface squamous neoplastic lesions histologically diagnosed over an 18-year period at the Department of Anatomic Pathology, University of Benin Teaching Hospital. The results showed that there were more malignant ocular surface squamous neoplastic lesions relative to ocular surface squamous cell intraepithelial neoplastic lesions. Also, the latter occurs at a relatively lower median age in comparison to the former. In conclusion, our findings suggest that late presentation of symptoms may account for higher frequency of malignant ocular surface squamous neoplastic lesions.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 3","pages":"265-268"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531500","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":"Proliferative Diabetic Retinopathy in Nigerians: Treatment Methods, Visual Outcomes, and Predictors of Poor Outcomes.","authors":"Ogugua Ndubuisi Okonkwo, Adekunle Olubola Hassan, Arinze Anthony Onwuegbuna, Tayo Julius Bogunjoko, Toyin Akanbi, Ayodele Akinye","doi":"10.4103/jwas.jwas_76_24","DOIUrl":"10.4103/jwas.jwas_76_24","url":null,"abstract":"<p><strong>Objective: </strong>To investigate demographics, treatment methods, pre- and post-treatment vision of proliferative diabetic retinopathy (PDR) patients, and predictors of poor visual outcomes.</p><p><strong>Materials and methods: </strong>This is a multicentre chart review of consecutive PDR eyes, investigating vision, presence of vitreous haemorrhage (VH), tractional retinal detachment (TRD), diabetic macular edema (DME), and rubeosis. Rates of good vision (6/60+) and poor vision (< 6/60) and rates of worse, same, or improved vision were the primary outcomes. The secondary outcome was the number of eyes in each treatment category.</p><p><strong>Results: </strong>A total of 640 PDR eyes/473 patients were evaluated [334 bilateral eyes (52.2%)/167 patients (35.3%)]. Mean age: 58.9/SD 10.97 years (17-95). Mean symptom duration: 12.8 months. Rates of DME, TRD, VH, TRD with VH, and rubeosis were 12%, 3%, 25.6%, 2.5%, and 15%, respectively. The five treatment categories include intravitreal antivascular endothelial growth factor injections (IVI) alone (392 eyes/61.25%), IVI + retinal laser photocoagulation (86 eyes/13.45%), IVI + cataract surgery (CS) (24 eyes/3.76%), IVI + vitrectomy (V) (109 eyes/17.0%), and IVI + CS + vitrectomy (29 eyes/4.54%). IVI + CS had the highest mean number of intravitreal anti-VEGF use (2.96/SD 4.56) and highest rate of improved vision (62.5%). IVI + vitrectomy had the highest worse vision (29%). IVI alone and IVI + CS had the highest pre- and post-treatment best corrected visual acuity (BCVA). TRD, rubeosis, VH, and no DME eyes had poor mean pretreatment BCVA (< 6/60). Post-treatment mean BCVA improved significantly in VH and DME. Poor pretreatment BCVA, TRD, TRD with VH, and rubeosis were predictors of poor outcomes.</p><p><strong>Conclusion: </strong>PDR is a cause of poor vision and associated poor treatment outcomes in Nigerians. Systematic, effective DR screening and retinal laser treatment of high-risk eyes is urgently needed.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 3","pages":"335-343"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531503","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":"Assessment of Clinical and Functional Outcomes of the Proximal Humerus Internal Locking Compression Plate in Different Neer's Types of Proximal Humeral Fracture: A Prospective Observational Study.","authors":"Mayur Kugashiya, Rajendra Kumar Pipal, Rajkumar P Sojitra, Jay Viraj Shah, Dharmendra Kumar Pipal, Seema Yadav","doi":"10.4103/jwas.jwas_55_24","DOIUrl":"10.4103/jwas.jwas_55_24","url":null,"abstract":"<p><strong>Background: </strong>Over the years, various fixation methods have been developed for managing unstable proximal humerus fractures (PHFs), including conservative and surgical approaches like tension band wiring, suture fixation, intramedullary nailing, hemiarthroplasty, fixed-angled locking plates, and proximal humerus internal locking system (PHILOS) plating. Each method claims superior effectiveness as a fixation device.</p><p><strong>Aims: </strong>The study evaluated the functional outcome of the PHILOS in different parts of the PHF using the Constant-Murley score (CMS), which measures post-operative pain, daily activity ability, limb range of motion (ROM), and strength.</p><p><strong>Materials and methods: </strong>A prospective observational study of 50 participants aged 16 years and above at Rajasthan Hospitals in Ahmedabad, conducted from July 2020 to July 2022, examined the use of the PHILOS for PHF treatment.</p><p><strong>Results: </strong>The results revealed that two-part fractures had a significantly higher mean CMS (72.4 ± 10.8) compared with three-part (60.8 ± 8.1) and four-part (59.3 ± 5.3) fractures. The <i>P</i> value of 0.0003 indicated that the difference in CMS score between two and three or four parts of PHF after fixing them with PHILOS was statistically significant.</p><p><strong>Conclusion: </strong>The study concludes that using a locking plate for PHFs consistently leads to positive clinical and functional outcomes, including improved CMS, daily living activities, and ROM.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 3","pages":"298-305"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531491","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":"Knowledge Perception and Utilisation of Labour Analgesia Among Antenatal Clinic Attendees in a Tertiary Centre in Makurdi, North-Central Nigeria.","authors":"Omoregie Irowa, Daniel Eje Ukpabi, Hilary Oyarebu Emoekpere, Chisa Uzoamaka Ugboaja, Peter Echo Itodo, Donald Uga Orshio","doi":"10.4103/jwas.jwas_39_24","DOIUrl":"10.4103/jwas.jwas_39_24","url":null,"abstract":"<p><strong>Background: </strong>Labour pain management forms an integral part of modern obstetric practice. Despite the availability of various forms of obstetric analgesia in Nigeria, reports indicate poor knowledge, awareness, and utilisation of labour analgesia among the obstetric population.</p><p><strong>Objective: </strong>To determine the knowledge, perception, utilisation, and factors affecting utilisation of labour analgesia among antenatal clinic attendees at the Federal Medical Centre (FMC), Makurdi.</p><p><strong>Materials and methods: </strong>This was an analytical cross-sectional study conducted among 421 consecutively consenting antenatal patients in the Department of Obstetrics and Gynaecology at the FMC, Makurdi, between March 1 to July 31, 2023. Data were collected using an interviewer-guided questionnaire, analysed using Statistical Package for Social Sciences (SPSS) version 20.0, and results were presented in textual form and tables.</p><p><strong>Results: </strong>About 47% (199) of the study participants perceived labour pain as the worst possible pain. Only 18.3% (77) of the study participants were knowledgeable about labour analgesia, while just 6.4% (27) of the study participants had ever used it. On multiple logistics regression, the knowledge of labour pain relief (adjusted odd's ratio [aOR] 0.090, CI = 0.038-0.215, <i>P</i> < 0.001) and mode of previous delivery (aOR 0.292, CI = 0.114-0.750, <i>P</i> < 0.011) were the factors affecting the utilisation of labour analgesia among study participants.</p><p><strong>Conclusion: </strong>There is poor knowledge and utilisation of labour analgesia among antenatal patients. Incorporation of labour analgesia into existing protocols and enhancing health education on labour analgesia as part of antenatal health talks can create awareness of labour analgesia among antenatal patients.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 3","pages":"252-257"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12200788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531497","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}