Journal of the West African College of Surgeons最新文献

{"title":"Prevalence and Patterns of Hearing Thresholds in Unilateral Hearing Loss: A Retrospective Analysis at the National Ear Care Centre, Kaduna.","authors":"Nurudeen Adebola Shofoluwe, Jamila Lawal, Maimuna Damagum Umar, Saadat Titilayo Yahaya, Amina Abdullahi Mohammed, Mohammed Sani, Rasheedat Sanni Oladigbolu, Abdurahman Omodele, Idris Abdullahi","doi":"10.4103/jwas.jwas_92_24","DOIUrl":"10.4103/jwas.jwas_92_24","url":null,"abstract":"<p><strong>Background: </strong>Unilateral hearing loss (UHL) is a prevalent audiological concern that can significantly impact an individual's quality of life. This retrospective study, conducted at the National Ear Care Centre, Kaduna, aimed to determine the hearing threshold pattern in a cohort of 693 patients with UHL, ranging in age from 5 to 70 years.</p><p><strong>Materials and methods: </strong>Data collected between January 2018 and December 2022 included pure-tone audiometry results, patient demographics, and medical history. Audiometric assessments were conducted using an A2d diagnostic audiometer. Descriptive statistics and graphical representations were used to analyse the data and identify patterns in hearing thresholds at various frequencies.</p><p><strong>Results: </strong>The analysis revealed distinct hearing threshold patterns in patients with UHL. Notably, sensorineural hearing loss (SNHL) was the most prevalent type, with 68.05% of participants exhibiting this pattern. Conductive hearing loss and mixed hearing loss were observed in 19.32% and 12.63% of participants, respectively. The hearing threshold patterns varied between the right and left ears, suggesting the importance of considering laterality in clinical assessments.</p><p><strong>Conclusion: </strong>This study contributes valuable insights into the hearing threshold patterns in patients with UHL, encompassing a broad age range. The predominance of SNHL highlights the need for tailored diagnostic and management approaches. Understanding the audiometric characteristics of this population is essential for the development of patient-specific interventions and treatment strategies.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"413-421"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088278","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 Massively Displaced Type II Odontoid Fracture in an Obese Patient in a Resource-Challenged Facility: A Case Report of an Anterior Screw Osteosynthesis Technique.","authors":"Lukman Olalekan Ajiboye, Chukwuebuka Kingsley Okezie, Muhammad Abdullahi","doi":"10.4103/jwas.jwas_90_24","DOIUrl":"10.4103/jwas.jwas_90_24","url":null,"abstract":"<p><p>The surgical management of a 22-year-old obese patient with a massively displaced type II odontoid fracture through anterior osteosynthesis (using a cannulated titanium screw of size 4.0 mm by 35 mm) in a resource-challenged facility is reported. The fracture was transverse at the waist of the dens with huge anterior-lateral displacement and overlapping. This fracture was unique in term of its displacement and overlapping nature of the fragment from routinely seen cases. The management was also challenged with the patient's obesity, lack of a Mayfield device, and a nonadjustable operating table. The patient underwent the surgery and gradually and satisfactorily improved with full pre-injury functional status.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"490-496"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088332","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":"Sepsis Biomarkers: CRP, Procalcitonin, and Presepsin-Diagnostic and Prognostic Significance in Sepsis.","authors":"Vineeta Baxla, Ashok Kumar Sharma, Kumari Seema, Abhay Kumar, Manju Boipai, Pradip Kumar Bhattacharya, Manoj Kumar","doi":"10.4103/jwas.jwas_132_24","DOIUrl":"10.4103/jwas.jwas_132_24","url":null,"abstract":"<p><strong>Background: </strong>Sepsis is undeniably a serious worldwide health threat, causing millions of deaths each year and a real diagnostic challenge to the clinicians. The conventional standard culture methods are often negative and time-consuming; therefore, alternatively specific and easily measurable biomarkers could help in predicting the diagnosis and prognosis of sepsis, as well as monitor the response to the treatments. This study will compare the role of the three markers procalcitonin (PCT), C-reactive protein (CRP), and presepsin in the diagnosis of sepsis in suspected patients admitted to a tertiary care hospital in eastern India.</p><p><strong>Materials and methods: </strong>A hospital-based cross-sectional study was conducted from April 2021 to March 2022. Blood samples were collected from the patients admitted in various intensive care units with evidence of sepsis and the biomarkers were estimated.</p><p><strong>Results: </strong>Presepsin was found to be the best among the three biomarkers with sensitivity 89.1% and specificity 88.9%, followed by PCT with sensitivity 82.7% and specificity 80%, and then CRP with sensitivity 74.5% and specificity 75.6%. The diagnostic accuracy of presepsin was also found to be maximum as its area under the receiver-operating characteristic (ROC) curve was highest (0.858) followed by PCT whose area under the ROC curve was 0.793, and then CRP with area under the ROC curve 0.741.</p><p><strong>Conclusion: </strong>Based on the result of the present study, biomarkers were found to be quick, easy and effective test for diagnosing sepsis, and presepsin proved to be the most promising marker for diagnosis of sepsis as compared to PCT or CRP.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"457-462"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087924","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":"Comparison of Early Clinical Outcomes in Early Versus Delayed Urethral Catheter Removal Following Open Simple Retropubic Prostatectomy.","authors":"Peter Olalekan Odeyemi, Tolulope Taiwo Ogunfowora, Hamid Babajide Olanipekun, Taofiq Olayinka Mohammed, Arinzechukwu Mbanefo Egbuniwe, Ademola Alabi Popoola","doi":"10.4103/jwas.jwas_61_24","DOIUrl":"10.4103/jwas.jwas_61_24","url":null,"abstract":"<p><strong>Background: </strong>Despite the clear advantages of endoscopic management for treating benign prostatic hyperplasia, open simple prostatectomy (OSP) is still relevant in developing nations like Nigeria. Open simple retropubic prostatectomy is commonly used because it gives direct access to the prostate with improved achievement of haemostasis, early recovery, and less risk of bladder neck stenosis. Urethral catheter (UC) is traditionally used following prostatectomy, not only for drainage of the urinary bladder but also for stenting, and it sometimes results in haemostasis. There is no consensus on the duration of urethral catheterisation, which varies between surgeons and institutions.</p><p><strong>Objectives: </strong>We aimed to compare the early clinical outcomes following 3rd day (early) versus 6th day (delayed) UC removal following open simple retropubic prostatectomy.</p><p><strong>Materials and methods: </strong>The study was a prospective, hospital-based, randomised comparative study. Patients were randomised to groups A (3rd day post-operative UC removal) and B (6th day post-operative UC removal) using simple randomisation.</p><p><strong>Data analysis and result presentation: </strong>Data were collected with the aid of a purposefully designed proforma and entered into the Statistical Package for Social Sciences version 21 for analysis. Tables and charts were used to represent descriptive statistics. Chi-square and Student <i>t</i> test were used to test significant differences in categorical and continuous variables, respectively. <i>P</i> value of <0.05 was considered statistically significant.</p><p><strong>Results: </strong>Fifty patients were recruited into the study. Patients were randomised into group A (third day catheter removal) and group B (sixth day catheter removal), with 25 patients in each arm of the study. The mean age was 70.92 ± 13.98 years (range 50-81 years). No patient required recatheterisation following 3rd and 6th day of catheter removal. The average urethral pain scores during the first void after removal of the UC on the 3rd and 6th postoperative days were 2.52 ± 2.00 and 1.04 ± 1.00, respectively; <i>P</i> value was <0.001. The urethral pain score reduced significantly in groups A and B to 1.00 ± 1.00 and 0.32 ± 0.00, respectively, within 24 h of the removal of the catheter with <i>P</i> value of 0.001. The average lengths of hospital stay were 4.20 ± 4.00 and 7.24 ± 7.00 for patients in group A and B, respectively, with <i>P</i> value < 0.001.</p><p><strong>Conclusion: </strong>OSP can be brought closer to the \"Gold standard\" (transurethral resection of the prostate) by early catheter removal and short hospital stay with satisfactory early post-operative outcomes. The initial urethral pain improves significantly within 24 h.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"386-393"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088370","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 Arch Bars versus IMF-Screws in Maxillomandibular Fixation of Mandibular Fractures: A Randomised Prospective Study.","authors":"Mukhtar Modibbo Ahmad, Olutayo James, Abubakar Farate, Hector Oladapo Olasoji, Ibrahim Kayode Suleiman, Mohammed Adam Sheikh Abdullahi, Farouk Kabir Umar","doi":"10.4103/jwas.jwas_145_24","DOIUrl":"10.4103/jwas.jwas_145_24","url":null,"abstract":"<p><strong>Background: </strong>Traditionally, arch bars are used for mandibulomaxillary fixation (MMF) following mandibular fractures. Intermaxillary fixation screws (IMFS) are a suitable alternative to mitigate the drawbacks of arch bar fixation.</p><p><strong>Aims and objectives: </strong>We compared the use of arch bars versus IMFS for treatment of mandibular fractures including evaluation of sonographic findings and the patients' quality of Life (QoL).</p><p><strong>Study design: </strong>This is a randomised prospective study.</p><p><strong>Setting: </strong>The study was conducted at the Department of Oral and Maxillofacial Surgery, University of Maiduguri Teaching Hospital.</p><p><strong>Materials and methods: </strong>Fifty patients with mandibular fractures were recruited and randomly divided into two groups, 25 each in the arch bars and IMFS treatment groups. The parameters evaluated were as follows: mouth opening, malocclusion, pain, fracture healing using an ultrasound scanner, operating time, wire-prick injuries, oral hygiene, and QoL.</p><p><strong>Results: </strong>There was a significantly higher pain score by the 3^rd and 6^th postoperative weeks (<i>P</i> = 0.015 and <i>P</i> = 0.003, respectively) and shorter operating time (<i>P</i> < 0.001) in the IMFS group, while a notable higher wire-prick injury (<i>P</i> < 0.001) and poor oral hygiene (<i>P</i> = 0.25) were observed in the arch bar group. An ultrasound scan at 6 postoperative weeks showed complete hyperechoic bridging callus in (61.5%) the arch bar group and (50%) in the IMF screw group, with no statistically significant difference. Regarding the QoL, patients treated with arch bars had more difficulty in continuing with their normal diet and indicated \"they will not undergo the same treatment again.\" On the other hand, IMFS patients had significantly isolated themselves because of feelings of bad mood, and their sleep and speech patterns were significantly affected.</p><p><strong>Conclusions: </strong>Although some similarities were observed in both groups, this study observed that IMFS addressed some of the limitations associated with arch bars such as prolonged operative time, wire-prick injury, and poor oral hygiene. Therefore IMFS is relatively safer and can be used for long-time MMF.</p><p><strong>Trial registration number: </strong>PACTR202408851121914.</p><p><strong>Date of registration: </strong>04 July 2024, \"retrospectively registered.\"</p><p><strong>Clinical trial registry: </strong>Pan African clinical trials registry.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"471-480"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088247","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":"Penile Fracture: Our Experience in Korle Bu Teaching Hospital in Accra, Ghana.","authors":"Emmanuel Owusu Ofori, Kekeli Kodjo Adanu, Evans Ametefe Akpakli, James Edward Mensah","doi":"10.4103/jwas.jwas_73_24","DOIUrl":"10.4103/jwas.jwas_73_24","url":null,"abstract":"<p><strong>Introduction: </strong>Penile fracture is a rare yet urgent urological condition, predominantly diagnosed through careful history-taking and clinical examination. This study aims to share our institutional experience in managing this condition at a tertiary referral centre.</p><p><strong>Materials and methods: </strong>A retrospective analysis was performed on 17 cases of penile fracture over 30 months. Investigated parameters included the mechanism of injury, patient age, time to presentation, intra-operative findings, presence of urethral involvement, length of hospital stay, complications, and post-operative erectile function as assessed by the International Index of Erectile Function-5 questionnaire.</p><p><strong>Results: </strong>The average age of the patients was 36.9 years. Patients presented on average within 29 h post-injury, and the mean duration of long-term follow-up was 14.3 months. Most cases (76.5%) involved the right corpus cavernosum, 58.8% affected the proximal penile shaft, and 70.6% impacted the ventral aspect of the penis. Post-operative complications included wound infections in 17.6% of patients, mild penile curvature (<30°), painful sexual intercourse in 23.5% of cases, and mild erectile dysfunction evident in 41.2% of patients.</p><p><strong>Conclusion: </strong>Prompt diagnosis and immediate surgical intervention for penile fractures are crucial for reducing complications and preserving both erectile and voiding functions. The data supports the notion that timely surgical management is particularly beneficial in minimising long-term functional deficits.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"400-406"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088296","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":"The Nigerian DREEM: Perception of Learning Environment among Clinical Medical Students in North Central Nigeria.","authors":"Adamgbe Moses Ahangba, Okpanachi Joshua Adejo, Gani Sophia Atoshi, Ozoilo Kenneth Nnaetio, Bature Emmanuel, DungDavou Samuel, Akubuko Stanley Onyekachi, Malau Kefas Thomas, Abiayi Daniel Chibuzo, Nwana Obiajulu Obidigbo, AdewaleAdedeji Gbenga, Wuyep Elijah Danladi, KwarshakKevin Yakubu, Firima Emmanuel, Ayange Mhirna Ethan","doi":"10.4103/jwas.jwas_123_24","DOIUrl":"10.4103/jwas.jwas_123_24","url":null,"abstract":"<p><strong>Background: </strong>The learning environment of an academic institution has been defined to include social interactions, organisational cultures and structures, and physical and virtual spaces that surround and shape participants' experiences, perceptions, and learning. The Dundee ready educational environment measure (DREEM) questionnaire, which has five domains, is a globally used tool used to access the perception of the learning environment.</p><p><strong>Aim: </strong>To assess the overall educational environment of clinical undergraduate medical students at the University using the DREEM questionnaire, and to determine the bio-social factors that influence students' perception of this environment.</p><p><strong>Materials and methods: </strong>This was a cross-sectional study on clinical medical students of the College of Health Sciences, University of Jos The overall DREEM score for each respondent was obtained by summing up the scores for all 50 questions. The mean DREEM score was derived by finding the average DREEM score for all respondents. Domain DREEM scores were derived by adding up the scores for questions in each respective domain.</p><p><strong>Results: </strong>There was a total of 416 respondents across the four clinical classes, with the mean age of 21.6 years (SD 4.06 years). Of the respondents, 244 (58.7%) were male and 172 (41.3%) were female. The mean DREEM was 110.48 (±22.76) which indicated that there were more positives than negatives. The domain, students' academic self-perception, had the highest mean score of 19.81/32 (59.38%), while students' social self-perception had the lowest score of 13.09/28 (46.75). Out of the 50 questions, three areas were recognised as strengths, while 15 were identified as needing improvement.</p><p><strong>Conclusion: </strong>The learning environment was in the range of more positives than negatives. The students have a good academic self-perception. However, there is a need for institutional measures that would help review the curriculum and address the individual problems identified, hence improving the learning environment and quality of undergraduate medical training.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"435-445"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088176","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":"Diabetic Retinopathy: Assessing the Impact of Patient Awareness on Disease Severity in a General Hospital, Zaria.","authors":"Hawwa Salihu Abdullahi, Fatima A Mahmud-Ajeigbe, Elijah N Peter, Olutayo A Gana, Habibatu D Zubairu","doi":"10.4103/jwas.jwas_99_24","DOIUrl":"10.4103/jwas.jwas_99_24","url":null,"abstract":"<p><strong>Background: </strong>Patients with the severe form of diabetic retinopathy (DR) tend to have poorer quality of life and reduced levels of physical, emotional, and social well-being. If DR is left untreated, it leads to vision loss. Obstacles to early detection of DR need to be investigated and addressed to decrease debility from the disease. Awareness of DR by diabetic patients is one of such obstacles, hence prompting this study.</p><p><strong>Objectives: </strong>To determine the association between the awareness and severity of DR among adult diabetic patients attending the Outpatient Department (OPD) Clinic of Hajiya Gambo Sawaba General Hospital, Zaria (HGSGH).</p><p><strong>Materials and methods: </strong>This was a cross-sectional, hospital-based study conducted in the Outpatient Clinic of HGSGH, Kofan-Gayan, Zaria, over three months. Consenting diabetic patients who presented for follow-up in the OPD Clinic were selected by systematic sampling. A semi-structured questionnaire was administered for socio-demographic data, patients' history, and awareness of DR.</p><p><strong>Results: </strong>Out of the 270 participants, 98 (36.3%) were males, and 172 (63.7%) were females. Only one hundred and fifty-four (57.0%) of patients were aware that diabetes mellitus (DM) affects the back of the eye (DR). Awareness that DM affects the back of the eye (DR) was statistically associated with the presence of DR, the severity of the DR, and the educational status of the studied patients (<i>P</i> value < 0.05).</p><p><strong>Conclusion: </strong>Increasing public awareness and knowledge regarding this potentially blinding illness will be a big step in preventing the burden of the disease.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"422-425"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088342","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":"Postoperative Bile Leak in Liver Hydatid Cyst: When to Intervene?","authors":"Krishna Rao Gurana, Mukteshwar Dasari, Vijay Kumar Sharma, Julie Shah, Abhijit Chandra","doi":"10.4103/jwas.jwas_143_24","DOIUrl":"10.4103/jwas.jwas_143_24","url":null,"abstract":"<p><strong>Background: </strong>Postoperative bile leak (POBL), a major concern in liver hydatid cyst (LHC) surgery, can be managed either conservatively or by endoscopic therapy. There is a need for some objective parameters to guide endoscopic therapy for POBL in LHC surgery.</p><p><strong>Setting: </strong>This study was carried out in the Department of Surgical Gastroenterology in a tertiary care centre in Northern India.</p><p><strong>Materials and methods: </strong>A total of 116 surgically managed patients for LHC were analysed retrospectively using regression analysis and receiver operating characteristics (ROC) curves to identify factors predicting endoscopic therapy in POBL.</p><p><strong>Results: </strong>POBL was found in 31.8% (37 of 116) of patients. Most of the patients had POBL <300 mL/day (67.6%). Patients with POBL experienced more morbidity (<i>P</i> = 0.0001) in comparison with patients without POBL. Out of 37 patients with POBL, 22 (59.5%) were managed conservatively, and 15 (40.5%) were managed with endoscopic retrograde cholangiopancreatography. Patients with POBL managed with endoscopic therapy had higher daily bile output (<i>P</i> = 0.055), longer time to removal of drain (<i>P</i> = 0.002), and longer postoperative stay (<i>P</i> < 0.0001) when compared with conservatively managed patients. Male gender [Odds ratio (OR) = 5.10, p=0.026], POBL >300 mL/day (OR = 5.143, <i>P</i> = 0.031), POBL >14 days (OR = 6.800, <i>P</i> = 0.010), and hospital stay >14 days (OR = 11.42, <i>P</i> = 0.007) predicted the need for endoscopic therapy in managing POBL. On ROC curve analysis, daily POBL >210 mL [area under the curve (AUC) = 0.773, <i>P</i> = 0.005] and POBL for >12.5 days (AUC = 0.826, <i>P</i> = 0.001) were cut-off values for the need for endoscopic therapy for managing POBL.</p><p><strong>Conclusion: </strong>POBL in LHC surgery is a serious problem. Male patients with daily POBL >300 mL, bile leak >14 days, and hospital stay >14 days had higher chances for the need for endoscopic therapy.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"463-470"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088283","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":"Immediate Complete Dentures: A Systematic Review.","authors":"Arpit Sikri, Jyotsana Sikri, Namisha Arora, Bharat Sankhla, Rimple Gupta, Muthyalu Kumar Somanna","doi":"10.4103/jwas.jwas_133_24","DOIUrl":"10.4103/jwas.jwas_133_24","url":null,"abstract":"<p><strong>Background: </strong>Immediate complete dentures (ICDs) are a crucial treatment option in the field of dentistry, providing patients with both comfort and improved aesthetics. Despite their significance, there is a scarcity of research focussed on assessing the methods and procedures used in creating these prostheses. Consequently, a systematic review is required to examine the clinical protocols used to recommend this particular form of oral rehabilitation.</p><p><strong>Aim: </strong>In this current systematic review, clinical data from various studies were analysed to investigate the effectiveness of ICDs in patients undergoing this form of oral rehabilitation.</p><p><strong>Setting and design: </strong>This is a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.</p><p><strong>Materials and methods: </strong>The initial electronic search encompassed several databases, such as MEDLINE (PubMed), Scopus, and Web of Science, with a focus on English-language articles. The search criteria comprised specific terms and keywords such as \"Immediate Complete Denture,\" \"immediate denture,\" and \"immediate total mouth rehabilitation.\" To structure the review process, the PICO (Population, Intervention, Comparison, and Outcome) framework was employed.</p><p><strong>Statistical analysis used: </strong>Qualitative analysis.</p><p><strong>Results: </strong>In this systematic review, the initial search yielded a total of 2529 studies based on the predefined selection criteria. After a rigorous elimination process, 1202 studies were excluded, leaving 40 studies for further evaluation. Among these, 19 studies met the inclusion criteria and were ultimately included in the review, while 21 studies were excluded. The search for relevant studies was conducted in the PubMed/MEDLINE, Scopus, and Web of Science databases, covering research articles up to June 2023. The search process involved two independent reviewers, and after a comprehensive assessment, a total of 19 articles were considered suitable for inclusion in the review.</p><p><strong>Conclusion: </strong>The primary conclusions of the systematic review emphasised the necessity for a well-defined clinical protocol in the preparation of ICDs. This protocol should include minimally invasive surgical procedures and regular patient follow-ups. Such an approach aims to minimise discomfort and ensure the maintenance of crucial aspects, such as vertical dimension, bilaterally balanced occlusion, and overall patient satisfaction with the treatment.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"15 4","pages":"371-379"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088280","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}