Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons最新文献

{"title":"Thyroid surgery: Wound closure without skin clips","authors":"U. Eni, Habila","doi":"10.4314/NJSSCI.V17I1.38396","DOIUrl":"https://doi.org/10.4314/NJSSCI.V17I1.38396","url":null,"abstract":"Sixty patients undergoing thyroidectomy were prospectively randomized to non skin clip closure (study group) and skin closure with Michel metal clips (control). The cosmetic outcome of the scar as well as other problems associated with the wound closure technique were evaluated. The aesthetic outcome of the scars in the non skin clip closure study group was better (good in 90%), than those in the conventional metal clip skin closure group (good in 76.7%). The rate of superficial wound infection and post operative pain requiring increase in analgesic dosage were less in the study group as well. The cost of the metal clips plus the pain and anxiety of the patient at the removal of the clips were also eliminated in the study group. \u0000Wound closure following thyroidectomy omitting the conventional metal clip was associated with fewer problems. Nigerian Journal of Surgical Sciences Vol. 17 (1) 2007: pp. 1-8","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"17 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2007-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70584913","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}

{"title":"Head injury: Calabar Teaching Hospital experience","authors":"I. Ikpeme, A. Udosen, N. Ngim, A. Oyo-Ita, S. Ogbudu","doi":"10.4314/NJSSCI.V17I1.38398","DOIUrl":"https://doi.org/10.4314/NJSSCI.V17I1.38398","url":null,"abstract":"This study was undertaken as part of a wider prospective study by the University of Calabar Teaching Hospital Trauma Study Group. The specific objective was to highlight the pattern, distribution causative and contributory factors to head injury in our locality and to assess the outcome of treatment. The overall aim was to establish those epidemiological factors which may be targeted in the prevention and improvement of outcome. This paper is the preliminary report of this on-going study. \u0000The pattern and distribution of head injuries shows that a typical head injured patient in our locality is a male, aged between 21 and 30 years involved in a motorcycle related accident. Accidents frequently occured between 7 and 9pm and though 75% of patients arrived in hospital within 6 hours of injury, 17% of all cases died probably from suboptimal in-hospital care even in a tertiary centre. None of the patients used a protective helmet or restraining seatbelt. Prevention remains the key management option in these injuries. Nigerian Journal of Surgical Sciences Vol. 17 (1) 2007: pp. 14-20","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"17 1","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2007-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70584984","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}

{"title":"Ocular Diseases in HIV/AIDS","authors":"B. Adegbehingbe, O. Olasode","doi":"10.4314/NJSSCI.V16I2.38385","DOIUrl":"https://doi.org/10.4314/NJSSCI.V16I2.38385","url":null,"abstract":"This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. \u0000Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis with rubeosis iridis(1) and retinopathy (2). \u0000This study showed a significant proportion of patients suspected of HIV/AIDS among high risk patients were actually infected. A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. Keywords : This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. \u0000Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis with rubeosis iridis(1) and retinopathy (2). \u0000This study showed a significant proportion of patients suspected of HIV/AIDS among high risk patients were actually infected. A high index of suspicion is required in diagnosing HIV/AIDS among ophthalmic patients. \u0000This study evaluated the prevalence of HIV seropositivity among a suspected group and describes the ocular manifestations among patients seen at the eye clinic of Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife. \u0000Confirmatory diagnosis of HIV/AIDS by serologic tests was positive in 11 (28.9%) patients. Age range of 11 HIV/AIDS positive patients was 16 to 56 years, with a mean age of 32 +/- 2.7 years. There were 7 males and 4 females, giving a male to female ratio of 1.8:1. Of the 11 indexed patients, 1 had squamous cell carcinoma of the conjunctiva related to acquired Immunodeficiency Syndrome; four [36.4%] had herpes zoster ophthalmicus (3 males and I female) and herpes simplex keratitis (1).Others were lateral rectus muscle palsy and associated optic atrophy(1), uveitis(2), uniocular pan-uveitis","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"16 1","pages":"47-53"},"PeriodicalIF":0.0,"publicationDate":"2007-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585155","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}

{"title":"Repair of filtering bleb leak with conjunctival grafts: report on initial experience","authors":"J. M. Waziri-erameh, A. Omoti, O. Edema","doi":"10.4314/NJSSCI.V16I2.38387","DOIUrl":"https://doi.org/10.4314/NJSSCI.V16I2.38387","url":null,"abstract":"No Abstract. Keywords : conjunctival graft, filtering bleb leak, trabeculectomy The Nigerian Journal of Surgical Sciences Vol. 16 (2) 2006: pp. 59-62","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"16 1","pages":"59-62"},"PeriodicalIF":0.0,"publicationDate":"2007-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585170","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}

{"title":"Blunt abdominal splenic injury","authors":"M. Asuquo, V. Nwagbara, A. Inyang","doi":"10.4314/NJSSCI.V16I2.38388","DOIUrl":"https://doi.org/10.4314/NJSSCI.V16I2.38388","url":null,"abstract":"This study was undertaken to evaluate the pattern and management outcome of splenic rupture resulting from blunt abdominal trauma in order to proffer solutions for prevention and improved management in the light of the changing trend in the management of splenic injuries. There were 37 patients, 27(73%) males and 10(27%) females, with a M: F ratio of 2.7: 1. The age range was 3-50yrs with a mean of 15.8years. Road Traffic accident involving 29 patients (78.4%) was the commonest cause of blunt splenic abdominal injuries. Most of the injuries involved children 23(62.2%). \u0000One patient had splenorrhaphy while 36 patients had total splenectomy. The severity of injury often in diseased spleens accounted for the low salvage rate.\u0000 Keywords : Blunt abdominal trauma, splenic injury Nigerian Journal of surgical Sciences Vol. 16 (2) 2006: pp. 63-67","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"16 1","pages":"63-67"},"PeriodicalIF":0.0,"publicationDate":"2007-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585180","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}

{"title":"An appraisal of vent house vacuum delivery","authors":"N. Obiechina, G. Udigwe, C. Udegbe","doi":"10.4314/NJSSCI.V16I2.38390","DOIUrl":"https://doi.org/10.4314/NJSSCI.V16I2.38390","url":null,"abstract":"A retrospective analysis of Ventouse deliveries over a 10 year period at St. Charles Borromeo Hospital, Onitsha, Nigeria is presented. Between January 1991 and December 2000, 15802 deliveries were conducted, 572 were Ventouse deliveries, giving a Ventouse rate of 3.6%. The age range of the patients was 17-44 years, with a mean age of 28.2+ 5.5 years. The commonest indication for Ventouse delivery was prolonged second stage of labour 34.9% (195), followed by cephalopelvic disproportion in 10.6% (59), while the least indication was brow presentation in second stage of labour 1.3% (7). The maternal morbidity was mainly vaginal tear/laceration that occurred in 2.2% (12) of the patients. The success rate of Ventouse delivery was 91.6% (511). The corrected perinatal death rate was 9/1000 deliveries. Ventouse has a high success rate in prolonged second stage of labour, in first stage of labour and in fetal mal-positions. With the decline in the use of obstetric forceps and its teaching in most health institutions, ventouse becomes the instrument of first choice when assisted vaginal delivery is considered. Nigerian Journal of surgical sciences Vol. 16 (2) 2006: pp. 72-75","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"16 1","pages":"72-75"},"PeriodicalIF":0.0,"publicationDate":"2007-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585239","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}

{"title":"Perineal anterior dislocation of the hip with avulsion fracture of greater trachnanter in a child","authors":"P. Umebese, M. Mobash","doi":"10.4314/NJSSCI.V16I2.38389","DOIUrl":"https://doi.org/10.4314/NJSSCI.V16I2.38389","url":null,"abstract":"Traumatic anterior dislocation of the hip is rare even in children. Very uncommon also is the perineal variant of the inferior type of anterior dislocation with concomitant avulsion fracture of the greater trochanter. We report such a case highlighting the peculiarity of its management. No similar case of triumvirate injury of the hip has been reported in sub Saharan West Africa. Open reduction of the hip under general anaesthesia was done after two failed attempts at close reduction. \u0000One year after, radiograph of the hip showed no deformity of the head of femur nor evidence of avascular necrosis.\u0000 Keywords : Child, anterior hip dislocation, trochanteric, avulsion fracture, perineal Nigerian Journal of Surgical Sciences Vol. 16 (2) 2006: pp. 68-71","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"1 1","pages":"68-71"},"PeriodicalIF":0.0,"publicationDate":"2007-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585215","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}

{"title":"Complex colo-colic intussusception: A case report","authors":"K. Agu, L. Eze","doi":"10.4314/NJSSCI.V16I2.38394","DOIUrl":"https://doi.org/10.4314/NJSSCI.V16I2.38394","url":null,"abstract":"A rare case of adult intussusception involving the transverse colon and mesocolon, greater omentum and the distal third of the stomach is presented. The diagnostic difficulties and treatment options are discussed highlighting the use of on table antegrade colonic lavage. Keywords : Complex, colo-colic, intussusception Nigerian Journal of surgical Sciences Vol. 16 (2) 2006: pp. 91-93","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"16 1","pages":"91-93"},"PeriodicalIF":0.0,"publicationDate":"2007-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585319","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}

{"title":"A profile of the theatre procedures in paediatrict ophthalmic practice","authors":"E. Onwasigwe","doi":"10.4314/NJSSCI.V16I2.38386","DOIUrl":"https://doi.org/10.4314/NJSSCI.V16I2.38386","url":null,"abstract":"","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"16 1","pages":"54-58"},"PeriodicalIF":0.0,"publicationDate":"2007-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585165","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}

{"title":"Perforated appendicitis: Risk factors and outcomes of management","authors":"T. Njoku, M. N. Okobia","doi":"10.4314/NJSSCI.V16I2.38391","DOIUrl":"https://doi.org/10.4314/NJSSCI.V16I2.38391","url":null,"abstract":"The case files of patients with perforated appendicitis were analysed in relation to age, sex, clinical presentation, management and outcome of management. The aim was to detect the main factors that contributed to the perforation of the appendix in these patients and assess the effectiveness of the treatment offered.\u0000In a ten year period, 1993 to 2002, 655 appendicectomies were recorded .Twenty-nine cases were confirmed as perforated appendicitis. The perforation rate was 4.4%.\u0000It was concluded that there was significant delay in presentation in all cases. There is still ignorance among our population, including the well educated, of features of acute appendicitis. It appears the risk of perforation is higher with the first attack of acute appendicitis than with subsequent attacks. The most frequent complication was wound infection, 37.9%. Keywords : Perforated appendicitis, risk factors, outcome of management Nigerian Journal of surgical Sciences Vol. 16 (2) 2006: pp. 76-79","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"16 1","pages":"76-79"},"PeriodicalIF":0.0,"publicationDate":"2007-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585266","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}