Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons最新文献_第3页

Management of tracheobronchial foreign bodies in a Nigerian tertiary health center 尼日利亚三级卫生中心气管支气管异物的处理

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2017-01-01 DOI: 10.4103/NJSS.NJSS_9_17

A. Kirfi, U. Grema, A. Bakari

{"title":"Management of tracheobronchial foreign bodies in a Nigerian tertiary health center","authors":"A. Kirfi, U. Grema, A. Bakari","doi":"10.4103/NJSS.NJSS_9_17","DOIUrl":"https://doi.org/10.4103/NJSS.NJSS_9_17","url":null,"abstract":"Background: Airway foreign bodies present as emergencies, are not uncommon in developing countries like Nigeria, and can occur in all age groups. They present great difficulties for both parents and medical practitioners in general and the otorhinolaryngologist in particular. Tracheobronchial foreign bodies may endanger the life of the patient depending on the type, size, and location of the foreign body in the airway tract. We aim to look at the management of tracheobronchial foreign bodies and present a maiden article on the management of tracheobronchial foreign bodies in our center. Patients and Methods: This was a retrospective review of all patients seen at the Emergency Unit and Consultant Clinics of the National Ear Care Centre, Kaduna, Nigeria, with diagnosis of foreign bodies in the airway (the tracheobronchial area). Medical records of patients seen between January 1, 2012, and December 31, 2016, were reviewed. Data generated from the case files were analyzed descriptively. Results: Thirty-four patients presented with foreign bodies in the airway. This comprises 25 males and 9 females in a ratio of 2.8:1. Age at presentation ranged between 11 months and 27 years; the mean age was 7.02 ± 5.46 years. The predominant age group affected was 0–9 years. Twelve patients had a preliminary tracheostomy before endoscopic removal of the foreign body. Twenty-seven patients had rigid bronchoscopy and foreign body removal while 3 patients had flexible bronchoscopy, 1 patient had direct laryngoscopy, and 3 patients had tracheoscopy and foreign body removal. Majority of the foreign bodies were plastic in origin. Conclusion: Airway foreign bodies are acute emergencies, especially in pediatric age groups, and the best modality of treatment is endoscopic removal under general anesthesia.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"204 ","pages":"14 - 19"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41284737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology of low back pain in a suburban Nigerian tertiary centre 尼日利亚郊区三级医疗中心腰痛流行病学研究

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2017-01-01 DOI: 10.4103/NJSS.NJSS_13_17

E. Edomwonyi, I. A. Ogbue

{"title":"Epidemiology of low back pain in a suburban Nigerian tertiary centre","authors":"E. Edomwonyi, I. A. Ogbue","doi":"10.4103/NJSS.NJSS_13_17","DOIUrl":"https://doi.org/10.4103/NJSS.NJSS_13_17","url":null,"abstract":"Aims: This study aims to determine the profile of patients as well as identify predisposing factors of patients presenting with low back pain (LBP) in Irrua Specialist Teaching Hospital Irrua, Edo state of Nigeria. Subjects and Methods: A retrospective study in which case records of all newly diagnosed patients with LBP from January 2011 to December 2013 were analyzed and the following data were extracted: demographic indices, duration of symptoms before presentation, predisposing factors, etc. Results: Within the study periods, 3120 patients presented at the orthopedic clinic, out of these, 101 patients had LBP. The prevalence rate was 3.24%. Median age was 58 years. Peak age incidence was 61–70 years. Age range 13–84 years. Male:female 1:1. Most affected occupational age groups were farmers 24 (23.76), traders 23 (22.77%), and civil servants 17 (16.83%). The most common predisposing factors to LBP were trauma to the lower back 23 (22.8%), lifting of heavy objects 11 (10.9%), and obesity 8 (7.9%). Spondylosis was the leading Diagnosis. L4/L5, L5/S1 were the most affected segments The percentage of patients presenting as acute, subacute, and chronic LBP were 28.7%, 9.9%, and 61.4%, respectively. Conclusions: Chronic LBP rank the highest among patients with LBP in our environment. Middle and elderly age brackets were other highlights. Trauma, lifting of heavy weights and obesity were notable predisposing factors.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"27 1","pages":"20 - 25"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46955531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Desmoid tumor of anterior abdominal wall: A rare occurrence 罕见的腹前壁筛状瘤

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2017-01-01 DOI: 10.4103/NJSS.NJSS_3_17

Nwashilli N. Jude, E. Ugiagbe

引用次数: 0

The pattern and outcome of surgical acute abdomen at a Nigerian tertiary hospital 尼日利亚一家三级医院急腹症手术的模式和结果

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2017-01-01 DOI: 10.4103/njss.njss_14_16

N. Nwashilli, Nkwo Okobia, O. Osime, Orumuah Agbugui

{"title":"The pattern and outcome of surgical acute abdomen at a Nigerian tertiary hospital","authors":"N. Nwashilli, Nkwo Okobia, O. Osime, Orumuah Agbugui","doi":"10.4103/njss.njss_14_16","DOIUrl":"https://doi.org/10.4103/njss.njss_14_16","url":null,"abstract":"Background: Surgical acute abdomen is one of the most common causes of admission into the surgical emergency room. It is a sudden onset of abdominal disease condition which requires immediate surgical evaluation and intervention. Aim: This study aims to determine the pattern and outcome in surgical acute abdomen. Patients and Methods: This was a prospective descriptive study carried out at University of Benin Teaching Hospital, Benin City over 1 year between September 2009 and August 2010. Consecutive patients aged 18 years and above with a diagnosis of surgical acute abdomen formed the study sample. Surgical acute abdomen caused by gynecological and urological problems were excluded from the study. A data form was opened for all patients on admission. Patients who met the inclusion criteria were recruited. Data collated from the patients were analyzed using SPSS version 16. Results: One hundred and eighty-six patients who met the inclusion criteria were recruited. There were 99 males and 87 females with male to female ratio of 1.1:1. The mean age of the patients was 36.60 ± 16.74 years with the age range of 18–92 years. Acute appendicitis confirmed on histopathology in 71 patients was the most common cause of surgical acute abdomen in the study. One hundred and seventy-four patients were treated and discharged while 12 patients died. The overall mortality rate was 6.5%. Conclusion: This study has shown that acute appendicitis is the most common cause of surgical acute abdomen at the University of Benin Teaching hospital, Benin City, and the 21–30 years of age group was most commonly affected.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"27 1","pages":"51 - 56"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70836552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Surgical versus examination gloves in exodontia: A randomized, double-blind, controlled trial 正畸手术手套与检查手套的比较：一项随机、双盲、对照试验

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2017-01-01 DOI: 10.4103/NJSS.NJSS_8_17

S. Deshmukh, B. Vidya, M. Alexander, R. Bonde, S. Bommaji, A. Nayyar

{"title":"Surgical versus examination gloves in exodontia: A randomized, double-blind, controlled trial","authors":"S. Deshmukh, B. Vidya, M. Alexander, R. Bonde, S. Bommaji, A. Nayyar","doi":"10.4103/NJSS.NJSS_8_17","DOIUrl":"https://doi.org/10.4103/NJSS.NJSS_8_17","url":null,"abstract":"Context: In developing countries like India, where money set aside for public health, is <1% of the gross domestic product, routine use of surgical gloves for examining patients as well as for minor surgical procedures can be a drain on the resources. Hence, we decided to conduct a study to ascertain whether it is necessary to use surgical gloves in routine dental extractions. Aims: This study aims to conduct a study to ascertain whether it is necessary to use surgical gloves in routine dental extractions. Materials and Methods: A comparative, prospective, randomized, double-blind study was carried out in one hundred patients for nonsurgical extractions of multiple teeth, performed aseptically. Microbiology specimens were taken from the glove's surfaces according to a standard protocol. An independent assessor, who was blinded for the procedure, examined the patients on the 7th postoperative day. Data were entered into Microsoft Excel sheet and subjected to Statistical analysis using SPSS Version 20. Statistical Analysis: Paired “t”-test, unpaired “t”-test and Karl Pearson's Coefficient test were used to calculate the scientific data and association between variables. A P = 0.05 or less was considered statistically significant while 0.001 or less, as statistically, highly significant. Results: A total of 100 patients who had 356 extractions were obtained at the end of the study. Paired “t”-test showed the highly significant difference from pre- to post-operative colony forming units at 1% level of significance (P < 0.01). Conclusions: The present study concluded that the use of surgical gloves does not offer a definite advantage over examination gloves in minimizing the rate of infections following extraction of teeth.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"27 1","pages":"9 - 13"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43707848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Sojourn of a surgeon: The need for cancer registry. 12th eruchalu memorial lecture 2015 外科医生的逗留:癌症登记的需要。2015年第12届埃鲁查鲁纪念讲座

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2017-01-01 DOI: 10.4103/NJSS.NJSS_17_17

N. Eke

引用次数: 0

Endobronchial lipoma: A rare indication for a lobectomy 支气管内脂肪瘤:肺叶切除术的罕见指征

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2017-01-01 DOI: 10.4103/njss.njss_20_17

O. Kennedy, G. Roy, Mayank Gupta

引用次数: 0

Postmastectomy breast reconstruction at University of Benin Teaching Hospital, Benin City 贝宁市，贝宁大学教学医院，乳房切除术后乳房重建

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2016-07-01 DOI: 10.4103/njss.njss_2_16

Ferdinand Ijekeye, N. Nwashilli

引用次数: 0

Etiology of upper gastrointestinal bleeding in the University of Benin Teaching Hospital, South-Southern Nigeria 尼日利亚南南部贝宁大学教学医院上消化道出血的病因学

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2016-07-01 DOI: 10.4103/NJSS.NJSS_7_15

R. Ugiagbe, C. Omuemu

{"title":"Etiology of upper gastrointestinal bleeding in the University of Benin Teaching Hospital, South-Southern Nigeria","authors":"R. Ugiagbe, C. Omuemu","doi":"10.4103/NJSS.NJSS_7_15","DOIUrl":"https://doi.org/10.4103/NJSS.NJSS_7_15","url":null,"abstract":"Background: Upper gastrointestinal (GI) bleeding is a medical emergency that remains a common cause of morbidity and mortality worldwide. The aim of this study was to determine the common causes of upper GI bleeding in the University of Benin Teaching Hospital, South-Southern Nigeria. Methods: Records of all patients referred with upper GI bleeding to the endoscopy unit of the University of Benin Teaching Hospital from February 2006 to January 2013 were reviewed. Relevant data and findings at diagnostic upper GI endoscopy were retrieved from the endoscopy register. Data obtained were analyzed using Statistical Package for Social Sciences version 15.0. Results: A total of 1084 patients had upper GI endoscopy during the study, of those 311 (28.7%) had upper GI bleeding. The mean age of patients with upper GI bleeding was 51.48 ± 17.5. Range was 14–90 years and the male: female ratio was 2.04:1. The most common cause of upper GI bleeding was peptic ulcer disease (PUD), found in 102 (32.8%) cases, followed by gastritis in 88 (28.3%) cases. Esophageal varices accounted for 47 (15.1%) cases whereas duodenitis was found in 16 (5.1%) cases. Carcinoma of the stomach occurred in 13 (4.2%) cases while 12 (3.9%) patients had esophagitis. Gastroesophageal reflux disease accounted for 11 (3.5%) cases whereas esophageal ulcers occurred in 3 (1.0%) cases. Carcinoma of the esophagus and esophageal candidiasis each constituted 2 (0.6%) cases. The cause of bleeding was not found in 15 (4.8%) patients. Conclusion: PUD is the most common cause of upper GI bleeding in patients undergoing endoscopy in the University of Benin Teaching Hospital, South-Southern Nigeria.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"26 1","pages":"29 - 32"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70837510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Recurrent inguinal hernia in Ile-Ife Nigeria: Characteristics and outcome of management 尼日利亚Ile-Ife复发性腹股沟疝:特点和治疗结果

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2016-07-01 DOI: 10.4103/NJSS.NJSS_7_16

E. Agbakwuru, A. Etonyeaku, O. Olasehinde, A. Kolawole, A. Talabi, Akinbolaji A Akinkuolie, F. Wuraola

{"title":"Recurrent inguinal hernia in Ile-Ife Nigeria: Characteristics and outcome of management","authors":"E. Agbakwuru, A. Etonyeaku, O. Olasehinde, A. Kolawole, A. Talabi, Akinbolaji A Akinkuolie, F. Wuraola","doi":"10.4103/NJSS.NJSS_7_16","DOIUrl":"https://doi.org/10.4103/NJSS.NJSS_7_16","url":null,"abstract":"Background: There are very few reports addressing patients' characteristics, patterns, and outcome of treatment of recurrent inguinal hernia irrespective of the method of hernia repair. Purpose: The purpose of this study is to evaluate the patients and disease characteristics, treatment and early outcome of surgery for recurrent inguinal hernia. Patients and Methods: The medical records of patients who had repair of recurrent inguinal hernia at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife from January 1, 2004, to December 31, 2013 were reviewed for demographics, number and place of previous repair, technique of repair, intraoperative findings at repair of recurrence, and outcome of this intervention. Data generated were analyzed for frequencies, percentages and Fisher exact test for statistical significance. Results: Forty-one recurrent hernia repairs were done during the period, constituting 3.2% of all hernia repaired. The male:female ratio was 40:1. Mean age was 56.1 ± 17.7 years. Most cases were first-time recurrences 36 (87.8%), reducible 35 (85.4%) and were electively repaired. Six (14.6%) were complicated requiring emergency repair. Recurrence within 1 year of earlier repair was common (36.6%). Relatively, more patients 22 (53.7%) had their primary repair in nonspecialist centers (P < 0.05) while only eight patients had their primary repairs in specialist centers. Lichtenstein and Nylon Darn techniques were common repair methods for recurrent hernia. Overall complication rate was 36.6% (n = 15) with wound hematoma being the most predominant 11 (25.6%). There was no record of re-recurrence over 3–60-month period (mean = 6 months). Conclusion: Place of the previous repair was associated with increased risk for hernia recurrence. Tension-free repair remains pivotal in recurrent hernia repair.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"26 1","pages":"33 - 38"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70837573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2