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Journals Nigerian Journal of Surgery : ...

Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society

https://read.qxmd.com/read/31579375/introduction-of-suturing-skills-acquisition-into-undergraduate-surgical-education-early-experience-from-ile-ife-nigeria
#61
JOURNAL ARTICLE
Adewale Abdulwasiu Aderounmu, Funmilola Olanike Wuraola, Olalekan Olasehinde, Oludayo A Sowande, Adewale Oluseye Adisa
Background: Undergraduate medical students of the Obafemi Awolowo University, Ile-Ife, Nigeria, had over the years acquired various skills informally without structured training in basic skills in wound closure. The Department of Surgery introduced suturing skills acquisition workshop into the curriculum of the Final-Year Medical Students in 2016. This study describes the preliminary experience and the perception of the participants. Methods: All students undergoing the senior rotations in surgery and surgical specialties were taken through a day suturing skills workshop at the surgical skills laboratory...
July 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31579373/is-final-histopathological-examination-the-only-diagnostic-criteria-for-xanthogranulomatous-cholecystitis
#62
JOURNAL ARTICLE
Anshuman Pandey, Dinesh Kumar, Shakeel Masood, Smita Chauhan, Suneed Kumar
Background: Xanthogranulomatous cholecystitis (XGC) is an uncommon inflammatory disease of gallbladder (GB) and can mimic GB cancer in extensive form. This study aims to assess the predictability of XGC on the basis of clinical presentation, laboratory tests, and radiological or intraoperative findings on frozen section analysis. Materials and Methods: This is a retrospective study, conducted over a period of 4 years from October 2013 to November 2017. In this study, all patients with histopathological reports of XGC, who underwent cholecystectomy or a radical cholecystectomy, were included...
July 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31579372/survey-of-basic-laparoscopic-training-exposure-of-nigerian-postgraduate-trainees
#63
JOURNAL ARTICLE
Olanrewaju Samuel Balogun, Adedapo Olumide Osinowo, Christopher O Bode, Oluwole A Atoyebi
Background: The practice of laparoscopy involves the use of training models that are different from conventional open surgery. These concepts are not captured in the traditional models of surgical residency training. Residency training in surgery has been seen as an ample opportunity for early introduction and training in laparoscopy. Objectives: This study aimed to assess the level of exposure and training experience of some surgical resident doctors in accredited training institutions in Nigeria on laparoscopy...
July 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31579371/determinants-of-outcome-of-abdominal-trauma-in-an-urban-tertiary-center
#64
JOURNAL ARTICLE
Solomon Agbroko, Adedapo Osinowo, Emmanuel Jeje, Oluwole Atoyebi
Background: Abdominal trauma constitutes a significant cause of potentially preventable mortality. Therefore, knowledge of the determinants of outcome facilitates the development of rational treatment protocols for improving outcome. Objective: To identify the determinants of outcome in patients with abdominal trauma managed in a tertiary health center. Patients and Methods: This is a prospective study of consecutive patients presenting with abdominal trauma to our tertiary health center over a 12-month period...
July 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31579370/outcome-of-management-of-neonatal-intestinal-obstruction-at-a-tertiary-center-in-nigeria
#65
JOURNAL ARTICLE
Olakayode Olaolu Ogundoyin, Dare I Olulana, Taiwo A Lawal, Akinlabi E Ajao
Background: Intestinal obstruction in a newborn remains a significant emergency in pediatric surgery. Clinical presentation is often subtle with sudden deterioration of their clinical states. Clinical outcome in the developing countries is poor owing to a variety of factors. Objective: The objective of this study is to identify the factors affecting the management outcome in our environment. Patients and Methods: Data on clinical presentation, management, and outcome of all neonates managed for intestinal obstruction over a 13-year period at a tertiary center in Nigeria were retrospectively reviewed...
July 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31579369/histopathological-pattern-of-testicular-lesions-in-kano-northwestern-nigeria
#66
JOURNAL ARTICLE
Abubakar Abdulkadir, Haruna Muhammad Sanusi, Sule Alfa Alhaji
Background: The global distribution of testicular disorders differs conforming with differences in demographic denominators. The diagnostic dictum for these disorders customarily adheres to findings at clinical assessment, relevant imaging, and laboratory evaluation. Histopathological confirmation remains the ultimate for the diagnosis of testicular malignancies and many testicular dysfunctions. The epidemiological review of the histological outcomes among Kano populace, however, is deficient...
July 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31579368/preoperative-predictors-of-level-of-difficulty-of-laparoscopic-cholecystectomy
#67
JOURNAL ARTICLE
Prem Chand, Manpreet Kaur, Sumit Bhandari
Background: Laparoscopic cholecystectomy (LC) is the gold standard treatment for symptomatic gallbladder stone disease. This is due to its safety, reliability, cost-effectiveness, negligible mortality, shorter duration of hospitalization (early return to work), better cosmesis, minimal wound complications, and temporary paralytic ileus. In spite of these, conversion to open cholecystectomy which is sometimes required in difficult cases could be challenging. Aims and Objectives: The aim of the present study is to aid the prediction of difficult cases undergoing LC, thereby better selection of patients with the least conversion rates...
July 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31579374/management-of-deep-neck-space-infections-in-a-tertiary-center-in-north-west-nigeria
#68
JOURNAL ARTICLE
Saheed Babatunde Nasir, Iliyasu Yunusa Shuaibu, Solomon Abimuku Labaran, Abdulrahman Inusa
BACKGROUND: Deep neck space infection (DNSI) is a potentially fatal condition that more commonly results from dental and tonsillar infections. Timely intervention is, therefore, crucial when such patients present to the managing physician. OBJECTIVE: The objective of this study is to review the etiology, clinical presentation, and treatment outcome of patients managed for DNSIs over a period of 7 years at National Ear Care Centre, Kaduna. METHODOLOGY: The record of patients managed for DNSIs over a 7-year period between January 2010 and December 2016 was reviewed...
2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31579367/clinical-outcome-of-nonoperative-treatment-of-de-quervain-s-disease-with-local-corticosteroid-injection-in-nigerian-setting
#69
JOURNAL ARTICLE
Njoku Isaac Omoke, Ugochukwu Uzodimma Nnadozie
BACKGROUND: The goal of treatment of de Quervain's disease, pain relief and restoration of hand functions, is achievable with local corticosteroid injection. However, published reports indicate variations in its cure rate and efficacy from and within subregions. This study aimed to determine the outcome of this treatment modality in Nigerian setting. PATIENTS AND METHODS: Fifty-one cases of de Quervain's disease in 41 consecutive eligible patients were enrolled between January 2011 and December 2016, treated with local methylprednisolone acetate injection and followed up prospectively in orthopedic clinics of Federal Teaching Hospital, Abakaliki, and Mater Miserere Cordiae Hospital, Afikpo, Nigeria...
2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31579366/laparoscopic-versus-open-sigmoid-loop-colostomy-a-comparative-study-from-a-cohort-of-62-patients-requiring-temporary-faecal-diversion-at-a-tertiary-care-center-in-north-india
#70
JOURNAL ARTICLE
Navjot Singh, Parvez David Haque, Shekhar Upadhyay, Navneet Kumar Chaudhry
BACKGROUND: Over decades, colostomies have been done through open method, but laparoscopic creation of an intestinal stoma is safe, feasible and has distinct advantages over conventional techniques in specific procedures. The aim of this study compares operative and short-term outcomes of laparoscopic and open sigmoid loop colostomy formation for temporary fecal diversion. SUBJECTS AND METHODS: A single institution, comparative study conducted in the department of surgery for patients who underwent either laparoscopic or open sigmoid loop colostomy...
2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31007523/an-unusual-case-of-biliary-stent-migration-in-sacrum
#71
Anant Sadanand Ramani, Sudip Mandrekar, Dattaprasad Samant, Francisco Noronha
The common bile duct stenting has been a common endoscopic procedure practiced worldwide for the treatment of benign or malignant bile duct obstruction. Although the procedure has shown a very low morbidity, it is not free from complications. Stent migration has been a common late complication seen in 10% of cases presenting with various manifestations depending on the site of impaction. Here, we present a rare case of distal stent migration with impaction in the sacral foramina due to perforation through sigmoid diverticula with review of literature...
January 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31007522/squamous-cell-carcinoma-of-the-breast-mimicking-chronic-breast-abscess
#72
C Danny Darlington, G Fatima Shirly Anitha
Primary squamous cell carcinoma (SCC) of the breast is an exceedingly rare malignancy, and there are no clear management protocols for SCC of the breast. We report a 45-year-old female patient who presented with the recurrent breast abscess and a large fungating SCC of the breast with fixed ipsilateral axillary nodes. She was offered modified radical mastectomy. During the follow-up visits, she was observed to have developed multiple vertebral metastases. She had palliative chemotherapy. However, the patient succumbed to the disease within 6 months of the diagnosis...
January 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31007521/-ex-situ-liver-resection-and-partial-liver-autotransplantation-for-advanced-cholangiocarcinoma
#73
Mustafa Ozsoy, Zehra Ozsoy, Sezgin Yilmaz, YĆ¼ksel Arikan
Surgery is the only known curative treatment option for cholangiocarcinoma. Ex situ liver surgery and autotransplantation are promising approaches in cases that cannot be treated by conventional methods and particularly in the presence of centrally localized liver tumors as well as tumors that invade the main vascular structures. A 53-year-old female patient presented with abdominal pain and nausea. Abdominal tomography showed a tumoral mass lesion that filled the left lobe of the liver and invaded the left hepatic vein and the inferior vena cava...
January 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31007520/management-of-major-postcholecystectomy-biliary-injuries-an-analysis-of-surgical-results-in-62-patients
#74
JOURNAL ARTICLE
Sushruth Shetty, Premal R Desai, Hasmukh B Vora, Mahendra S Bhavsar, Lakshman S Khiria, Ajay Yadav, Nikhil Jillawar
Background: Management of injuries sustained during cholecystectomy requires expertise and involves a patient who is troubled, usually drained of personal resources. There has been an increase in incidence with laparoscopic cholecystectomy. The standard surgical management done for major biliary injuries is Roux-en-Y Hepaticojejunostomy (R-en-Y HJ). Materials and Methods: Patients managed surgically for definitive management of biliary injuries in the form of R-en-Y HJ were included...
January 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31007519/pattern-of-extremity-arterial-injury-and-outcome-of-repair-in-southwest-nigeria
#75
JOURNAL ARTICLE
Uvie Ufuoma Onakpoya, Joel Oghenevware Eyekpegha, Akinwumi Ogunrombi, Akumbu Sylva Ohuche, Temitope Olumuyiwa Ojo
Background: Extremity arterial injuries are an important cause of loss of life/limb after trauma. Early intervention is important for the good outcome. Objectives: The objective of this study is to review the pattern of presentation and study the factors that influences the outcome of extremity arterial injuries in our hospital. Patients and Methods: This is a retrospective study of all patients with injuries to the extremity arteries requiring surgical intervention from July 2007 to June 2015...
January 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31007518/limb-revascularization-of-peripheral-artery-disease-in-the-developing-countries-earliest-1-year-experience-from-northwestern-nigeria
#76
JOURNAL ARTICLE
Anas Ismail, Abulkadir M Tabari, Kabiru Isyaku, Nafiu Ahmed
Purpose: The purpose of the study is to present the preliminary audit and challenges of earliest cases of balloon angioplasty from Northwestern Nigeria. Materials and Methods: We present our first 25 cases of peripheral angioplasty in Northwestern Nigeria. The clinical diagnosis of peripheral artery disease was confirmed with Doppler ultrasound and angiography. Angioplasty was done either through femoral or brachial artery approaches. The patients were monitored for minimum of 6 months with serial clinical and Doppler ultrasound examinations...
January 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31007517/a-modified-open-primary-laparoscopic-surgery-port-placement-through-umbilical-tube
#77
JOURNAL ARTICLE
Bashiru Omeiza Ismaila, Barnabas T Alayande
Background: A safe, reliable technique for primary trocar introduction is important for laparoscopic surgery. In resource-constrained settings where there is paucity of needed equipment and cost is prohibitive, a method utilizing fewer instruments will be useful. Aim: This study aims to describe a method of primary trocar introduction that utilizes any available port. Methods: A supra- or infra-umbilical incision is made into an everted tubular umbilicus...
January 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31007516/rare-breast-malignancy-subtypes-a-cytological-histological-and-immunohistochemical-correlation
#78
JOURNAL ARTICLE
Manmeet Kaur, Kanwardeep Kaur Tiwana, Nisha Singla
Background: Breast malignancies encompass various subtypes which differ in their clinical presentations, outcomes, and response to the treatment regimens. Thus, a proper histological diagnosis and a special mention of the rare histologic subtypes are required to formulate clear recommendations of their treatment protocols. Materials and Methods: This is a 1-year retrospective study highlighting the rarely encountered subtypes on the mastectomy specimens received...
January 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31007515/early-experience-with-ligasure-thyroidectomy-in-a-nigeria-teaching-hospital
#79
JOURNAL ARTICLE
Olukayode Adeolu Arowolo, Olalekan Olasehinde, Adewale Oluseye Adisa, Adekunle Adeyemo, Olusegun Isaac Alatise, Funmilola Wuraola
Background: The principles of safe and efficient thyroid surgery had been established and the technique has remained the same for over the century without any major significant changes. The introductions of electrosurgical devices constitute a major shift in the technique of thyroid surgery. Objective: We present our early experience with the use of LIGASURE vessel sealing system for the procedure of thyroidectomy. Materials and Methods: This was a quasi-experimental study comparing outcome of LigaSure thyroidectomy in a prospective nonrandomized cohort with another retrospective cohort of preintervention clamp-and-tie thyroidectomy...
January 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://read.qxmd.com/read/31007514/knowledge-and-use-of-biostatistics-among-resident-and-junior-doctors-at-the-university-of-port-harcourt-teaching-hospital-port-harcourt
#80
JOURNAL ARTICLE
Philemon Ekemenye Okoro, Ebisori Ngosai Karibi
Background: The place of research in the generation of facts and evidence on which contemporary medicine can be based cannot be overemphasized. Medical and surgical research is now more crucial than ever before for advancement of clinical practice and career progression for medical professionals. This requires good understanding and application of biostatistics among clinicians. Aim: To assess the knowledge and use of biostatistics among resident doctors at the University of Port Harcourt Teaching Hospital, Port Harcourt...
January 2019: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
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