Users Online: 189
Home
About us
Editorial board
Search
Ahead of print
Current issue
Archives
Submit article
Instructions
Subscribe
Contacts
Login
Export selected to
Endnote
Reference Manager
Procite
Medlars Format
RefWorks Format
BibTex Format
Table of Contents
January-December 2015
Volume 16 | Issue 1 & 2
Page Nos. 1-25
Online since Thursday, October 8, 2015
Accessed 8,121 times.
PDF access policy
Journal allows immediate open access to content in HTML + PDF
View issue as eBook
Author Institution Mapping
Issue statistics
RSS
Show all abstracts
Show selected abstracts
Export selected to
Add to my list
EDITORIAL
List of authors in scholarly publications: Sequence and what value?
p. 1
Jerry Godfrey Makama
DOI
:10.4103/1595-1103.166881
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
ORIGINAL ARTICLES
Soft tissue sarcoma of the orofacial region: Our experience with 64 cases
p. 3
Benjamin Fomete, JO Ogbeifun
DOI
:10.4103/1595-1103.166882
Introduction:
Soft tissue sarcomas (STSs) are solid malignancies mostly of mesodermal origin whose rarity and variety present formidable challenges in characterization and treatment. According to Pisters and Brennan, STS make up <1% of all oral malignancies. Like other tumors, they can occur at any anatomical site and at any age. The extremities and trunk are favored sites for occurrence and only about 5–10% of STS occur in the head and neck region. STS have varied cell origin, but all STS are considered as a group because of the similarities in their clinical features, natural history, treatment, and disease outcome.
Patients and Methods:
Medical records of patients with histopathologically diagnosed malignant oral and maxillofacial tumors between January 2003 and December 2013 were retrospectively reviewed at the Maxillofacial Unit, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Results:
There were more male than female in a ratio of 1.28:1.The age range from 7 months to 70 years with a mean of 29.3 years and 37.8% being <20 and about 62.2% being above 20 years. Rhabdomyosarcoma was the most common lesion (39%) followed by fibrosarcoma (15.6%), malignant fibrous histiocytoma (7.8%). The most common site was the mandible followed by the cheek, palate, and maxilla. Some patients had both mandible and cheek involved while other had both palate and maxilla involved. The most frequent mode of treatment was surgery followed by radio and chemotherapy. A few patients declined therapy.
Conclusion:
STS remains a challenge in our center due to late presentation and affordability of treatment by our patients. Another contributing factor is the believe that cancer cannot be treated with orthodox medicine.
[ABSTRACT]
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
Limb amputations in Nigeria: The National hospital abuja experience
p. 11
Habila Umaru, Chukwuemeka Christian Madubueze, Abdulrazak Alada, Chibuike Mathias Onu
DOI
:10.4103/1595-1103.166884
Background:
Limb amputation is a common live saving surgical procedure in orthopedics and trauma practice that is associated with profound psychological, social and economic consequences on patients and his family. Current reports from some parts of Nigeria suggest that diabetic complications are taking the lead as cause for limb amputations in place of trauma the traditionally known etiological factor in the country.
Objectives:
To review the indications for amputations in our center and to compare our findings with published information, in view of its effect on the individual and the society and to suggest preventive measures.
Materials and Methods:
An 8 years retrospective study of extremity amputations performed in our hospital. Data on age, gender, indication for amputation, level of amputation, and outcome of surgery were extracted from the patients' case files and the operation register. Data were analyzed using SPSS version 16 and result presented in diagrammatic and tabular form.
Results:
The records of 106 patients were analyzed, there were 73 males and 33 females (ratio of 2.2:1), the age ranged from 8 to 92 years with a mean age and (standard deviation) 43.76 (±18.69) years. Diabetic foot gangrene was the most common indication for limb amputation in 46 (43.3%) patients compared to trauma 22 (20.8%). Below knee amputation was the most frequent level of amputation 50 (47.2%). The most frequent complication encountered was surgical site infection in 30 (28.3%).
Conclusion:
Diabetic foot gangrene was the leading indication for amputation in this study. Intense public enlightenment on prevention, early detection and effective treatment of diabetes and its complications will reduce the incidence of amputations in our environment.
[ABSTRACT]
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
Pelvi-ureteric junction obstruction in adults in a resource limited environment: Causes, features and outcome of treatment
p. 15
Augustine O Takure, Sikiru A Adebayo, Patience T Sotunmbi, Linus I Okeke, Emiola O Olapade-Olaopa, Olayiwola B Shittu
DOI
:10.4103/1595-1103.166885
Objective:
To report our experience with the management and outcome of treatment of adults with pelvi-ureteric junction(PUJ) obstruction
Subjects and Methods:
This was a retrospective study of adults with PUJ obstruction from January 2009 to December 2013. The study was conducted at a Tertiary Teaching Hospital in Ibadan in Nigeria. All adults with clinical features and radiological evidence of PUJ obstruction were included. Some patients had non operative treatment while others had open surgical treatment. The main outcome of treatment was measured by the relief of symptoms. We are not aware of previous report of the management of PUJ obstruction in adults in Nigeria.
Results:
Eighteen adult patients were treated. The mean age was 39 ± 11.2 standard deviation years (range 20-65 years). Seventy-two percent presented with loin pain. Thirteen of these patients were treated surgically, and 5 were treated nonoperatively. The operation findings were narrow but patent PUJ that barely admit a probe due to intrinsic muscle fibrosis in six patients, aberrant crossing vessels in 3, severely hydronephrotic kidneys in 3 and one impacted PUJ calculus. Fifty percent of patients had open dismembered pyeloplasty, simple nephrectomy (16.7%) while combined pyelolithotomy and Foley Y-V plasty (5%). All surgically treated patients were pain-free as at last time of review.
Conclusion:
Intrinsic muscle fibrosis and aberrant crossing vessels are the most common causes of PUJ obstruction in adults. Open pyeloplasty is still the main stay of treatment in our environment with satisfactory symptomatic relief.
[ABSTRACT]
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
Male infertility: diagnostic and epidemiological aspect concerning 96 cases in a teaching university hospital of cotonou, benin republic
p. 20
Prince Pascal Hounnasso, Josué Dedjinnin Georges Avakoudjo, Abdoudjalilou Sanni Dankoro, Fouad Kolawalé Yde Soumanou, Gilles Natchagé, Michel Michael Agounkpé, Rafiou Sanni Toré
DOI
:10.4103/1595-1103.166886
Objectives:
The goal of this study is to describe the epidemiological and diagnostic aspect of male infertility in the Department of Urology and Andrology of the Hospital mentioned above.
Methods:
This was a retrospective descriptive study of 6 months duration at the Academic Clinic of Urology and Andrology of a Teaching Hospital in Cotonou. A total of 96 medical records of patients were retrieved for the study.
Results:
The average age of the patients was 37.2 ± 6.7 years old. About 59.4% of the cases were primary infertility. The average duration of the infertility was 51 months. From the patients past medical histories; 44.9% suffered from gonorrhea. On clinical examination, the findings were: Varicocele in 23% of the cases, testicular hypotrophy in 9.3% and epididymal cyst in 4.6%. The seminal fluid analysis revealed hypospermia in 30.1% of cases, azoospermia in 33.7%, asthenozoospermia in 75.5% and teratozoospermia in 61.5%. The pH was basic in 46.4% of the cases. Follicular stimulating hormone and testosterone levels were high in 48.1% and 12.5% of cases, respectively. About 31.6% of the cases had the positive chlamydial serological test. Semen culture was positive in 25% of the cases and the main organism isolated was
Staphylococcus aureus
in 66.6% of the cases.
Conclusion:
Male infertility is the cause of couple infertility in around a third of the cases. In this study, we have found various etiologies of causes of male infertility. However, idiopathic causes could be found.
[ABSTRACT]
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
CASE REPORT
A huge mesenteric lymphangioma of the jejunal mesentery resulting in failure to thrive
p. 23
Minakshi Bhosale, Dasmit Singh
DOI
:10.4103/1595-1103.166883
Mesenteric lymphangiomas are rare in occurrence. The dumb-bell shaped ones are even rarer. We report a case of a 7-year-old girl with a huge dumb-bell shaped mesenteric tumor weighing 3 kg, located in the jejunal mesentery and causing failure to thrive. En mass excision of the tumor along with the involved bowel segment was done with a successful outcome. Histopathology diagnosed the tumor to be mesenteric lymphangioma of the jejunal mesentery. At a follow-up of 2 years, the child is symptom-free and has a good catch up growth.
[ABSTRACT]
[HTML Full text]
[PDF]
[Mobile Full text]
[EPub]
[Sword Plugin for Repository]
Beta
Feedback
Subscribe
Next Issue
Previous Issue
Sitemap
|
What's New
|
Feedback
|
Disclaimer
© Nigerian Journal of Surgical Research | Published by Wolters Kluwer -
Medknow
Online since 31 Jan, 2014