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Bilateral gestational gigantomastia complicated by severe sepsis; case report of a preventable mortality
A Ibrahim, PO Enesi, PP Abur, AO Oguntayo, ES Garba
January-June 2013, 15(1):29-32
Gestational gigantomastia is characterized by a rapid and disproportionate growth of the breasts with a homogeneous increase in breast volume. Enlargement of the breasts with infection, ulceration and sepsis are potentially fatal for the patient and her fetus. The management is challenging, however the need for appropriate surgical intervention is rarely in question. A multidisciplinary approach regarding the decision for surgery and the timing of surgery is crucial to outcome. We report a case of gestational gigantomastia complicated by severe sepsis in a low resource setting to highlight the peculiar challenges of management.
  12,286 418 2
Nigerian Journal of Surgical Research in its newest outlook as shipper of surgical scientists of the generation: Welcome!
JG Makama
January-June 2013, 15(1):1-2
  1,442 2,599 -
Ultrasound-guided percutaneous drainage of liver abscess: 6 years experience in Lagos State university teaching hospital, Lagos
BO Balogun, OO Olofinlade, R Igetei, CA Onyekwere
January-June 2013, 15(1):13-16
Introduction: Liver abscesses, both amoebic and pyogenic, continue to be an important cause of morbidity and mortality in tropical countries. The management has improved significantly over the years with the advent of potent antimicrobial agents and advances in diagnostic imaging. Materials and Methods: From August 2007 to May 2013, 32 patients with liver abscess were referred to the Department of Radiology, Lagos University Teaching Hospital, Lagos, Nigeria for ultrasound-guided percutaneous aspiration or drainage. All patients had been treated with antibiotics or antimicrobials for at least 2 weeks before referral and were still being continued for another 6 weeks. Results: A total of 32 patients with liver abscess were successfully treated, consisting 31 males and 1 female. The age ranged from 2 to 72 years with a mean of 43.6 years. A total of -22 (68.75%) patients had percutaneous catheter drainage, while 12 (31.25%) had percutaneous needle aspiration. A total of 15 (46.87%) patients had single abscess, while 5 (15.63%) had two and 12 (37.50%) had more than 2. Most of the abscesses are located on the right in 25 (78.12%). One needle insertion was used per patient. The amount of aspirated pus ranged from 100 to 3000 mL with a mean of 850 mL. Only 10 (31.25%) patients were on admission at the time of drainage, while the others 22 (68.75%) were day cases. Conclusion: We found that needle aspiration and catheter drainage when combined with chemotherapy represents a successful therapeutic approach in the treatment of liver abscess whether pyogenic or amoebic.
  3,264 265 -
Congenital anterior urethral diverticulum co-existing with phimosis: A case report and review of literature
A Abdulkadir, A Abubakar
January-June 2013, 15(1):22-24
Congenital anterior urethral diverticulum (CAUD) is a rare congenital blind ended out pouching of the urethral through the corpus spongiosium. We report its coexistence with phimosis in a 7-year-old boy who presented with difficulty in passing urine. His prepuce was not retractable and balloons at voiding. Suspected associated CAUD was confirmed at circumcision. His voiding became normal with resolution of lower urinary tract symptoms after treatment. The related literatures were reviewed. The symptoms of the two conditions mimic one another and the diagnosis of phimosis which is clinical may overshadows CAUD with its needed confirmatory imaging studies. CAUD can coexist with phimosis and high index of suspicion helps in the management. Diverticulectomy and urethroplasty with circumcision at the same sitting is curative.
  3,275 183 -
Herpes labialis after scaling and root planing: Related event or non-related event
CC Azodo, P Erhabor
January-June 2013, 15(1):25-28
Dental treatment may trigger the reactivation and multiplication of latent herpes virus in the trigeminal nerve ganglion, manifesting as herpes labialis. However, the reported dental treatment involved the use of local anesthetic agent either in form of infiltration or block. This article reported two cases of herpes labialis in otherwise healthy 63-year-old female and 40-year-old male after non-surgical periodontal treatment without local anesthesia using ultrasonic and manual scalers, respectively. They were not bothered by the condition and did not request for any specific care. However, warm saline mouthwash, analgesics, antibiotics, and lubricating cream for the angle of mouth without antiviral prescription were recommended. In conclusion, herpes labialis may be considered a potential post scaling and root planing complication of manual and ultrasonic methods after excluding other trigger factors. Authors hereby recommend the following: 1. Minimal chairside time for scaling and employment of adequate precaution geared toward minimizing trauma to the oral mucosa during scaling among younger practitioner. 2. Inclusion of herpes labialis as a complication of scaling and root planing to reduce chances of possible litigation. 3. Prescription of preventive medications 24 hours before dental treatment and continued for two days afterwards.
  2,786 277 -
Prevalence and attitude of self-ear cleaning with cotton bud among doctors at aminu Kano teaching hospital, Northwestern Nigeria
Mukhtar Gadanya, Sanusi Abubakar, Abdulazeez Ahmed, Amina Zangina Maje
July-December 2016, 17(2):43-47
Background: The use of cotton bud for self-ear cleaning is a common practice among many people despite its attendant ill-effects. This study examined the prevalence, attitude toward the use of cotton buds, and reasons for the use of cotton buds and problems or ill-effects associated with its use among medical doctors working at Aminu Kano Teaching Hospital. Materials and Methods: A descriptive cross-sectional study was carried out among a randomly selected sample of 130 medical doctors working in Aminu Kano Teaching Hospital spread across several departments in the hospital using a self-administered semi-structured questionnaire. Data were analyzed using MINITAB statistical software and the results summarized using measures of central tendency while Chi-square test was used to assess for associations between categorical variables. Results: The respondents' age ranged from 25 to 55 years with a mean age of 33.6 ± 5.4 years. Most of the respondents were males (68.0%) The prevalence of cotton bud use was found to be 76.3% and for many, the frequency of use of cotton buds was once daily, and both ears were frequently cleaned. A common problem encountered with cotton bud use was retention of the bud as a foreign body. There was an association between owning a cotton bud and using it (χ2 = 38.317, P= 0.001). There was also a significant association between the use of cotton buds and the department where the respondent works (χ2 = 19.28, P= 0.0001). Conclusion: The use of cotton buds for self-ear cleaning is surprisingly prevalent among medical doctors working at Aminu Kano Teaching Hospital. There is a need for health education and promotion strategies for health workers in the hospital community that ear cleaning is best done by trained personnel.
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Dermoid cysts of the oral cavity as seen in a Nigerian Tertiary Institution
B Fomete, BD Saheeb, EP Onyebuchi, JO Ogbeifun
January-June 2013, 15(1):3-6
Introduction: Dermoid cysts are rare congenital lesions derived from pluripotential cells. They represent less than 0.01% of all oral cavity cysts and are also called non-odontogenic cysts. Dermoid cysts are frequently found in sites where embryonic parts fuse together. The majority of reported cases are in the midline of the body, as well as in the ovaries and in the testicles Patients and Methods: A retrospective analysis study that spanned the period of 2000-2012 was carried out at the Oral and Maxillofacial Surgery clinic of the Ahmadu Bello University Teaching Hospital, Zaria. The parameters studied included age, sex, duration of swelling, site, co-morbidity, complications and treatment. Results: Of the 16 patients, 10 (62.5%) were males and 6(37.5%) females in a ratio of 1.67:1, the age ranged between 2 months and 49 years. Of all the cysts, 11 were sublingual, 3 in the cheek, 1 sublingual-submental and1 lingual; 6 (37.5%) patients had co-morbid symptoms and the most common was Upper respiratory tract infection (100%) followed by anemia (2 patients) and measles one patient. Conclusion: Dermoid cysts can be congenital or acquired. Their early presentation were associated with both feeding and respiratory symptoms.
  1,996 893 -
Emerging rare causes of lower gastrointestinal bleeding
Jerry Godfrey Makama
July-December 2016, 17(2):31-32
  2,113 759 -
Causes of visual impairment and blindness in Kaduna State Special Education School
ER Abah, KK Oladigbolu, AO Ahmed
January-June 2013, 15(1):17-21
Aims and Objectives: To identify the causes of visual impairment and blindness in students of Kaduna State Special Education School (KASSES) and make recommendations for the planning of eye care, including prevention and management of the avoidable causes of childhood blindness in our environment. Background: Childhood blindness is one of the priorities of vision 2020: The Right to sight. The "blind years" attributable to childhood is comparable to that of age related cataract (the commonest cause of blindness worldwide). Significant proportions of the causes of childhood blindness are avoidable and can be identified after a screening exercise and treated. Periodic screening will also provide current data for planning and implementation of childhood blindness prevention programmes. Materials and Methods: All the students of the blind section of KASSES who were present during the study were examined and the Georgia Project's screening protocol for visual impairment in children was completed for each of them. The data was analyzed using Analyze-it V2.22 (2010) statistical software. Results: A total of 71 students were examined. M:F ratio was 1.7:1. The age range was between 6-29 years but 76% were within the bracket of 10-19 years. Seventy percent were blind, 21% had severe visual impairment, and 9% had moderate visual impairment. Cataract was the commonest cause of blindness (25.3%), followed by trauma (16.9%), optic atrophy, buphthalmos, and retinitis pigmentosa (12.7% each). Others were corneal scarring/staphyloma (9.9%), Rubella (7.0%), and a case each of bilateral ankyloblepharon and uveitis (1.4%). Conclusion: The causes of visual impairment in KASSES are largely avoidable. Incorporation of Primary Eye Care (PEC) into Primary Health Care (PHC) will drastically reduce needless blindness, especially in childhood and the morbidity and mortality associated with the blind years. Early identification of students with treatable causes such as cataract should also be encouraged through regular school screening and health education.
  2,601 258 -
Thromboelastography parameters versus classical coagulation profile in trauma patients: Retrospective study
Abdulraouf Y Lamoshi, Alison M Wilson
July-December 2016, 17(2):33-37
Background: Thrombelastography (TEG) assesses the viscoelastic properties of the whole blood and it is more comprehensive and capable to detect any coagulation abnormalities in comparison to classical coagulation tests (CCTs). On this ground, TEG can be more efficient in acute settings. Therefore, the primary aim was to compare TEG parameters of traumatic brain injury (TBI) versus non-TBI (NTBI) patients. The secondary aim was to identify TEG versus CCT parameters associated with outcome. Methods: A cross-sectional retrospective observational study of 142 patients admitted to a university-based, Level 1 trauma center. TEG and CCT were collected on admission. Institutional Review Board approval was obtained for this study. SAS was used for categorical data were analyzed using Chi-square or Fisher's exact test. A comparison of continuous variables between TBI and NTBI patients was performed using the independent-sample t-test. Results: In a total of 142 patients, 48 patients had TBI and 94 patients did not. Overall, mortality was 20.4% (45.8% TBI vs. 7.4% NTBI). There were no significant associations between TEG or CCT parameters and studied variables some of which are injury severity score, abbreviated injury scale, craniotomy/ectomy, type of brain injury, discharge status, and blood pressure. There was no difference between the TBI and NTBI groups regarding TEG or CCT parameters. Maximum amplitude (MA) was the only parameter (TEG or CCT) associated with need for transfusion of packed red blood cell (PRBC) (P = 0.0377). PRBC transfusion was given in 94% of patients with an MA <57.4. Platelet transfusion was given in 89% of patients who have MA < 58.1. Fresh-frozen plasma (FFP) transfusion was given in 80% of patients who have R ≥5.8. PRBC transfusion was given in 77% of 18 patients with α <62.9. Conclusions: TEG parameters are potentially useful as means to rapidly diagnose coagulopathy and predict transfusion in trauma patients. Independently, the presence of TBI does not cause a detectable coagulopathy. TEG analysis is more efficient than the classical parameters in detecting patients who will need PRBC and FFP transfusion.
  2,168 669 -
Herniated mobile descending colon
JG Makama, P Enesi, J Jibrin
January-June 2013, 15(1):33-36
Persistent descending mesocolon is a congenital anomaly that has been shown, in most cases, to be asymptomatic because of its short length. To the best of our literature review and knowledge, no case of internal herniation of the mobile descending colon into either gastrocolic or splenocolic recesses have been reported. We therefore wish to report a case of herniated mobile descending colon in a middle-aged woman. HA was a 54-year-old female with a 2-year history of recurrent episodes of left upper quadrant pain of the abdomen. The pain, which was initially dull aching, suddenly became sharp in nature and so severe that it precluded her from doing her domestic activities. She had undergone clinical evaluation and work up previously but no etiology for her pain was found. After resuscitation, she consented to exploratory laparatomy for an acute on-chronic abdominal pain of unknown etiology. The intraoperative findings were a portion of the wall of the left colon seen to have herniated into a small band of tissue on the left posterior wall. The whole descending colon was unattached to the posterior peritoneum. The trapped portion (4 cm in length) of the wall of the colon was released and a warm pack was applied to the segment of large bowel so released. Following this maneuver, the portion was found to be viable and so a left colopexy was performed and the adhesion band that was placed obliquely from the spleen toward the midline was excised. Postoperative period was uneventful and since then the patient's abdominal pain has been abated over the past 1 year. The morbidity of a mobile descending colon includes internal herniation. Therefore, early detection and colopexy is necessary.
  2,554 246 -
Improvisation of surgical equipment in the surgical services of a developing country
Adeyinka Ayodele Adejumo, Oluseyi A Adeosun, Paul O Omoregie, Barnabas Alayande
July-December 2016, 17(2):48-52
Background: The perennial scarcity of surgical equipment in Nigeria has given room for improvisation of such items using locally available materials. Aim: This publication aims to appraise the ingenious methods employed by surgeons to overcome their challenges in clinical practice. Methods: An in-depth research into relevant literature about the functionality of various surgical devices was carried out using selected texts and relevant articles. Results: Many surgeons have come up with various techniques to make do with local resources in overcoming the limitations imposed by scarcity of certain equipment/device. Conclusion: Surgical practitioners in resource-limited regions have been able to surmount the challenges of scarcity of required items using different methods and materials from the local environment.
  2,227 279 -
A Descriptive Study of Clefts of the Primary and Secondary Palate Seen in a Tertiary Institution in Nigeria
A Ibrahim, PM Mshelbwala, AC Obiadazie, CN Ononiwu, ME Asuku, SO Ajike, EA Ameh
January-June 2013, 15(1):7-12
Background: Cleft lip and palate is the commonest congenital malformation of the head and neck region. This article discusses the experiences of the authors' in the management of clefts of the primary and secondary palate in a tertiary institution in Nigeria. Patients and Methods: This is a retrospective review of the clinical database for all children with cleft lip and palate. Data were analyzed for age at presentation, sex distribution, surgical technique, associated congenital anomalies, and complications. The results obtained were converted to relative values in frequency tables for analysis. Results: The average age at presentation for all patients with cleft was 2.47 years. Males were slightly more affected than females among all clefts with a frequency of 40 (53%) and 35 (47%). The distribution of clefts by location showed a preponderance of the left side 33 (44%), followed by right side 18 (24%) and bilateral cases 11 (15%). Three patients (4%) had a relative with a cleft of the primary or secondary palate. At least one congenital malformation coexisted with a cleft of the primary or secondary palate in 13 (17%) of the 75 babies. The commonest post-operative complication of cleft of the primary palate was wound dehiscence 3 (4%). Conclusion: This study has shown that there was a wide range of age at presentation. It is characterized by delays in the repair of clefts of the primary and secondary palate. We strongly support early repair of clefts of the primary and secondary palate to facilitate normal feeding, better speech and ensure social acceptance.
  2,238 256 3
Pelvi-ureteric junction obstruction in adults in a resource limited environment: Causes, features and outcome of treatment
Augustine O Takure, Sikiru A Adebayo, Patience T Sotunmbi, Linus I Okeke, Emiola O Olapade-Olaopa, Olayiwola B Shittu
January-December 2015, 16(1):15-19
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.
  2,230 201 -
Utero-cutaneous fistula following cesarean section
Matthew Chum Taingson, Joel A Adze, Stephen B Bature, Amina Mohammed Durosinlorun, Mohammed Caleb, Abubakar Amina
July-December 2016, 17(2):58-60
Utero-cutaneous fistula is an extremely rare entity, and only a few case reports have been published. Most Utero-cutaneous fistulas are secondary to postpartum or postoperative complications. A 23-year-old woman, para 1+0, not alive, noticed bleeding through her abdominal incision scar, following a cesarean section for retained second twin 5 years before presentation. A fistulous tract was demonstrated at examination under anesthesia with a probe, between the uterus and wound. The patient had laparotomy with excision of the fistulous tract and uterine repair; she did well postoperatively. Although our patient had a successful surgical treatment, prevention of utero-cutaneous fistula by meticulous technique during the primary surgical procedure and measures to prevent postoperative sepsis would have spared this patient the distress, cost, and risk of a second operation.
  2,126 151 -
Limb amputations in Nigeria: The National hospital abuja experience
Habila Umaru, Chukwuemeka Christian Madubueze, Abdulrazak Alada, Chibuike Mathias Onu
January-December 2015, 16(1):11-14
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.
  2,029 239 -
List of authors in scholarly publications: Sequence and what value?
Jerry Godfrey Makama
January-December 2015, 16(1):1-2
  1,630 531 -
Airway management with submental orotracheal intubation in maxillofacial surgery: Our experience and literature review
Abdurrazaq Olanrewaju Taiwo, Adebayo Aremu Ibikunle, Ramat Oyebunmi Braimah
July-December 2016, 17(2):38-42
Background and Aim: The challenge of the “shared airway” is a recurring predicament in maxillofacial surgeries. The need to have unfettered access to the nasal pyramid and oral cavity without jeopardizing the integrity of the airway during maxillofacial surgeries is vital. The use of submental intubation has been reported as an excellent adjunct in maxillofacial trauma surgery; however, few, if any, report exists on its use for massive facial tumors. This is a report of its use in varied scenarios including traumatic and neoplastic conditions. The aim of this study was to review the indications, complications, and outcomes of airway management using submental intubation in maxillofacial surgery at a tertiary hospital in Nigeria. Patients and Methods: Records were retrieved retrospectively over a period of 28 months (June 2013–October 2015). Data recorded included demographics, indications, and intraoperative and postoperative complications. Results: A total of eight patients were evaluated, all of whom had surgery under general anesthesia. All of them had conventional orotracheal intubation initially, which was then converted into the submental route. Two of them had intraoperative complications of raised airway pressure, however no postoperative complication was observed. Conclusions: Although it requires some surgical skill, submental intubation provides a reasonable substitute to other airway management techniques in certain patients. Its importance in patients with massive maxillofacial tumors was also highlighted along with other indications.
  1,751 299 1
Soft tissue sarcoma of the orofacial region: Our experience with 64 cases
Benjamin Fomete, JO Ogbeifun
January-December 2015, 16(1):3-10
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.
  1,525 520 -
Depression in patients with chronic low back pain: A hospital-based study
Kortor Joseph Namgwa, Agbir Terkura, Yongu William, Mue D Daniel, Elachi I Cornilius
January-June 2016, 17(1):1-4
Background: Chronic low back pain (CLBP) is a common orthopedic condition that co-exists with depression. The combination of these two contrast ailments is often associated with poorer treatment response and increase health care cost. Objectives: To determine the prevalence of depression in patients with CLBP and study the effects of sociodemographic factors. Materials and Methods: This is a cross-sectional study of adult patients with CLBP seen at BSUTH Makurdi from April 2014 to September 2014. Patients were assessed for depression using hospital anxiety depression scale (HADS). Data obtained were analyzed using SPSS version 16. Results: One hundred and fourteen patients were recruited for the study, consisting of 48 males and 66 females. Age ranged from 23 to 75 years, with mean age of 44.7 years. Of 114 patients, 45 patients were found positive for depression using HADS. The rate of depression in these patients was 39.5%. The highest rate of depression was seen in 30–39 years age group. Conclusion: The prevalence of depression in patients with CLBP was observed to be 39.5% which is comparable to the reports of previous studies in the developed countries.
  1,814 220 3
Fibrous dysplasia of the humerus: An uncommon cause of pathological fracture in a 56-year-old
Agu Thaddeus Chika, Ikeanusi Mary Philomena
January-June 2016, 17(1):17-19
Fibrous dysplasia is a bone disease that manifests usually before the end of the third decade. Fracture occurring after a minor impact is usually on a background of diseased bone. This case illustrates an asymptomatic bone disease that was diagnosed incidentally when there was failure of union of a humeral fracture after 10 weeks of adequate conservative treatment.
  1,625 144 -
Pattern of traumatic spinal cord injury in Makurdi, Nigeria
Williams Terhemen Yongu, Cornelius Itodo Elachi, Daniel Demesugh Mue, Joseph Aluetse Kortor
July-December 2016, 17(2):53-57
Objectives: To study the pattern of presentation and outcome of conservative treatment of traumatic spinal cord injury (TSCI) in our institution. Setting: Benue State University Teaching Hospital, Makurdi, Benue State. Materials and Methods: A 3-year retrospective review (June 2012 to May 2015) of TSCI was done. Demographic data, cause, associated injuries, time interval to presentation, level of injury, American Spinal Injury Association (ASIA) classification at presentation and at 6 weeks were obtained from case notes. The patients were all managed conservatively and had bed rest on air or water mattress. Results: There were 45 patients mean age 33.26 ± 1.55 (range 8–77 years) with TSCI comprising 37 males and 8 females giving a male: female ratio of 4.6:1. Students were mostly affected (n = 11, 24%) while motor vehicular accident was the cause of injury (n = 18, 40%). Cervical spine was the most injured (n = 24 53.3%). Majority had the ASIA Class A (n = 22 48.9%) at presentation. Thirteen (48.1%) of them improved, two were referred, six remained the same, eight deteriorated, and 16 were discharged against medical advice. Period of hospitalization was 1–65 days. Conclusion: TSCI affects mainly young males involved in motor vehicular accident. Conservative treatment can be used in resource-constrained centers.
  1,406 148 -
Peyronie's disease and erectile dysfunction: A case report and review of literature
Olajide Olusegun Abiola, Ibukun Olalekan Oyinloye, Segun Oladele Adeniyi
January-June 2016, 17(1):20-22
Peyronie's disease (PD) is characterized by fibrous plaque deposit in the tunica albuginea of corpus cavernosum, which may be associated with penile pain, deformities, and erectile dysfunction (ED). Its prevalence in Nigeria is not known, but limited numbers of cases were reported in literature. However, improvement in the management of ED has led to an increase in the presentation of patients with ED to physicians; in which during evaluation of such patients, PD has been occasionally diagnosed. This case report highlights the clinical findings and management of a Nigerian adult male who presented with erectile failure with clinical findings of PD and literature review of PD associated with ED.
  1,436 94 1
Male infertility: diagnostic and epidemiological aspect concerning 96 cases in a teaching university hospital of cotonou, benin republic
Prince Pascal Hounnasso, Josué Dedjinnin Georges Avakoudjo, Abdoudjalilou Sanni Dankoro, Fouad Kolawalé Yde Soumanou, Gilles Natchagé, Michel Michael Agounkpé, Rafiou Sanni Toré
January-December 2015, 16(1):20-22
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.
  1,340 136 -
Could pfannenstiel incision for emergency caesarean section be associated with the development of uretero-vaginal fistula?
AJ Randawa, A Muhammed, L Khalid
January-June 2013, 15(1):37-38
  1,306 131 -