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   Table of Contents - Current issue
January-June 2017
Volume 27 | Issue 1
Page Nos. 1-32

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Sojourn of a surgeon: The need for cancer registry. 12th eruchalu memorial lecture 2015 p. 1
Ndubuisi Eke
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Surgical versus examination gloves in exodontia: A randomized, double-blind, controlled trial p. 9
Sunny S Deshmukh, B Vidya, Mohan Alexander, Raman Bonde, Suresh Babu Bommaji, Abhishek Singh Nayyar
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.
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Management of tracheobronchial foreign bodies in a Nigerian tertiary health center p. 14
Abdullahi Musa Kirfi, Umaru Sambo Grema, Aminu Bakari
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.
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Epidemiology of low back pain in a suburban Nigerian tertiary centre p. 20
Edwin Omon Edomwonyi, I Ambrose Ogbue
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.
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Desmoid tumor of anterior abdominal wall: A rare occurrence p. 26
Nwashilli Nnamdi Jude, Ezekiel Enoghama Ugiagbe
Desmoid tumors are slow-growing tumors derived from musculoaponeurotic tissue. They can occur sporadically or as part of inherited familial adenomatous polyposis (FAP). They are usually seen in women of reproductive age. Desmoid tumors grow and invade surrounding tissues with negligible potential for metastasis. The tumors have higher recurrence rate especially if excision is incomplete. We report a case of extraperitoneal desmoid tumor in a 24-year-old female who had complete excision of the tumor for over 6 months without tumor recurrence. The aim of the case report was to highlight the rarity of such tumor and the role of complete surgical excision in preventing early recurrence.
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Hysteroscopic removal of retained intrauterine fetal bone causing chronic pelvic pain p. 30
Joseph I Ikechebelu, George U Eleje, Nkemakolam O Eke
It is generally believed that bones retained freely in the endometrial cavity could behave as an intrauterine contraceptive device. We report a case of retained fetal bone causing chronic pelvic pain in a 29-year-old single Para 0 + 1 female. This followed the termination of a 16-week pregnancy through dilatation and curettage 8 years earlier. Pelvic ultrasound suggested the presence of two highly echogenic objects in the uterine cavity and uterine synechia. Hysteroscopic adhesiolysis and removal of the embedded fetal bone fragments (confirmed by histology) with insertion of size 10 Foleys catheter was performed. She was subsequently placed on estrogen (progynova 2 mg twice daily) for 6 weeks. Her menstruation returned 2 months after the hysteroscopy with complete resolution of the pelvic pain.
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