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  Citation statistics : Table of Contents
   2016| January-June  | Volume 26 | Issue 1  
    Online since December 20, 2016

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A 10-year review of uterine rupture and its outcome in the University of Benin Teaching Hospital, Benin City
Patricia A Osemwenkha, James A Osaikhuwuomwan
January-June 2016, 26(1):1-4
Objective: Uterine rupture is one of the major obstetric complications of labour which contributes significantly to maternal and perinatal mortality in the low resource and developing countries This study determined the incidence, predisposing factors and feto-maternal outcome of ruptured uterus. Methods: A 10-year retrospective study of all cases of uterine ruptures that were managed in University of Benin Teaching Hospital, Benin City, Nigeria between 1st January, 2005 and 31st December, 2014 was undertaken. Data collected from maternity records were transferred to a data sheet. The data were entered and analyzed using SPSS statistical software, version 15.0. Results: Out of 15,818 deliveries over the study period, 92 had uterine rupture, giving a prevalence of 0.58% or 1 in 172 deliveries. The majority of the patients 56, (60.8%) were Para 1 and 2. Majority (77.2%) were unbooked. Of the 92 patients with uterine rupture, 73 (85.9%) had emergency caesarean section. Fourteen patients had prolonged labour: 2 were primigravidas and 12 were multigravidas. Case fatality rate was 2.2% while the perinatal mortality rate was 61.9%. Conclusion: Uterine rupture constituted a major obstetric emergency in the study hospital and its environs. An "unbooked" status was a key associated factor. The incidence and perinatal mortalities were high. There is therefore a need for education of women on health-related issues, utilization of available health facilities, adequate supervision of labour and provision of facilities for emergency obstetric care.
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Superior advancement of the diaphragm and rectus muscle flap as an alternative to prosthetic chest wall reconstruction following the excision of huge lower chest wall tumor
Kelechi E Okonta, Tombari J Gbeneol, Emmanuel O Ocheli
January-June 2016, 26(1):15-18
Chest wall reconstruction (CWR) is desirable, especially after the excision of huge chest wall tumor, and using mechanical prostheses for the closure of defects is fraught with some complications. We present a case of a 45-year-old man with a 6-week history of recurrent left-sided lower chest wall mass. Chest examination showed a linear surgical scar 8 cm lower and lateral to the left nipple with an underlying huge mass, whose histology from the previous excisional biopsy revealed dermatofibrosarcoma protuberance. He had the excision of the chest wall tumor and subsequently the superior advancement of the diaphragm and using rectus muscle for the CWR. This method was effective in closing the defect without the known complications.
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Lipoma of the breast: An uncommon occurrence
Nnamdi J Nwashilli, Ezekiel E Ugiagbe
January-June 2016, 26(1):12-14
Lipomas are benign tumors composed of mature fat and are usually encapsulated. Majority of them are small and grow slowly. They are derived from mesenchymal tissue and are usually found wherever there is fatty tissue. Lipomas rarely occur in the breast and can cause diagnostic uncertainty. We present a case of a 40-year-old female who anxiously presented with a mass in her right breast that she thought it was cancer, but later confirmed after excision on histology as lipoma.
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Hydatid disease of the lung: Demographic features, clinical presentation, radiologic features, and patient outcome after surgery in a tertiary care hospital in rural area
Vikas D Goyal
January-June 2016, 26(1):5-7
Background: Retrospective analysis of the patients of hydatid disease of the lung. Patients and Methods: From November 2012 to October 2014, six patients of hydatid disease of the lung were referred to us. Their mean age, sex, presentation, radiological features, and outcome after surgery was evaluated. The study was conducted at Dr. Rajendra Prasad Govt. Medical College, Kangra at Tanda, India. Results: The ratio of male: female in the study was 5:1. Mean age of the patients was 32.50 ± 20.89 years. There was no operative mortality, and there was no recurrence. Follow-up was completed for all the patients in the study and mean follow-up time was 13.83 ± 05.56 months. Conclusion: Hydatid disease of the lung is more common in patients of poor socioeconomic status and those involved in cattle grazing and farming.
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Short-stay surgery experience with laparoscopic appendicectomy in Ibadan
Oludolapo O Afuwape, Omobolaji Ayandipo, Tinuola Adigun
January-June 2016, 26(1):8-11
Introduction: Laparoscopic appendectomy is becoming accepted as the standard treatment for uncomplicated appendicitis. Appendicectomy consumes a significant portion of hospital resources and also disrupts routine life style of the patients' families; reduction in hospital stay will minimize hospital cost and disruption of the household life style. This study presents our initial experience with short-stay laparoscopic appendicectomy. Methods: This is an observational study from January 2012 to December 2012. The exclusion criteria included patients less than 16 years of age (pediatric patients), elderly patients (60 years and above), and obese patients. The patients were admitted on the evening of surgery and discharged as soon as they were fit for discharge based on the protocol. Results: Twenty patients fulfilled the selection criteria, but only 11 patients consented consisting of four females and seven males. Age range was 16-42 years with a mean of 22 ± 8.15 standard deviation (SD). There was one conversion to open surgery due to an ileocecal. The duration of surgery ranged from 45 to 110 min with a mean operation time of 50 ± 18.03 SD min. Five patients were discharged in the evening about 7-8 h after the surgery. Three patients were discharged home early the next day <24 h after the surgery. Two patients were discharged about 36 h after the surgery while one patient was discharged 4 days after the surgery. Conclusion: Short-stay surgery is safe and may become a standard protocol in future. Reduction in appropriate duration of hospital admission requires hospital organization.
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The role of imaging modalities in the management of infertility: A short communication
Fredrick C Anolue, Emmanuel C Ojiyi, Ephraim I Dike, Chijioke Okeudo, Chimezie E Ejikem, Kenneth K Agwuna
January-June 2016, 26(1):19-22
Background: Infertility is a global problem that poses a lot of management dilemma to the practicing gynecologist. Diagnostic imaging techniques are invaluable in the traditional work-up of an infertile couple. Productive therapy can be instituted only after completion of a thorough evaluation that starts with a detailed, direct history, and physical examination. Objective: To evaluate the place of radioimaging in the work-up of the infertile couple. Materials and Methods: Data were sourced through Google search engine, Highwire press, Medline, PubMed, Cochrane database, and SAGES. Articles on diagnostic imaging techniques were identified and reviewed. Results: Radioimaging has continued to play a vital role in the evaluation of the infertile couple. This is due to the fact that they can detect most structural abnormalities and pathologies that can cause or/are associated with infertility. Conclusion: Diagnostic radioimaging has continued to play key roles in the evaluation of the infertile couple and this is further helped by the introduction and enhancement of newer imaging modalities. They can detect correctable abnormalities which can lead to a successful conception as well as reveal potentially life-threatening disorders in the course of an infertile evaluation.
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