Obstructed abdominal hernia at the Wesley Guild Hospital, Nigeria

Objective: To determine the incidence, pattern and outcome of obstructed abdominal wall hernia in a semi-urban and rural community.Design: A proforma was drafted to study all consecutive patients operated for obstructed anterior abdominal wall hernia over a period of five years. Clinical findings, preoperative treatment, operative findings and postoperative outcome were documented.Setting: Teaching hospital located in a semi-urban community comprising mostly agrarian population.Patients: A total 110 adult patients with obstructed anterior abdominal wall hernia who had operative intervention and other postoperative management.Results: There were 110 patients with 111 obstructed hernias, accounting for 26.4% of all abdominal wall hernias. The age ranged from 19 - 79 years with mean of 49.7 years. Males accounted for 81%. Inguinoscrotal hernia was the commonest occurring in 75.7%, 16.2% patients presented with inguinal hernia and five patients with femoral hernia. The greater proportion of inguinal hernia occurred in female. Eighty seven patients (79%) had emergency operations and elective in 23 patients (21%) who had spontaneous reduction while awaiting surgery. Ninety two percent of inguinoscrotal/ inguinal hernia were indirect. Omentum was trapped in 52 hernias (47.%), while in 15 patients (13.6%), gangrenous bowel segments were discovered. Scrotal oedema was the commonest complication accounting for 21%, while wound infection occurred in 20%. There were three deaths in elderly men with clinical symptoms and signs of acuteintestinal obstruction and gangrenous bowel segments, accounting for 2.7% of the patients. Twenty eight per cent of patients were discharged within the first and second postoperative days. Two patients spent 36 and 56 days each in the hospital.Conclusion: This study showed that 26.4% of abdominal hernia presented with obstruction. With inguinoscrotal hernia predominating: male accounted for 81% and 13.6% of the obstructed hernia contained gangrenous bowel segments. Post-operative complications were common, mortality occurring mainly in elderly patients with late presentation

Review of prostate cancer research in Nigeria

Prostate cancer (CaP) disparities in the black man calls for concerted research efforts. This review explores the trend and focus of CaP research activities in Nigeria, one of the ancestral nations for black men. It seeks to locate the place of the Nigerian research environment in the global progress on CaP disparities. Literature was reviewed mainly through a Pubmed search with the terms “prostate cancer”and “Nigeria”, as well as from internet and hard copies of journal pages

An Estimate of the Incidence of Prostate Cancer in Africa: A Systematic Review and Meta-Analysis

Prostate cancer (PCa) is rated the second most common cancer and sixth leading cause of cancer deaths among men globally. Reports show that African men suffer disproportionately from PCa compared to men from other parts of the world. It is still quite difficult to accurately describe the burden of PCa in Africa due to poor cancer registration systems.We systematically reviewed the literature on prostate cancer in Africa and provided a continentwide incidence rate of PCa based on available data in the regio

Safe prostatic biopsy: Point of technique

No Abstract.Nigerian Journal of Surgical Sciences Vol. 18 (1) 2008: pp. 36-4

Brachial Plexus Block: a safe ambulatory anaesthetic technique in high risk chronic renal failure

No Abstract.Nigerian Journal of Surgical Sciences Vol. 18 (1) 2008: pp. 8-1

Laryngeal carcinoma: our experience at Obafemi Awolowo University Teaching Hospital complex, Ile-Ife, Nigeria

No Abstract Supplie

Adult Nephrectomy: Our Experience At Ile-Ife

Objectives: To determine indications for adult nephrectomy in our community and the outcome of the procedure in our Institution. Materials andMethod: Records of adult patients scheduled for nephrectomy at Obafemi Awolowo University Teaching Hospital from January 1993 to December 2004 were reviewed. Information extracted and analysed included age of patient, sex, presentation, investigations, indication, type and outcome of nephrectomy, histopathology result and duration of follow up. Results: During the period, thirty adult patients mean age 42.73yrs (range 16-80yrs, M: F=2:1) were scheduled for nephrectomy. Indications included suspicion of malignancy in 19(63.3%) patients, protracted loin pain in non-functioning kidney in 2(6.7%), uncontrollable bleeding in a patient with bilateral polycystic kidney (3.3%), pyonephrosis with septicaemia in a patient (3.3%), kidney injury (grade 5) in 2(6.7%) and kidney donation for transplantation in 3(10%). Ultrasound and intravenous urography were useful in the patients\' evaluation. Twenty-seven (90%) patients were operated upon, but only 25(83.3%) had nephrectomy. Sixteen (53.3%) had radical nephrectomy, 5(16.7%) had simple nephrectomy, 3(10%) had nephro-ureterectomy, and one (3.3%) had partial nephrectomy. Major surgical complications included wound sepsis (18.5%) and primary haemorrhage (7.4%). The overall morbidity and mortality rates were 7.4% and 3.7% respectively. Post-uninephrectomy, patients\' renal function remained stable after an average of 34.05months follow-up. Conclusion: Renal tumours constitute the main indication for adult nephrectomy in our community. Kidney injury, kidney donation, and pyonephrosis are relatively uncommon indications. Open nephrectomy, which remains our local practice, is safe and unilateral nephrectomy is compatible with normal life. Keywords: Nephrectomy, renal tumours, loin pain, haematuria, kidney injury and kidney donation.Nigerian Journal of Clinical Practice Vol. 11 (2) 2008: pp. 121-12