Aesthetic surgery indications at the National Orthopaedic Hospital, Enugu

Background: Aesthetic surgery is not well developed in Nigeria. It forms a small part of plastic surgery service at the National Orthopaedic Hospital Enugu. Few reports of the scope of aesthetic surgery are available from the sub region. We report our experience of aesthetic surgery in our centre, a Nigerian sub regional apex hospital specializing in plastic, orthopaedic and trauma surgery, and make pertinent recommendations.Patients and methods: Retrospective analysis records of consecutive patients attended to between January 2000 andDecember 2005.Results: Elective plastic surgical procedures performed were 3,759, of which 68 (1.81%) were for aesthetic indications.Fifteen of the clients (22.06%) were male and 53 (77.94%) female. Fifty procedures (73.53%) were performed on the face, nine on the limbs, six on the trunk, two on the skull and one on the neck.Fifty four of these (79.41%) were scar revisions, six mammoplasties, and three were otoplasties, two cranioplasties, and one lip augmentation, one abdominoplasty and one rhinoplasty. Forty nine were carried out by consultants and nineteen by senior residents; seventeen of those procedures being scar revision. Specialized instruments such as lasers and cannulae for liposuction or liposculpture were not available.Conclusion: Aesthetic surgery is still underdeveloped in our practice

Pattern of Urological Malignancies Seen at Federal Medical Centre Gombe North Eastern Nigeria

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Congenital Amputation Involving the Hands and Feet: A Case Report

Background: Congenital amputation of the limbs is not uncommon. However, it is very rare when this involves both the upper and lower limbs. Method: This is a case report of a child who presented with congenital amputation involving both the upper and lower limbs. Results: The patient was a 10 day old baby girl that was delivered by a 21 year old woman. She is the first and only child of the woman, whose pregnancy was uneventful and was carried to term. There is no family history of congenital anomalies. The findings on examination were: amputation of the index, middle and ring fingers at the level of metacarpophalangeal joints on both hands and a partial amputation (at the level of the middle phalanx) of the left little finger. There were forefoot amputations on both lower limbs. Scars were noticed over the amputation stumps with no associated congenital anomaly. Conclusion: Congenital amputation involving all limbs as an isolated entity is a rare condition; the cause of which is probably as a result of congenital amniotic bands. Keywords: Congenital amputation, limbs, scar, amniotic bands. Nigerian Journal of Medicine Vol. 17 (4) 2008: pp. 457-45

Great saphenous vein stripping using nasogastric tube

Background; Crossectomy and Great Saphenous Vein (GSV) stripping remains the gold standard of treatment for great saphenous varicose vein. Many techniques of GSV stripping have been described. However, very few hospitals in developing countries are equipped with a vein stripper.Method and result: We describe the use of nasogastric tube in the stripping of GSV. This simple technique has been successfully applied in three patients.Conclusion: There is a need to carry out a prospective study regarding the application of this technique of GSV stripping. Keywords: Great saphenous vein, crossectomy, vein stripper, nasogastric tub