Abdominoplasty Combined with Liposuction and Abdominal Herniorraphy as a Single Procedure for Ventral Hernia Repair- A Review of 6 Patients

Abdominoplasty is a commonly performed aesthetic procedure. Indications for this procedure include: fascial laxity or diastasis of the abdominal wall, abdominal wall hernias and aesthetic concerns of patient. Ventral hernias may be diagnosed clinically or intraoperatively during abdominoplasty. Hence, the objective of this paper is to review six (6) patients who had abdomiinoplasty combined with liposuction and abdominal herniorraphy as a single procedure for ventral hernia repair. Indication for surgery was purely cosmetic in 33.3% (n=2) while the other patients had co-existing hernia. One patient had umbilical hernia, 2 patients had epigastric hernia and one of the patients had combined paraumblical and epigastric hernia. All the patients had diastasis of the rectus. The abdominal hernias were diagnosed pre- operatively. All patients had liposuction from the trunk and the upper abdomen prior to abdominoplasty on same sitting. The procedures were done under general anesthesia with endotracheal intubation .The liposuction was done using the tumescence technique after which the traditional abdominoplasty was done. Herniorrhaphy was done along with rectal plication. Wound was closed in two layers.One patient had peri- umbilical abscess which resolved with drainage. All the patients had good outcome and expressed satisfaction with the procedure. Abdomiinoplasty combined with liposuction and abdominal herniorraphy as a single procedure is safe

Modifications hémorheologiques chez les cancéreuses

Several Studies have indicated the existence of thrombo-embolic complications in cancer patients and that this could be associated with changes in heamorheological parameters. Packed cell volume (PCV), heamoglobin (Hb), relative plasma viscosity (RPV) and plasma Fibrinogen concentration (PFC) were measured in 50 healthy control women, 50 age-matched women with breast cancer, and 10 women with histophathologically proven benign breast tumour. There were significant differences between the controls and breast cancer patients in all the parameters measured (p<0.05). However, patients with cancer have significantly higher RPV and PFC (p<0.001) respectively than controls. There was significant mean difference between pre and post mastectomy in fibrinogen concentration (p<0.05) and this was observed over the 5-week study period. Since increased fibrinogen may give rise to increase fibrin formation which has been asserted as an independent cardiovascular risk factor for thromb-oembolic complications, African patients with breast cancer may well be predisposed to thrombotic complications during illness. The rheological assessment may offer valuable benefit for the management and early diagnosis of breast cancer in African women.Beaucoup d&apos;études ont montré l&apos;existence des complications thrombe-embolique chez les cancéreuses et qu&apos;on peut lier ceci aux modifications dans les paramètres hémorheologiques. Le volume globulaire concentré (VGC), l&apos;hémoglobine (Hb), la viscosité du plasma relatif (VPR) et la concentration du fribinogène du plasma (CFP) ont été mesurés chez 50 femmes en bonne santé comme femmes témoin, 50 femmes cancéreuses qui ont été appariées selon l&apos;âge et 10 femmes qui souffraient de la tumeur du sein bénigne qui a été prouvée histopathologiquement. Il y avait des différences importantes entre les témoins et les patientes cancéreuses dans tous les paramètres mesurés (p < 0,05). Toutefois, les patientes cancéreuses ont une VPR considérablement plus élevé et la CFP (p < 0,001) respectivement que les témoins. Il y a une différence moyenne importante entre la pré et la post mastéctomie dans la concentration du fribinogène (p < 0,05) et ceci a été observé au cours des cinq semaines que l&apos;étude a duré. Puisque l&apos;augmentation du fibrinogène peut aboutir a l&apos;augmentation de la formation de la fibrine qui a été acceptée comme un facteur indépendant de risque cardiovasculaire pour des complications thrombe-emboliques. Les patientes cancéreuses africaines pourraient bien être prédisposées à des complications thrombotiques pendant la maladie. L&apos;évaluation rhéologique peut donner des avantages valables pour le traitement et le diagnostique anticipé du cancer du sein chez les femmes africaines

Haemorheological Changes in African Breast Cancer Patients

Several Studies have indicated the existence of thrombo-embolic complications in cancer patients and that this could be associated with changes in heamorheological parameters. Packed cell volume (PCV), heamoglobin (Hb), relative plasma viscosity (RPV) and plasma Fibrinogen concentration (PFC) were measured in 50 healthy control women, 50 age-matched women with breast cancer, and 10 women with histophathologically proven benign breast tumour. There were significant differences between the controls and breast cancer patients in all the parameters measured (

Uterine perforation as a complication of surgical abortion causing small bowel obstruction: a review

OBJECTIVE: Small bowel obstruction after unrecognized or conservatively treated uterine perforation is extremely rare. It is a surgical emergency and the delay in diagnosis and treatment has deleterious consequences for the mother. The purpose of this study is to critically review the available literature and ascertain the level of evidence for the mechanisms, diagnosis and management of small bowel obstruction after uterine perforation due to surgical abortion. ----- METHODS: Systematic literature search was conducted in Pubmed (1946 to 2012) and Pubmedcentral (1900 to 2012) including all available English and French language fulltext articles. Three evaluators reviewed and selected all available case reports and case series. Search terms included small bowel obstruction, bowel obstruction, bowel incarceration, bowel entrapment, vaginal evisceration, uterine perforation, uterine rupture, and abortion. The exclusion criteria were (1) complex injuries where small bowel incarceration was present but with bleeding and/or bowel perforation as the leading symptomatology; (2) articles only numbering the patients without details on the topic. Analyses of incidence, risk factors, mechanisms of the disease, time of clinical presentation, diagnostic modalities, treatment, and maternal outcome were included. ----- RESULTS: Of the 73 articles screened 30 cases of small bowel obstruction were included in the review forming incidence, risk factors, and mechanisms of the disease, diagnosis, therapy, and maternal outcome. ----- CONCLUSIONS: A systematic review defined four mechanisms of small bowel obstruction after transvaginal instrumental uterine perforation with significant variations in clinical presentation and time of presentation. Duration of symptoms depend on the mechanism of small bowel obstruction. Vaginal evisceration is surgical emergency and treatment is mandatory without diagnostic workup. Survival rate during last century is 93 %. Multicentric trials and publication of all such cases are needed to determine algorithms for diagnosis and management of small bowel obstruction caused by instrumental uterine perforation

Cassava (Manihot esculenta Crantz) and Yam (Dioscorea spp.) Crops and their derived foodstuffs: Safety, security and nutritional value

Cassava (Manihot esculenta Crantz) and yam (Dioscorea spp.) are tropical crops consumed by ca. 2 billion people and represent the main source of carbohydrate and energy for the approximately 700 million people living in the tropical and sub-tropical areas. They are a guarantee of food security for developing countries. The production of these crops and the transformation into food-derived commodities is increasing, it represents a profitable business and farmers generate substantial income from their market. However, there are some important concerns related to the food safety and food security. The high post-harvest losses, mainly for yam, the contamination by endogenous toxic compounds, mainly for cassava, and the contamination by external agents (such as micotoxins, pesticides, and heavy metal) represent a depletion of economic value and income. The loss in the raw crops or the impossibility to market the derived foodstuffs, due to incompliance with food regulations, can seriously limit all yam tubers and the cassava roots processors, from farmers to household, from small-medium to large enterprises. One of the greatest challenges to overcome those concerns is the transformation of traditional or indigenous processing methods into modern industrial operations, from the crop storage to the adequate package of each derived foodstuff