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Papers by Spotlight Hospit
Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investi... more Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investigations are neither affordable nor readily available. Therefore these lesions may inadvertently present to the general surgeon rather than to the urologist. Several options of treatment exist. Complete removal is challenging but invaluable. It offers the best opportunity for a comprehensive histological analysis of the entire lesion and eliminates the risk of recurrence in benign cases. We describe the successful open surgical excision of a symptomatic giant left renal cyst in a sixty-nine year of man who was managed by the general surgeon.
SAJ Case Reports, 2018
Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investi... more Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investigations are neither affordable nor readily available. Therefore these lesions may inadvertently present to the general surgeon rather than to the urologist. Several options of treatment exist. Complete removal is challenging but invaluable. It offers the best opportunity for a comprehensive histological analysis of the entire lesion and eliminates the risk of recurrence in benign cases. We describe the successful open surgical excision of a symptomatic giant left renal cyst in a sixty-nine year of man who was managed by the general surgeon.
A case of large incarcerated complete rectal prolapse successfully managed in a 36 year old retro... more A case of large incarcerated complete rectal prolapse successfully managed in a 36 year old retroviral disease negative man using a new surgical technique is reported and described. A combination of perineal distal proctectomy and external plication of the preserved viable rectosigmoid stump was employed without a protective colostomy. Patient recovered uneventfully with excellent continence of both flatus and feces. The successful treatment of this patient makes the new perineal procedure a recommendable option for the management of this otherwise challenging surgical emergency.
SAJ Case Reports, 2018
Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investi... more Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investigations are neither affordable nor readily available. Therefore these lesions may inadvertently present to the general surgeon rather than to the urologist. Several options of treatment exist. Complete removal is challenging but invaluable. It offers the best opportunity for a comprehensive histological analysis of the entire lesion and eliminates the risk of recurrence in benign cases. We describe the successful open surgical excision of a symptomatic giant left renal cyst in a sixty-nine year of man who was managed by the general surgeon.
Orient Journal of Surgical Sciences, 2020
Venous thromboprophylaxis aims at reducing avoidable morbidity, death and chronic ill health from... more Venous thromboprophylaxis aims at reducing avoidable morbidity, death and chronic ill health from hospital associated venous thromboembolism (VTE). Reports indicate little awareness of VTE and inadequate provision of primary thromboprophylaxis on surgical patients managed in most hospitals in Africa. Clinical practice guidelines (CPG) regarding VTE risk assessment, risk categorization and preventive methods using mechanical means and pharmacological agents for the patients at risk are virtually non-existent in most of our health institutions. Compliance with such guidelines where available is poor due to lack of enforcement. This article is an overview of VTE and the provision of thromboprophylaxis for hospitalized general surgery patients. It is strongly recommended that a hospital-based thromboprophylaxis guideline be formulated and enforced at each surgical service in our health community in order to optimise patients outcome .
Orient Journal of Surgical Sciences, 2020
Background-Late presentation is the norm for breast cancer cases in many parts of the developing ... more Background-Late presentation is the norm for breast cancer cases in many parts of the developing world. Consequently, some of these lesions are fungating at the time of presentation for medical treatment. The intraoperative handling of these ulcerated tumours could be messy and daunting to the surgeon if no barrier measures are provided. Objective-To describe the use of "glove-shield" as the improvisation we found consistently useful in isolating and concealing fungating breast wounds intraoperatively. This barrier mitigates the peculiar challenges faced by the surgeon during the palliative resection of ulcerated breast malignancies. Methodology-A retrospective study of 7 consecutive histologically confirmed cases of fungating breast cancer who underwent palliative mastectomy at a mission hospital over a three-year period (2015-2018). Intraoperatively, routine skin preparation and draping were performed before the ulcerated tumour was enclosed within a stretched sterile latex glove to create what we termed "glove-shield" which completely concealed the ulcerated surface. Results-All 7 patients were females. Their ages ranged between 29 years and 56 years. The "glove-shield" was used to achieve concealment of the ulcerated tumour surface in these patients. Mean duration of post operative hospital stay was 22 days. No perioperative mortality was recorded. Conclusion-Late cases of breast cancer may present as fungating lesions. The "glove-shield" is an intra-operative barrier which mitigates the peculiar challenges posed by fungating breast cancers to the attending surgeon during palliative (toilet) mastectomy.
Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investi... more Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investigations are neither affordable nor readily available. Therefore these lesions may inadvertently present to the general surgeon rather than to the urologist. Several options of treatment exist. Complete removal is challenging but invaluable. It offers the best opportunity for a comprehensive histological analysis of the entire lesion and eliminates the risk of recurrence in benign cases. We describe the successful open surgical excision of a symptomatic giant left renal cyst in a sixty-nine year of man who was managed by the general surgeon.
SAJ Case Reports, 2018
Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investi... more Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investigations are neither affordable nor readily available. Therefore these lesions may inadvertently present to the general surgeon rather than to the urologist. Several options of treatment exist. Complete removal is challenging but invaluable. It offers the best opportunity for a comprehensive histological analysis of the entire lesion and eliminates the risk of recurrence in benign cases. We describe the successful open surgical excision of a symptomatic giant left renal cyst in a sixty-nine year of man who was managed by the general surgeon.
A case of large incarcerated complete rectal prolapse successfully managed in a 36 year old retro... more A case of large incarcerated complete rectal prolapse successfully managed in a 36 year old retroviral disease negative man using a new surgical technique is reported and described. A combination of perineal distal proctectomy and external plication of the preserved viable rectosigmoid stump was employed without a protective colostomy. Patient recovered uneventfully with excellent continence of both flatus and feces. The successful treatment of this patient makes the new perineal procedure a recommendable option for the management of this otherwise challenging surgical emergency.
SAJ Case Reports, 2018
Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investi... more Giant renal cysts are rare. Misdiagnosis is rampant in areas where the relevant ancillary investigations are neither affordable nor readily available. Therefore these lesions may inadvertently present to the general surgeon rather than to the urologist. Several options of treatment exist. Complete removal is challenging but invaluable. It offers the best opportunity for a comprehensive histological analysis of the entire lesion and eliminates the risk of recurrence in benign cases. We describe the successful open surgical excision of a symptomatic giant left renal cyst in a sixty-nine year of man who was managed by the general surgeon.
Orient Journal of Surgical Sciences, 2020
Venous thromboprophylaxis aims at reducing avoidable morbidity, death and chronic ill health from... more Venous thromboprophylaxis aims at reducing avoidable morbidity, death and chronic ill health from hospital associated venous thromboembolism (VTE). Reports indicate little awareness of VTE and inadequate provision of primary thromboprophylaxis on surgical patients managed in most hospitals in Africa. Clinical practice guidelines (CPG) regarding VTE risk assessment, risk categorization and preventive methods using mechanical means and pharmacological agents for the patients at risk are virtually non-existent in most of our health institutions. Compliance with such guidelines where available is poor due to lack of enforcement. This article is an overview of VTE and the provision of thromboprophylaxis for hospitalized general surgery patients. It is strongly recommended that a hospital-based thromboprophylaxis guideline be formulated and enforced at each surgical service in our health community in order to optimise patients outcome .
Orient Journal of Surgical Sciences, 2020
Background-Late presentation is the norm for breast cancer cases in many parts of the developing ... more Background-Late presentation is the norm for breast cancer cases in many parts of the developing world. Consequently, some of these lesions are fungating at the time of presentation for medical treatment. The intraoperative handling of these ulcerated tumours could be messy and daunting to the surgeon if no barrier measures are provided. Objective-To describe the use of "glove-shield" as the improvisation we found consistently useful in isolating and concealing fungating breast wounds intraoperatively. This barrier mitigates the peculiar challenges faced by the surgeon during the palliative resection of ulcerated breast malignancies. Methodology-A retrospective study of 7 consecutive histologically confirmed cases of fungating breast cancer who underwent palliative mastectomy at a mission hospital over a three-year period (2015-2018). Intraoperatively, routine skin preparation and draping were performed before the ulcerated tumour was enclosed within a stretched sterile latex glove to create what we termed "glove-shield" which completely concealed the ulcerated surface. Results-All 7 patients were females. Their ages ranged between 29 years and 56 years. The "glove-shield" was used to achieve concealment of the ulcerated tumour surface in these patients. Mean duration of post operative hospital stay was 22 days. No perioperative mortality was recorded. Conclusion-Late cases of breast cancer may present as fungating lesions. The "glove-shield" is an intra-operative barrier which mitigates the peculiar challenges posed by fungating breast cancers to the attending surgeon during palliative (toilet) mastectomy.