Usang E usang - Academia.edu (original) (raw)

Papers by Usang E usang

Anaesthesia, 2021

SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critica... more SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri‐operative or prior SARS‐CoV‐2 were at further increased risk of venous thromboembolism. We conducted a planned sub‐study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 days of surgery. SARS‐CoV‐2 diagnosis was defined as peri‐operative (7 days before to 30 days after surgery); recent (1–6 weeks before surgery); previous (≥7 weeks before surgery); or none. Information on prophylaxis regimens or pre‐operative anti‐coagulation for baseline comorbidities was no...

Port Harcourt Medical Journal, 2009

Background: Myiasis is a condition in which fly larvae (maggots) invade living tissue. It is now ... more Background: Myiasis is a condition in which fly larvae (maggots) invade living tissue. It is now considered a rare condition in humans, because of improved physical hygiene. It is imperative therefore to present a new case in order to stimulate a high index of suspicion among clinicians. Aim: To report a case of a boy who presented with furuncular cellulitis of the penis from which fly larva was extracted. Case report: An 8-year-old boy presented with a painful swelling of the penis which was referred as a case of phimosis. A boil-like pruritic lesion was noticed prior to the penile swelling. About three-weeks prior to presentation, two live maggots were extracted from a two-month old puppy which the child handled very often as a pet. Clinical examination revealed a single papular lesion on his penis from which a live maggot was extracted. He responded to treatment with anit-tetanus toxoid, oral paracetamol and topical gentamicin cream. The mode of infestation, prevention and management are highlighted. Conclusion: There is need to raise the level of awareness and stimulate a high index of suspicion among clinicians about this disease which is prone to misdiagnosis and from which fatal cases have been reported in children. Key words: Cordylobia anthropophaga, Cellulitis, Penis, Children, Nigeria

Cross River Journal of Medicine, 2017

Cross River Journal of Medicine, 2017

IOSR Journal of Dental and Medical Sciences, 2014

Aim: Extended spectrum β-lactamases are transferable plasmid mediated resistance mechanisms found... more Aim: Extended spectrum β-lactamases are transferable plasmid mediated resistance mechanisms found mainly among Enterobacteriaceae which confer resistance to numerous β-lactam antibiotics. The aim of the study was to determine the rate of rectal colonization of surgical patients with Escherichia coli carrying extended spectrum β-lactamases. Subjects and methods: We collected and cultured rectal swabs from 192 surgical patients in the

Anaesthesia, 2021

SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this stu... more SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS‐CoV‐2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre‐operative SARS‐CoV‐2 infection were compared with those without previous SARS‐CoV‐2 infection. The primary outcome measure was 30‐day postoperative mortality. Logistic regression models were used to calculate adjusted 30‐day mortality rates stratified by time from diagnosis of SARS‐CoV‐2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre‐operative SARS‐CoV‐2 diagnosis. Adjusted 30‐day mortality in patients without SARS‐CoV‐2 infection was 1.5% (95%CI 1.4–1.5). In patients with a pre‐operative SARS‐CoV‐2 diagnosis, mortality was increased in patients having surgery wi...

American Scientific Research Journal for Engineering, Technology, and Sciences, 2016

The aim of this study was to determine the prevalence, aetiological types and predilection sites ... more The aim of this study was to determine the prevalence, aetiological types and predilection sites of chronic wounds in children. This study was a cross sectional study conducted on children aged 0-15 years. Through cluster sampling technique, children with wounds were recruited and evaluated. Demographic and clinical data were collected and analyzed. Descriptive statistics were used to summarize variables and Chi-squared test was used to achieve comparison between age groups and sexes. Statistical significance was defined as p<0.05. The results show that one thousand and ten children were screened for wounds out of which 107 children with 115 wounds were found. 16.5% of these wounds were chronic with a prevalence rate of 2.0%. Chronic wound prevalences in the school aged (47.4%) and adolescent (52.6%) children were 0.9% and 1.0% respectively (x 2 = 0.821; p = 0.359 Yates’ corrected, Fisher’s exact test 2-sided) and statistically insignificant. 57.9% were caused by trauma and major...

The aim of this study was to determine the microbial spectrum and susceptibility pattern of non-s... more The aim of this study was to determine the microbial spectrum and susceptibility pattern of non-surgical wound infections in children in a rural setting in our environment. This study was a cross sectional study of children aged 0 to 15 years in Bakassi, Nigeria. The children were screened for non-surgical wounds using an interviewer administered semi-structured questionnaire. Identified wounds were evaluated clinically for signs of infection and specimens were collected and cultured using standard microbiologic techniques. Susceptibility test was performed on all the isolated Micro-organisms. Data were collected and analysed using SPSS version 20 for windows. Sixty four wound infections out of a total of 115 wounds giving an infection rate of 55.7% were encountered. Of 64 wound cultures, 46.9% (30/64,) yielded mono-microbial growth, while poly-microbial growth of two and three microorganisms were obtained in 46.9% (30/64) and 1.6% (1/64) specimens respectively. A total of 92 organi...

African Journal of Paediatric Surgery, 2008

Abdominal tuberculosis presenting with spontaneous recto-vaginal fistula is very rare. We present... more Abdominal tuberculosis presenting with spontaneous recto-vaginal fistula is very rare. We present a case of 7 year old, female, Nigerian chil d who had chronic diarrhoea, weight loss and intermittent fever for one year duration with spont aneous discharge of faecal matter from the vagina for 3 months. Because diagnosis of primary a bdominal TB is very challenging, prevention of the disease and high index of suspici on are invaluable in management to reduce morbidity and mortality of the disease.

African Journal of Paediatric Surgery

Background: The optimal management strategy for dirty abdominal wounds has yet to be determined, ... more Background: The optimal management strategy for dirty abdominal wounds has yet to be determined, but studies indicate that delayed primary closure (DPC) may be a reliable method of reducing surgical site infection (SSI) rate in these wounds. In this study, of dirty laparotomy wounds following typhoid ileal perforation (TIP), the SSI rate, incidence of wound dehiscence, and length of hospital stay (LOS) are compared in wounds primarily closed to those closed in the delayed primary fashion. Patients and Methods: The study was conducted over a 12-month period. Consecutive patients aged between 0 and 15 years with typhoid ileal perforation (TIP) were enrolled and prospectively randomized to test (DPC) group and control (PC) group. Data including age, sex, diagnosis, type of wound closure, SSI, wound dehiscence, time to wound healing, and LOS were obtained and analyzed using SPSS version 16. Results: Fifteen patients were recruited into DPC group while 19 patients were allocated to the PC group. The SSI rate was 80% in the DPC group compared to 63.2% in the PC group (P = 0.451). 17.6% of patients in the DPC group and 8.8% in the PC group had wound dehiscence, respectively (P = 0.139). The difference in LOS although longer in the DPC group was not statistically significant (DPC 23.47 ± 9.2, PC 17.68 ± 18.9, P = 0.123). Conclusion: DPC did not reduce the incidence of SSI and wound dehiscence, nor shorten LOS compared to PC. Therefore, PC of dirty wounds appears safe for the pediatric population and should be advocated.

Introduction The term “parasitic infestation” is used to refer to those infections caused by prot... more Introduction The term “parasitic infestation” is used to refer to those infections caused by protozoa, helminthes, and arthropods. They are a major cause of morbidity and mortality in infants and children. However, parasitic infestations have received relatively little attention compared with infections due to viral, bacterial, and fungal agents. Parasitic infestations are a worldwide problem in children, the prevalence and variety of organisms being greatest in areas with a warm, moist climate and in communities where standards of hygiene are low. But parasitic diseases are now occurring more frequently in developed countries due to immigration and increased foreign travel. This cosmopolitan distribution, in addition to the complications that often attend these infestations, make this subject an important surgical problem. Of the parasitic diseases, those of surgical interest in children are: 1. Protozoan infections • Amoebiasis

The Journal of Infection in Developing Countries

Introduction: Despite global scientific development, typhoid fever and subsequent typhoid perfora... more Introduction: Despite global scientific development, typhoid fever and subsequent typhoid perforation have continued to be common in developing countries. The aim of this study was to re-evaluate the pattern of presentation and management outcomes as well as morbidity and mortality of typhoid perforation among children. Methodology: Children aged 15 years and under with clinical diagnosis of typhoid perforation were retrospectively studied by reviewing their hospital records between January 2006 and December 2015. Demographic and clinical data were analyzed with SPSS using descriptive statistics and the chi-squared test or Cramer’s V for continuous and categorical variables respectively. Results: 105 children had typhoid fever, 56 (53.3%) of them were diagnosed with typhoid perforation and 49 were confirmed intra-operatively. Of the children, 55.1% (n = 27) were school-aged while the remaining were adolescents; a majority had the classical triad of persistent fever (100%), abdominal...

Journal of Medical Case Reports, 2016

Background: The occurrence of an anorectal malformation with Holt-Oram syndrome, microcephaly, an... more Background: The occurrence of an anorectal malformation with Holt-Oram syndrome, microcephaly, and bilateral corneal opacity is rare and to the best of our knowledge has not previously been reported in the literature. Hence, there is a need to document our experience in this case and learn as much as possible from it. Case presentation: We present the case of a Nigerian female neonate with a postnatal diagnosis of syndromic anorectal malformation associated with Holt-Oram syndrome, microcephaly, and bilateral corneal opacity. The infant had successful staged correction of her anorectal malformation but developed a metastatic Wilms' tumor and died before other corrective procedures could be instituted. Conclusions: An anorectal malformation is here reported to occur with Holt-Oram syndrome, an association that has not been reported previously. To enhance the prognosis and quality of life of children with syndromic anorectal malformation, prenatal ultrasound monitoring of high-risk pregnancies and expertise in prenatal detection of congenital anomalies are invaluable in antenatal care.

Open Access Macedonian Journal of Medical Sciences, 2015

AIM: This is to report a case of Klippel Trenauay Weber syndrome in a fifteen year old Nigerian b... more AIM: This is to report a case of Klippel Trenauay Weber syndrome in a fifteen year old Nigerian boy. This is a rare syndrome and it is the first case to be reported in UCTH Calabar.CASE PRESENTATION: Product of a full term uneventful pregnancy, delivered to non-consanguineous apparently healthy parents. At birth was noted to gradually develop swelling on the right leg, worse at the right foot. There was crossed hemi-hypertrophy with right leg bigger than the left. As child grew symptoms worsened, parents separated and eventually he was abandoned to the streets. He presented at University of Calabar Teaching Hospital for medical care at the age of fifteen years with lymphatic obstruction, persistent foul smelling drainage, lipodermatosclerosis of right foot as well psycho-social and financial constraints. The diagnosis was made with x-rays and Doppler studies of the lower limb vessels. He is currently being managed conservatively with compression dressings on the affected limbs, Anti...

Annals of African medicine

... 9. 10. Ameh EA. Major injuries from domestic animals in children Pediatr Surg Int 2000;16:589... more ... 9. 10. Ameh EA. Major injuries from domestic animals in children Pediatr Surg Int 2000;16:589-91. Back to cited text no. 10. 11. ... 11. 12. Nance FC, Wenner MH, Johnson LW, Ingram JC, Cohn I Jr. Surgical judgment in the management of penetrating wounds of the abdomen. ...

Southern African Journal of Anaesthesia and Analgesia, 2006

To cite this article: AF Faponle (Consultant Anaesthetist) & UEd Usang (Senior Registrar) (2006) ... more To cite this article: AF Faponle (Consultant Anaesthetist) & UEd Usang (Senior Registrar) (2006) Post-operative symptoms at home in children following day case surgery,

Pediatric Surgery International, 2008

Purpose Day case surgery for inguinal hernia had been an established practice of the Paediatric S... more Purpose Day case surgery for inguinal hernia had been an established practice of the Paediatric Surgery Unit, OA-UTHC, Ile Ife for about two decades. In a retrospective review of the practice from the same center, a high incidence of postoperative wound infection was noted, which was attributed to the poor personal hygiene of the patients. This prospective study, therefore, was performed to evaluate the role of a single dose of preoperative antibiotic (using gentamicin) in the prevention of these wound infections after day case surgery for inguinal hernia in children. Methods This was a prospective study carried out over a period of 8 months from 11 April 2004 to 20 December 2004. During this period, 88 children aged from birth to 15 years were randomized into two groups of equal numbers to undergo elective inguinal herniotomy. The children in the test group received prophylactic intravenous gentamicin, 30 min before a groin crease incision was made, while those in the control group did not. All patients were subsequently followed up for 32 days for any evidence of a wound infection. Results There were 104 wounds in the ratio of 50:54 in the control and test groups, respectively. All 54 wounds of the children who received prophylactic gentamicin healed primarily and without complication. Five cases of wound infections occurred in the control group, giving an infection rate of 4.8% (P \ 0.041). Staphylococcus aureus was the single pathogen isolated from the infected postherniotomy wounds and this organism was wholly sensitive to gentamicin. Conclusion From the findings in this study, administration of preoperative gentamicin has a role in the prevention of wound infection after day case surgery for inguinal hernias in susceptible children. Preoperative intravenous gentamicin is therefore recommended as a prophylactic measure against wound infection after day case surgery for inguinal hernias in those children at risk of wound infection.

Journal of Medical Case Reports, 2010

Introduction: Cases of conjoined twins occur so rarely that it is important to learn as much as p... more Introduction: Cases of conjoined twins occur so rarely that it is important to learn as much as possible from each case. Case presentation: We present a case of 9-hour-old, female, Nigerian dicephalus parapagus conjoined twins discordant for anencephaly diagnosed only after the birth of the twins. The anencephalic twin was stillborn while the normal one died within 9 hours of birth from cardiopulmonary failure. Conclusion: Many congenital defects of interest can now be detected before birth. A severe lesion such as that found in our index case, which is incompatible with postnatal life, requires counselling. If detected early enough during a properly monitored antenatal care, it may indicate termination of pregnancy.

Anaesthesia, 2021

SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critica... more SummarySARS‐CoV‐2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri‐operative or prior SARS‐CoV‐2 were at further increased risk of venous thromboembolism. We conducted a planned sub‐study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 days of surgery. SARS‐CoV‐2 diagnosis was defined as peri‐operative (7 days before to 30 days after surgery); recent (1–6 weeks before surgery); previous (≥7 weeks before surgery); or none. Information on prophylaxis regimens or pre‐operative anti‐coagulation for baseline comorbidities was no...

Port Harcourt Medical Journal, 2009

Background: Myiasis is a condition in which fly larvae (maggots) invade living tissue. It is now ... more Background: Myiasis is a condition in which fly larvae (maggots) invade living tissue. It is now considered a rare condition in humans, because of improved physical hygiene. It is imperative therefore to present a new case in order to stimulate a high index of suspicion among clinicians. Aim: To report a case of a boy who presented with furuncular cellulitis of the penis from which fly larva was extracted. Case report: An 8-year-old boy presented with a painful swelling of the penis which was referred as a case of phimosis. A boil-like pruritic lesion was noticed prior to the penile swelling. About three-weeks prior to presentation, two live maggots were extracted from a two-month old puppy which the child handled very often as a pet. Clinical examination revealed a single papular lesion on his penis from which a live maggot was extracted. He responded to treatment with anit-tetanus toxoid, oral paracetamol and topical gentamicin cream. The mode of infestation, prevention and management are highlighted. Conclusion: There is need to raise the level of awareness and stimulate a high index of suspicion among clinicians about this disease which is prone to misdiagnosis and from which fatal cases have been reported in children. Key words: Cordylobia anthropophaga, Cellulitis, Penis, Children, Nigeria

Cross River Journal of Medicine, 2017

Cross River Journal of Medicine, 2017

IOSR Journal of Dental and Medical Sciences, 2014

Aim: Extended spectrum β-lactamases are transferable plasmid mediated resistance mechanisms found... more Aim: Extended spectrum β-lactamases are transferable plasmid mediated resistance mechanisms found mainly among Enterobacteriaceae which confer resistance to numerous β-lactam antibiotics. The aim of the study was to determine the rate of rectal colonization of surgical patients with Escherichia coli carrying extended spectrum β-lactamases. Subjects and methods: We collected and cultured rectal swabs from 192 surgical patients in the

Anaesthesia, 2021

SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this stu... more SummaryPeri‐operative SARS‐CoV‐2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS‐CoV‐2 infection. This international, multicentre, prospective cohort study included patients undergoing elective or emergency surgery during October 2020. Surgical patients with pre‐operative SARS‐CoV‐2 infection were compared with those without previous SARS‐CoV‐2 infection. The primary outcome measure was 30‐day postoperative mortality. Logistic regression models were used to calculate adjusted 30‐day mortality rates stratified by time from diagnosis of SARS‐CoV‐2 infection to surgery. Among 140,231 patients (116 countries), 3127 patients (2.2%) had a pre‐operative SARS‐CoV‐2 diagnosis. Adjusted 30‐day mortality in patients without SARS‐CoV‐2 infection was 1.5% (95%CI 1.4–1.5). In patients with a pre‐operative SARS‐CoV‐2 diagnosis, mortality was increased in patients having surgery wi...

American Scientific Research Journal for Engineering, Technology, and Sciences, 2016

The aim of this study was to determine the prevalence, aetiological types and predilection sites ... more The aim of this study was to determine the prevalence, aetiological types and predilection sites of chronic wounds in children. This study was a cross sectional study conducted on children aged 0-15 years. Through cluster sampling technique, children with wounds were recruited and evaluated. Demographic and clinical data were collected and analyzed. Descriptive statistics were used to summarize variables and Chi-squared test was used to achieve comparison between age groups and sexes. Statistical significance was defined as p<0.05. The results show that one thousand and ten children were screened for wounds out of which 107 children with 115 wounds were found. 16.5% of these wounds were chronic with a prevalence rate of 2.0%. Chronic wound prevalences in the school aged (47.4%) and adolescent (52.6%) children were 0.9% and 1.0% respectively (x 2 = 0.821; p = 0.359 Yates’ corrected, Fisher’s exact test 2-sided) and statistically insignificant. 57.9% were caused by trauma and major...

The aim of this study was to determine the microbial spectrum and susceptibility pattern of non-s... more The aim of this study was to determine the microbial spectrum and susceptibility pattern of non-surgical wound infections in children in a rural setting in our environment. This study was a cross sectional study of children aged 0 to 15 years in Bakassi, Nigeria. The children were screened for non-surgical wounds using an interviewer administered semi-structured questionnaire. Identified wounds were evaluated clinically for signs of infection and specimens were collected and cultured using standard microbiologic techniques. Susceptibility test was performed on all the isolated Micro-organisms. Data were collected and analysed using SPSS version 20 for windows. Sixty four wound infections out of a total of 115 wounds giving an infection rate of 55.7% were encountered. Of 64 wound cultures, 46.9% (30/64,) yielded mono-microbial growth, while poly-microbial growth of two and three microorganisms were obtained in 46.9% (30/64) and 1.6% (1/64) specimens respectively. A total of 92 organi...

African Journal of Paediatric Surgery, 2008

Abdominal tuberculosis presenting with spontaneous recto-vaginal fistula is very rare. We present... more Abdominal tuberculosis presenting with spontaneous recto-vaginal fistula is very rare. We present a case of 7 year old, female, Nigerian chil d who had chronic diarrhoea, weight loss and intermittent fever for one year duration with spont aneous discharge of faecal matter from the vagina for 3 months. Because diagnosis of primary a bdominal TB is very challenging, prevention of the disease and high index of suspici on are invaluable in management to reduce morbidity and mortality of the disease.

African Journal of Paediatric Surgery

Background: The optimal management strategy for dirty abdominal wounds has yet to be determined, ... more Background: The optimal management strategy for dirty abdominal wounds has yet to be determined, but studies indicate that delayed primary closure (DPC) may be a reliable method of reducing surgical site infection (SSI) rate in these wounds. In this study, of dirty laparotomy wounds following typhoid ileal perforation (TIP), the SSI rate, incidence of wound dehiscence, and length of hospital stay (LOS) are compared in wounds primarily closed to those closed in the delayed primary fashion. Patients and Methods: The study was conducted over a 12-month period. Consecutive patients aged between 0 and 15 years with typhoid ileal perforation (TIP) were enrolled and prospectively randomized to test (DPC) group and control (PC) group. Data including age, sex, diagnosis, type of wound closure, SSI, wound dehiscence, time to wound healing, and LOS were obtained and analyzed using SPSS version 16. Results: Fifteen patients were recruited into DPC group while 19 patients were allocated to the PC group. The SSI rate was 80% in the DPC group compared to 63.2% in the PC group (P = 0.451). 17.6% of patients in the DPC group and 8.8% in the PC group had wound dehiscence, respectively (P = 0.139). The difference in LOS although longer in the DPC group was not statistically significant (DPC 23.47 ± 9.2, PC 17.68 ± 18.9, P = 0.123). Conclusion: DPC did not reduce the incidence of SSI and wound dehiscence, nor shorten LOS compared to PC. Therefore, PC of dirty wounds appears safe for the pediatric population and should be advocated.

Introduction The term “parasitic infestation” is used to refer to those infections caused by prot... more Introduction The term “parasitic infestation” is used to refer to those infections caused by protozoa, helminthes, and arthropods. They are a major cause of morbidity and mortality in infants and children. However, parasitic infestations have received relatively little attention compared with infections due to viral, bacterial, and fungal agents. Parasitic infestations are a worldwide problem in children, the prevalence and variety of organisms being greatest in areas with a warm, moist climate and in communities where standards of hygiene are low. But parasitic diseases are now occurring more frequently in developed countries due to immigration and increased foreign travel. This cosmopolitan distribution, in addition to the complications that often attend these infestations, make this subject an important surgical problem. Of the parasitic diseases, those of surgical interest in children are: 1. Protozoan infections • Amoebiasis

The Journal of Infection in Developing Countries

Introduction: Despite global scientific development, typhoid fever and subsequent typhoid perfora... more Introduction: Despite global scientific development, typhoid fever and subsequent typhoid perforation have continued to be common in developing countries. The aim of this study was to re-evaluate the pattern of presentation and management outcomes as well as morbidity and mortality of typhoid perforation among children. Methodology: Children aged 15 years and under with clinical diagnosis of typhoid perforation were retrospectively studied by reviewing their hospital records between January 2006 and December 2015. Demographic and clinical data were analyzed with SPSS using descriptive statistics and the chi-squared test or Cramer’s V for continuous and categorical variables respectively. Results: 105 children had typhoid fever, 56 (53.3%) of them were diagnosed with typhoid perforation and 49 were confirmed intra-operatively. Of the children, 55.1% (n = 27) were school-aged while the remaining were adolescents; a majority had the classical triad of persistent fever (100%), abdominal...

Journal of Medical Case Reports, 2016

Background: The occurrence of an anorectal malformation with Holt-Oram syndrome, microcephaly, an... more Background: The occurrence of an anorectal malformation with Holt-Oram syndrome, microcephaly, and bilateral corneal opacity is rare and to the best of our knowledge has not previously been reported in the literature. Hence, there is a need to document our experience in this case and learn as much as possible from it. Case presentation: We present the case of a Nigerian female neonate with a postnatal diagnosis of syndromic anorectal malformation associated with Holt-Oram syndrome, microcephaly, and bilateral corneal opacity. The infant had successful staged correction of her anorectal malformation but developed a metastatic Wilms' tumor and died before other corrective procedures could be instituted. Conclusions: An anorectal malformation is here reported to occur with Holt-Oram syndrome, an association that has not been reported previously. To enhance the prognosis and quality of life of children with syndromic anorectal malformation, prenatal ultrasound monitoring of high-risk pregnancies and expertise in prenatal detection of congenital anomalies are invaluable in antenatal care.

Open Access Macedonian Journal of Medical Sciences, 2015

AIM: This is to report a case of Klippel Trenauay Weber syndrome in a fifteen year old Nigerian b... more AIM: This is to report a case of Klippel Trenauay Weber syndrome in a fifteen year old Nigerian boy. This is a rare syndrome and it is the first case to be reported in UCTH Calabar.CASE PRESENTATION: Product of a full term uneventful pregnancy, delivered to non-consanguineous apparently healthy parents. At birth was noted to gradually develop swelling on the right leg, worse at the right foot. There was crossed hemi-hypertrophy with right leg bigger than the left. As child grew symptoms worsened, parents separated and eventually he was abandoned to the streets. He presented at University of Calabar Teaching Hospital for medical care at the age of fifteen years with lymphatic obstruction, persistent foul smelling drainage, lipodermatosclerosis of right foot as well psycho-social and financial constraints. The diagnosis was made with x-rays and Doppler studies of the lower limb vessels. He is currently being managed conservatively with compression dressings on the affected limbs, Anti...

Annals of African medicine

... 9. 10. Ameh EA. Major injuries from domestic animals in children Pediatr Surg Int 2000;16:589... more ... 9. 10. Ameh EA. Major injuries from domestic animals in children Pediatr Surg Int 2000;16:589-91. Back to cited text no. 10. 11. ... 11. 12. Nance FC, Wenner MH, Johnson LW, Ingram JC, Cohn I Jr. Surgical judgment in the management of penetrating wounds of the abdomen. ...

Southern African Journal of Anaesthesia and Analgesia, 2006

To cite this article: AF Faponle (Consultant Anaesthetist) & UEd Usang (Senior Registrar) (2006) ... more To cite this article: AF Faponle (Consultant Anaesthetist) & UEd Usang (Senior Registrar) (2006) Post-operative symptoms at home in children following day case surgery,

Pediatric Surgery International, 2008

Purpose Day case surgery for inguinal hernia had been an established practice of the Paediatric S... more Purpose Day case surgery for inguinal hernia had been an established practice of the Paediatric Surgery Unit, OA-UTHC, Ile Ife for about two decades. In a retrospective review of the practice from the same center, a high incidence of postoperative wound infection was noted, which was attributed to the poor personal hygiene of the patients. This prospective study, therefore, was performed to evaluate the role of a single dose of preoperative antibiotic (using gentamicin) in the prevention of these wound infections after day case surgery for inguinal hernia in children. Methods This was a prospective study carried out over a period of 8 months from 11 April 2004 to 20 December 2004. During this period, 88 children aged from birth to 15 years were randomized into two groups of equal numbers to undergo elective inguinal herniotomy. The children in the test group received prophylactic intravenous gentamicin, 30 min before a groin crease incision was made, while those in the control group did not. All patients were subsequently followed up for 32 days for any evidence of a wound infection. Results There were 104 wounds in the ratio of 50:54 in the control and test groups, respectively. All 54 wounds of the children who received prophylactic gentamicin healed primarily and without complication. Five cases of wound infections occurred in the control group, giving an infection rate of 4.8% (P \ 0.041). Staphylococcus aureus was the single pathogen isolated from the infected postherniotomy wounds and this organism was wholly sensitive to gentamicin. Conclusion From the findings in this study, administration of preoperative gentamicin has a role in the prevention of wound infection after day case surgery for inguinal hernias in susceptible children. Preoperative intravenous gentamicin is therefore recommended as a prophylactic measure against wound infection after day case surgery for inguinal hernias in those children at risk of wound infection.

Journal of Medical Case Reports, 2010

Introduction: Cases of conjoined twins occur so rarely that it is important to learn as much as p... more Introduction: Cases of conjoined twins occur so rarely that it is important to learn as much as possible from each case. Case presentation: We present a case of 9-hour-old, female, Nigerian dicephalus parapagus conjoined twins discordant for anencephaly diagnosed only after the birth of the twins. The anencephalic twin was stillborn while the normal one died within 9 hours of birth from cardiopulmonary failure. Conclusion: Many congenital defects of interest can now be detected before birth. A severe lesion such as that found in our index case, which is incompatible with postnatal life, requires counselling. If detected early enough during a properly monitored antenatal care, it may indicate termination of pregnancy.