ABSTRACT
Chronic protracted TMJ dislocation refers to a condition in which the joint is displaced from its articulation and fixated in that position (open locked) without reduction. The Hippocratic Manoeuvre is usually unsuccessful with a high failure rate, making treatment of this condition very challenging. This article reports a case of TMJ dislocation not amenable to traditional closed reduction method but which was successfully treated using direct application of reduction forceps on the angle of the mandible. The technical aspects of the procedure and post-operative management were also highlighted.
Subject(s)
Temporomandibular Joint , Surgical Instruments , Mandibular DiseasesABSTRACT
Background:A safe, reliable technique for primary trocar introduction is important for laparoscopic surgery. In resource-constrained settings where there is paucity of needed equipment and cost is prohibitive, a method utilizing fewer instruments will be useful.Aim:This study aims to describe a method of primary trocar introduction that utilizes any available port.Methods:A supra- or infra-umbilical incision is made into an everted tubular umbilicus. The linear alba is incised and the resultant opening bluntly developed, after which any available port is inserted using the trocar as a guide. The trocar is withdrawn while the sleeve is pushed in.Results:One hundred and three successful insertions were affected in 107 patients with age range of 175 years, with no significant gas leaks.Conclusion:This modified open approach is a simple and reliable way of primary port insertion. Access is gained easily in different age groups and umbilicus types
Subject(s)
Hand-Assisted Laparoscopy , Lakes , Laparoscopy , Neural Tube , Nigeria , Surgical Instruments , UmbilicusABSTRACT
Louis Pasteur; the French Chemist; had exposed microbes as the bane of wound healing long before its appreciation by surgeons. Hence wound infection remained one of the major obstacles to progress in surgery until the development and general acceptance of antisepsis and aseptic surgical techniques. The discovery of antibiotics by Alexander Fleming and the introduction of rubber gloves into surgery by Williams Halsted also contributed notably to the control of wound infections