Subject(s)
Burns/etiology , Foot Injuries/etiology , Medicine, Traditional/adverse effects , Seizures/therapy , Adult , Child , Child, Preschool , Female , Humans , Infant , Male , NigeriaABSTRACT
BACKGROUND: Reduction mammoplasty is a frequently performed aesthetic surgical procedure in the female adolescent and adult Caucasian population. We reviewed the cases of reduction mammoplasty performed at the Obafemi Awolowo University teaching hospital, (OAUTH), Ile-Ife. PATIENTS AND METHODS: A retrospective review of all patients who have had reduction mammoplasty at the OAUTH over a 20 year period was carried out. RESULT: Ten patients requested reduction mammoplasty during the period. Two patients declined surgery while one required, and was treated by chemotherapy. Seven patients had surgery. Outcomes were uniformly satisfactory. CONCLUSION: We conclude that request for reduction mammoplasty in our surgical practice is uncommon. Request for purely cosmetic reasons is even rarer. Most patients had massive breast enlargements with physical symptoms and gross disfigurement with or without an underlying breast disease which was the usual reason for presentation.
Subject(s)
Back Pain/surgery , Breast Diseases/surgery , Breast/surgery , Mammaplasty , Neck Pain/surgery , Adult , Back Pain/etiology , Breast/pathology , Breast Diseases/complications , Female , Humans , Neck Pain/etiology , Nigeria , Retrospective StudiesABSTRACT
Aim and Objectives: To determine the prevalent age; presentation; duration of symptoms before intervention; and outcome of management of testicular torsion (TT) in our community. Design: A fifteen-year retrospective study. Setting: University Teaching Hospital. Materials and Method: Records of patients managed for TT; January 1992- Decem- ber 2006; were reviewed. Records of 91 out of 106 patients managed during the period were available for review. The age of patient; presentation; duration of symptoms; predisposing factors; interval between presentation and operation; and outcome of management were extracted and analyzed. Results: Ninety-one patients; mean age 20.1yrs (range 8-34) were reviewed. The average duration of symptoms at presentation was 26.7hrs (range 1.5- 168). The patients were mostly 74(81.3) students. All of them presented with scrotal pain; and 66(72.5) had scrotal swelling (Left: Right=1.8:1). Torsion was partial (180-270o) in 14(15.4); and complete (360o-1440o) in 77(84.6). Intra-scrotal anatomic abnormalities were observed in 77(84.6) patients. Testes were viable in 59(64.8) patients offered bilateral orchidopexy and gangrenous in 32(35.2) that had orchi- dectomy with contralateral orchidopexy. The average duration of hospital stay was 2.8days. Most of the patients 76(83.5) were lost to follow up within 3 weeks postoperative. Conclusion: TT occurs in patients aged 8-34yrs in our immediate community. Presentation is late and most patients 77(84.6) have predisposing congenital abnormalities. There is a need for increase awareness by the general public and the health personnel's of the danger posed by delay in treating TT. Where doubts exist; early scrotal exploration should be the investigation and intervention of choice to prevent irreversible damage to the germ cells
