ABSTRACT
Giant tumours of the breast cause massive enlargement of the breast resulting in asymmetry. Simple excision of the tumour fails to restore symmetry, and in some cases leaves the patient with a secondary deformity. We present two cases of giant fibroadenoma in adolescent females. Both patients underwent a one-stage excision of the giant fibroadenoma and reduction mammoplasty. Relevant operative details and results are presented together with a review of the literature.
Subject(s)
Breast Neoplasms/surgery , Fibroadenoma/surgery , Mammaplasty/methods , Adolescent , Breast/pathology , Female , Humans , HypertrophySubject(s)
Burns, Electric/surgery , Lip/injuries , Lip/surgery , Plastic Surgery Procedures/methods , Surgical Flaps , Adult , Humans , Male , Mouth/injuries , Mouth/surgery , Suicide, AttemptedABSTRACT
This retrospective study was undertaken to assess the yield of radio-contrast imaging of the rectum before closure of colostomy following extraperitoneal rectal trauma. Sixty-nine patients (63 males) underwent colostomy closure in 36 months. All radio-contrast studies (colograms) performed before closure of colostomy were normal, and there were no deaths following closure. This study demonstrated that the yield from pre-closure radio-contrast imaging of the rectum after rectal trauma was negligible and did not influence colostomy closure. We conclude that while it may be appealing to suggest abandonment of its routine use, this investigation needs to be further evaluated prospectively with special attention given to injury to associated structures such as bone, bladder and vagina.
Subject(s)
Colostomy/adverse effects , Contrast Media , Monitoring, Intraoperative/standards , Rectum/injuries , Wounds, Penetrating/diagnostic imaging , Wounds, Penetrating/surgery , Adolescent , Adult , Child , Cost-Benefit Analysis , Female , Humans , Intestinal Obstruction/etiology , Intestinal Obstruction/prevention & control , Length of Stay/statistics & numerical data , Male , Middle Aged , Monitoring, Intraoperative/economics , Radiography , Retrospective Studies , Surgical Wound Infection/etiology , Surgical Wound Infection/prevention & control , Time FactorsABSTRACT
A retrospective analysis of 81 patients who had closure of colostomy over a 32-month period was carried out to establish factors affecting the outcome of this operation. Their ages averaged 27 years and there were 69 male patients. The sigmoid colon was the most common site and the loop colostomy was most frequently performed. The majority were closed 3 or more months after construction. Loop colostomy took significantly less time to close and patients were fed significantly earlier compared with the other types. Patients who underwent closure after Hartmann's procedure had the longest hospital stay. The complication rate was 12% and there was no mortality. Colostomy closures in this study had minimal complications and no mortality. The loop colostomy is as easy to close as it is to perform and results in shorter hospital stay.
Subject(s)
Colostomy/methods , Postoperative Complications , Adolescent , Adult , Female , Humans , Length of Stay , Male , Middle Aged , Reoperation , Retrospective Studies , Time Factors , Treatment OutcomeABSTRACT
Two hundred and eighty milk samples expressed by healthy African women who had pre-term or full-term delivery, were digested using the wet digestion method. The digests were analysed for zinc (Zn) using an atomic absorption spectrophotometer. Mean Zn level in colostrum was 8.2 +/- 1.02 micrograms/ml in transitional milk 4.33 +/- 0.134 micrograms/ml and in mature milk 0.38 +/- 0.03 micrograms/ml. The ranges were 1.4-21.7, 0.3-9.8 and 0.2-2.4 micrograms/ml in colostrum, transitional and mature milk respectively. The figures obtained agreed with some previous findings in which it was found that Zn levels decreased with progression in lactation.
