Displaying 31 - 40 out of 483 matching injury records.
| Submitted By | Jerome Nsajju |
| Submitted On | Thursday, February 26th, 2009 @ 05:44:35 PST -0800 |
| Article Publication Year | 2004 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Panzi Referral Hospital, Bukavu, DRC N. Kaguku V. Reinekainnen Luhiriri ICRC Medical Coordinator, Bukavu Delegation, DRC. S. Du Mortier ICRC Regional Surgeon, Nairobi Regional Delegation, Kenya M. Baldan East and Central African Journal of Surgery, Vol. 9, No. 1, 2004, pp. 41-43 |
| Related Countries | Democratic Republic of the Congo |
| Cause Of Injury | Y35-Y36 |
| Nature Of Injury | S00-T19 |
| Abstract | OBJECTIVE: To review our experience on the use of external furators in the management of open limbs' fractures caused by gunsnot at Panzi Hospital over the last 4 years. PATIENTS AND METHODS: This retrospective study was done at Panzi Missionary Hospital located in Bukavu,Democratic Republic of Congo. External fixators were applied in 62 patients affected by limb war injuries with fracture. Upon admission patients were evaluated, stabilized and submitted to basic preoperative investigations. Under general, spinal or regional anaesthesia a wound exploration and debridement was performed followed by fracture stabilization with external fixators. These devices were removed and replaced by POP casts once soft tissue injuries had healed. Physiotherapy was started as early as 2nd post-operative days. RESULTS: A total of 17 complications were recorded. They included 2 cases of pseudoarthrosis, 10 osteitis, 4 limb gangrene and 1 tetanus case. Only 2 (pseudoarthrosis) could, possibly, relate to the use of external fixators and healed afier bone graft. One patient died (the one who developed tetanus). CONCLUSIONS: External furators can be quite helpful in experienced hands in selected cases of war wounds of the limbs with fracture. |
| Submitted By | Jerome Nsajju |
| Submitted On | Thursday, February 26th, 2009 @ 05:38:30 PST -0800 |
| Article Publication Year | 2004 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Department of Orthopedic Surgery, University of Nairobi, Kenya Mutiso Muoki Vincent Department of Community Health, University of Nairobi, Kenya Deborah Okumu Mary Kinoti East and Central African Journal of Surgery, Vol. 9, No. 1, 2004, pp. 35-40 |
| Related Countries | Kenya |
| Cause Of Injury | X00-X09 |
| Nature Of Injury | T20-T32 |
| Abstract | BACKGROUND: The objective was to evaluate awareness of fire safety among medical students at the University of Nairobi Medical School. METHODS: A cross sectional survey by self-administered questionnaires was undertaken. All medical school students that come to the medical school campus of the University of Nairobi, Kenyatta National Hospital were eligible. The study took place in May 2002. RESULTS: Two hundred questionnaires were sent out with an 88% response rate. The mean age of respondents was 22.3 years with a male to female ratio of 1.2: 1. Of the respondents, 46.5% were accommodated in the halls of residence of the University of Nairobi while 94% felt there was risk of a fire outbreak with 71% indicating that they felt the risk was greatest from electrical appliances. Cookers, the majority of which were electrical but with some gas ones, were singled out as being a leading risk of fire within the halls of residence. A total of 59% indicated that the fire exits they were aware of were either locked or barred. 95% were not happy with this state of affairs |
| Submitted By | Jerome Nsajju |
| Submitted On | Thursday, February 26th, 2009 @ 05:29:25 PST -0800 |
| Article Publication Year | 2004 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
ICRC Nairobi Regional Delegation, Kenya M. Baldan ICRC Headquarters, Geneva, Switzerland C. Giannou V. Sasin Mbagathi Hospital, Nairobi, Kenya G. Morino East and Central African Journal of Surgery, Vol. 9, No. 1, 2004, pp. 31-34 |
| Related Countries | Africa |
| Cause Of Injury | W20-W49 Y35-Y36 |
| Nature Of Injury | S00-T19 |
| Abstract | The presence of metallic foreign bodies is a relatively common finding on the x-rays of war-wounded patients. They usually represent entire bullets or part of them, or fragments from bombs or mines. They often catch the attention of the patient and his/her relatives who impute to them the cause of pain and disabilities and insist with the doctor for their removal, even when the soft tissues wound has completely healed. The experience of the ICRC (International Committee of the Red Cross), based on a surgical database of more than 36,000 war wounded patients registered and 200,000 operated in ICRC supported hospitals around the world, shows that these operations are often risky, useless, consume time and material. They result in new surgical trauma with its possible complications, often without identifying and removing the foreign body. The relatively few indications for removal of these foreign bodies are listed together with a simple stereo tactic method to locate them. A special mention of the effective risk of lead poisoning is made as this is sometimes pleaded as a reason for removal of retained bullets. |
| Submitted By | Jerome Nsajju |
| Submitted On | Thursday, February 26th, 2009 @ 05:08:31 PST -0800 |
| Article Publication Year | 2004 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Department of Orthopaedic Surgery, Addis Ababa University, Ethiopia Manyazewal Dessie East and Central African Journal of Surgery, Vol. 9, No. 1, 2004, pp. 8-11 |
| Related Countries | Ethiopia |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T19 |
| Abstract | OBJECTIVE: To determine how many amputations might be avoidable in Ethiopia. PATIENTS AND METHODS: A retrospective study was made of 110 amputations (Male 83, Female 27) performed at the Tikur Anbessa Hospital during the 12 months between May 1 - April 31, 2001- 02. RESULTS: Upper limb amputations (ULA) were performed for 27 (25 %) of the patients and lower limb amputations (LLA) for 83 (75%). Amputation was performed for Trauma (40%), Gangrene of various causes (32 %), Tumour (17 %), and Infections (1 1%). The majority 64 (58 %) of the amputations were for conditions, which are preventable; these included all of the 27 upper limbs (100%), and 37 of the lower limbs (45 %). Further identification of preventable causes and the implementation of effective preventive measures are recommended. |
| Submitted By | Jerome Nsajju |
| Submitted On | Wednesday, February 25th, 2009 @ 03:50:11 PST -0800 |
| Article Publication Year | 2001 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
M. Yilkudi Gwagwalada Specialist Hospital, Abuja FCT Nigeria P. Ogolekwu Jos University Teaching Hospital, University of Jos, Nigeria S. Yiltok East and Central African Journal of Surgery, Vol. 10, No. 2, 2005, pp. 60-62 |
| Related Countries | Nigeria |
| Cause Of Injury | W20-W49 X85-Y09 |
| Nature Of Injury | S00-S09 |
| Abstract | A rare case of intracranial nail injury caused by domestic violence is presented. The 35-year old female patient was found unconscious with a 12cm nail almost completely buried into her skull. X-ray of the skull showed the nail in the cranial cavity. A burr hole was made and the nail removed. Immediate post-operative period showed a Glasgow coma score of 10/15 and right hemi paresis which improved with time. At six month after the injury, her neurological status was normal. Despite the lack of a CT scan in some areas attempt must be made using clinical judgment and performance of burr holes to treat such patients who cannot afford transfer to a standard neurological centre. This report also highlights the fact that penetrating brain injuries of this nature can occur without much neurological deficit and that a minimally invasive surgical approach can be used successfully to manage such cases while avoiding serious postoperative complications. |
| Submitted By | Jerome Nsajju |
| Submitted On | Wednesday, February 25th, 2009 @ 03:07:23 PST -0800 |
| Article Publication Year | 2005 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
A.I.C. Kijabe Hospital, Kijabe, Kenya P. Nthumba university of Nairobi, Kenya J. Oliech East and Central African Journal of Surgery, Vol. 10, No. 2, 2005, pp. 37-42 |
| Related Countries | Kenya |
| Cause Of Injury | X00-X09 X10-X19 |
| Nature Of Injury | T20-T32 |
| Abstract | BACKGROUND: Thermal injuries are a major cause of morbidity and mortality in Kenya. Though a lot is known about burns, the morbidity patterns and mortality rates of burns in this country have not been established. This study was designed with the general objective of investigating the outcome of moderate and severe burns managed at the Kenyatta National Hospital (KNH). It was also the aim of the authors to try to validate an existing simple clinical burn injury score, based on the Abbreviated Burn Severity Index (ABSI) score. METHODS: This was a retrospective study of burn patients treated at KNH between January 1999 and December 2000. The main parameters studied included the age, sex, and depth of burn injury, inhalation injury and percentage total burn surface area (%TBSA). Other parameters recorded were the type of burn, pre-morbid or co-morbid illnesses, specimen culture and sensitivity and the length of hospital stay. Single variable analyses (chi-squared-test) were used to determine the value and influence of single variables on burn mortality. Multiple stepwise logistic regression analysis was performed on all the variables used in the ABSI score, as well as on hospital stay and type of burn (scald or flame), to determine their influence on burn mortality. RESULTS: Out of the 1205 patient records retrieved, 1157 satisfied the inclusion criteria for the study. The findings confirmed the role of percentage total burn surface area, associated inhalation injury and depth of burn as the strongest prognostic variables (multivariate analysis); while age and sex have prognostic significance on single variable analysis. This data was then used to validate the ABSI score, which performed very accurately as a prognostic score. CONCLUSION: It is recommended that the ABSI score be adopted into clinical practice in this country, as an objective and accurate predictive clinical score. |
| Submitted By | Jerome Nsajju |
| Submitted On | Friday, February 20th, 2009 @ 05:46:27 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Kenyatta National Hospital, Nairobi, Kenya. D. Gome V. Mutiso K. Kimende East and Central African Journal of Surgery, Vol. 10, No. 2, 2005, pp. 33-36 |
| Related Countries | Kenya |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | BACKGROUND: Medical Literature identifies injuries as the most important preventable cause of death and disability in children beyond the first few months of life. METHODS: A descriptive prospective study undertaken between October 2003 and July 2004 at Kenyatta National Hospital on children below the age of 13 years. RESULTS: A total of 187 patients were admitted to KNH with trauma during that period. The age range was liont3 weeks to 12 years 4 months with a mean age of 3.9 years. There were 53.5% males and 46.5% females. Burns accounted for 34.8% falls 25.1%. Foreign bodies 17.6% while 8% were a result of road traffic accidents. CONCLUSIONS: Traumatic burns accounted for the highest single cause of trauma at 34.8% (n = 65). 92.3% of those burnt were aged 5 years and below. Most of these burns occurred in homes and were preventable. |
| Submitted By | Jerome Nsajju |
| Submitted On | Friday, February 20th, 2009 @ 05:31:10 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Nchanga South Hospital, Chingola, Zambia D. Mugala D. Datta Konkola Copper Mines Hospitals, Zambia E. Musonda Chomba Sikasote East and Central African Journal of Surgery, Vol. 11, No. 2, 2006, pp. 105-108 |
| Related Countries | Zambia |
| Cause Of Injury | W20-W49 |
| Nature Of Injury | S20-S29 |
| Abstract | The occurrence of foreign bodies in the chests of adults is rare and when it does occur it is usually as a result of trauma. We present a case of a sewing needle in the chest of a healthy young man. The needle pricked him in the left posterior triangle of the neck and migrated and lodged in the superior and posterior mediastinum. This was successfully removed. |
| Submitted By | Jerome Nsajju |
| Submitted On | Friday, February 20th, 2009 @ 05:24:42 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
University Teaching Hospital, School of Medicine University Of Zambia, Lusaka, Zambia L. Munkonge East and Central African Journal of Surgery, Vol. 11, No. 2, 2006, pp. 72-77 |
| Related Countries | Zambia |
| Cause Of Injury | X40-X49 |
| Nature Of Injury | T51-T65 |
| Abstract | BACKGROUND: Benign Oesophageal structures are common in Zambians and pose great challenge in their management. Infants and, children are more affected than adults. Conservative and surgical treatments have been deployed in this institute and each of these methods have their advantages and disadvantages. METHODS: Operative technique consisted of 32 adult patients (15.6%) using isoperistaltic transverse colonic segment the length of which can be extended from ascending to descending colon depending on the distance between lower thyroid cartilage and the stomach. The transverse colon was passed subcutaneously. The first stage was feeding colostomy, which was followed by definitive operation. RESULTS: Two hundred and five Zambians with benign oesophageal stricture caused by ingestion of corrosive substances were seen in a period of 20 years from 1985 to 2005 inclusive. The majority (84.4%) were Zambian infants aged below 3 years. The remaining 32 patients (15.6%) were adults aged from the ages of 15 to 64 years giving a mean age of 41 years. Corrosives were taken accidentally in 84.9% while in the remaining 31 (15.1%) drank corrosives in suicidal attempt. All the babies were treated conservatively using bouginage and gastrostomy. Five infants who came in irreversible shock died. The 32 (15.6%) had gastrostomy for feeding the patients with failed attempted bouginage and got anterior sternal transverse colon oesophageal replacement. Morbidity was high but mortality was nil. We found this operation suitable for third world countries since there was no need for parental feeds. The operation restored ability to take food orally in 80% as compared to 26% of patients with bouginage. CONCLUSION: Confident vascularity depending on middle colic and left colic is guaranteed by low incidence of stenosis. The functional results are excellent as compared to minor complications which can be corrected early. |
| Submitted By | Jerome Nsajju |
| Submitted On | Thursday, February 19th, 2009 @ 07:24:55 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
MUCHS, University of Dar es Salaam, Tanzania C. Mkony M. Aboud East and Central African Journal of Surgery, Vol. 11, No. 1, 2006, pp. 118-120 |
| Related Countries | Tanzania |
| Cause Of Injury | Y40-Y84 |
| Nature Of Injury | S30-S39 |
| Abstract | BACKGROUND: Routine circumcision of boys is a common practice in Tanzania. Because sometimes it is performed by persons with no surgical training, complications, including urethro-cutaneous fistula (UCF), are not uncommon. METHODS: Five boys whose ages ranged between 4 and 12 years with UCF were seen at four Dar es Salaam hospitals between 2002 and 2005. Personal particulars, the personnel doing the circumcision, description of the repair and follow up were recorded on a data sheet. Intravenous Augmentin was given at induction of anaesthesia for the fistula repair. A urethral catheter was inserted, and then a tourniquet was applied at the base of the penis. After incision and development of skin flaps the urethra was closed, a layer of dartos fascia interposed, followed by closure of the skin, all with 6/0 Vicryl. A compression dressing was applied, and the catheter was left in for 5-7 days. RESULTS: The boys ranged in age between 5 and 12 years, and had undergone circumcision at age 2 to 12 years. All patients were circumcised by paramedical personnel or a traditional practitioner. Urine leakage commenced 2 days to 2 weeks after circumcision. Four boys had coronal while one had a glandular UCF. No post repair complication was reported after follow up of 3 to 20 weeks. CONCLUSION: Use of fine synthetic absorbable sutures and careful closure of the fistula with interposition of a pedicles dartos graft, are the main prerequisites for success. Attention to details of surgical technique can produce consistently good results in repair of UCF. |
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