Search our Database of Scientific Publications and Authors

I’m looking for a

    610 results match your criteria African journal of paediatric surgery : AJPS[Journal]

    1 OF 13

    Neonatal neuroblastoma with adrenal primary and metastasis to the liver: A case report and a review of literature.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):217-222
    Department of Radiodiagnosis, Lagos University Teaching Hospital, Lagos, Nigeria.
    We report the case of a 23-day-old neonate with neuroblastoma (NBL) in the right adrenal gland and widespread metastases to the liver. This raises the possibility of foetal NBL, which was missed during periodic ultrasonography done during the mother's pregnancy. We hope that this report would increase the awareness of physicians about foetal, congenital and neonatal NBL; and of sonographers about space-occupying lesions in the foetus. Read More

    Unusual presentations of child abuse: A report of two cases and the role of imaging.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):213-216
    Department of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria.
    Insufficient attention has been paid to child abuse in Nigeria, where corporal punishment is still acceptable both at home and in the wider public including schools. This is notlimited to the parents; these punitive measures can also be undertaken by the extended family, caregivers, and neighbors. Mild to extreme force is allowed particularly when the crime involves tarnishing the family image. Read More

    Thoracic heteropagus conjoined twins associated to an omphalocele: Report of a case and complete review of the literature.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):209-212
    Department of Pediatric Surgery, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
    Heteropagus twins are an extremely rare event with an incidence of 1-2 million live births that represents, sometimes, a real challenge for paediatric surgeons. The majority of cases have complete or partial duplication of the pelvis and/or lower extremities. Thoracic heteropagus conjoined twins is a rare condition in which a grossly defective foetus (the parasite) is attached to the thorax of the main foetus (the autosite). Read More

    Appendicular bilharzioma: An unusual cause of acute intestinal obstruction in childhood (a case report at Charles de Gaulle Paediatric Teaching Hospital of Ouagadougou).
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):206-208
    Department of Paediatric Surgery, Charles de Gaulle Paediatric Teaching Hospital, Ouagadougou, Burkina Faso.
    The authors report the case of a 12-year-old boy admitted to the surgical emergency department of Charles de Gaulle Paediatric Teaching Hospital of Ouagadougou for acute abdominal pain. A strangulation of the terminal ileum by a tumour-like appendix wound around the bowel loop was seen during operation. The histological examination of the removed appendix disclosed eggs of Schistosoma haematobium and concluded to bilharzian appendicitis. Read More

    Simultaneous occurrence of intussusception and duodenal haematoma in a patient with Glanzmann's thrombasthenia.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):202-205
    Department of Pediatric Surgery, Zayed Military Hospital, Abu Dhabi, United Arab Emirates.
    Glanzmann's thrombasthenia (GT) is a rare autosomal recessive disorder in which the platelets have anomalies of fibrinogen receptors causing bleeding tendencies. The disease usually presents with mucosal bleeding, petechial haemorrhages or gastrointestinal (GI) bleeding. Only sporadic cases of intussusception or duodenal haematoma have been reported with GT. Read More

    Acute neonatal parotid abscess: A rare case report.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):199-201
    Department of Surgery, Krishna Institute of Medical Sciences, Karad, Satara, Maharashtra, India.
    Acute suppurative parotitis is uncommon in children and is very rare in neonates. Most common organism isolated is Staphylococcus aureus. We present a 15-day-old full-term breast-fed female neonate with left-sided acute parotid abscess. Read More

    Impact of umbilical polyp resection: A report and literature review.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):196-198
    Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
    The preferred treatment for this lesion should be the total resection of the umbilical polyp with a mini-laparotomy because residual intestinal mucosa at the umbilicus can be confirmed to eliminate the risk of recurrence. Read More

    Our experience of proximal hypospadias repair using the Cloutier-Bracka technique at the Gynaeco-Obstetric and Paediatric Hospital, Yaounde-Cameroon.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):193-195
    Lyon Teaching Hospital, France.
    Background: In parts of Africa, routine circumcision is practised and sometimes even on children with hypospadias. The lack of preputial foreskin renders urethroplasty more difficult and often requires to use of a mucosal graft as described by Bracka.

    Objective: The authors describe their experience of hypospadias repair using Bracka's technique. Read More

    Non-laparoscopic minimal surgical approach to pyloromyotomy: An experience from a challenged resource setting.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):189-192
    Division of Pediatric Surgery, Department of Surgery, College of Medicine, King Faisal University, Al Ahsa, KSA.
    Background: The aim of the study is to review the experience with the classic Ramstedt's pyloromyotomy through the RUQ approach and the circumlinear supraumbilical fold approach (circumumbilical [CU]) pyloromyotomy (an approach that combines the ease and safety of the open pyloromyotomy with the advantages of minimal invasiveness).

    Patients And Methods: A single centre review in a period of 12 years from January 2001 to December 2013 with the institutional ethical committee's approval, evaluating 316 pyloromyotomies based on surgical approach: RUQ (171); and CU (145). Patients' demographics, acid-base/electrolyte status on presentation, mean operative time (MOT), postoperative length of stay (LOS) at hospital, and complications were recorded. Read More

    Outcome of primary closure of abdominal wounds following laparotomy for peritonitis in children.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):185-188
    Department of Surgery, Division of Paediatric Surgery, National Hospital, Abuja, Nigeria.
    Background: Primary wound closure following laparotomy for peritonitis is generally believed to be associated with wound complications and long hospital stay. Open wound management has long been the most common practice after laparotomy for peritonitis. Primary closure (PC), however, has recently been advocated to reduce cost and morbidity. Read More

    Evaluation of the use of laparoscopic-guided cholecystocholangiography and liver biopsy in definitive diagnosis of neonatal cholestatic jaundice.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):181-184
    Department of Pediatric Surgery, Asser Central Hospital and Abha Maternity Children Hospital, Abha, Saudi Arabia.
    Background: Once it is established that a jaundiced infant has direct hyperbilirubinemia, the principal diagnostic concern is to differentiate hepatocellular from obstructive cholestasis. Traditional tests such as ultrasonography, percutaneous liver biopsy and technetium 99 m hepatobiliary iminodiacetic acid (HIDA) scan are often not sufficiently discriminating. Definitive exclusion of biliary atresia (BA) in the infant with cholestatic jaundice usually requires mini-laparotomy and intra-operative cholangiography. Read More

    Typhoid perforation: Post-operative Intensive Care Unit care and outcome.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):175-180
    Department of Anaesthesia, University College Hospital, Ibadan, Nigeria.
    Background: Typhoid perforation ileitis is a serious complication of typhoid fever, a common and unfortunate health problem in a resource-poor country like Nigeria. Following bowel perforation, treatment is usually by simple closure or bowel resection and anastomosis after adequate aggressive fluid resuscitation and electrolyte correction. Postoperatively, some of these patients do require management in Intensive Care Unit (ICU) on account of sepsis or septic shock and to improve survival. Read More

    Meckel's diverticulum in children: Our 12-year experience.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):170-174
    Department of Pediatric Surgery, PGIMS, Rohtak, Haryana, India.
    Background: Meckel's diverticulum (MD) is the one of the most common congenital malformation of gastrointestinal tract and has varied clinical presentations. We are presenting here our 12-year experiences with MD in children at tertiary care hospital in North India. It highlights the fact that isolated gangrene of MD can occur, and it is associated with increased morbidity. Read More

    Childhood intussusception: Impact of delay in presentation in a developing country.
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):166-169
    Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
    Background: The classical cases of intussusception are readily diagnosed clinically, and despite recent improvements in radiological techniques, the diagnosis of intussusception and success in its nonoperative reduction has been suboptimal, thus making operative management a veritable backup. This study examined the impact of delays in presentation on the rate of bowel resection, length of hospital stay, and appraised the outcome of operative treatment.

    Patients And Methods: This was a retrospective study of consecutive children admitted and treated surgically for intussusception between January 2002 and December 2011 at the University College Hospital, Ibadan, Nigeria. Read More

    Experience with neonatal hydrometrocolpos in the Niger Delta area of Nigeria: Upsurge or increased recognition?
    Afr J Paediatr Surg 2016 Oct-Dec;13(4):161-165
    Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
    Background: Hydrometrocolpos (HMC) is a clinical condition in which there is a cystic distension of the vagina (hydrocolpos), uterus and sometimes, fallopian tubes (hydrosalpinx) with fluid. This study described our experience with cases of HMC seen in our practice, and highlighted the flare in our practice.

    Patients And Methods: A retrospective study of cases of HMC managed at the University of Port Harcourt Teaching Hospital between September 2010 and August 2012. Read More

    Penetrating chest wound of the foetus.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):155-7
    Department of Paediatric Surgery, Charles de Gaulle Paediatric Teaching Hospital, Ouagadougou, Burkina Faso.
    Traumas of the foetus caused by stabbings are rare but actually life-threatening for both the foetus and the mother. We report a case of penetrating chest wound on a baby taken from the obstetrics unit to the paediatric surgical department. His mother was assaulted by his father, a mentally sick person with no appropriate follow-up. Read More

    A case report of Cowper's syringocele in an 18-months old infant at the Yaoundé Gynaeco-Obstetric and Pediatric Hospital.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):152-4
    Lyon Teaching Hospital, Lyon, France.
    Syringocele or dilatation of the duct of the bulbo-urethral (Cowper's) gland is usually of congenital origin but can be acquired. It is a very rare deformity, <10 cases have been reported in literature. The main objective is to describe an additional case of syringocele of Cowper's glands and review the literature. Read More

    Laparoscopic management of an axially torsed gangrenous Meckel's diverticulum in a child.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):150-1
    Department of Pediatric Surgery, Hedi Chaker Hospital, 30219 Sfax, Tunisia.
    Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract. Most often is asymptomatic but it may give a number of complications including gastrointestinal bleeding, obstruction and inflammation. Axial torsion and gangrene of MD are exceptional. Read More

    Mixed gonadal dysgenesis in Yaoundé: A preliminary experience about three cases.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):145-9
    Lyon Teaching Hospital, Lyon, France.
    Unlabelled: Mixed gonadal dysgenesis is characterised by unilateral chromosomal abnormality, which is probably the result of anaphase lag during mitosis. The 45, XO/46, XY karyotype is the most common form of mosaicism involving the Y chromosome. It is a rare clinical entity with a worldwide incidence of 1. Read More

    The value of using loupe magnification and methylene blue dye in intra-operative identification of thyroglossal duct tract.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):140-4
    Department of ENT, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
    Background: This was a comparative randomised study to find out the value of using loupe magnification and methylene blue dye in identification of the thyroglossal duct and to compare between them.

    Patients And Methods: Twenty-two patients who presented with infrahyoid thyroglossal duct cyst were subjected to excision of the cyst with two methods for identification of thyroglossal duct track during the operation. Data were anlysed for identification of multiple tracts, the tract relation to the hyoid bone, incidence of complications and operative time. Read More

    Association between plasma kisspeptin levels and adolescent gynecomastia.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):136-9
    Department of Pediatric Surgery, Faculty of Medicine, Acibadem University, Istanbul, Turkey.
    Background: Gynecomastia is defined as benign proliferation of male breast glandular tissue. To date, the pathophysiology of adolescent gynecomastia (AG) remains unclear. Kisspeptin is a polypeptide that plays an important role in the regulation of the hypothalamic-pituitary-gonadal hormonal axis. Read More

    Digital camera image analysis of faeces in detection of cholestatic jaundice in infants.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):131-5
    Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
    Background: Stool colour assessment is a screening method for biliary tract obstruction in infants. This study is aimed to be a proof of concept work of digital photograph image analysis of stool colour compared to colour grading by a colour card, and the stool bilirubin level test.

    Materials And Methods: The total bilirubin (TB) level contents in stool samples from 17 infants aged less than 1 year, seven with confirmed cholestatic jaundice and ten healthy subjects was measured, and outcome correlated with the physical colour of the stool. Read More

    Lower limbs deformities in patients with McCune-Albright syndrome: Tomography and treatment.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):125-30
    Paediatric Department, Orthopaedic Hospital of Speising, Vienna, Austria.
    Background: The skeletal changes in McCune-Albright disease are usually severe because of the polyostotic form of the disease. Trendelenberg gait and limited mobility are the most common presenting features. The constellation of Café-au lait spots and polyostotic bone involvement is commonly referred to as McCune-Albright's syndrome (MAS). Read More

    Clinical spectrum of neonates presenting with pneumoperitoneum: A retrospective study.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):120-4
    Department of Paediatric Surgery, Benha Children Hospital, Banha, Kaliobeya, Egypt.
    Background: Neonatal pneumoperitoneum is attributed, in most of the reported cases, to necrotising enterocolitis (NEC). There are also other causes leading to free intraperitoneal air. The aim of this study is to describe the clinical spectrum, causes, management and outcome of neonates admitted with pneumoperitoneum in the paediatric surgery unit of a university hospital. Read More

    Management of oesophageal atresia in a developing country: Is primary repair forbidden?
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):114-9
    Department of Anaesthesia, Korle-Bu Teaching Hospital, Accra, Ghana.
    Background: The aim of the study was to evaluate the outcomes of initial surgical procedures for oesophageal atresia at our institution. Primary repair of oesophageal atresia at our centre was perceived to be associated with a high mortality rate. In view of this, almost all patients seen since January 2014 were offered initial surgery for staged repair. Read More

    Physiological marker and surgical ligation of patent ductus arteriosus in neonates.
    Afr J Paediatr Surg 2016 Jul-Sep;13(3):109-13
    Division of Paediatric Surgery, Tygerberg Hospital, University of Stellenbosch, Cape Town 7505, South Africa.
    Background: In preterm infants, immediate complications of surgical closure of a patent ductus arteriosus (PDA) are often serious and due to haemorrhage or ligation of incorrect structures. The aim of this study was to measure blood pressure (BP) changes during ligation and hence introduce a novel physiological marker to alert surgeons to the ligation of incorrect structures.

    Materials And Methods: This study included 146 preterm babies (≤35 weeks of gestation) who underwent surgical PDA closure of a left-to-right unidirectional PDA between June 2006 and December 2015. Read More

    Aneurysmal femoral neck cyst: Report of a paediatric case and review of literature.
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):103-106
    Department of Pediatric Surgery, Aristide Le Dantec Hospital, Dakar, Senegal.
    The aneurysmal bone cyst (ABC) is a benign tumour of children and young adults. It represents approximately 1-2% of all bone tumours. The ABC may develop on all skeletal bones, but the proximal end of the femur is the most common location. Read More

    Laparoscopic treatment of adrenal masses in children: Report of two cases and review of literature.
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):98-102
    Department of Science and Pediatric Surgery, Operative Unit of Pediatric Surgery, Policlinico-Giovanni XXIII University Hospital, Bari, Italy.
    Laparoscopic adrenalectomy has become a common alternative to open surgery for the resection of adrenal lesions in adults: The advantages are to provide better exposure of the adrenal gland, diminish soft tissue dissection, decrease morbidity and postoperative pain; however, reporting on the laparoscopic adrenalectomy in paediatric patients has been limited. We present two cases of laparoscopic adrenalectomy performed at our institution in two children, for left adrenal neuroblastoma in a first patient with opsomyoclonus syndrome, and for a right incidentaloma in the second case. According to recent literature, our experience has demonstrated that the laparoscopic adrenalectomy is a feasible procedure in children with small, well-circumscribed adrenal masses: It can be used a safety to treat suspected benign and malignant adrenal masses in children, with minimal morbidity and short hospital stay. Read More

    Volvulus of the jejunum on cystic lymphangioma: About a clinical case.
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):95-97
    Department of Surgery at the Teaching Hospital Gabriel Touré, Mali, Mali.
    Intestinal volvulus on mesenteric cysticum lymphangioma (CL) is rare in children. The clinical picture is not very suggestive. We report a case of intestinal volvulus on CL in a 7-year-old girl after an abdominal trauma. Read More

    Corrections of diverse forms of lower limb deformities in patients with mucopolysaccharidosis type IVA (Morquio syndrome).
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):88-94
    Department of Paediatric, Orthopaedic Hospital of Speising, Vienna, Austria.
    Background: Thoracolumbar kyphosis has been considered as the first presenting deformity and is often a key diagnostic clue noted in children with mucopolysaccharidosis (MPS) type IV (Morquio's syndrome). However, we observed that the progressive irregularities of the epiphyses of the long bones were the most prominent skeletal pathology, causing effectively the development of diverse forms of lower limbs deformities with extreme variation in age of onset.

    Materials And Methods: Ten patients (seven children and three adults) with an average age of 15 years have been enrolled in this study. Read More

    How to manage a late diagnosed Hirschsprung's disease.
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):82-7
    Department of Pediatric Surgery, School of Medicine, Mohammed VI University Hospital, Cadi Ayyad University, Marrakesh, Morocco.
    Background: How to manage a late diagnosed Hirschsprung's disease (HD) and how to avoid calibre discrepancy?

    Subjects And Methods: A retrospective study of all patients diagnosed with HD over 2 years in our hospital from January 2009 to December 2012. Data were analysed for clinical presentations, investigations, surgical procedures and post-operative outcome.

    Results: Fifteen patients, operated by one single surgeon, were included in this study. Read More

    Paediatric day-case neurosurgery in a resource challenged setting: Pattern and practice.
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):76-81
    Department of Anaesthesia and Intensive Care, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
    Background: It has been generally observed that children achieve better convalescence in the home environment especially if discharged same day after surgery. This is probably due to the fact that children generally tend to feel more at ease in the home environment than in the hospital setting. Only few tertiary health institutions provide routine day-case surgery for paediatric neurosurgical patients in our sub-region. Read More

    Is there any correlation between radiologic findings and eradication of symptoms after pyloromyotomy in hypertrophic pyloric stenosis?
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):73-5
    Division of Pediatric Surgery, Children's Hospital; Department of General and Vascular Surgery, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
    Background: Hypertrophic pyloric stenosis (HPS) is one of the most common gastrointestinal disorders during early infancy, with an incidence of 1-2:1000 live births in the world. In this study, we aimed to investigate the correlation between radiologic findings and eradication of symptoms after pyloromyotomy in HPS.

    Materials And Methods: One hundred and twenty-five (102 boys and 23 girls) patients with suspected infantile HPS were treated surgically by Ramstedt pyloromyotomy between March 21, 2004 and March 20, 2014 at paediatric surgery ward of Tabriz Children's Hospital, Iran. Read More

    Our experience with pre-operative haemostatic assessment of paediatric patients undergoing adenotonsillectomy at Federal Medical Centre, Makurdi.
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):69-72
    Department of Surgery, Benue State University Teaching Hospital, Makurdi, Nigeria.
    Background: In 2-4% of all patients requiring adenoidectomy, tonsillectomy or adenotonsillectomy, pre-operative screening tests for coagulation disorders are indicated to detect surgical bleeding complications. However, because of cost effect on the patients, the usefulness of these tests is being challenged. We therefore highlight our experience in paediatric patients undergoing adenoidectomy, tonsillectomy or both in our centre. Read More

    Diagnostic value of anti-smooth muscle antibodies and liver enzymes in differentiation of extrahepatic biliary atresia and idiopathic neonatal hepatitis.
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):63-8
    Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
    Background: We aimed to evaluate the diagnostic value of anti-smooth muscle antibodies (ASMA) and two liver markers (gamma-glutamyl transpeptidase [GGT] and alkaline phosphatase [ALP]) for differentiating between patients with extrahepatic biliary atresia (EHBA) and idiopathic neonatal hepatitis (INH).

    Materials And Methods: During April 2010-2011, all infants at 2 weeks of age who were diagnosed with cholestasis and admitted to Children's Hospital of Tabriz were enrolled. Based on the results of physical examination, laboratory, imaging and pathological studies, neonates were divided into two groups (EHBA and INH). Read More

    Congenital retrosternal hernias of Morgagni: Manifestation and treatment in children.
    Afr J Paediatr Surg 2016 Apr-Jun;13(2):57-62
    Department of Pediatric Surgery, Institute of Pediatrics, Obstetrics and Gynecology, Kyiv, Ukraine.
    Background: Due to scarcity of congenital diaphragmatic hearnias of Morgagni (CDHM), non-specific clinical presentation in the pediatric age group, we aimed to investigate the incidence, clinical manifestations, anatomical characteristics, and develop diagnostic algorithm and treatment of CDHM in children.

    Materials And Methods: The patients' records of children with CDHM treated in our hospital during past 20 years were retrospectively reviewed for the age at diagnosis, gender, clinical findings, anatomical features, operative details and outcome.

    Results: Since 1995 to 2014 we observed 6 (3 boys, 3 girls) patients with CDHM, that comprise 3. Read More

    Oesophageal pseudodiverticulum after foregut duplication cyst excision: Case report and literature review.
    Afr J Paediatr Surg 2016 Jan-Mar;13(1):50-3
    Department of Pediatric Surgery, University Hospital Case Medical Center, Rainbow Babies and Children Hospital, Cleveland, Ohio, USA.
    Oesophageal pseudodiverticula rarely occur after excision of benign oesophageal neoplasms. While management and outcomes have been reported in the adult leiomyoma literature, sparse data exist on the occurrence and management of pseudodiverticula after foregut duplication cyst excision. We discuss our experience with a paediatric patient and review relevant literature regarding operative techniques and surgical outcomes. Read More

    Congenital diaphragmatic hernia, Meckel's diverticulum and malrotation in a 3-month-old infant.
    Afr J Paediatr Surg 2016 Jan-Mar;13(1):47-9
    Department of Pediatric Surgery, Dolphin Children's Hospital, Hyderabad, Telangana, India.
    Congenital diaphragmatic hernia (CDH) is a common developmental anomaly that usually presents in the neonatal period. It is known to be associated with cardiac, renal, genital and chromosomal anomalies. Late presentation of CDH (beyond 1-month of age) is seen in 13% of the cases. Read More

    Early diagnosis of post-varicella necrotising fasciitis: A medical and surgical emergency.
    Afr J Paediatr Surg 2016 Jan-Mar;13(1):44-6
    Department of Paediatrics, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
    Necrotising fasciitis (NF) is an extremely rare complication of a rather common paediatric viral exanthem varicella. Delayed diagnosis and treatment can lead to significant morbidity and mortality. Laboratory risk indicator of NF score aids in early clinical diagnosis in suspected cases of post-varicella NF thus enabling timely intervention. Read More

    Endoscopic removal of impacted oesophageal foreign body: A case report and a review of literature.
    Afr J Paediatr Surg 2016 Jan-Mar;13(1):41-3
    Department of Paediatrics, Federal Medical Centre, Lokoja, Nigeria.
    Foreign body (FB) impaction in the oesophagus is fairly common in paediatric Gastroenterology practice. This study aims to describe a case of an unusually impacted button lithium battery, in the mid-oesophagus of a 7-year-old child that was confirmed, and removed during oesophagogastroduodenoscopy. A 7-year-old male child, presented at the Emergency Paediatric Unit of our hospital with a history of ingestion of a button-like metallic object. Read More

    Umbilical only access laparoscopic pyeloplasty in children: Preliminary report.
    Afr J Paediatr Surg 2016 Jan-Mar;13(1):36-40
    Department of Urology, KLE University's - JN Medical College, KLES Dr. Prabhakar Kore Hospital and MRC, Belagavi - 590 010, Karnataka, India.
    Background: Over the past three decades, laparoscopic surgery has become a well-established alternative to open surgery in the management of ureteropelvic junction (UPJ) obstruction. Currently, several efforts are being made, aimed at further reducing the morbidity associated with conventional laparoscopy. We report our experience with modified umbilical port laparoscopic pyeloplasty in children. Read More

    Forgotten/retained double J ureteric stents: A source of severe morbidity in children.
    Afr J Paediatr Surg 2016 Jan-Mar;13(1):32-5
    PG Department of Studies in Biotechnology and Microbiology, Karnatak University, Dharwad, Karnataka, India.
    Background: The increase in the usage of double J (DJ) ureteral stents in the management of a variety of urinary tract disease processes mandates familiarity with these devices, their consequences and their potential complications, which at times can be devastating. We retrospectively reviewed our series of children with forgotten/retained DJ ureteric stents.

    Materials And Methods: Hospital records of all patients' <18 years old who underwent removal of forgotten/retained DJ ureteral stent at our hospital were reviewed for age, gender, indication for insertion of DJ stent, duration of stent insertion, radiological images and surgical procedures performed. Read More

    Comparison of trans-perineal ultrasound-guided pressure augmented saline colostomy distension study and conventional contrast radiographic colostography in children with anorectal malformation.
    Afr J Paediatr Surg 2016 Jan-Mar;13(1):26-31
    Department of Radiology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
    Background: In children with high and intermediate anorectal malformation, distal colostography is an important investigation done to determine the relationship between the position of the rectal pouch and the probable site of the neo-anus as well as the presence or absence of a fistula. Conventionally, this is done using contrast with fluoroscopy or still X-ray imaging. This, however, has the challenges of irradiation, availability and affordability, especially in developing countries. Read More

    One-stage vs. three-stage repair in anorectal malformation with rectovestibular fistula.
    Afr J Paediatr Surg 2016 Jan-Mar;13(1):20-5
    Department of General Surgery, Kermanshah University of Medical Sciences, Kermanshah, Nigeria.
    Background: Anorectal malformations (ARMs) disease is one of the congenital anomalies with an incidence of about 1 in 5000 neonate births, and treatment requires surgical intervention. Selecting the one- or three-step surgical procedure to treat the disease, especially in female neonates with rectovestibular fistula, is a subject of debate. This study aims to compare the advantages and disadvantages of these two methods. Read More

    Correlation between adenoidal nasopharyngeal ratio and symptoms of enlarged adenoids in children with adenoidal hypertrophy.
    Afr J Paediatr Surg 2016 Jan-Mar;13(1):14-9
    Department of Radiology, Lautech Teaching Hospital, Ogbomoso, Oyo State, Nigeria.
    Background: Adenoid hypertrophy is one of the most common health problems affecting the paediatric population. This study aims to correlate adenoidal nasopharyngeal ratio (ANR) with symptoms of enlarged adenoids in children with enlarged adenoids.

    Materials And Methods: It was a year, cross-sectional, hospital-based study conducted at Lautech Teaching Hospital, Osogbo. Read More

    Topical tranexamic acid as a novel treatment for bleeding peptic ulcer: A randomised controlled trial.
    Afr J Paediatr Surg 2016 Jan-Mar;13(1):9-13
    Department of Pediatrics, Tabriz University of Medical Sciences, Tabriz, Iran.
    Background: Peptic ulcers are among the most common causes of upper gastrointestinal (GI) bleeding in children. The standard care for GI bleeding is endoscopy for diagnostic and therapeutic purposes. We aimed to assess the effect of topical tranexamic acid (TXA) via endoscopic procedures in children with GI bleeding caused by bleeding ulcers. Read More

    1 OF 13