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


Post-varicella necrotising fasciitis.

Authors:
Viroj Wiwanitkit

Afr J Paediatr Surg 2017 Jul-Sep;14(3):59

Department of Community Medicine, Dr DY Patil University, Mumbai, Maharashtra, India.

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http://dx.doi.org/10.4103/ajps.AJPS_48_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881289PMC
July 2018
6 Reads

Intraperitoneal cerebrospinal fluid pseudocyst with ventriculoperitoneal shunt.

Afr J Paediatr Surg 2017 Jul-Sep;14(3):56-58

Department of Neurosurgery, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Ventriculoperitoneal (VP) shunting is mostly used in the treatment of hydrocephalus and many complications have been reported with this method. Abdominal Pseudocyst (APC) are relatively uncommon but important complications in patients with VP shunts. We herein report the case of a 9-year-old boy with VP shunt who presented with abdominal distension, abdominal pain, malaise, and decrease of appetite. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_94_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881288PMC
June 2018
14 Reads

Congenital absence of jejunum and ileum: A case report and literature review.

Afr J Paediatr Surg 2017 Jul-Sep;14(3):53-55

Department of Pediatric Surgery, SVP Postgraduate Institute of Pediatrics, Cuttack, Odisha, India.

We report an extremely rare finding 'congenital absence of jejunum and ileum' during explorative laparotomy of a 16-day-old female neonate. The dilated duodenum was terminating blindly, and the next segment of intestine was a peanut-sized cecum followed by microcolon. On an extensive survey of literature this type of intestinal atresia is not reported in living babies. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_63_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881287PMC
June 2018
5 Reads

Acute mechanical intestinal obstruction in children at zinder national hospital, Niger: Aetiologies and prognosis.

Afr J Paediatr Surg 2017 Jul-Sep;14(3):49-52

Department of Postoperative and Intensive Care, National Hospital of Zinder, University of Zinder, Zinder, Niger.

Background: To describe the aetiological and prognostic aspects of acute mechanical intestinal obstruction (AMIO) in children at Zinder National Hospital (Niger).

Materials And Methods: This was a cross-sectional study on a period to January 2013-June 2015. The database included all children under 15 years of age with a surgical diagnosis of mechanical intestinal obstruction. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_96_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881286PMC
June 2018
16 Reads

Acute presentation of koch's abdomen in children: Our experience.

Afr J Paediatr Surg 2017 Jul-Sep;14(3):43-48

Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Background: To analyse our experience with acute presentations of abdominal tuberculosis (TB) in children for early diagnosis and management.

Materials And Methods: From December 2010 to April 2016, available electronic and operation theatre (OT) records of 17 patients with confirmed diagnosis of abdominal TB were analysed retrospectively. Parameters reviewed were age, sex, presentations, diagnostic investigations, surgery/intervention performed, final outcome and follow-up. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_91_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881285PMC
June 2018
7 Reads

Oral and maxillofacial tumours in children and adolescents: Clinicopathologic audit of 75 cases in an academic medical centre, Sokoto, Northwest Nigeria.

Afr J Paediatr Surg 2017 Jul-Sep;14(3):37-42

Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.

Background: Maxillofacial tumours in children and adolescents have been documented worldwide; however, few studies were reported from Africa, especially sub-Saharan Africa. In Nigeria, most of the studies emanated from the Southwest region.

Aim: To present an audit of clinicopathologic features and treatment of orofacial tumours in children and adolescents in Sokoto, Northwest Nigeria. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_81_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881284PMC
June 2018
10 Reads

Reoperation of Anastomotic Stricture after Oesophageal Atresia Repair: An Uncommon Event.

Afr J Paediatr Surg 2017 Apr-Jun;14(2):34-36

Department of Pediatric Surgery, Teaching Hospital of Treichville, 01BPV03 Abidjan 01; FELIX HOUPHOUET-BOIGNY, University of Abidjan, Côte d'Ivoire.

Oesophageal atresia is a common malformation in which the survival rate in developed countries is around 90%, while its mortality remains very high in developing countries. Oesophageal stricture post-oesophageal atresia repair is traditionally treated by non-surgical approach. However, surgical resection of the oesophageal stricture may be necessary after the failure of dilations. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_62_15DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868234PMC
June 2018
5 Reads

Unusual Ileal Anomalies Associated with Omphalomesenteric Duct Remnants.

Afr J Paediatr Surg 2017 Apr-Jun;14(2):32-33

Department of Pediatric Surgery, School of Medicine, Mother and Child Hospital, Mohammed VI Teaching Hospital, University Cadi Ayyad, Marrakesh, Morocco.

The association between omphalomesenteric duct remnants and other digestive tract malformations is not rare. Most associated anomalies are reported with Meckel's diverticulum. We report two associated anomalies which were never reported: an ileal stenosis and an ileal duplication. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_67_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868233PMC
June 2018
6 Reads

One or Two Stages Procedure for Repair of Rectovestibular Fistula: Which is Safer? (A Single Institution Experience).

Afr J Paediatr Surg 2017 Apr-Jun;14(2):27-31

Department of Pediatric Surgery, Zagazig University Hospital, Zagazig, Egypt.

Background: Rectovestibular fistula (RVF) is the most common type of anorectal malformations in females. The need for a diverting colostomy during correction of defect has ignited a heated debate. In this study, we reviewed the girls with RVF that had been treated by either one or two stage procedure in the past 10 years in our institution to define whether one stage or two stage procedures is safer and more beneficial for the patients. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_61_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868232PMC
June 2018
8 Reads

Retroperitoneoscopic Varicocelectomy in Adolescents: Long-term Follow-up in Two Italian Centres.

Afr J Paediatr Surg 2017 Apr-Jun;14(2):24-26

Department of Medical, Surgical and Neurological Science, Pediatric Surgery Unit, University of Siena, 53100 Siena, Italy.

Background: The varicocele is the most commonly diagnosed pre-pubertal andrological condition with an incidence of 10%-15% between adolescents. The aim of this study was to evaluate the efficacy of retroperitoneoscopic varicocelectomy (RV) in two Italian centres with particular attention to post-operative testicular volume and semen analysis after 18 years of life.

Materials And Methods: From 1999 to 2010, 286 adolescents underwent retroperitoneoscopic left varicocelectomy. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_58_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868231PMC
June 2018
11 Reads

Factors Associated with the Risk of Persistent Gastrostomy Site Infection Following Laparoscopic or Open Nissen Fundoplication.

Afr J Paediatr Surg 2017 Apr-Jun;14(2):21-23

Department of Gastroenterological Surgery, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Background: Gastrostomy for feeding disorders or swallowing dysfunctions can be complicated by persistent gastrostomy site infection (PGSI). PGSI causes nutrient leakage, with dilated PGSI requiring gastrostomy reconstruction. The purpose of this study was to evaluate the causes, patient characteristics, and perioperative management of PGSI after Nissen fundoplication and gastrostomy for patients with gastro-oesophageal reflux. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_57_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868230PMC
June 2018
8 Reads

Erratum: Transanal protrusion of intussusception in children.

Authors:

Afr J Paediatr Surg 2017 Jan-Mar;14(1):19

[This corrects the article DOI: 10.4103/0189-6725.137331]. Read More

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http://dx.doi.org/10.4103/0189-6725.226200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853018PMC
March 2018
5 Reads

Pre-exposure and Post-exposure prophylaxis for dog bites.

Afr J Paediatr Surg 2017 Jan-Mar;14(1):18

Department of Medical Science, Faculty of Medicine, University of Nis, Nis, Serbia.

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http://dx.doi.org/10.4103/ajps.AJPS_66_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853017PMC
June 2018
5 Reads

Successful reconstruction of congenital perineal skin defect using gluteal-fold bilobed perforator flap.

Afr J Paediatr Surg 2017 Jan-Mar;14(1):15-17

Department of Plastic and Reconstructive Surgery, National Hospital Organization Nagasaki Medical Center, Nagasaki, Japan.

Perineovaginorectal defect usually requires surgical repair; however, direct closure often leads to dehiscence. We present two patients with a congenital perineal skin defect who were successfully treated using a gluteal-fold bilobed perforator flap. This flap facilitates esthetic restoration and a more natural perineovaginorectal appearance, using only a one-stage procedure. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_29_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853016PMC
June 2018
6 Reads

Chronic recurrent vomiting associated with primary gastric volvulus in infant: A case report and review of literature.

Afr J Paediatr Surg 2017 Jan-Mar;14(1):12-14

Department of Radiology, AIIMS, Patna, Bihar, India.

Gastric volvulus is an uncommon entity found in the paediatric population. We are reporting a case of chronic gastric volvulus presented to us with the complaints of recurrent vomiting after each feed. The vomiting was projectile, nonbilious, and the content was milk. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_36_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853015PMC
June 2018
11 Reads

Delayed primary end-to-end anastomosis for traumatic long segment urethral stricture and its short-term outcomes.

Afr J Paediatr Surg 2017 Jan-Mar;14(1):8-11

Department of Paediatric Surgery, Apollo Gleneagles Hospital, Kolkata, West Bengal, India.

Background:: The purpose of this study is to evaluate the aetiology of posterior urethral stricture in children and analysis of results after delayed primary repair with extensive distal urethral mobilisation.

Materials And Methods: This was a retrospective study carried out in a tertiary care centre from January 2009 to December 2013.

Results:: Eight children with median age 7. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_38_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853020PMC
June 2018
14 Reads

Is the plastibell of any haemostatic value after 24 h?

Afr J Paediatr Surg 2017 Jan-Mar;14(1):5-7

Department of Surgery, Burns and Plastic Surgery Unit, College of Medicine, University of Lagos, Idi Araba, Lagos, Nigeria.

Background: The Plastibell is the most popular circumcision method among mothers in our city. Haemorrhage is its major problem. At our centre, we have recorded many circumcision problems resulting from prolonged retention of the Plastibell ring and this study, therefore, sought to explore the ways of reducing complications resulting from prolonged retention of the ring. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_19_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853019PMC
June 2018
9 Reads

Paediatric ureterolithotripsy: Tips and tricks - Experience at a single center.

Afr J Paediatr Surg 2017 Jan-Mar;14(1):1-4

Department of Paediatric Surgery, Dr. Ulhas Patil Medical College and Hospital, Jalgaon, Maharashtra, India.

Background: Paediatric stone disease is very common in certain regions of India. Traditionally, the endourology for the stones even in paediatric age group is managed by adult urologist and paediatric surgeons tend to do open surgeries. The nonavailability of paediatric size equipments and lack of training at the teaching and tertiary care paediatric surgical centers in India are factors due to which there is continued apathy of paediatric surgeons to endourology. Read More

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http://dx.doi.org/10.4103/0189-6725.226199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853014PMC
June 2018
12 Reads

Extrahepatic biliary atresia, liver function tests, and hemoglobin variants.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):61-62

2nd Department of Pediatrics, Medical School, AHEPA University General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

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http://dx.doi.org/10.4103/ajps.AJPS_124_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419553PMC
March 2019
1 Read

Plastibell circumcision.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):60

Deaprtment of Tropical Medicine, Hainan Medical University, Haikou, China.

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http://dx.doi.org/10.4103/ajps.AJPS_16_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419544PMC

The evolving surgical approaches in challenged resource settings.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):58-59

S.C. di Clinica Chirurgica Pediatrica, University of Perugia, S. Maria Della Misericordia Hospital, Perugia, Italy.

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http://dx.doi.org/10.4103/ajps.AJPS_13_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419551PMC

Meckel's diverticulum: Is this the time for a large multicentric study?

Afr J Paediatr Surg 2018 Jan-Mar;15(1):56-57

S.C. di Clinica Chirurgica Pediatrica, University of Perugia, S. Maria Della Misericordia Hospital, Perugia, Italy.

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http://dx.doi.org/10.4103/ajps.AJPS_12_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419555PMC

Spontaneous common hepatic duct perforation in a child: A rare case report.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):53-55

Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

Spontaneous perforation of common bile duct is a rare phenomenon; few cases are reported in literature. Hence, there is a dilemma for the management of these cases, but with modern radiological equipment and high degree of suspicion, it is possible to diagnose early. The overall prognosis of this condition is good, provided an early surgical intervention is instituted; we are reporting a case of a 6-year-old male with spontaneous perforation of common hepatic duct. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_74_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419550PMC

Metanephric stromal tumor: An unusual presentation of a rare paediatric renal neoplasm.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):50-52

Department of Pathology, Fattouma Bourguiba University Hospital, Monastir, Tunisia.

A 2-year-old boy with prenatal diagnosis of a malformation uropathy was referred to paediatric surgery department. On systemic examination, there were no palpable masses. An ultrasonography of abdomen with color Doppler, a renal artery angiographic and scintigraphy revealed a preostial aneurysm at the left renal artery. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_56_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419545PMC

A staged operation for anopenile urethral fistula.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):48-49

Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Anopenile urethral fistula (APUF) is not rare, but there are only a few detailed reports regarding its surgical treatment. We describe a patient with APUF who had no anal opening, and meconium was discharged from the external urethral orifice. The patient was treated with a staged operation. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_52_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419542PMC

A 1-year randomized controlled trial to compare the outcome of primary repair of hypospadias with vascular cover using tunica vaginalis flap with those using preputial dartos fascia.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):42-47

Department of Paediatric Surgery, Jawaharlal Nehru Medical College, Belagavi, Karnataka, India.

Background: : Tubularized incised plate (TIP) urethroplasty is the most common technique noted to correct hypospadias. However, urethrocutaneous fistula (UCF) is still one of the most common complications of this technique. Several techniques of providing vascularized flaps to the neourethra have been recommended to decrease this complication rate. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_104_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419552PMC

Functional assessment of the patients with perineal and vestibular fistula treated by anterior sagittal anorectoplasty.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):36-41

Department of Pediatric Surgery, Kurume University School of Medicine, Kurume, Japan.

Background: Anterior sagittal anorectoplasty (ASARP) has been a standardised operative treatment for anorectal malformation (ARM). This retrospective study was undertaken to evaluate patients with perineal fistula (PF) and vestibular fistula (VF) treated by ASARP in our institution.

Patients And Methods: Twenty patients (PF, n = 14; male, n = 8 and female, n = 6 and VF, n = 6) were evaluated. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_91_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419547PMC
March 2019
2 Reads

Role of ano rectal myomectomy in children with chronic refractory constipation.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):31-35

Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.

Background: Chronic refractory constipation (CRC) is an uncommon type of constipation. These children have persistent symptoms even after treatment with high dose laxatives, which may cause abdominal distension, vomiting, cramping and bloating. We conducted this study to assess the diagnostic and therapeutic role of anorectal myomectomy in children with CRC. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_99_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419556PMC
March 2019
1 Read

Infantile hypertrophic pyloric stenosis - Our experience and challenges in a developing country.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):26-30

Sub-Department of Pediatric Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria.

Background: This study aims to evaluate the experience and challenges in managing patients with infantile hypertrophic pyloric stenosis (IHPS).

Patients And Methods: From January 2007 to December 2015, data from patients with IHPS were retrospectively acquired and analyzed using SPSS version 15. Pearson correlation used to assess linear relationships and Student t-test to compare means. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_51_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419543PMC
March 2019
2 Reads

Nephrectomy in children with wilms' tumor: 15 years of experience with "Tumor Delivery Technique".

Afr J Paediatr Surg 2018 Jan-Mar;15(1):22-25

Department of Pediatric Surgery, The Chaim Sheba Medical Center, Edmond and Lily Safra Children's Hospital, Tel-Hashomer, Ramat-Gan, Affiliated to Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Background: The contemporary surgical approach to Wilms' tumors follows that used in adults with renal cell carcinomas, namely, early occlusion of the renal vessels and then removal of the kidney as an intact mass. For years, the surgical approach at our institution has been different, starting with blunt separation of the kidney from the surrounding tissues, followed by its delivery outside the abdominal cavity while it is only attached to the major blood vessels which are subsequently ligated. We aimed to present this "tumor delivery technique" and evaluate its outcomes. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_113_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419548PMC

Congenital pouch colon: Our experience with coloplasty.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):16-21

Department of Paediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

Background: Congenital pouch colon (CPC) or congenital short colon is an entity found mainly in Indian subcontinent. In CPC, colon is replaced with partially or completely abnormal pouch connected to the genitourinary tract by a fistula (colovesical). Management protocol is different in different institute. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_88_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419546PMC
March 2019
1 Read

Congenital pouch colon associated with anorectal malformation: A rare anomaly of Asian Region - experience of Kurdish centre.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):10-15

Department of Medical, Surgical and Neurological Sciences, Division of Pediatric Surgery, University of Siena, Siena, Italy.

Background: Congenital pouch colon (CPC) is an unusual malformation associated with anorectal malformations (ARMs) that are seen especially in Asia. The aim of this study was to analyse our series of CPC associated with ARM in our centre and report our experience based on the rarity of pathology.

Materials And Methods: This is a retrospective study conducted at the Department of Paediatric Surgery in North Iraq. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_84_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419541PMC

Indocyanine green clearance test to evaluate liver function in rat model of extrahepatic biliary atresia.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):5-9

Department of Pediatric Surgery, AIIMS, New Delhi, India.

Background: Indocyanine green clearance test (ICG-K) has been shown as a sensitive marker of liver function in patients with cirrhosis. However, its role in the assessment of liver function in children with biliary atresia is not well established. The present study was undertaken to evaluate the ICG-K in an experimental model of cholangitis and partial biliary obstruction. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_78_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419554PMC
March 2019
1 Read

Role of laboratory markers in predicting severity of acute appendicitis.

Afr J Paediatr Surg 2018 Jan-Mar;15(1):1-4

Department of Paediatric Surgery, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.

Materials And Methods: Record of 233 patients under 18 years of age who underwent appendectomy from 2005 to 2014 was evaluated. Based on perioperative findings of the surgeon, the patients were grouped under categories simple acute appendicitis (SAA) and CAA. Information such as age, gender, and laboratory investigations of the patients were recorded and analyzed. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_47_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419549PMC

An unusual surgical cause of pyloric stenosis in an 8-month-old infant.

Afr J Paediatr Surg 2017 Oct-Dec;14(4):79-82

Department of Paediatrics and Adolescent Health, Princess Marina Hospital, Gaborone, Botswana.

Infantile hypertrophic pyloric stenosis (IHPS) is the most common surgical cause of nonbilious, projectile vomiting in children. Its incidence is estimated to be 2-5/1000 live births and has been noted to be quite rare in African-Americans, Asians, and Indians. It is more common in infants under 6 months of age and is quite rare in older infants. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_118_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369598PMC
January 2019
2 Reads

Let us save the brain with cerebral oximeter: Two case reports.

Afr J Paediatr Surg 2017 Oct-Dec;14(4):74-78

Department of Anesthesiology and Reanimation, Faculty of Medicine, Duzce University, Duzce, Turkey.

In the neonates, tracheal atresia and tracheoesophageal fistula (TEF) surgery may result in hemodynamic instabilization, leading to cerebral perfusion insufficiency due to the retraction of the pulmonary vessels and truncus brachiocephalicus. We represented one male and one female neonates which were performed thoracoscopic primary repair of TEF through right thoracotomy at the 3 and 4 postpartum day. Anesthesia was induced using sodium thiopental (5 mg/kg), fentanyl 4 mcg, and rocuronium (0. Read More

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http://www.afrjpaedsurg.org/text.asp?2017/14/4/74/228991
Publisher Site
http://dx.doi.org/10.4103/ajps.AJPS_117_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369595PMC
January 2019
7 Reads

Primary versus delayed primary closure of laparotomy wounds in children following typhoid ileal perforation in Ile-Ife, Nigeria.

Afr J Paediatr Surg 2017 Oct-Dec;14(4):70-73

Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.

Background: The optimal management strategy for dirty abdominal wounds has yet to be determined, but studies indicate that delayed primary closure (DPC) may be a reliable method of reducing surgical site infection (SSI) rate in these wounds. In this study, of dirty laparotomy wounds following typhoid ileal perforation (TIP), the SSI rate, incidence of wound dehiscence, and length of hospital stay (LOS) are compared in wounds primarily closed to those closed in the delayed primary fashion.

Patients And Methods: The study was conducted over a 12-month period. Read More

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http://www.afrjpaedsurg.org/text.asp?2017/14/4/70/228993
Publisher Site
http://dx.doi.org/10.4103/ajps.AJPS_166_14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369596PMC
January 2019
7 Reads

Laparoscopy in the management of impalpable testis (Series of 64 Cases).

Afr J Paediatr Surg 2017 Oct-Dec;14(4):65-69

Department of General Surgery, Section of Pediatric Surgery, Tanta University Hospital, Tanta, Egypt.

Background: The undescended testis represents one of the most common disorders of childhood. Laparoscopy has been widely used both in the diagnosis and treatment of non-palpable testis. In this study, we investigated and evaluated the usefulness of laparoscopy in the diagnosis and treatment of no palpable testis. Read More

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http://dx.doi.org/10.4103/ajps.AJPS_103_08DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369599PMC
January 2019
2 Reads

A comparison of hydrostatic reduction in children with intussusception versus surgery: Single-centre experience.

Afr J Paediatr Surg 2017 Oct-Dec;14(4):61-64

Department of Paediatric Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Background: Intussusception is the most common cause of bowel obstruction in infancy and childhood. Early diagnosis and effective management have reduced its morbidity and mortality in developed countries. Non-surgical reduction remains the first-line treatment of choice for intussusception. Read More

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http://www.afrjpaedsurg.org/text.asp?2017/14/4/61/228989
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http://dx.doi.org/10.4103/ajps.AJPS_102_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369597PMC
January 2019
5 Reads

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

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http://dx.doi.org/10.4103/0189-6725.194674DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154233PMC
September 2017
21 Reads

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

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http://dx.doi.org/10.4103/0189-6725.194678DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154232PMC
September 2017
13 Reads

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

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http://www.afrjpaedsurg.org/text.asp?2016/13/4/209/194670
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http://dx.doi.org/10.4103/0189-6725.194670DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154231PMC
September 2017
19 Reads

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

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http://dx.doi.org/10.4103/0189-6725.194668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154230PMC
September 2017
26 Reads

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

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http://dx.doi.org/10.4103/0189-6725.194676DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154229PMC
September 2017
16 Reads

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

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http://dx.doi.org/10.4103/0189-6725.194675DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154228PMC
September 2017
11 Reads

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

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http://dx.doi.org/10.4103/0189-6725.194677DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154227PMC
September 2017
9 Reads

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

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http://www.afrjpaedsurg.org/text.asp?2016/13/4/193/194673
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http://dx.doi.org/10.4103/0189-6725.194673DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154226PMC
September 2017
20 Reads

Non-laparoscopic minimal surgical approach to pyloromyotomy: An experience from a challenged resource setting.

Authors:
Ossama M Zakaria

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

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http://dx.doi.org/10.4103/0189-6725.194672DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154225PMC
September 2017
24 Reads

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

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http://dx.doi.org/10.4103/0189-6725.194669DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154224PMC
September 2017
15 Reads