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Search Results: 1 - 10 of 26 matches for " ARK Adesunkanmi "
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Unusual causes of acute abdomen in a Nigerian hospital
ARK Adesunkanmi, O Ogunrombi
West African Journal of Medicine , 2003,
Abstract: Acute abdomen is the most common abdominal emergency associated with high morbidity and mortality in General surgical practice. Over a 7-year period, a study of unusual causes of acute abdomen was undertaken, with the aim of identifying these causes and outcome of operative management. Eleven cases were identified accounting for 4% of cases of acute abdomen seen during the period of the study. Four cases of liver diseases (33.3%) comprising 2 patients (16.7%) with ruptured primary liver cell carcinoma, 1 (one) case each of haemoperitoneum due to ruptured liver haemangioma and haemorrhagic disorders from liver cirrhosis. One patient had acute leukaemia with massive haemoperitoneum and acute abdomen. Five (45.5%) had gastrointestinal perforations; 1 patient (9%) each had multiple jejunal perforations, perforation of stomal ulcer at gastrojejunostomy site, perforation of gastric cancer; perforated carcinoid tumour of sigmoid colon and idiopathic perforation of the caecum. There was also a case of caecal volvulus. Mortality was 7 patients (63.6%). All patients with liver pathology and acute leukaemia died. The cases of malignant tumour perforation were well and alive 4 - 6 years after the operation. Conclusion: Operation could have been avoided in 45.5% of these cases if the appropriate investigations, had been available and carried out.
Evaluation of patients\' adherence to chemotherapy for breast cancer
AO Adisa, OO Lawal, ARK Adesunkanmi
African Journal of Health Sciences , 2008,
Abstract: The study aimed to establish the common reasons for non-adherence to drug treatment among breast cancer patients at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria over a ten-year period (Jan 1993 - Dec 2002). Patients\' adherence and reasons for non-adherence to chemotherapy were evaluated using descriptive statistics. Two hundred and twenty-five breast cancer patients including 199 females and 6 males with breast cancer were recruited. 12(5.3%) patients had Stage I disease while 126 (56%) were in stage IV. The non-adherence rate was 80.9% and 111(73%) of the non-adherent patients were eventually not seen again. Of the one hundred and one patients who gave reasons for non-adherence, 45% complained of financial difficulties; 18% thought they were well enough; 15% were fearful of subsequent operation and 11% were unable to further bear the drug side effects. In conclusion, the study demonstrated poor economic status of the patients as one of the major reasons for non-adherence to cancer chemotherapy in Nigeria. Government subsidy of breast cancer treatment, improved health education and advocacy complemented by home visiting to encourage hospital attendance would be required for better adherence to chemotherapy. African Journal of Health Sciences Vol. 15 (1&2) 2008: pp. 22-27
Penile fracture in a patient with stuttering priapism
TA Badmus, ARK Adesunkanmi, AO Ogunrombi
West African Journal of Medicine , 2004,
Abstract: Penile fracture commonly results from trauma of sexual intercourse or masturbation. It is common in the Middle East and America, but rare in Nigeria and sub-Sahara Africa. We present a case of penile fracture, an uncommon urologic emergency, complicating priapism, another urologic emergency; precipitated in an unusual circumstance. This report illustrates a 30-year-old undergraduate who has suffered stuttering priapism for about a week and developed penile fracture while forcefully packing the erect organ. He presented early in the hospital and had emergency surgical repair. Prognosis was good. A review of literature is also presented. Immediate surgical repair offers good prognosis in the management of this emergency. Key Words: Penile fracture, Penile bending, Stuttering priapism, Non-sickler and Primary repair. Résumé Une fracture de penile le plus souvent consequences de traumatisme des rapports sexuels ou masturbation onanisme. Elle est plus courant au Moyen Orient et en Amerique mais rare au Nigeria et en Afrique sous sahara. Nous présentons un cas d'une fracture de pénile, une urologie d'urgence peu commun priapism douloureux ou de complications, un autre urologie; precipite a des circonstances peu ordinaire. Ce rapport illustre le cas d'un étudiant agé de 30 ans qui etait frappé d'une maladie begaiement priapism pendant une semaine et il est atteint d'une fracture de pénile pendant qu'il était en train d' empaqueter l'erection penienne avec la force. Il s'était présenté tres t t a l'h pital et subi une intevention chirurgicale d'urgence. La prognose était bonne. On a également donné un bilan de la litterature. L'intervention chirurgicale d'urgence a donné une bonne prognose dans la prise en charge de cette urgence. West African Journal of Medicine Vol.23(3) 2004: 270-272
Breast Fine Needle Aspiration Cytology in a Nigerian Tertiary Hospital
OI Alatise, OO Lawal, OO Olasode, ARK Adesunkanmi
East and Central African Journal of Surgery , 2011,
Abstract: Objectives: Breast disease remains a major public health issue worldwide. It is the most common cancer among Nigerian women. Fine needle aspiration cytology (FNAC) is an important preoperative assessment tool along with clinical and mammography examination in both screen detected and symptomatic breast disease. This study provide opportunity to determining the accuracy of FNAC and factors affecting false negative rate in Obafemi Awolowo University Teaching Hospital complex, Ile-Ife, Osun state Nigeria Method: All patients seen in the breast clinic with lump were sent to the pathology department for FNAC from January 1997 to December 2004.The sociodemographic data; cytology result, final histology result and the clinical staging for breast cancer were analyzed. Results: Eight hundred and sixty-four patients had FNAC during the studied period, however only 632 cases had available final histological report. Of these, 20 (3.2%) were male while 612 (96.8%) were female, the age ranged from 15 years to 99 years, median of 36.50. We found that absolute sensitivity for malignancy to be 70.8%. The false negative rate was 14.9%, while the false positive rate was 1.8%. The suspicious rate was 9.8% while the inadequate rate was 5.4%. Conclusion: FNAC remains the least invasive, the most rapid and the most cost effective method to confirm clinical and radiological suspicion of malignancy, however, the test has high false negative rate. We recommend that consultation between pathologists and the clinicians should be facilitated and encouraged to reduce the high false negative. Also, multi-disciplinary audits of difficult case should be part of the work routine.
Relations of the neck of groin hernia to pubic tubercle
EA Agbakwuru, OI Alatise, AO Adisa, AA Saloko, ARK Adesunkanmi
Nigerian Journal of Clinical Practice , 2009,
An Audit of Laparoscopic Surgeries in Ile-Ife, Nigeria
AO Adisa, OO Lawal, OI Alatise, ARK Adesunkanmi
West African Journal of Medicine , 2011,
Abstract: Background: After several years of lagging behind due to several constraints, many general surgeons across Nigeria are now performing laparoscopic surgery. An audit of the procedure in our setting is required. Objective: To describe the outcome of consecutive laparoscopic general surgical procedures performed at the Obafemi Awolowo University Teaching Hospital, South-western Nigeria. Methods: All patients with general surgical conditions who had laparoscopic surgery from January 2009 through May 2010 in our hospital were prospectively studied and type of pre, intra and postoperative data including sex, age, indication for surgery, and outcome of the procedure were obtained and analysed. Results: Sixty-two patients (ages 18 to 72 years) had laparoscopic surgeries within the study period. Eighteen (29%) patients had laparoscopic cholecystectomy, 13 (21%) had laparoscopic appendicectomy, 10 (16.1%) had laparoscopic adhesiolysis, 7 (11.3%) laparoscopic biopsies of intraabdominal masses while 14(22.6%) others had diagnostic laparoscopies for a range of suspected abdominal conditions. All diagnostic procedures were performed as day cases while the duration of hospital stay was one to two days for the therapeutic procedures. Two(3%) procedures, including a biopsy of hepatic mass and a cholecystectomy were converted to open surgery due to significant haemorrhage. A minor bile duct injury was recorded in one patient who had cholecystectomy and superficial port site wound infections were noticed in two patients who had appendectomy. No mortality was recorded. Conclusion: Our results show the feasibility of laparoscopic surgery in Nigeria. We advocate local adaptation and improvisations to increase the use of laparoscopic surgery in Nigerian hospitals.
Management of Burn Injuries by Daily soaking in Normal Saline prior to Dressing
OA Oyelami, ARK Adesunkanmi, AJ Ajibola, EA Agbakwuru
Nigerian Journal of Paediatrics , 2001,
Abstract: A review of 121 children with burn injuries admitted over a five-year period (January 1992 – December 1996) at the Wesley Guild Hospital, Ilesa was undertaken. The patients were soaked in normal saline for at least one hour daily, prior to dressing with topical application of silver sulphadiazine. Scalds were responsible for 67 per cent of the cases while naked flame, including kerosene explosion and therapeutic burns were responsible for the rest. The burns were categorised as major in 58 per cent of cases. The trunk was affected in 66 per cent of cases, the upper and lower limbs were each affected in 51 per cent, the head and neck in 30 per cent, and the hands and feet in 25 per cent. Wound infection was the commonest complication occurring in 16.5 per cent, while mortality was 6.6 per cent; these were lower than the 24.4 per cent and 7.7 per cent respectively, obtained in previous studies in the Unit when saline solution was not used. Similarly, the rates of contractures and severe anaemia were lower among those whose burns were soaked in saline (5 per cent vs 10.9 per cent, and 2.5 per cent vs 10.3 per cent, respectively). Although the rates were lower in the present study except for septicaemia, the differences did not reach statistical significance except for severe anaemia. However, the study thus indicates that soaking of burn injuries in saline prior to dressing may improve prognosis. Nigerian Journal of Paediatrics 2001; 28:115.pp. 115-118
Healing of burns in children: which is the better agent, honey or silver sulphadiazine?
JAO Okeniyi, OO Olubanjo, TA Ogunlesi, OA Oyelami, ARK Adesunkanmi
Nigerian Journal of Paediatrics , 2005,
Metastatic breast cancer in a Nigerian tertiary hospital
AO Adisa, OA Arowolo, AA Akinkuolie, NA Titiloye, OI Alatise, OO Lawal, ARK Adesunkanmi
African Health Sciences , 2011,
Abstract: Background: Late presentation of breast carcinoma is common in resource-limited countries with attendant poor outcome. Objective: To describe the pattern of clinical presentation and challenges of treating patients presenting with metastatic breast carcinoma in a Nigerian hospital. Method: Clinical records of all patients who presented with metastatic breast carcinoma between January 1991 and December 2005 at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria were reviewed. Results: More than half of all histologically confirmed breast cancer patients seen within the study period presented with metastatic disease. Their ages ranged between 20-81years with a mean age of 45.9 years. Only 3% (6 of 202) were males. Twothirds had more than one secondary site on initial evaluation and the commonest sites were liver (63%), lung parenchyma (51%), pleura (26%) and contralateral breast in 25%. On immunohistochemistry, basal like tumours were found in 46.1%. Mastectomy was done in 37 patients with fungating breast masses while only one third of those referred to a nearby center for radiotherapy had it done. One year survival rate was 27%. Conclusion: Metastatic disease is common in Nigeria and treatment is limited due to resource limitations. Improved awareness of the disease is advocated to reduce late presentation.
A review of typhoid perforation in a rural African hospital
EA Agbakwuru, ARK Adesunkanmi, SO Fadiora, OS Olayinka, AOA Aderonmu, OO Ogundoyin
West African Journal of Medicine , 2003,
Abstract: In Wesley Guild Hospital Ilesa in the South – West region of Nigeria a retrospective study of 105 consecutive cases operated upon for typhoid perforation between January 1988 and November 2001 was carried out. The ages of the patients were between 4 to 70 years with a mean age of 19.2 ± 8.81. There were 84 males (80%) and 21 females (20%) giving a ratio of 4:1. Diagnoses were based on clinical and radiological findings. All the patients had laparotomy after resuscitations with intravenous fluids, electrolytes replacement, broad spectrum antibiotics, Nasogastric intubation/suctioning and urethral catherterisation. There were five negative laparotomies (4.8%). Eighty patients (76.2%) had a single perforation, while the rest 20 had multiple perforations. The perforations were located between 7cm and 100cm from the ileo-Caecal junction. Apart from the patients who had resection and primary anastomosis, 95(90.5%) had 2 layered closure of the perforation. The most common complications were wound infections (26.7%). Intra-abdominal abscesses (9.5%) and would dehiscence (7.6%). The mortality rate was 16.2% showing a remarkable improvement in the West African Subregions.
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