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Biomedical subjects

A K Steiner

Publications and source records attributed to A K Steiner.

8 recordsLinked to original sources
PubMed1996

The problem of post-partum fistulas in developing countries.

Postpartum fistulas are frequent in the tropical environment. They are mostly found in very young women who live in remote areas. Without treatment women with fistulas will be condemned to the disconsolate life of social outcasts. Good operative treatment is crucial. The different operative methods are discussed. The operation through vaginal approach can be performed in any hospital. It does not need special surgical skill. More important than surgery is prevention of postpartum fistulas through a well-organised primary health care program which reaches out into the villages and which includes adequate prenatal controls and competent midwifery.

Adolescent↗
PubMed1996

Open fractures and internal fixation in a major African hospital.

Between September 1992 and June 1994, 20 patients with 27 open fractures were treated at a major Ethiopian hospital by open reduction and internal fixation. Sixteen fractures were caused by gunshots, eight by road traffic accidents, two by direct blows, and one by a fall. Twenty-one fractures were stabilized with ASIF plates, and six with screws and wires. Five fractures out of 27 (18.5 per cent) developed infection postoperatively. In one case secondary wound infection subsided after wound excision and plate removal. In three others the implants were replaced by external fixators, in two of which the infection subsided and the patients left hospital without infection. The two remaining patients were treated for 4 1/2 months and 18 months respectively for chronic osteitis. Ten of the 15 patients without postoperative infection returned for follow-up. None of them had developed osteitis. The overall functional results were good.

Adolescent↗
PubMed1996

Surgery and training in surgery in remote rural hospitals.

Surgery is an important part of primary health care in remote rural areas of third world countries. It is essential that doctors and nurses who are working in rural hospitals are adequately trained in surgery. Special consideration should be given to the surgical pathology encountered in the rural tropical environment. Teaching should take place in the set-up of the rural hospital and should include anaesthesia, sterilisation and maintenance of equipment. A concept of teaching in surgery in peripheral hospitals is presented.

Curriculum↗