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A Loro

Publications and source records attributed to A Loro.

9 recordsLinked to original sources

Prevalence and causal conditions for amputation surgery in the third world: ten years experience at Dodoma Regional Hospital, Tanzania.

This is a partly retrospective study of 252 major limb amputations carried out in regional hospital in Tanzania over a period of ten years mostly by the authors. The paper reports on the aetiology and levels of amputation and identifies prevalence and sex of the amputees. The causes of amputation classified under tumours, vascular diseases, trauma, infections, burns, animal bites, iatrogenic causes, maduromycosis and miscellanea--are discussed with particular reference to the influence of the environment, cultural habits and local customs.

Adolescent↗

Macrodystrophia lipomatosa. A case report.

Macrodystrophia lipomatosa, a rare form of localized gigantism of unknown cause, is characterized by a dramatic overgrowth of all the mesenchymal elements, particularly the fibroadipose tissue, of one or more digits of the foot or hand. Of the known forms, static and progressive (1), we report the case of an African patient, of Bantu origin, who had a progressive deformity of his left hand.

Child↗

The reasons for amputations in children (0-18 years) in a developing country.

This study describes 49 young amputees who either have attended or have been operated at the Orthopaedic Department of Dodoma Regional Hospital from 1983 to 1991. Emphasis has been put on the aetiological factors of 56 amputations under review, underlying those that are typical of the Least Developed Countries in Africa and highlighting how they interrelate with the beliefs and traditions of the African society. Apart from 14 amputations performed for trauma of different type, important roles were played by home environment, tumours, wild animal bites and the health system itself. Nine amputations have been carried out for burns, while complications after medical care, particularly operative, have called for 12 amputations. Bone tumours have been responsible for eight and hyena assaults and snake bites have resulted in seven amputations. Special interest has been raised by four amputations performed for the so-called 'idiopathic tropical lower limbs gangrene' whose aetiology is still unknown.

Adolescent↗

Human bites and finger infections: a survey at Dodoma Regional Hospital, Tanzania.

We describe 26 patients with finger infections following human bites, who were admitted to Dodoma Regional Hospital in Tanzania between 1983 and 1991. Most patients came to hospital too late for the finger to be saved, and amputation was necessary in nearly all cases. The extreme seriousness of the bite seems to have been overlooked by both the patients and the health workers of the peripheral units of our region.

Adult↗

Revision of amputation stumps in Dodoma--Tanzania.

The records of Dodoma Orthopaedic Department, Tanzania were reviewed for the period July 1986 to December 1990 in order to identify the reasons for revision surgery. A total of 26 patients required revision surgery. Two main groups were identified. In the first group 4 patients had a higher level of amputation because of gangrene. In the second group 22 patients had revision surgery because of other stump defects caused by technical mistakes when carrying out the original amputation, or other complications.

Adolescent↗

Finger amputations in Tanzania.

A survey of finger amputations carried out at Dodoma Regional Hospital, has shown that from 1983 to 1991, a total of 147 amputations have been done on 101 patients. They have been performed, mostly for causes that relate quite well with the living and working conditions of the inhabitants of Dodoma Region. Western causes of finger amputations have been responsible of ablation in a few patients in our series. Finger infection, usually with bone involvement, has been found to be the leading cause, followed by traumatic injuries, human bites and burns. Most patients were peasants, with a good number of illiterates among them, drawn from rural areas. They came late to hospital having been improperly managed in the early stages of the diseases. All these factors explain quite well why finger infections were, on admission, irrecoverable through medical means.

Adult↗