Biomedical subjects

D A Olaolorun

Publications and source records attributed to D A Olaolorun.

3 recordsLinked to original sources

PubMed2001

Amputations in general practice.

A retrospective review was carried out, of cases of amputation, which were performed between 1985 and 1999 at the Baptist Medical Centre, Ogbomoso with the aims of documenting our experience and complications. The majority of the operations were performed by trainee family practitioners. There was a preponderance of males (M/F ratio of 1.89:1) and over half of the patients were between 21 and 50 years of age. Most of the patients were admitted for trauma and most of them underwent a two stage operation. Slightly less than half of the amputations performed were below knee amputation (BKA). Eleven patients died, 6 of whom were diabetics (55%). It is recommended that medical practitioners be aggressive with wound care, especially in diabetics and that special attention be paid to the foot hygiene of these patients in order to prevent limb loss.

Adolescent↗

PubMed1995

The outcome of suprapubic prostatectomy: a contemporary series in the developing world.

OBJECTIVES: To assess the appropriateness of the technique of suprapubic prostatectomy using a removable bladder neck partition suture for use in a developing world hospital and to provide contemporary open prostatectomy outcome data currently lacking in the world's literature. METHODS: From 1984 to 1994, 240 consecutive patients presenting to a developing world hospital with acute urinary retention underwent suprapubic prostatectomy using a removable bladder neck partition suture. The average length of time from bladder decompression until operation was 2.5 months. The outcome of these cases was retrospectively analyzed. RESULTS: The overall early complication rate was 19.6%. There were no deaths. The transfusion rate was 4.6%. Clot retention occurred in 6.7%, and 2.9% required return to the operating room for evaluation. For the second half of the series, the early complication rate decreased to 8.3%, the clot retention rate to 0.8%, and the transfusion rate to 1.7%. Other early and late complications were minimal. The length of delay from decompression until operation did not affect outcome. CONCLUSIONS: The technique of suprapubic prostatectomy using a removable bladder neck partition suture is appropriate for use in developing world hospitals because of its low morbidity and mortality rates. The outcome in this contemporary series of open prostatectomy cases compares favorably with the outcome from reported contemporary transurethral resection of the prostate (TURP) series. These data demonstrate that suprapubic prostatectomy is an acceptable option when the patient's anatomy or the state of local medical facilities precludes TURP.

Adenocarcinoma↗

PubMedDate not supplied

Gastric outlet obstruction in Ogbomoso, Nigeria.

Forty-three patients were operated upon for gastric outlet obstruction over an eight year period. Six (14%) of these patients bad malignant gastric outlet obstruction. Three groups of procedures were used: truncal vagotomy and drainage (TV-D) in 32 patients, highly selective vagotomy and drainage (HSV-I)) in 8 patients, and gastric resection with or without vagotomy in 3 patients. Post-operatively, it took an average of 6.6 days for patients to recommence oral intake (6.2 days for patients who underwent truncal vagotomy and 8.5 days for those who underwent highly selective vagotomy). There were no deaths; immediate post-operative morbidity included gastric atony in 21% and wound infection in 7% of the patients. Long-term complications include postvagotomy diarrhea in one patient and dumping in two patients. One patient had a recurrence of gastric outlet obstruction necessitating re-operation.

Adolescent↗