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Biomedical subjects

F A Nwako

Publications and source records attributed to F A Nwako.

15 recordsLinked to original sources
PubMed1989

Jugular phlebectasia.

The most common cause of a mass in the neck that appears only during straining is a laryngocele. However, the rare jugular phlebectasia may present in a similar manner. Dilatation of the internal jugular vein with a Valsalva maneuver suggests a mechanical obstruction in the neck or mediastinum, but the exact cause is still unknown. Nevertheless, dilated internal jugular veins have been excised, as in the case reported here, and found to have thinning of the wall but no associated abnormality.

Calcinosis↗
PubMed1975

Clinical study of intersex states in Nigerian children.

Early diagnosis of intersex is essential to avoid indecision and to establish the correct sex of rearing before mistakes have been made. Diagnosis of adrenogenital syndrome is singularly important for delay in diagnosis may lead to stunted growth or death from electrolyte imbalance. All others except the hormonally induced types are sterile, the gonad can be ignored and the sex of rearing is determined by the external genital configuration which can be most easily created by surgery plus hormones. Patients except those with maternal virilization may also need castration and hormone therapy corresponding with the chosen sex of rearing.

Adrenal Hyperplasia, Congenital↗
PubMed1975

Lateral subcutaneous internal sphincterotomy for anal fissure. Technic and experience with 22 cases in children.

Lateral sphincterotomy is probably the operation of choice for most cases of intractable anal fissure in children. The lower half of the sphincter is divided in the left or right lateral position through a small external incision at the anal verge. An incision in the anal canal itself is avoided, postoperative pain is minimal and the risk of secondary hemorrhage is eliminated. The operation can be done as an outpatient procedure. Only one patient developed minor anal incontinence.

Age Factors↗
PubMedDate not supplied

Gastroschisis a fifteen-year experience.

Seventeen neonates with gastroschisis were treated in the Paediatric Surgical Unit at the University of Nigeria Teaching Hospital, (UNTH), Enugu, between January 1971 and December 1985. The incidence of such babies who are alive to reach the Paediatric Surgeon has steadily increased. An overall mortality of 64.7% is noted but improvement in management has resulted in only two deaths in the last three years (33.3%). The decrease in mortality stems from efficient pre- and post-operative management, emphasizing preservation of body heat, decompression of stomach by nasogastric drainage, evacuation of reconium by rectal irrigation and total parenteral feeding. Stretching of the abdominal wall and primary closure is presently the treatment of choice. The occasional use of respiratory assistance contributed to the support of the infant in the immediate post-operative period.

Abdominal Muscles↗
PubMedDate not supplied

Synergistic bacterial gangrene and allied lesions: a unified etiological theory.

Synergistic bacterial gangrene is a distressing and destructive mixed infection where early recognition is essential. It is suggested that synergistic bacterial gangrene with its allied states may be manifestations of the same process with a wide spectrum. Prompt and appropriate bactericidal therapy may arrest spread before tissue destruction makes radical and immediate surgical intervention, with its attendant high mortality, inevitable.

Adolescent↗
PubMedDate not supplied

Selecting paediatric surgical patients for day care surgery--a ten year experience (1980-1989) in the UNTH, Enugu, Nigeria.

Selecting the right paediatric surgical patients for Day care Surgery is an important part of ensuring that the quality of medical care is preserved in this setting. The exponential growth of out-patient Surgery of the 1980's in the developing countries is such that in the quinqennium starting from 1995, perhaps more that 65% of all elective Surgery can be performed on an out-patient basis. This communication examines what adaptations are necessary, particularly in preparative screening and patient selection, to meet the demands of Day Care (ambulatory) Surgery in paediatric Surgical patients in a tertiary hospital facility. A ten-year experience (January 1980-December 1989) in the University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria is the basis of our review.

Ambulatory Surgical Procedures↗