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Biomedical subjects

I Evbuomwan

Publications and source records attributed to I Evbuomwan.

11 recordsLinked to original sources
PubMed1994

Management of peritonitis in perforated appendicitis in children.

A prospective study on the management of severe acute appendicitis with gangrene and perforation was carried out using protocols that included schematized treatment. The schemes emphasized adequate preoperative treatment, meticulous operative technique of peritoneal toileting, generous use of appropriate antibiotics in combinations, and early graded patient's ambulation in the postoperative period. The average hospital stay was seven days, wound infection was of mild degree and less than 1%, and there was a low morbidity. Follow-up has shown no serious complications.

Acute Disease↗
PubMed1994

The herniotomy spoon.

At the time of ligation of the hernial sac in an inguinal hernia repair, particularly in infants and young children, the spermatic cord structures need to be protected, and the grooved spoon is useful at this stage. This paper reaffirms the usefulness of the spoon, and describes a structural modification necessary to improve its effective use.

Hernia, Inguinal↗
PubMed1993

Chronic non-strangulating incompletely obstructing intussusception: with case report of a seven and a half year old Nigerian boy.

One case of chronic intussusception (ileo-ileo colic) is reported. A seven and a half year old male had presented with colicky abdominal pain, vomiting, a palpable abdominal mass, infrequent passage of mucus or blood with stools and weight loss over a period of six weeks. There was delay in diagnosis due to unusual presentation and a low index of suspicion. The patient had been admitted to a peripheral general hospital for four weeks where he was treated for amoebic dysentery without improvement, before his transfer to our hospital where the diagnostic problem continued, until the paediatric surgical unit was called in.

Child↗
PubMed1990

Skin closure during appendicectomy: a controlled clinical trial of subcuticular and interrupted transdermal suture techniques.

Over an 18-month period, 100 consecutive patients who underwent appendicectomy were randomly allocated to have skin closure either by interrupted transdermal or subcuticular techniques. Ninety cases were performed as emergencies within 6 h of admission. Only cases of acute uncomplicated appendicitis were included. Complications arising from the method of wound closure used were assessed. It was noted that the mean wound closure time and cost of material were significantly reduced in the group using the subcuticular technique (P less than 0.025). The wound infection rate was the same in both groups, but when all wound complications were taken together, there was a significantly higher incidence with the interrupted method. The results from this trial indicate that subcuticular wound closure during appendicectomy--an operation with a high risk of infection--is not associated with an increase in the incidence of wound complications and offers a cost and time-saving advantage.

Adolescent↗
PubMed1984

Acute gangrene of the scrotum in a one month old child.

Since Fournier first described the fulminating idiopathic gangrene of the scrotum in 1883 there have been sporadic reports of cases from various parts of the world. The condition is, however, rare in infants. We present here a case of scrotal gangrene following circumcision, in a one month old baby.

Acute Disease↗
PubMedDate not supplied

Abnormal findings associated with undescended testis in Nigerian children.

Children between the ages of 6 years and 12 years numbering 2200, were examined for general physical development and external abnormality to correlate these anomalies with frequency of undescended testis. Whereas the overall frequency of undescended testis in this population was 0.5%, this condition was present in 1% of boys with peri-umbilical hernia. Undescended testis should be looked for in children with external congenital anomalies, particularly of the anterior abdominal wall.

Abnormalities, Multiple↗
PubMedDate not supplied

The posterior urethral valve uropathy: results of treatment.

Nineteen children treated for posterior urethral obstruction due to congenital valve in the University of Benin Teaching Hospital, Benin City, Nigeria, over a 9-year period have been analysed. Their ages ranged from birth to 12 years. Results show that associated kidney pathology may be irreversible even after successful excision of the valve. This determines the final prognosis, which is worse the younger the child at presentation.

Age Factors↗
PubMedDate not supplied

Familial occurrence of cryptorchidism.

A case of Cryptorchidism involving a father and all his four sons who are product of a nonconsanguineous marriage has been described. From a review of the literature, as well as evidence derived from the family history, it is suggested that the mode of inheritance may be autosomal dominant with incomplete penetrance or multifactorial.

Adolescent↗
PubMedDate not supplied

Embryonal cell carcinoma of testis in infants. Report of two cases and review of literature.

Testicular tumours are rare in children, and Embryonal cell carcinoma is the commonest. Orchidectomy with high ligation of the cord and lymphadenectomy, with adjuvant chemotherapy and radiation therapy in different combination have been tried. We report two cases aged 2 months and 9 months treated by only orchidectomy and have remained well 3 years and 15 months respectively after surgery.

Diagnosis, Differential↗