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J J Kabukoba

Publications and source records attributed to J J Kabukoba.

6 recordsLinked to original sources
PubMed1993

The design, effectiveness and acceptability of the arm sleeve for the prevention of body fluid contamination during obstetric procedures.

OBJECTIVES: 1. To design a device that would reduce contamination of staff during obstetric procedures. 2. To undertake clinical trials to assess the effectiveness and acceptability of such a device. DESIGN: A prospective study. The arm sleeve is made of a nonwoven material laminated on polyethylene film making it waterproof. It has an elastomeric cuff with adhesive that ensures a watertight seal between it and the glove. SETTING: Delivery suite in a teaching hospital. METHODS: Doctors and midwives were requested to wear the sleeve on top of the standard gown and gloves. Each user was assessed for blood contamination at the end of the procedure and a questionnaire detailing the extent of contamination and the views of the user was completed. RESULTS: Eighty questionnaires were completed. The contamination of arms and hands was 3.8% and 5%, respectively. Eighty-nine percent thought the sleeve had served its purpose and 76% said they would use it regularly. CONCLUSIONS: The sleeve is an effective protective device which complements the glove and gown. We recommend that it should be used during all obstetric procedures.

Blood↗
PubMed1992

Hysteroscopy in the diagnosis of suspected interstitial pregnancy.

Three cases are reported in which interstitial pregnancy was suspected on ultrasound scan. The first was managed by scans and laparoscopy, but resulted in rupture of the uterus and hysterectomy at 20 weeks. In the following cases hysteroscopy was used to refute the diagnosis in one patient and confirm it in another within the first trimester. A case is made for the use of hysteroscopy in the assessment of patients with suspected interstitial pregnancy.

Adult↗
PubMed1992

Coping with extraperitoneal insufflation during laparoscopy: a new technique.

For most laparoscopists, pneumoperitoneum is essential before introducing a trocar into the peritoneal cavity. Extraperitoneal insufflation is one of the most common complications of laparoscopy; it is difficult to correct and may result in abandonment of the procedure. A technique for dealing with extraperitoneal insufflation is described. We have used this technique successfully on 11 consecutive patients. The gynecologist uses the view created by the extraperitoneal gas to place the Veress needle correctly into the peritoneal cavity. Insufflation proceeds under direct vision; the peritoneum will rise and obliterate the extraperitoneal space. This technique may be useful particularly when alternative methods are contraindicated.

Female↗