African journal of paediatric surgery : AJPS
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Afr J Paediatr Surg · Apr 2013
Comparative StudyTraumatic brain injuries in children: A hospital-based study in Nigeria.
Traumatic Brain Injury (TBI) is a significant cause of morbidity and mortality worldwide. Our previous studies showed a high frequency of motor vehicle accidents among neurosurgical patients. However, there is a dearth of data on head injuries in children in Nigeria. ⋯ Head injuries in children are due to motor vehicle and motor vehicle-related accidents. Hence, rational priorities for prevention of head injuries in children should include prevention of vehicular, especially pedestrian, accidents in developing countries.
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Afr J Paediatr Surg · Apr 2013
Comparative StudyIntussusception in children: Comparison between ultrasound diagnosis and operation findings in a tropical developing country.
Intussusception is one of the more common causes of intestinal obstruction in children. The diagnosis may be based mainly on clinical features; however, there are no classic signs and symptoms that are common to all cases. This study reports our experience at US diagnosis and operation findings of children with intussusceptions in a tropical developing economy. ⋯ US can increase diagnostic confidence in intussusceptions.
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Afr J Paediatr Surg · Apr 2013
Multicenter Study Comparative StudyAcute cholecystitis from typhic origin in children.
To evaluate the particularities of typhoid cholecystitis in children. ⋯ Typhoid acalculous cholecystitis is a frequent complication in children. Late presentation and diagnosis is associated with complications. Cholecystectomy in association with antibiotic is the treatment of choice.
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Afr J Paediatr Surg · Apr 2013
Randomized Controlled Trial Comparative StudyThe comparative study of the outcomes of early and late oral feeding in intestinal anastomosis surgeries in children.
A leakage of intestinal anastomosis is typically regarded as a devastating post-operative complication. Traditionally its believed that long fasting after intestinal surgery protect anastomosis site and most surgeons applied this method. Post-operative long fasting has many physical and mental adverse effects, especially in children, but its benefit has not proven yet. This study aimed to compare the outcomes of early and late oral feeding in intestinal resection and anastomosis surgery in children. ⋯ Early oral feeding after intestinal resection and anastomosis in children is a safe method, it has many benefits and does not increase the major or minor post-operative complications (anastomosis leakage) long time fasting is not necessary and has not any beneficial effect and early feeding increases satisfaction of the parents and children, and reduce hospital stay and costs.
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Afr J Paediatr Surg · Apr 2013
Comparative StudyOutcome of tube thoracostomy in paediatric non-traumatic pleural fluid collections.
Management of pleural fluid collection not due to trauma increases workload of the paediatric thoracic surgeons, while delay or inappropriate treatment worsens the prognosis of the disease. This study aimed at assessing the outcome of therapeutic tube thoracostomy in non-traumatic paediatric pleural fluid collections and identifying factors responsible for treatment failure with tube thoracostomy. ⋯ Thoracotomy with decortication is superior to tube thoracostomy in paediatric non-traumatic pleural fluid collection and should be chosen as the primary treatment option when there is bilateral disease, chronicity, loculated effusion, thickened pleural membranes or trapped lung.