African journal of paediatric surgery : AJPS
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Afr J Paediatr Surg · Apr 2013
Comparative StudyPattern of paediatric trauma in Sokoto, North West Nigeria.
Paediatric trauma has become a major cause of mortality, disability and socioeconomic burden in developing countries and the World Health Organization (WHO) projects that by 2020 it will be the leading disease globally. This study described the pattern of paediatric injuries seen at a regional trauma center in North West, Nigeria. ⋯ Road traffic accidents and domestic injuries as common causes of paediatric trauma need to be 'addressed by the authorities' so as to reduce the burden of trauma on the vulnerable children in our society.
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Afr J Paediatr Surg · Apr 2013
Comparative StudyAnterior sagittal anorectoplasty: An alternative to posterior approach in management of congenital vestibular fistula.
Better exposure, possibility of extension if needed and precise placement of the anal canal within the external sphincter complex have made the posterior and anterior sagittal approaches more popular and established for the correction of anovestibular fistula. The mini posterior sagittal anorectoplasty (PSARP) was the procedure of choice for female ARM at our center till date. As an alternative surgical option, we performed anterior sagittal anorectoplasty (ASARP) in 15 cases of anovestibular fistula and compared them with 12 cases of vestibular fistula operated by PSARP technique. ⋯ Anesthesia and access in ASARP makes it an easier alternative option to PSARP in the management of anovestibular fistula in girls.