African journal of paediatric surgery : AJPS
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Afr J Paediatr Surg · Jul 2013
Epidemiology of paediatric injury in low income environment: value of hospital based data prior to the institution of a formal registration system.
Little attention is generally paid to paediatric injuries, especially in low income settings. The aim of this study is to provide an overview of the epidemiology of hospital-based paediatric injuries in a semi-urban area in Cameroon prior to the initiation of a formal registration system. ⋯ The data from the present registration system seem to indicate a higher injury rate in pre-adolescent children and in the school playground. The institution of a formal registration system is likely to improve the quality of data recording system.
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Afr J Paediatr Surg · Jul 2013
Randomized Controlled TrialSuccess rate of two different methods of ilioinguinal-iliohypogastric nerve block in children inguinal surgery.
The ilioinguinal-iliohypogastric (ILIH) nerve block is a safe, effective, and easy to perform in order to provide analgesia for a variety of inguinal surgical procedures in pediatric patients. A relatively high failure rate of 10%-25% has been reported, even in experienced hands. It is assumed that this high failure rate of the ILIH nerve block in this age group could be due to lack of special knowledge of the anatomy of these nerves in infants and neonates. There are two main techniques for landmark-based ILIH nerve block with regard to determining the best insertion point. This study compared the success rate and outcomes of these two techniques in children undergoing surgery in inguinal region. ⋯ Based on our findings, success rate and outcomes of the two techniques of landmark-based ILIH block are similar in children undergoing surgery in inguinal area.
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Afr J Paediatr Surg · Jul 2013
Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children?
Adhesive small bowel obstruction (ASBO) is a feared complication after abdominal operations in both children and adults. The optimal management of ASBO in the pediatric population is debated. The aim of the present study was to examine the safety and effectiveness of non-operative management in ASBO. ⋯ Non-operative management is still a safe and preferred approach in selected patients with ASBO. However, 53% eventually required surgery.
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Afr J Paediatr Surg · Jul 2013
Completion publication of abstracts presented at the scientific meetings of the Pan-African Pediatric Surgical Association.
The expected knowledge translation from discovery into practice occurs when presentations from major scientific meetings are published in peer-reviewed literature. The purpose of this study was to determine the extent of complete publication of peer-reviewed articles arising from presentations at the biennial meetings of the Pan-African Pediatric Surgical Association (PAPSA). ⋯ Only a third of abstracts presented at PAPSA biennial meetings were ultimately published in a peer-reviewed journal. Increased efforts to improve the publication rate and facilitate the rapid dissemination of new knowledge are needed.