Comparative Analysis of Traumatic Brain Injury Severity in Motorcycle and Car Accident Victims Treated at Korle-Bu Teaching Hospital.

Background: Traumatic brain injury (TBI) is one of the common causes of long-term disabilities, with about 10 million deaths annually.

Objectives: Our aim is to compare the severity and outcomes of TBI between motorcycle and car accident victims.

Materials And Methods: A prospective cohort study focusing on TBI patients.

The Prevalence and Management Outcomes of Diverticular Disease in a Tertiary Facility in Ghana.

Background: Diverticular disease of the colon, previously believed to be rare among Africans, is now an emerging disease entity in many African countries. The increasing morbidity and varied presentations are associated with this.

Objectives: To determine the prevalence of diverticular disease among patients who underwent lower gastrointestinal endoscopies over a 5-year period and evaluate the common presentations, interventions, and treatment outcomes at the Korle-Bu Teaching Hospital (KBTH), Ghana.

Safe duration of silicon catheter replacement in urological patients.

Objectives: This study compared the infection rates, degree of encrustation, symptoms, and complications in patients regarding the duration of urethral catheterisation (three weeks, six weeks, and eight weeks).

Design: A cross-sectional study with stratified simple random sampling.

Setting: Urology Unit, Korle Bu Teaching Hospital.

Anorectal malignant mucosal melanoma.

Unlabelled: Anorectal mucosal melanoma (AMM) is a rare, aggressive malignancy. The symptoms of AMM mimic common benign conditions in the anus, such as haemorrhoids; hence diagnosis is often made late, a third of patients having metastasis at first presentation. Surgical resection remains the standard of treatment, and adjuvant therapy is varied, including immunotherapy, brachytherapy, and chemotherapy.

Morbidity and oncological outcomes after intersphincteric resection of the rectum for low-lying rectal cancer: experience of a single center in a lower-middle-income country.

Background: Intersphincteric resection (ISR) of the rectum for low-lying rectal cancer with colo-anal anastomosis was introduced years ago, allowing for bowel continuity, and avoiding permanent stomas. The colorectal unit of Korle Bu Teaching Hospital adopted this procedure in 2014 when indicated, for the management of rectal cancers, where hitherto, abdominoperineal resection of the rectum with a permanent stoma was indicated. This study aimed to assess morbidity, mortality, and oncological outcomes associated with ISR of the rectum and determine the factors contributing to these.

Clinicopathological determinants of recurrence after surgical treatment of fistula-in-ano in a Ghanaian teaching hospital.

Aim: The aim of this work is to describe the clinicopathological and surgical aspects of fistula-in-ano and assess the risks associated with recurrence of the disease in a Ghanaian teaching hospital.

Method: This was a retrospective observational study assessing all fistula-in-ano surgeries performed at the Korle Bu Teaching hospital from January 2014 to January 2021 that had completed follow up of at least 3 months after wound healing. Demographic, clinical, pathological and surgical data were extracted from patient records.

Clinicopathological aspects of adenocarcinoma of the large bowel in a low incidence population.

Background And Objectives: The presentation of the different histopathologic subtypes of adenocarcinoma of the large bowel vary within the colorectum and appears to impact on treatment. This study evaluated the relationships between the clinical features of adenocarcinoma of the large bowel, the histopathologic subtypes, and treatment.

Methods: Patients with adenocarcinoma of the large bowel presenting to the Korle Bu Teaching Hospital from January 1997 to December 2011 were studied.

Distinct molecular features of colorectal cancer in Ghana.

Objectives: While colorectal cancer (CRC) is common, its incidence significantly varies around the globe. The incidence of CRC in West Africa is relatively low, but it has a distinctive clinical pattern and its molecular characteristics have not been studied. This study is one of the first attempts to analyze molecular, genetic, and pathological characteristics of colorectal cancer in Ghana.

Ileal stricture following strangulated inguinal hernia.

Small intestinal stenosis due to ischaemia following strangulated hernia is uncommon as patients with external hernias have ready access to elective herniorrhaphy. Small intestinal stenosis secondary to ischaemia may lead to acute small bowel obstruction, acute-on-chronic obstruction or chronic small bowel obstruction. It may also give rise to the blind loop syndrome.