Efficacy of prophylactic use of intraoperative vancomycin powder in preventing surgical site infection in neurological surgeries in Irrua, Nigeria: A randomized controlled study.

Purpose: The objective was to determine the efficacy of intraoperative vancomycin powder in preventing SSIs in neurological surgeries.

Methods: A prospective randomized controlled study of patients who had clean cranial and non-implant spine surgeries at the Irrua Specialist Teaching Hospital, Irrua, Nigeria from February 1, 2021 to January 31, 2022. Patients were randomized into two groups.

Sural nerve preservation in reverse sural artery fasciocutaneous flap-a case report.

Background: The reverse sural artery flap is a generally accepted means of soft tissue reconstruction for defects of the distal third of the legs. The routine sacrifice of the sural nerve with its consequential temporary loss of sensation on the lateral aspect of the foot can be of concern to early rehabilitation of some patients.

Method: This is a case report of a 24 years old male who had Gustillo and Anderson type IIIB injury involving the upper part of the distal 3rd and the middle 3rd of tibia.

Results of open wound technique in the treatment of post-sequestrectomy dead space.

Background And Method: Severe chronic osteomyelitis with variable outcomes is still common among children in developing nations. There has been no consensus on the optimal method of treatment. We therefore prospectively evaluated the rates of wound healing and recurrence following open wound treatment of post-sequestrectomy dead spaces in 30 patients with haematogenous chronic osteomyelitis of the tibial shaft at the King Orthopaedic Clinic, Ekpoma, Edo State, Nigeria, between January 2001 and December 2005.

A five-year review of burn injuries in Irrua.

Background: The management of burns remains a challenge in developing countries. Few data exist to document the extent of the problem. This study provides data from a suburban setting by documenting the epidemiology of burn injury and ascertaining outcome of management.

Performance of a trained traditional bonesetter in primary fracture care.

Background: In developing nations traditional bonesetters (TBSs) play a significant role in primary fracture care. However, despite high patronage the TBS remains an untrained quack whose practice is often associated with high morbidity. This study evaluated the performance of a trained TBS in primary fracture care.

Outcome of surgical zipper technique.

In the period between March 2003 and February 2005, we carried out a randomized controlled prospective study to evaluate the outcome of the surgical zipper technique in closing 50 clean surgical skin wounds in our centers. The gender, age and wound distribution were similar for the surgical zipper study group and the conventional nylon suture control group. The outcome of scar was rated as good if the emerging scar was a thin, linear (< 2 mm wide) scar and bad if it was a broad, flat (> 2 mm wide) or a heap-up scar.

A prospective evaluation of the diagnostic value of sinus specimen cultures in chronic osteomyelitis.

We prospectively compared organisms isolated from sinus and bone marrow specimens in 25 patients with chronic osteomyelitis at the King Orthopaedic Clinic, Ekpoma, Edo State, Nigeria between January 2001 and December 2003. Sinus and bone marrow specimens were taken from each patient at the time of surgery and sent for aerobic cultures. The mean age was 12 years, with a range of 6-40 years.

Pattern of civilian gunshot injuries in Irrua, Nigeria.

This retrospective review of 76 patients with gunshot wounds was undertaken to evaluate the pattern and outcome of civilian gunshot injuries in our region. The extremities were the most commonly affected site (51.5% of all gunshot wounds).

Misadventure in traditional medicine practice: an unusual indication for limb amputation.

Limb amputation is a major cause of disability in Nigeria, and inadequate health facilities for limb salvage procedures and rehabilitation have increased the burden of amputation surgery in our environment. The common indication for limb amputation in Nigeria is limb gangrene due to trauma. A road traffic accident is an important cause of the trauma, and the role of the traditional bonesetters in the increasing incidence of limb gangrene has been reported.

The role of the traditional bonesetter in primary fracture care in Nigeria.

Background: In view of the growing interest in the management of fracture worldwide, the traditional bonesetter (TBS) practice in Nigeria was documented.

Objective: To highlight the role of the TBS in primary fracture care in Nigeria.

Setting: Rural.

A prospective evaluation of Medizip in Nigeria.

In a one year period between April, 1997 and March 1998 we have carried out a randomized controlled prospective study to evaluate the outcome of Medizip Surgical Zipper technique in closing 50 surgical wounds in Nigeria. There were similar sex, age and wound distribution between the Medizip study group and the conventional (needle and thread) control group. The cosmetic outcome of scar was rated as good or bad.

Major amputations in Nigeria: a plea to educate traditional bone setters.

A study was made of 100 major amputations performed on 96 patients in two regional hospitals in a 10-year period in Nigeria. The objective of the study was to evaluate the outcome of major amputations in Nigeria. The median age of patients was 30 years with male to female ratio 3:1.

Traditional bone setter's gangrene.

Traditional bone setter's gangrene (TBSG) is the term we use to describe the sequelae sometimes seen after treatment with native fracture splints. Twenty five consecutive complications were recorded in 25 patients aged between 5-50 years with a median age of 10 years. The major complication of the native fracture splint treatment was distal limb gangrene necessitating proximal amputations in 15 cases.

Active prophylactic management of respiratory obstruction after standard thyroidectomy for giant goitre in the middle belt region of Nigeria.

Respiratory obstruction is a lethal complication of thyroidectomy for giant goitre. Prophylactic tracheal splintage by retaining the endotracheal tube in situ for 24 h post-operatively and its meticulous management in the intensive care unit (ICU) is a safe and rewarding practice. Over a 7-year period, 33 patients, all women who had standard thyroidectomy for giant goitre were managed accordingly.

Dyspepsias among the highlanders of Nigeria: an epidemiological survey.

An epidemiological survey of the dyspepsias in a Nigerian Community drawn from five different local government areas, is described. Analysis of the data obtained from 1,151 respondents (684 males and 467 females) showed that 45.0% of this population had complaints of dyspepsia within the immediate six months period preceeding this study.