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Acute Intestinal Obstruction: A 1-Year Prospective Audit into Causes.
J West Afr Coll Surg
June 2023
Department of Surgery, University of Uyo Teaching Hospital, University of Uyo, Uyo, Nigeria.
Article Synopsis
- Intestinal obstruction is a serious surgical emergency with varying causes influenced by factors like geography, gender, and age, with obstructed inguinal hernias being the most common in Sub-Saharan Africa, although this is changing.
- The study aimed to explore the causes of intestinal obstruction in a southern Nigeria hospital and compare the findings to previous regional research.
- Among 70 patients, the leading causes of obstruction were post-operative adhesions and obstructed external abdominal hernias, with an increase in cases of colon cancer and intussusception noted, indicating shifting trends in obstruction causes.*
Ultrasound guided hydrostatic enema reduction of ileocolic intussusception: a safe and effective technique.
ANZ J Surg
May 2023
Department of Paediatric Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Background: Currently, the primary management of ileocolic intussusception in children is usually by non-operative image-guided enema reduction. In most centres around the world especially in Australasia the predominant technique is the pneumatic reduction under fluoroscopic guidance. At our institution, we have been performing ultrasound-guided hydrostatic reduction since 2012.
View Article and Find Full Text PDFThe need for Paediatric Emergency Laparotomy Audit (PELA) in the UK.
Ann R Coll Surg Engl
March 2020
Introduction: The National Emergency Laparotomy Audit (NELA) has raised serious concerns about the processes of care and outcomes in adult emergency laparotomies in the UK. To date, no comparable data have been published for children. The aim of this study was to investigate the need for a similar audit in children.
View Article and Find Full Text PDFAre we doing better? Barium enema reduction of intussusception.
Ann R Coll Surg Engl
May 2018
Department of Clinical Surgical Sciences, University of the West Indies, Eric Williams Medical Sciences Complex , Champs Fleurs , Trinidad and Tobago.
Introduction Intussuception remains one of the most common surgical abdominal emergencies in the paediatric population. The aim of this study was first to re-evaluate our non-operative reduction rate of intussusception using multiple interval barium enemas and second to investigate or discuss an audit cycle, providing evidence and validating the modification of clinical practice. Materials and methods This five-year retrospective study performed at one of two institutions at which a paediatric surgical service is offered.
View Article and Find Full Text PDFUltrasound imaging in urogynecology - state of the art 2016.
Prz Menopauzalny
November 2016
2 Department of Gynecology, Medical University of Lublin, Poland.
The role of ultrasound imaging in urogynecology is not clearly defined. Despite significant developments in visualization techniques and interpretation of images, pelvic ultrasound is still more a tool for research than for clinical practice. Structures of the lower genitourinary tract and pelvic floor can be visualized from different approaches: transperineal, introital, transvaginal, abdominal or endoanal.
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