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Case Report
A Busoga Hernia: A Rare Case Report in India
Raj Ranjan Kumar*
Issue:
Volume 12, Issue 3, June 2024
Pages:
71-74
Received:
31 March 2024
Accepted:
6 May 2024
Published:
24 May 2024
Abstract: Inguinal hernia stands as a prevalent surgical concern, often addressed either through elective procedures or as emergencies by surgeons. The indirect hernia has high propensity to bowel obstruction due to narrow constrictive ring. Direct hernia is comparatively safe from complications owing to the larger defect. Busoga hernia (BH), alternatively referred to as Gill-Ogilvie hernia, represents a seldom-seen variation of direct inguinal hernia affecting the conjoint tendon. This hernia type arises due to a weakness in the conjoint tendon and tends to manifest more frequently among young athletes. Some authors described herniation in the weakened conjoint tendon secondary to rigorous training, kicking, running and sharp turn. Busoga hernia (BH) represents an uncommon subtype of direct inguinal hernia, characterized by a heightened risk of strangulation of its contents. This risk is attributed to an exceptionally narrow neck under constant tension within a resilient fascial sling. BH may migrate into labia majora in female and rarely migrate to the scrotum in male. We encountered a case involving a male patient aged 64 years who arrived with a small painful inflammation in his right groin. Surgical exploration under general anesthesia, revealed a 1cm defect in the medial aspect of the conjoint tendon. Subsequent procedures included herniotomy and herniorrhaphy, wherein the hernial contents consisted of pre-vesical fats and a portion of the urinary bladder. Surgeons must possess a thorough understanding of the anatomy of the inguinal region to effectively manage situations with confidence. The postoperative recovery period progressed satisfactorily with good outcomes. Patient is under regular follow up.
Abstract: Inguinal hernia stands as a prevalent surgical concern, often addressed either through elective procedures or as emergencies by surgeons. The indirect hernia has high propensity to bowel obstruction due to narrow constrictive ring. Direct hernia is comparatively safe from complications owing to the larger defect. Busoga hernia (BH), alternatively r...
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Research Article
Colorectal Cancer: Epidemiological Profile and Management at Conakry University Hospital (Guinea)
Oulare Ibrahima,
Traore Bakary,
Cisse Aoly,
Youla Alpha Mohamed,
Kourouma Mohamed 1,
Soumaoro Labilé Togba*,
Fofana x Labilé,
Toure Aboubacar
Issue:
Volume 12, Issue 3, June 2024
Pages:
75-78
Received:
22 March 2024
Accepted:
15 May 2024
Published:
30 May 2024
Abstract: Background: the incidence of colorectal cancer is increasing in African countries, but remains poorly elucidated. The aim of this study was to determine the epidemiological profile and the management of colorectal cancer in Conakry university hospital. Patients and Method: This was a 5-year retrospective descriptive study from January 2015 to December 2019 including consecutive cases of colorectal cancers recorded in the university hospital of Conakry (Guinea). Results: Over the 5-year period, we collected 79 cases of colorectal cancer, representing 1.75% of all digestive cancers. The 51-70 age group was the most represented (39.24%), and male patients were the most common (54%). In 38% of cases, patients were admitted with acute intestinal obstruction. Ulcero- budding tumors were dominant (88.6%). The most common histological type was Lieberkuhnian adenocarcinoma (89.62%). Postoperative course was favorable in 67% of cases. In our sample, stage IV was most represented (69%), followed by stage III (23.4%). The lack of adjuvant treatment and long term follow made very hard to determine the patient’s survival time. Conclusion: Colorectal cancer remains a major public health problem. It is the 2nd leading cause of cancer mortality after lung cancer.
Abstract: Background: the incidence of colorectal cancer is increasing in African countries, but remains poorly elucidated. The aim of this study was to determine the epidemiological profile and the management of colorectal cancer in Conakry university hospital. Patients and Method: This was a 5-year retrospective descriptive study from January 2015 to Decem...
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Research Article
Ileal Evisceration Per Vaginum: A Serious Complication of Clandestine Abortions
Camara Mamadouba*,
Traoré Adama,
Camara Mamadou,
Cissé Fodé
Issue:
Volume 12, Issue 3, June 2024
Pages:
79-82
Received:
13 April 2024
Accepted:
13 May 2024
Published:
30 May 2024
Abstract: Per vaginum evisceration through uterine perforation is a rare but potentially serious complication of clandestine abortion. early diagnosis and aggressive volume resuscitation enable major surgical management and reduce patient mortality. Serious complications include haemorrhage, infection and damage to surrounding organs (intestinal, urological). This is the report of two observations of evisceration per vaginum during a clandestine abortion by endo-uterine maneuver. The first patient, aged 20, nulliparous, presented to the emergency department with externalization of the bowel and ileal loop necrosis 3 hours after the abortion. In the majority of cases, surgical management is by laparotomy, but a laparoscopic procedure can be performed if the externalized viscera is the omentum. The post-operative course is straightforward, but the obstetrical prognosis remains guarded due to the sequelae of induced abortion. Despite efforts to raise young girls' awareness of the harmful effects of clandestine abortions and legislation against such practices, young girls are still being encouraged to undergo abortions with serious complications. Conclusion: we describe two cases of post-abortive intestinal evisceration, despite efforts to raise young women's awareness of the harmful effects of illegal abortions. Vaginal evisceration is a surgical emergency and treatment is mandatory without a diagnostic assessment. Efforts must be made to reduce the number of unsafe abortions.
Abstract: Per vaginum evisceration through uterine perforation is a rare but potentially serious complication of clandestine abortion. early diagnosis and aggressive volume resuscitation enable major surgical management and reduce patient mortality. Serious complications include haemorrhage, infection and damage to surrounding organs (intestinal, urological)...
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Research Article
Assessment of Operative Experience of General Surgery Residents of Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
Issue:
Volume 12, Issue 3, June 2024
Pages:
83-91
Received:
2 April 2024
Accepted:
19 April 2024
Published:
14 June 2024
Abstract: Background: The Zwisch Score is a recognized tool for objectively assessing resident competency, particularly in measuring faculty guidance. However, there hasn't been a study in Ethiopia yet to assess surgical residents' operative experience using this standardized objective method. Objective: To assess the operative experience of general surgery residents’ using Zwish score in Yekatit 12Hospital Medical College. Methods: A cross-sectional study design was employed, involving all general surgery residents enrolled in the residency program at Yekatit 12 Hospital Medical College from January 2020 to January 2023. Primary data collection utilized online shared questionnaires, with data entry and analysis conducted using SPSS. Result: In Yekatit 12Hospital Medical College, there are 18 Surgeons and 44 surgery residents. Senior residents tend to give junior residents scores of show and tell (33.3% for year 1, 50% for year 2), while year 1 residents most commonly rate themselves as providing active help (18.4%), and year 2 residents rate themselves as show and tell (59.3%). When comparing senior residents' scores with their own, seniors commonly rate themselves as providing passive help (30% for year 3, 65.4% for year 4), and residents rate themselves similarly (31% for year 3, 62.1% for year 4). Conclusion: There are variations between scores given by junior residents and seniors, but senior residents' self-assessments align closely with those of the seniors. This suggests that residents tend to accurately evaluate their skills as they progress through their residency.
Abstract: Background: The Zwisch Score is a recognized tool for objectively assessing resident competency, particularly in measuring faculty guidance. However, there hasn't been a study in Ethiopia yet to assess surgical residents' operative experience using this standardized objective method. Objective: To assess the operative experience of general surgery ...
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