scholarly journals Role of Laparoscopy in Management of Nonpalpable Undescended Testis in Children

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
E F Ibrahim ◽  
S M Abdelameguid ◽  
A S Hussein ◽  
I A A Abdelhai
Keyword(s):  
Teaching Hospital ◽  
Undescended Testis ◽  
Convincing Evidence ◽  
University Teaching ◽  
Preoperative Imaging ◽  
Testicular Descent ◽  
Number Of Patients ◽  
Wide Range ◽  
Impalpable Testis

Abstract Background Normal testicular descent relies on a complex interplay of numerous factors. Any deviation from the normal process can result in an undescended testis (UDT). UDT is a common abnormality that carries fertility and malignancy implications. Aim of the Work The aim of this study is Evaluation of the role of laparoscopy in diagnosis and management of clinically impalpable testis. Patients and Methods Nineteen male patients were included in this study with twenty two non-palpable testes. All these patients were subjected to diagnostic laparoscopy & the subsequent decision was then based on the laparoscopic finding. There was no age limit for the procedure. The procedure was carried in Ain Shams University teaching hospital and El-mataria teaching hospital. Results The study included nineteen patients with twenty two non-palpable testes. Age at presentation was averaging 18.5 ± 12.5 months. Our study may present convincing evidence that laparoscopy has significant advantage over imaging procedures. Preoperative imaging proved inaccurate in determining testicular position in 10 of the 22 testes (45.5%) this is in agreement with many studies which reported that ultrasonography helped to identify only 45% of non palpable testis. Conclusion This study tried to assess roughly the effectiveness of laparoscopy as a diagnostic tool and treatment of non-palpable undescended testis. This study dealt with a very small number of patients and this issue still needs more researches to study all the benefits and disadvantage and shall need further study on a wide range of patients.

scholarly journals Knowledge and Utilization of Cervical Screening among Female Health Workers in Jos University Teaching Hospital and the role of the Gynaecologist in screening

2015 ◽  
Vol 6 (7) ◽  
pp. 460
Author(s):  
Tinuade Abimbola Oyebode ◽  
Sagay Atiene ◽  
Ekwempu Chinedu ◽  
Shambe Iornum ◽  
Afolaranmi Tolu ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Health Workers ◽  
Cervical Screening ◽  
University Teaching

Management of complex CHD at the National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital, Enugu: the role of foreign cardiac missions in 3.5 years

2017 ◽  
Vol 27 (6) ◽  
pp. 1174-1179
Author(s):  
Ikechukwu A. Nwafor ◽  
Josephat M. Chinawa ◽  
Daberechi K. Adiele ◽  
Ijeoma O. Arodiwe ◽  
Ndubueze Ezemba ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Surgical Management ◽  
Teaching Hospital ◽  
Structural Defect ◽  
Center Of Excellence ◽  
Number Of Patients ◽  
Nigeria Teaching Hospital ◽  
Surgical Options ◽  
Age Range

AbstractBackgroundCHD is defined as structural defect(s) in the heart and proximal blood vessels present at birth. The National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital (UNTH), Enugu, through the aid of visiting Cardiac Missions has managed a significant number of patients within the last 3.5 years.Aim/ObjectiveThe objective of this study was to review surgical options and outcome of complex CHD among patients attending UNTH, Enugu, Enugu.Materials and MethodDuring the period of 3.5 years (March, 2013 to June, 2016), a total of 20 cases of complex CHD were managed by cardiac missions that visited UNTH, Enugu. Their case notes and operating register were retrieved, reviewed, and analysed using SPSS version 19 (Chicago).ResultsThere were eight females and 12 males, with a ratio of 2:5. The age range was from 5 months to 34 years with a mean of 1.7. Among all, five patients died giving a mortality rate of 25%. The operative procedures ranged from palliative shunts to complete repair. The outcome was relatively good.ConclusionComplex CHD are present in our environment. Their surgical management in our centre is being made possible by periodic visits of foreign cardiac missions.

scholarly journals Non-hormonal options for the relief of menopausal disorders

2022 ◽  
pp. 190-196
Author(s):  
O. V. Yakushevskaya
Keyword(s):  
Large Scale ◽  
Estrogen Deficiency ◽  
Alternative Methods ◽  
Main Function ◽  
Hormonal Changes ◽  
Social Self ◽  
Number Of Patients ◽  
Wide Range ◽  
Long Time

Woman’s nature is unique. Taking into account some historical milestones, it can be noted that the role of women in society has undergone large-scale changes. The woman took a confident position in society. Its main function remains unchanged and it consists in procreation and procreation. A woman’s activity is consistent with the work of her reproductive system (RS). The gradual decrease, and then the cessation of the work of the ovaries, contributes to the life order and health of the fair sex. Menopause is a natural stage in a woman’s life, which corresponds to the peak of social self-realization. However, in some cases, hormonal changes characteristic of this period can serve as a favorable background for the formation of a number of pathological changes. The growing estrogen deficiency is becoming a pathogenetic impetus for the development of a wide range of climacteric disorders. Vasomotor symptoms and hyperhidrosis are the most frequent companions of women during the perimenopausal transition and early postmenopause. Maintaining optimal activity and the full quality of life of patients should be the goal of correcting the negative manifestations of estrogen deficiency and the complications associated with it. Compensating for estrogen deficiency with menopausal hormone therapy (HRT) is the benchmark for menopausal problems. However, there are a number of patients who have contraindications to prescribing HRT or who refuse to receive it for some reason. For this category of patients, alternative methods of diet correction. Combinations of plant extracts with vitamins and minerals have been successfully used in clinical practice for a long time. The article will provide information on the most studied phytoestrogens contained in soy.

scholarly journals Role of pre-eclamptic toxaemia or eclampsia in hypertensive women attending cardiac clinic of Ahmadu Bello University teaching hospital Zaria, Nigeria

2008 ◽  
Vol 7 (3) ◽  
pp. 133 ◽  
Author(s):  
AlbertImhoagene Oyati ◽  
SolomonSulei Danbauchi ◽  
MohammedSani Isa ◽  
MohammedAhmed Alhassan ◽  
BalaGarko Sani ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
University Teaching

Angiomatosis of soft tissue as an important differential diagnosis for intramuscular venous malformations

2016 ◽  
Vol 32 (7) ◽  
pp. 474-481 ◽  
Author(s):  
Johanna Aronniemi ◽  
Jouko Lohi ◽  
Päivi Salminen ◽  
Pia Vuola ◽  
Kimmo Lappalainen ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Vascular Malformations ◽  
Low Flow ◽  
Preoperative Imaging ◽  
Differential Diagnostics ◽  
Venous Malformations ◽  
Number Of Patients ◽  
Insufficient Response ◽  
Tissue Specimens

Background We aimed to improve management of extremity low-flow vascular malformations by analyzing the histology and imaging of venous malformations (VMs) not responsive to sclerotherapy. Method We reviewed patient records of 102 consecutive patients treated with sclerotherapy for extremity VM in our institution to identify patients who had undergone surgery due to insufficient response. We semi-quantitatively analysed the tissue specimens and compared histological findings to those in preoperative imaging. Result The number of patients operated on was 19 (18.6%); 15 of them had lower-extremity intramuscular lesions. The histological pattern of 13 of these 15 lesions corresponded to angiomatosis of soft tissue (AST). All other lesions treated surgically were VMs. The histology of AST was distinctive but magnetic resonance imaging findings often overlapped with those of VM. Conclusion AST is easily mixed with intramuscular VM. The differentiation of these two entities has therapeutic importance. We emphasize the role of histology in the differential diagnostics of intramuscular slow-flow vascular malformations.

scholarly journals Spectrum of neurological disorders admitted in Tribhuvan University Teaching Hospital Maharajgunj

2013 ◽  
Vol 34 (3) ◽  
pp. 50-53 ◽  
Author(s):  
BP Gajurel ◽  
P Parajuli ◽  
R Nepali ◽  
KK Oli
Keyword(s):  
Teaching Hospital ◽  
Neurological Disorders ◽  
Descriptive Analysis ◽  
University Teaching ◽  
Fiscal Year ◽  
Institute Of Medicine ◽  
Central Nervous System Infections ◽  
Neurologic Disorders ◽  
Number Of Patients ◽  
Inpatient Settings

Introduction: Neurologic disorders are very common. Data on the type and burden of neurological cases either in the outpatient and inpatient settings in our country are not available. This research has been done to perform a descriptive analysis of the spectrum of neurological cases which were admitted over a period of one fiscal year in Tribhuvan University Teaching Hospital (TUTH), Maharajgunj, Kathmandu Methods: This retrospective study included all patients who were admitted with any neurological complaints over a period of one fiscal year (Shrawan 2067 B.S. to Asar 2068 B.S). Results: The total number of patients admitted was 1165. Out of these, 693 cases were due to neurological disorders (59.48%). The most common disorders were stroke, seizure disorder and central nervous system infections. Conclusion: A variety of neurological disorders, from very common to very rare, were admitted. DOI: http://dx.doi.org/10.3126/joim.v34i3.8918 Journal of Institute of Medicine, December, 2012; 34:50-53

Sign in / Sign up

Export Citation Format

Share Document