Thyrotoxicosis in Benin City: a study of surgical treatment of 50 patients

Thyrotoxicosis is regarded as uncommon in sub-tropical Africa, although recent reports seem to indicate an increasing frequency of this disease. From January 1986 to April 2001, 50 patients were operated upon for thyrotoxicosis at the University of Benin Teaching Hospital. Forty seven of them were females and three males (ratio 15.7:1). Poor compliance with drug therapy, relapse in symptoms, increase in the size of the goitre and cosmesis were the main indications for surgery. Sub-total thyroidectomy uniformly produced good results from the limited follow-up; few complications were associated with this procedure. The patients generally had good haemoglobin levels 65 10g% on admission and no blood transfusion was used in the series during or after surgery. There was no mortality. It is recommended that in sub-tropical Africa, surgery for thyrotoxicosis is a safe, effective and reasonably cheap procedure when compared to other modalities of treatment

Management of penetrating colorectal injuries in civilian practice

The changing trend in the management of penetrating colorectal trauma favouring primary repair without faecal diversion has generated a lot of interest among surgeons. In West Africa, surgeons face peculiar challenges of inadequate facilities, late presentation, delay to surgery and faecal loading of the colon. This study was carried out to determine the place of this trend in our practice. There were seventeen consecutive patients (aged 15 to 50 years) with injuries at 21 different anatomic sites: five in the right colon and 16 in the left. Twelve (75%) patients had primary repair without faecal diversion, two of which had colon related complications. The median duration of hospitalisation was shorter in patients managed without faecal diversion. Two patients died in the immediate peri-operative period and could not be included in the study. From our experience and from a review of literature we conclude that primary repair without faecal diversion should be favoured in good surgical risk patients. Key Words: Colon, rectum, injury, primary repair, colostomy (Jnl Med. & Biomed Res.: 1(2) 2002: 12-17

Thyrotoxicosis in Benin City: a study of surgical treatment of 50 patients

Thyrotoxicosis is regarded as uncommon in sub-tropical Africa, although recent reports seem to indicate an increasing frequency of this disease. From January 1986 to April 2001, 50 patients were operated upon for thyrotoxicosis at the University of Benin Teaching Hospital. Forty seven of them were females and three males (ratio 15.7:1). Poor compliance with drug therapy, relapse in symptoms, increase in the size of the goitre and cosmesis were the main indications for surgery. Sub-total thyroidectomy uniformly produced good results from the limited follow-up; few complications were associated with this procedure. The patients generally had good haemoglobin levels ≥ 10g% on admission and no blood transfusion was used in the series during or after surgery. There was no mortality. It is recommended that in sub-tropical Africa, surgery for thyrotoxicosis is a safe, effective and reasonably cheap procedure when compared to other modalities of treatment. Keywords: Goitre, thyrotoxicosis, sub-total thyroidectomy Journal of Medicine and Biomedical Research Vol. 3 (1) 2004: pp. 81-8

Clinicopathological Study of Carcinoma of the Breast in Benin City

Morbidity and mortality from breast cancer have continued to be a source of concern to surgeons in many countries. Over a period of 10 years- January 1987 to December 1996 - 117 patients presented with carcinoma of the breast at the University of Benin Teaching Hospital in Benin City, Nigeria. The case files of 77 patients were available and were analysed retrospectively. There were 75 females and 2 males. Sixty seven per cent of the female patients had large and grossly advanced lesions. Most of them were multiparous and they practiced prolonged breastfeeding. Seventy eight per cent of the patients delayed for over 3 months before presenting to the hospital. The five-year survival was 8.7%. We conclude that carcinoma of the breast is common in this community and that most of the patients present late to the hospital. (Afr J Reprod Health 2001; 5[2]:56-62) RÉSUMÉ Etude anatomoclinique du cancer du sein à Benin City. La morbidité et la mortalité occasionnées par le cancer du sein demeure toujours une source de souci pour les chirurgiens dans plusieurs pays. Depuis 10 ans, janvier 1987 jusqu'à décembre 1996, 117 malades ont présente le cancer du sein au Centre Hospitalier Universitaire à Benin City au Nigéria. Les dossiers de 77 malades étaient disponibles et ils ont été analysés retrospectivement. Il y avait 75 femmes et 2 hommes. 67% des malades avaient de grandes lésions bien avancées. La plupart étaient multipares et elles ont tardé de plus de 3 mois avant de se présenter à l'hôpital. La survie jusqu'à cinq ans était de 8,7%. Pour conclure, nous affirmons que le cancer du sein est commun dans cette communauté et que la plupart des malades se présentent tard à l'hôpital. (Rev Afr Santé Reprod 2001; 5[2]: 56-62) KEY WORDS: Carcinoma, breast, retrospective review, Benin Cit

Spectrum of emergencies in an accident centre in Benin-City, Nigeria

A total of 1,398 patients who presented with various types of injuries at the Accident Centre of the University of Benin Teaching Hospital over a one-year period were prospectively studied to evaluate the categories of patients affected, aetiological factors, types and severity of organ injuries. There were 956 males and 442 females with a male to female ratio of 2.2 to 1. The peak age of the patients was in the third decade. Road traffic accident was the cause of injury in 52 percent of cases, followed by physical assault and falls. The lower extremities, head, face and upper extremities were the most commonly injured body regions. Most of the injuries were minor with Injury Severity Score (ISS) ranging from 1-3, and moderate severity (ISS ranging from 4-16). Majority resulted from road traffic accidents. We conclude that road traffic accidents are the major cause of traumatic injuries in Benin City and efforts should be made to quantify the burden of injury in our environment through purposeful research and establishment of a trauma data bank. (Key words: Trauma, injuries, road traffic accidents, accident centre.) Sahel Med. J. Vol.6(2) 2003: 58-6

Diseases of the thyroid gland in Benin City

Nigerian Quarterly Journal of Hospital Medicine Vol.10(2) 2000: 157-16

Thyrotoxicosis in Benin City: a study of surgical treatment of 50 patients

Thyrotoxicosis is regarded as uncommon in sub-tropical Africa, although recent reports seem to indicate an increasing frequency of this disease. From January 1986 to April 2001, 50 patients were operated upon for thyrotoxicosis at the University of Benin Teaching Hospital. Forty seven of them were females and three males (ratio 15.7:1). Poor compliance with drug therapy, relapse in symptoms, increase in the size of the goitre and cosmesis were the main indications for surgery. Sub-total thyroidectomy uniformly produced good results from the limited follow-up; few complications were associated with this procedure. The patients generally had good haemoglobin levels ≥ 10g% on admission and no blood transfusion was used in the series during or after surgery. There was no mortality. It is recommended that in sub-tropical Africa, surgery for thyrotoxicosis is a safe, effective and reasonably cheap procedure when compared to other modalities of treatment

Thyrotoxicosis in Benin City: a study of surgical treatment of 50 patients

Thyrotoxicosis is regarded as uncommon in sub-tropical Africa, although recent reports seem to indicate an increasing frequency of this disease. From January 1986 to April 2001, 50 patients were operated upon for thyrotoxicosis at the University of Benin Teaching Hospital. Forty seven of them were females and three males (ratio 15.7:1). Poor compliance with drug therapy, relapse in symptoms, increase in the size of the goitre and cosmesis were the main indications for surgery. Sub-total thyroidectomy uniformly produced good results from the limited follow-up; few complications were associated with this procedure. The patients generally had good haemoglobin levels ≥ 10g% on admission and no blood transfusion was used in the series during or after surgery. There was no mortality. It is recommended that in sub-tropical Africa, surgery for thyrotoxicosis is a safe, effective and reasonably cheap procedure when compared to other modalities of treatment