department of surgery of the Chukwuemeka Odumegwu Ojukwu University Teaching
Hospital (COOUTH), Awka, Nigeria is pleased to publish this 2nd
edition of the Orient Journal of Surgical Sciences.
foremost aspiration of the editorial team is to publish quality peer reviewed
articles that meet international standards at a minimum frequency of once per
year in the select specialties and this volume has met that commitment.
Intussusception, the invagination of a segment of the bowel into the lumen of a contiguous segment, is an uncommon cause of abdominal pain and bowel obstruction in adults. Due to the often incomplete nature of the obstruction, presentation in the adult patient may be delayed and the diagnosis is either missed or made at exploratory laparotomy in regions where sophisticated imaging facilities such as computed tomography (CT) scan are not readily affordable or available. A high index of suspicion is required for theearlier detection of this condition in the adult patient for prompt and successful surgical intervention.
Objective: To compare the
outcome of unilateral versus bilateral simultaneous cataract surgery at the
Guinness Eye Center Onitsha, Nigeria.Materials and Methods: The visual
outcome and complications rates in patients who had bilateral simultaneous
cataract surgery (BSCS) intraocular lens implant between 01 January, 2014
and 31 December, 2016 and had been followed up for 6 months were compared with
those who had unilateral cataract surgery (UCS) within the same period.
Information on socio-demographic characteristics, domicile, pre-operative
visual acuity, visual acuity on last follow up, intra-operative complications, post-operative
complications and causes of poor vision were analyzed.
Results: Thirty nine patients with
bilateral simultaneous surgery and 142 with uniocular surgery were studied. The
age range was 6 – 93 years, median – 66years. There were 104 males (57.5%).
Pre-operatively 62 (79.5%) and 134 (94.4%) eyes had visual acuity <3/60 in
bilateral and uniocular surgery patients respectively. Post-operatively, 36
(46.1%) and 60 (42.3%) eyes of bilateral and uniocular surgery patients
respectively had unaided acuity ≥6/18. Post-operative acuity significantly
improved in both unilateral (X2 = 9.626; p<0.05) and bilateral (X2
= 9.556; p<0.05) surgeries. However, there was no statistically significant
difference in the improvement in visual acuity between unilateral and bilateral
surgeries (X2 = 0.562; p>0.05)Intra-operatively, vitreous loss occurred in one (1.3%) BSCS
and 2 (1.4%) UCS patients. Post-operatively posterior capsule opacification
occurred in 10(12.8%) and 22 (15.5%) eyes of bilateral and uniocular surgery
patients respectively. Recurrent uveitis occurred in 8 (10.3%) and 13
(9.2%)eyes of bilateral and uniocular surgery patients respectively.
Post-operative endophthalmitis occurred in one (0.7%) eye of a uniocular
laparotomy is a surgical procedure performed in a patient who requires
surgery when the actual cause and nature of the disease is not certain. Exploratory
laparotomy is usually carried out as an emergency procedure in patients who
are acutely ill and require urgent operation for control and stabilization of
their disease condition.
The aim of this study is to evaluate the common indications for exploratory
laparotomy among general surgery patients and to assess their
post-operative outcome and complications. Methodology: This is a
three-year retrospective study extending from January 2014 to December 2016.
All the consecutive general surgery patients who had exploratory laparotomy
within the study period were recruited into the survey. Patient's demographics
including: age, sex, diagnosis, intra-operative findings, operative procedures,
complications and outcomes were extracted and analysed. Analysis was done using
the SPSS version 21.0.
Results: A total of 120 exploratory
laparotomies were performed out of 1,908 surgical operations conducted
within the study period (6.29% of total surgery). The age range was 4 - 85
years with a mean of 40.25±17.23 years and peaks in the 21-30 years and 31-40
years age groups. Seventy-six patients were males and 44 females giving a male
to female ratio of 1.73:1. Intestinal obstruction from colonic tumours was the
commonest indication constituting 28 (23.3%) followed by complicated
appendicitis at 26 (21.6%). Bowel obstruction from post-operative bands,
perforated peptic ulcer disease (PPUD) and abdominal trauma accounted for 25
(20.8%), 17 (14.2%) and 16 (13.3%) respectively. A total of 12 patients had
complications following surgery representing a complication figure of 10.0%.
Mortality rate was 4.2%.
laparotomy is still very relevant in general surgery practice. Intestinal
obstruction from colonic tumour was the commonest indication in the study.
Post-operative complications and mortality rate were relatively low at 10.0%
and 4.2% respectively.
Indications, Complications, Mortality.
AIM: To determine the incidence
and pattern of ocular injuries at the Chukwuemeka Odumegwu Ojukwu
University Teaching Hospital Awka, Nigeria
METHODS: This is a retrospective
hospital based study carried out at the Chukwuemeka Odumegwu Ojukwu
University Teaching Hospital, Awka. The case notes of new patients seen at
the Eye unit of the hospital from July 2016 to June 2018 were examined. Those
with eye injuries were further reviewed. Relevant information was extracted for
the study. The results were analysed using the scientific calculator and
presented with frequency tables and bar chart.
RESULTS: Out of the 2559 new patients
seen, 156 (6.1%) had unilateral eye injuries while four patients sustained bilateral
ocular trauma giving rise to 160 injured eyes. Of the 156 patients, 97
(62.2%) were males while 59 (37.8%) were females, with male to female ratio of
1.6 : 1. The age range was 6 months to 92 years, mean age 33.4 years. Fist 45
(28.8%) was the most common agent causing injuries followed by missiles 26
(16.7%). Activities leading to injuries included fighting 39 (25%), playing 22
(14.7%), vocational work 19 (12.2%) and farming 18 (11.5%). Seventy-two eyes
(45%) had visual acuity of 6/6 to 6/18 and 56 (35%) had acuity of <3/60 in
the injured eyes. Ocular contusion 39 (25%) was the most common diagnosis.
Fifty- eight patients (37.2%) presented within 24 hours whereas 3 cases (1.9%)
came after one month.
CONCLUSION: Ocular injury
can be encountered in any activity engaged by man. It may be accidental or
deliberately inflicted. Males and younger age group are more at risk. Fight was
the most common activity leading to eye trauma in our audit. Generally, there
was delayed presentation at the hospital following the injury. However, the
severer the injury, the earlier the presentation.
Pattern; Ocular injury; Presentation.
Stargardt's disease is a bilateral
symmetrical and progressive macular dystrophy that is transmitted in autosomal
recessive or dominant pattern. It usually starts between the ages of 6 and 20
years and typically leads to a rapid loss of central vision.
The authors describe clinical features of a 28-year old male
patient with fundus findings of Stargardt's disease whose symptoms were
said to have started about 19 years prior to presentation. Previously there has
been a single reported case in Nigeria.
We present this case that would be discussed along the lines
of presentation, pathophysiology, management. We introduce an innovative and
cost effective method of fundus examination using mobile phone technology.
Stargardt's; Central vision; Mobile Phone.
Orient Journal of Surgical Sciences, a Publication of the Department of Surgery, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka is a peer-reviewed online journal with annual print on demand compilation of issues published.
The journal’s full text is available online at http://www.jscoouth.org.
department of surgery of the Chukwuemeka Odumegwu Ojukwu University Teaching
Hospital (COOUTH), Awka, Nigeria is pleased to publish this 2nd edition of the
Orient Journal of Surgical Sciences.
aspiration of the editorial team is to publish quality peer reviewed articles
that meet international standards at a minimum frequency of once per year in
the select specialties and this volume has met that commitment. This volume
contains articles of great importance particularly to the Ophthal-mologists and
The Maiden Edition of the Orient Journal of Surgical
Sciences Was Published on Wednesday 25th March 2020.
Hard Copies are now available at ₦1,000
per copy (or its USD $ equivalent) payable at site of collection at the Department
of Surgery Office, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital
(COOUTH) Awka, Nigeria or into the Journal bank account with the
Bank - Zenith bank; Account
Number: 1016472847; Account Name: COOUTH - The Orient Journal of
Editorial Board is also calling on all prospective Authors for the submission
of new articles towards the 2nd issue scheduled for publication in September
The Orient Journal of Surgical Sciences was founded on 27th April 2019.
It is published by the Department of Surgery at the Chukwuemeka Odumegwu
Ojukwu University Teaching Hospital (COOUTH) in Awka, Anambra State,