A Prospective Observational Study of the Causes of Death in Preterm Infants in a Low Resource Setting

2019 ◽  
Author(s):  
Lulu Muhe ◽  
Elizabeth M. McClure ◽  
Assaye K. Nigussie ◽  
Amha Mekasha ◽  
Bogale Worku ◽  
...  
2018 ◽  
Vol 15 (S1) ◽  
Author(s):  
Sangappa M. Dhaded ◽  
Manjunath S. Somannavar ◽  
Jane P. Jacob ◽  
Elizabeth M. McClure ◽  
Sunil S. Vernekar ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Abhilasha Agarwal ◽  
Jyothi Shetty ◽  
Deeksha Pandey ◽  
Gazal Jain

Introduction. Minilaparotomy hysterectomy (MLH) relies on the simplicity of the traditional open technique of abdominal hysterectomy, imparts cosmesis and faster recovery of laparoscopic hysterectomy yet avoids the long learning curve and cost of expensive setup and instrumentation associated with the minimally invasive approaches, namely, laparoscopy and robotics. In the present study, we tried to ascertain whether the results obtained with MLH can be compared to LAVH in terms of its feasibility, intraoperative variables, and complications. The null hypothesis was that both MLH and LAVH are comparable techniques; thus, where cost and surgeon’s experience are the confining issues, patients can be reassured that MLH gives comparable results. Materials and Methods. This was a prospective observational study done over a period of two years at a university teaching hospital. A total of 65 patients were recruited, but only 52 (MLH: 27; LAVH: 25) could be included in final analysis. All surgeries were performed by one of the two gynecologists with almost equal surgical competence, and outcomes were compared. Results. MLH is a feasible option for benign gynecological pathologies as none of the patients required increase in the initial incision (4–6 cm). MLH could be done for larger uteri (MLH: 501.30 ± 327.96 g versus LAVH: 216.60 ± 160.01 g; p<0.001), in shorter duration (MLH: 115.00 ± 21.43 min versus LAVH 172.00 ± 27.91 min; p<0.001), with comparable blood loss (MLH: 354.63 ±227.96 ml; LAVH: 402.40 ± 224.02 ml; p=0.334), without serious complications when compared to LAVH. Conclusion. The technique of MLH should be mastered and encouraged to be used in low-resource setting to get results comparable to laparoscopic surgery. This trial is registered with NCT03548831.


2018 ◽  
Vol 93 (7) ◽  
pp. E167-E170 ◽  
Author(s):  
Eugenia Vicky Asare ◽  
Edeghonghon Olayemi ◽  
Theodore Boafor ◽  
Yvonne Dei-Adomakoh ◽  
Enoch Mensah ◽  
...  

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 93-LB
Author(s):  
EDDY JEAN BAPTISTE ◽  
PHILIPPE LARCO ◽  
MARIE-NANCY CHARLES LARCO ◽  
JULIA E. VON OETTINGEN ◽  
EDDLYS DUBOIS ◽  
...  

2021 ◽  
Vol 14 (4) ◽  
pp. e239250
Author(s):  
Vijay Anand Ismavel ◽  
Moloti Kichu ◽  
David Paul Hechhula ◽  
Rebecca Yanadi

We report a case of right paraduodenal hernia with strangulation of almost the entire small bowel at presentation. Since resection of all bowel of doubtful viability would have resulted in too little residual length to sustain life, a Bogota bag was fashioned using transparent plastic material from an urine drainage bag and the patient monitored intensively for 18 hours. At re-laparotomy, clear demarcation lines had formed with adequate length of viable bowel (100 cm) and resection with anastomosis was done with a good outcome on follow-up, 9 months after surgery. Our description of a rare cause of strangulated intestinal obstruction and a novel method of maximising length of viable bowel is reported for its successful outcome in a low-resource setting.


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