Hand replantation: First experience in a sub-Saharan African country (Togo)

Amouzou, Komla Séna; Amakoutou, K; Bakriga, Batarabadja; Abalo, Anani; Dossim, Assang

doi:10.4103/0970-0358.182228

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…Breast cancer is one of the most frequent malignancies worldwide and represents an important public health problem [ 1 , 2 ]. Evaluating the status of axillary lymph nodes (ALNs) is essential in deciding appropriate treatment and staging as well as predicting the long-term survival in breast cancer [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

BI-RADS 3-5 microcalcifications: prediction of lymph node metastasis of breast cancer

et al. 2017

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PurposeTo determine whether the clinicopathological parameters and Breast Imaging Reporting and Data System (BI-RADS) 3–5 microcalcifications differed between lymph node positive (LN (+)) and lymph node negative (LN (−)) invasive ductal carcinoma (IDC).ResultsFor microcalcification-associated breast cancers, seven selected features (age, tumor size, Ki-67 status, lymphovascular invasion, calcification range, calcification diameter and calcification density) were significantly associated with LN status (all P < 0.05). Multivariate logistic regression analysis found that three risk factors (age: older vs. younger OR: 0.973 P = 0.006, tumor size: larger vs. smaller OR: 1.671, P < 0.001 and calcification density: calcifications > 20/cm2 vs. calcifications ≤ 20/cm2 OR: 1.698, P < 0.001) were significant independent predictors. This model had an area under the receiver operating characteristic curve (AUC) of 0.701. The nodal staging (N0 and N1 χ2 = 5.701, P = 0.017; N0 and N2 χ2 = 6.614, P = 0.013) was significantly positively associated with calcification density. The luminal B subtype had the highest risk of LN metastasis. Multivariate analysis demonstrated that calcification > 2 cm in range (OR: 2.209) and larger tumor size (OR: 1.882) were independently predictive of LN metastasis in the luminal B subtype (AUC = 0.667).Materials and MethodsMammographic images of 419 female breast cancer patients were included. Associations between the risk factors and LN status were evaluated using a Chi-square test, ANOVA and binary logistic regression analysis.ConclusionsThis study found that age, tumor size and calcifications density can be conveniently used to facilitate the preoperative prediction of LN metastasis. The luminal B subtype has the highest risk of LN metastasis among the microcalcification-associated breast cancers.

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Section: Introductionmentioning

confidence: 99%

BI-RADS 3-5 microcalcifications: prediction of lymph node metastasis of breast cancer

et al. 2017

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“…3 One such violent hand injury is an amputation or dismemberment, of which surgical reattachment or replantation has become a viable treatment option, under ideal circumstances, though mainly in developed countries. [7][8][9] Following hand replantation, therapy is essential to ensure optimal functional outcome, including a return to work. [7][8][9][10][11] While there is extensive literature discussing the violence in SA, 1 , 6 (albeit very few authored by therapists) 12 -there appears to be a notable lack of literature exploring the lived experience of survivors.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9] Following hand replantation, therapy is essential to ensure optimal functional outcome, including a return to work. [7][8][9][10][11] While there is extensive literature discussing the violence in SA, 1 , 6 (albeit very few authored by therapists) 12 -there appears to be a notable lack of literature exploring the lived experience of survivors. 13 By exploring the experience of those who have sustained hand injuries through violence, therapists can gain an indepth understanding of how the condition is perceived, insights into the cause, challenges during recovery and contributors to success, whilst simultaneously acknowledging the client as the expert of their own story.…”

Section: Introductionmentioning

confidence: 99%

“It was like a bad dream”: Making sense of violent hand amputation and replantation in South Africa

Young¹,

Govender²,

Naidoo³

2023

Journal of Hand Therapy

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Background: South Africa is faced with one of the highest rates of violent crime in the world. Accordingly, therapists treat high numbers of deliberate hand injuries. There is, however, a paucity of literature exploring the lived experiences of these survivors. Purpose: The aim of this study was to describe and interpret the meaning of living through a violent hand amputation and replantation, the impact on occupational adaptation and to reflect on therapeutic intervention, within the context of South Africa. Study Design: An exploratory embedded single case study using a qualitative approach. Methods: Interpretative phenomenological analysis was used to analyze data from: 8 interviews with the primary participant, over a period of 33 months; an interview with his work colleague; interviews with 5 health professionals; a review of the occupational therapy rehabilitation file and a review of the audiovisuals, recorded over 2-years. Results: This narrative reveals a man who understood his terrifying assault to be part of a southern African ritual of spiritual origin -using human body parts for traditional medicine (muti crime) or witchcraft. He perceived his expensive hand replantation and therapy as surreal and violence as normal. Challenges highlighted the importance of being attentive to the psychosocial sequelae of violence; and the most valuable part of therapy was perceived as occupational engagement. Conclusions: The perception of attempted muti murder situates this extreme and unusual case study as a novel contribution to the medical and rehabilitation literature. South African therapists are urged to be actively involved in changing the culture of violence, and hand therapists are reminded of the importance of applying holistic and occupation-based intervention.

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Hand replantation: First experience in a sub-Saharan African country (Togo)

Cited by 2 publications

References 5 publications

BI-RADS 3-5 microcalcifications: prediction of lymph node metastasis of breast cancer

BI-RADS 3-5 microcalcifications: prediction of lymph node metastasis of breast cancer

“It was like a bad dream”: Making sense of violent hand amputation and replantation in South Africa

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