Surgical Haematuria: An Analysis of Causes in a Southern Nigerian State

Ofuru, Vitalis Obisike; Abhulimen, Victor

doi:10.4236/oju.2022.127039

Cited by 3 publications

(6 citation statements)

References 25 publications

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“…Increased urea levels from renal compromise can lead to the formation of guanidinosuccinic acid and phenolic acid which impairs platelet aggregation. 35,36 With obstruction of urine, sediments within the urine can crystallize forming a bladder calculus. [37][38][39] In our study 15 (13.64%) patients presented with bladder calculus.…”

Section: Discussionmentioning

confidence: 99%

Aetiopathogenesis of urethral stricture disease in a tertiary hospital in Southern Nigeria

Abhulimen

Ofuru²

2022

Int Surg J

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Background: The urethra provides passage for urine in both sexes and additionally for ejaculation in males. Urethral stricture disease (USD), results in the narrowing of the urethra due to spongiofibrosis. Understanding the pathology of this disease is important to treatment. This study aims to evaluate the aetiology, pathology and pathogenesis of USD at the University of Port Harcourt Teaching Hospital.Methods: This was a 6-year retrospective study conducted on all patients with features of USD who presented to the University of Port Harcourt Teaching Hospital UPTH. Ethical approval was sought and obtained from the hospital’s ethical committee. Data were obtained from ward admission, theatre, and discharge records. The information gotten included the age of the patient, aetiologic agent, site of stricture, number of strictures, length of stricture and complications present at the presentation. The data retrieved was analysed and categorical data were presented in the form of frequencies and percentages using tables. Continuous variables were presented as means and standard deviation. Results were presented in tables and charts.Results: The mean age from this study was 44.1±16.7 years. The commonest site of USD was bulbar with 74 (67.27%) patients. The commonest cause of urethral stricture was iatrogenic (41 patients).Conclusions: Strictures are commonest amongst middle-aged men. The commonest site of urethral stricture disease is the bulbar region because of its unique anatomy. Iatrogenic strictures are the commonest cause of urethra stricture disease.

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Section: Discussionmentioning

confidence: 99%

Aetiopathogenesis of urethral stricture disease in a tertiary hospital in Southern Nigeria

Abhulimen

Ofuru²

2022

Int Surg J

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“…A clinical monitor of a train of four will also help in this regard. Exceptions to this are atracurium and cisatracurium which are metabolized by ester hydrolysis and Hoffman elimination to inactive products [1] .…”

Section: Mechanism Of Action Of Drugs In Patients With Impaired Renal...mentioning

confidence: 99%

“…Suxamethonium is metabolized by pseudocholinesterase and although levels of this enzyme are reduced in uraemia, values are rarely so low as to cause a prolonged block. Renal excretion is also of major importance for the elimination of cholinesterase inhibitors and elimination is impaired in renal function, to the same extent as of non-depolarizing muscle relaxants, other drugs largely excreted unchanged in the urine include atropine and glycopyrrolate but a single dose will not cause difficulties [1] .…”

Section: Mechanism Of Action Of Drugs In Patients With Impaired Renal...mentioning

confidence: 99%

“…Opioids are extensively metabolized in the liver, so the pharmacokinetics are largely unaltered by renal disease. However, both morphine and pethidine have active metabolites which are excreted by the kidneys and may accumulate in renal failure, doses should be reduced or avoided [1] .…”

Section: Mechanism Of Action Of Drugs In Patients With Impaired Renal...mentioning

confidence: 99%

“…The kidneys are two bean-shaped retroperitoneal organs located in the lumbar region protected by the flank muscles [1] and involved in the excretion of metabolic waste products. Renal Cell Carcinoma (RCC) accounts for 2% of global cancer diagnoses and deaths, its incidence is increasing especially in the developed world [2] .…”

Section: Introductionmentioning

confidence: 99%

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Anaesthetic Considerations in Managing Renal cell Carcinoma in a Resource-Poor Setting

Fiekabo

Abhulimen²

2023

ijirms

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Introduction: Renal Cell Carcinoma (RCC) accounts for 2% of global cancer diagnoses and deaths, its incidence is increasing globally. In Africa, the incidence of RCC is relatively low but many patients present late with advanced-stage disease and consequently, poorer prognosis. Anaesthetic care of these patients is important. Materials and Methods: This is a ten-year retrospective study conducted at the University of Port Harcourt Teaching Hospital. Ethical approval for the study was sought and gotten from the hospital’s ethical committee. The information gotten includes the type of anaesthesia and method of postoperative pain management. The data collected was analyzed and presented in a table. Results: 84% had general anaesthesia while 16% had regional anaesthesia, all the patients had multimodal method of pain management. Conclusion: Perioperative management for renal surgery varies significantly depending on the disease and patient groups, the anaesthetic must take into consideration the various surgical approaches and be prepared to assist the surgeon.

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https://wjarr.com/content/changes-income-micro-small-and-medium-sized-enterprise-msme-actors-pahlawan-village-tanjung

Abhulimen Victor,

Oruobu-Nwogu Ayanate

2023

World J. Adv. Res. Rev.

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Background: The intensive care unit (ICU) is a distinct organizational and geographic entity for clinical activity and care, operating in cooperation with other departments integrated in a hospital. Surgical patients make up a significant number of those admitted into the ICU. Materials and Methods: This is a ten-year retrospective study conducted at the University of Port Harcourt Teaching Hospital. Ethical approval for the study was sought and gotten from the hospital’s ethical committee. The information gotten includes history, age, sex, diagnosis, length of admission, and outcome. The data collected was analyzed and presented in tables and charts. Results: The mean age of surgical patients in the ICU was 35.88±18.17. More females (884, 56.9%) were admitted into the ICU compared to males (537,34.6%). The highest bill paid by a patient was 493,000 naira. The maximum duration of stay in the ICU was 227 days. A total of 919 (59.2%) patients were transferred out of the ICU, while 78 (5%) were discharged from the ICU. Conclusion: The importance of the ICU to the surgeon cannot be overemphasized. The mean age of patients admitted to the ICU was 35.88 years. Females were more common than males. Many patients (64.2%) admitted to the ICU recovered and were transferred out or discharged. Obstetrics and gynaecology department had the highest admission. Better prenatal and antenatal care may help reduce this trend

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Surgical Haematuria: An Analysis of Causes in a Southern Nigerian State

Cited by 3 publications

References 25 publications

Aetiopathogenesis of urethral stricture disease in a tertiary hospital in Southern Nigeria

Aetiopathogenesis of urethral stricture disease in a tertiary hospital in Southern Nigeria

Anaesthetic Considerations in Managing Renal cell Carcinoma in a Resource-Poor Setting

https://wjarr.com/content/changes-income-micro-small-and-medium-sized-enterprise-msme-actors-pahlawan-village-tanjung

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