RESUMO
BACKGROUND: Post-myomectomy intussusception is a very rare cause of post-operative intestinal obstruction in adult surgical practice. Preoperative diagnosis is usually missed or delayed because the symptoms are usually subacute and nonspecific. METHOD: The case notes of the patients were retrieved and relevant data extracted and summarized. An extensive literature search was done and results reviewed and compared with the present case. RESULTS: The two patients reported developed features of post operative intestinal obstructions which were thought to be due to adhesive bands and initial conservative managements instituted. Exploratory laparotomies later revealed ileo-ileal and jejuno-ileal intussusceptions which were reduced without resection with good outcome. CONCLUSION: Intussusception is a rare but serious complication of myomectomy. High index of suspicion with prompt intervention and early team management optimize outcomes.
Assuntos
Doenças do Íleo/cirurgia , Intussuscepção/cirurgia , Doenças do Jejuno/cirurgia , Complicações Pós-Operatórias/cirurgia , Miomectomia Uterina , Adulto , Feminino , Humanos , Intussuscepção/diagnósticoRESUMO
BACKGROUND: Epidural anaesthesia is applicable for a wide range of surgical procedures and offers distinct advantages over general and spinal anaesthesia. It is however underutilised in our environment. We report a one year experience in the use of this technique. Our objective is to describe a one year experience in the use of epidural anaesthesia with emphasis on the scope and safety in our institution. METHOD: A retrospective study of all patients that had epidural anaesthesia over a one year period for different procedures. Case notes and anaesthetic records were studied and analysed using EPI info 3.2.1. software. RESULTS: Thirty two patients had epidural anaesthesia over the period. Majority (18 cases) were caesarean sections (56.3%). There were 9 general surgical cases (28.1%), four gynaecologic (12.0%) and one orthopaedic (3.1%) cases. Of the five complications observed (15.6%), only two could be traced to the technique of anaesthesia and the lone mortality (3.1%) was unconnected. CONCLUSION: We conclude that epidural anaesthesia is applicable to a wide range of procedures within and across disciplines in our practice and is both easy to perform and safe.
Assuntos
Anestesia Epidural/estatística & dados numéricos , Anestesia Obstétrica/estatística & dados numéricos , Adolescente , Adulto , Distribuição por Idade , Idoso , Serviço Hospitalar de Anestesia , Anestesia Epidural/efeitos adversos , Anestesia Obstétrica/efeitos adversos , Feminino , Humanos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Nigéria , Médicos , Estudos Retrospectivos , Distribuição por Sexo , Centro Cirúrgico Hospitalar , Adulto JovemRESUMO
Background: Epidural anaesthesia is applicable for a wide range of surgical procedures and offers distinct advantages over general and spinal anaesthesia. It is however underutilised in our environment. We report a one year experience in the use of this technique. Our objective is to describe a one year experience in the use of epidural anaesthesia with emphasis on the scope and safety in our institution. Method: A retrospective study of all patients that had epidural anaesthesia over a one year period for different procedures. Case notes and anaesthetic records were studied and analysed using EPI info 3.2.1. software. Results: Thirty two patients had epidural anaesthesia over the period. Majority (18cases) were caesarean sections (56.3). There were 9 general surgical cases (28.1); four gynaecologic (12.0) and one orthopaedic (3.1) cases. Of the five complications observed (15.6); only two could be traced to the technique of anaesthesia and the lone mortality (3.1) was unconnected. Conclusion: We conclude that epidural anaesthesia is applicable to a wide range of procedures within and across disciplines in our practice and is both easy to performand safe
