West African journal of medicine
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Case Reports
Dual implant application in the treatment of aseptic femoral shaft nonunions--case series.
Femoral shaft nonunion is not uncommon in orthopaedic practice in the developing economy and it can pose a management challenge. There is no single standard method of treatment. ⋯ Intramedullary nailing augmented with plate fixation is a useful and efficient method for treatment of femoral shaft nonunion. The technique is simple and does not require special instrumentation.
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Traumatic extradural haematoma is a rare condition and treatment in a majority of cases is by operative evacuation. Outcome from treatment is influenced by several factors. ⋯ Age of the patient and severity of head injury (a reflection of concomitant brain injuries), more than other factors appear to dominantly prognosticate outcome from operative evacuation in our service.
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Randomized Controlled Trial Comparative Study Clinical Trial
Efficacy and safety of misoprostol in induction of labour in a Nigerian tertiary hospital.
Misoprostol - a stable prostaglandin E1 analogue- is effective and safe in the induction of labour. There is paucity of information about the use of misoprostol for labour induction in Nigeria. ⋯ The efficacy of misoprostol in the induction of third trimester labour is comparable to oxytocin. The risk of ruptured uterus associated with misoprostol appears higher than that of oxytocin in the induction of labour. Further studies are needed to verify this observation in our setting.
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Randomized Controlled Trial Comparative Study
Clinical comparison of cardiorespiratory effects during unilateral and conventional spinal anaesthesia.
Spinal anaesthesia is widely employed in clinical practice but has the main drawback of post-spinal block hypotension. Efforts must therefore continue to be made to obviate this setback ⋯ Compared to conventional spinal anaesthesia, unilateral spinal anaesthesia was associated with fewer cardiovascular perturbations. Also, the type of spinal block instituted affected neither the respiratory rate nor the arterial oxygen saturation.
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The association of a benign ovarian tumor with ascites and hydrothorax that resolve after tumor resection, known as Meigs syndrome is a rare clinical entity. Rarer still is the haemorrhagic form of the syndrome ⋯ Meigs' syndrome should be considered in the differential diagnosis in female patients with hemorrhagic pleural effusion.