Department of Surgery

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    Experience with rubber band ligation of hemorrhoids in northern Nigeria
    (Nigerian Medical Journal, 2013) Misauno, M. A.; Usman B. D.; Nnadozie U. U.; Obiano S. K.
    Background: Treatment of hemorrhoids in Nigeria is usually done by the traditional open method that requires hospital admission; anesthesia and is associated with high morbidity. Rubber band ligation is a suitable alternative to open hemorrhoidectomy and has the potential to reduce the need for hospital admission. Patients and Methods: This was a prospective analysis of consecutive patients presenting with hemorrhoids that were suitable for surgical treatment to the Jos University Teaching Hospital and the Federal Medical Centre Gombe from January 2008 to December 2010 (24 months). Results: A total of 232 rubber band ligations were performed on 40 patients whose ages ranged from 20 to 54 years with a mean age of 37.1 ± 12.2 years. There were 24 males and 16 females (M:F::2:3). Thirty‑nine patients (97.5%) were cured of their symptoms following the procedure, and 1 patient (2.5%) had severe pain as complication of the treatment. Another patient had recurrence that was treated by repeat rubber band ligation. Conclusion: We conclude that rubber band ligation is a safe and reliable way for outpatient treatment of hemorrhoids in Nigeria.
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    Pilot Experience with Infrared Photocoagulation As an Office Based Procedure for the Treatment of Hemorrhoids.
    (IOSR Journal of Dental and Medical Sciences, 2016-05) Ale A. F; Achinge G. I; Peter S. D; Shitta A. H; Isichei M. W; Misauno M. A
    There are many minimally invasive modalities in use for the treatment of hemorrhoids, most of which are unavailable in our setting. This study sought to describe our recent experience with infrared photocoagulation with a view to stressing it's suitability as an office based procedure for treating hemorrhoids. A prospective study of consecutive patients presenting with symptomatic hemorrhoids was conducted over a 3 year period. 21 (22.3%) patients had grade 1 hemorrhoid, 53 (56.4%) had grade 2 and 20 (21.3%) had grade 3 hemorrhoids. All 20 patients with grade 3 hemorrhoids at re-assessment after 2 weeks, the grade had changed to 2. 53 (56.4%) patients had 2 sessions of treatment at 2 weekly interval, while 41 (43.6%) patients had a single session of treatment to cure symptoms. 60 (63.8%) patients had minor post procedure hemorrhage, 14 (14.9%) had mild post procedure pain, 4 (4.3%) had recurrence of symptoms and were treated via open hemorrhoidectomy, while 16 (17.0%) had no procedure related complication. Infrared photocoagulation is an effective, safe and well tolerated procedure for the outpatient treatment of hemorrhoids and may be used to downstage grade 3 hemorrhoids.
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    A CASE AGAINST THE MEMBERSHIP PROGRAMME PROPOSAL OF THE WEST AFRICAN COLLEGE OF SURGEONS
    (78 JOURNAL OF THE WEST AFRICAN COLLEGE OF SURGEONS, 2012) AJAO OG,; UGWU BT
    Following the meeting held in Accra, Ghana in September 2012, a draft proposal on Harmonization of Surgical Training was submitted for final consideration by the four Colleges in the West African Sub- region. The Council of the West African College of Surgeons (WACS) was mandated to produce a Membership Curriculum separate from the Part 1 programme of the Fellowship Examination. This, in essence, means that there is a proposal to have a Membership Examination and certification in addition to the well established Fellowship Examination and certification. This means that there will be a lower standard of examination for Membership certification than the Fellowship Examination. The President of WACS in the presidential address in Liberia at the 52™ annual meeting made an allusion to “the reluctance of Faculty of Surgery to go along with the Membership” plan. We fully support the reluctance of the Faculty of Surgery in this regard, and the following will explain our position. It was George F. Will writing for Newsweek Magazine some years back that stated that what people learn from History is that people do not learn from History. This statement could not be truer when we consider this proposal.