Management of a Bladder Wound During a Cesarean Section: A Case Report at Urology Service in the Military Hospital OBO
Smith Giscard Olagui,
Mariette Nsa Bidzo,
Christelle Mezene,
Crepin Olende,
Jean Placide Owono Bouengou
Issue:
Volume 3, Issue 4, December 2022
Pages:
46-49
Received:
10 September 2022
Accepted:
29 October 2022
Published:
23 November 2022
DOI:
10.11648/j.wjmcr.20220304.11
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Abstract: Introduction: Bladder wounds are classic complications of gyneco-obstetric surgery. They remain rare given the considerable number of operations performed. The effectiveness of the treatments is directly proportional to the precocity of the diagnosis. Peroperative diagnosis allows direct repair of these lesions. The treatment remains surgery. Our goal is to present our emergency care, from diagnosis to treatment. Observation: 37-year-old patient, G4P3, including 2 caesarean sections, BMI 28, irregular follow-up, with anterior placenta previa percreta, who presented in an early labor picture at 38 WA+4d. the indication for a caesarean section was formal. During the caesarean section, the pfannenstiel incision allowed the emergency extraction of the fetus, and the intraoperative discovery of a large wound in the bladder. A closure in 2 muscular and serous planes had been carried out. The suites had been simple. postoperative follow-up at 1 and 3 months was normal. Discussion: The bladder is an intra and extra peritoneal organ, placed directly in front of the uterus, a seat that makes it exposed to lesions at the time of cesarean sections. The indications for cesareans are increasing. Our patient was carrying a placenta previa percreta on a bi-scarred uterus, arriving in labor, all risk factors for a possible bladder injury. Emergency caesarean section is responsible for 31% of bladder damage. The treatment is direct suture on a bladder probe for 15 to 21 days. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication.
Abstract: Introduction: Bladder wounds are classic complications of gyneco-obstetric surgery. They remain rare given the considerable number of operations performed. The effectiveness of the treatments is directly proportional to the precocity of the diagnosis. Peroperative diagnosis allows direct repair of these lesions. The treatment remains surgery. Our g...
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Evaluation of Oro-Dispersible Tablets (Artemether-Lumefantrine and Amoxicillin Trihydrate) Used for Some Common Childhood Diseases (Malaria and Pheumonia)
Ezegbe Chekwube Andrew,
Ezegbe Amarachi Grace,
Boniface Christian Izuchukwu,
Kalu Amarachi Agu,
Okorafor Ezinne Chinemerem,
Godswill Onunkwo
Issue:
Volume 3, Issue 4, December 2022
Pages:
50-55
Received:
19 May 2022
Accepted:
2 June 2022
Published:
29 December 2022
DOI:
10.11648/j.wjmcr.20220304.12
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Abstract: Background: Generic substitution of a brand of medicine for others, with the hope that they have the same therapeutic effect is difficult for health care providers and consumers. Aim: This study was able to evaluate the authenticity of label claim of eight samples of artemether-lumefantrine and two samples of amoxicillin trihydrate tablets available at Ogige market Nsukka and Ogbete main market, Enugu. Method: The following tests were carried out; hardness, friability, modified disintegration time, wetting time, water absorption ratio and weight uniformity. The compliance of each sample to the United States Pharmacopoeia (USP) requirements were recorded. Results: The friability test showed that all the tablets passed the test with less than 1% friability loss. The mean hardness ranged from 1.65±0.47 to 5.35±0.67 for artemether-lumefantrine tablets, while that of amoxicillin trihydrate tablets ranged from 4.00±0.93 to 6.10±0.91 respectively. The tablet diameter and mean thickness of artemether-lumefantrine tablets ranged from 9.00±1.53 to 11.00±1.0 and 2.00±1.15 to 4.00±1.53 respectively, while that of amoxicillin trihydrate ranged from 8.00±0.9 to 10.00±1.0 and 3.00±2.08 to 4.00±1.53 respectively. The disintegration time of artemether-lumefantrine tablets ranged from 1.50±0.1 to 3.52±0.01 and 2.06±0.02 to 3.30±0.03 for amoxicillin trihydrate respectively. The wetting and water absorption ratio of artemether-lumefantrine ranged from 0.21±0.01 to 4.47±0.01, and 25.66±0.01 to 131.62±0.04 respectively, while that of amoxicillin trihydrate ranged from 1.28±0.01 to 10.00±0.02 and 49.54±0.02 to 75.65±0.03 respectively. The study discovered that several generic brands of artemether-lumefantrine and amoxicillin trihydrate tablets in Nigeria could be sub-standard products.
Abstract: Background: Generic substitution of a brand of medicine for others, with the hope that they have the same therapeutic effect is difficult for health care providers and consumers. Aim: This study was able to evaluate the authenticity of label claim of eight samples of artemether-lumefantrine and two samples of amoxicillin trihydrate tablets availabl...
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