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Treating Tropical Pyomyositis (Myositis Tropicans) Using Primary Closure and Vacuum Drainage

Surgical Science 2014年第8期5卷 333-337页

作者： Joseph yorke Pius Agbenorku Joseph Akpaloo Charles Appiah Papa Kwesi Sansomir Fiifi-Yankson Michael Adinku Ewura Adjoa Ahenfoa Ben-Crentsil dennis afful-yorke Department of Surgery School of Medical Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana Directorate of Surgery Komfo Anokye Teaching Hospital Kumasi Ghana School of Medical Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana

Introduction: Tropical pyomyositis refers to bacterial infection that affects skeletal muscles causing single or multiple abscesses filled with pus. Aim: The study seeks to find out the effectiveness in the use of primary closure and vacuum drainage in the treatment of pyomyositis. Materials and Methods: The study was conducted between March 1, 2007 and February 28, 2014 at the Komfo Anokye Teaching Hospital, Kumasi, Ghana on patients with pyomyositis. Results: Seventy-seven patients comprising 58 (75.32%) males and 19 (24.68%) females were included in the study with their ages ranging from 15 to 68 years. There was improvement in patient’s healing outcome. Conclusion: Primary wound closure and vacuum drainage provides patients with much satisfaction and better outcome as well and it is also effective.

关键词： Pyomyositis Primary Closure Negative Wound Pressure Therapy (NWPT) Satisfaction Cost Outcome

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Survival following an impalement injury through the perineum in association with high voltage electrical burns: A case report

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Journal of Acute Disease 2017年第2期6卷 82-84页

作者： Joseph yorke Pius Agbenorku Ronald Awoonor-Williams Kofi Baah Nyamekye George Amoah Offoe Michael Adinku Charles Appiah Amoah Edward Boateng Esinam Anita Agbeko Papa Kwesi Sonsomir Fiifi-Yankson Dorcas Ahulu Daniel Anning Gyawu dennis afful yorke Department of Surgery School of Medical SciencesCollege of Health SciencesKwame Nkrumah University of Science and TechnologyKumasiGhana General Surgery Unit Directorate of SurgeryKomfo Anokye Teaching HospitalKumasiGhana Reconstructive Plastic Surgery&Burns Unit Department of SurgerySchool of Medical SciencesCollege of Health SciencesKwame Nkrumah University of Science and TechnologyKumasiGhana Urology Unit Department of SurgeryKomfo Anokye Teaching HospitalKumasiGhana Directorate of Anaesthesia and Intensive Care Unit Komfo Anokye Teaching HospitalKumasiGhana School of Medical Sciences College of Health SciencesKwame Nkrumah University of Science and TechnologyKumasiGhana

We reported a case of a 30-year-old man who reportedly sustained electrical burns and fell from a high voltage electric pole about 50 meter high onto a metal that caused impalement injury. In addition, he sustained full-thickness burns of the right upper limb (7%), the right hemithorax, the perineum (sparing the penis), the anterior abdominal wall and the lateral aspect of both thighs. There was 43% burned surface area in total. Radiographic examination revealed a slender curved object extending from his perineum into the pelvis. The management of this case was a challenging one which was described in this article.

关键词： Impalement injury High voltage electrical burns Perineum Pelvis

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Management of Retroperitoneal Liposarcoma: A Case Report

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Surgical Science 2016年第8期7卷 361-367页

作者： Joseph yorke Pius Agbenorku Roland Awoonor-Williams Michael Offoe Adinku Eseenam Anita Agbeko Joseph Yaw Manu Kodwo Aboagye Addae Papa Kwesi Sonsomir Fiifi Yankson Dorcas Ahulu Daniel Anning Gyawu Nana Esi Abeduwa Abaidoo dennis afful-yorkee Department of Surgery School of Medical Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana Directorate of Anaesthesia and Intensive Care Komfo Anokye Teaching Hospital Kumasi Ghana Reconstructive Plastic Surgery & Burns Unit Department of Surgery School of Medical Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana General Surgery Unit Directorate of Surgery Komfo Anokye Teaching Hospital Kumasi Ghana School of Medical Sciences College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana

Retroperitoneal liposarcoma is a rare malignant tumour with an incidence of 2.5 per million people annually. It is the most common type of all the retroperitoneal malignant tumours. Early diagnosis of the tumour is difficult because of absence of specific clinical presentation. Symptoms would only occur if the tumour exhibits pressure on the surrounding organs. It usually occurs between the fourth to sixth decades of life affecting both genders equally. Histological subtypes include: well-differentiated, poorly differentiated, myxoid, round cell and pleomorphic. Radiological imaging useful in diagnosis include: ultrasonography, computed tomography and magnetic resonance imaging. Complete surgical resection of the tumour and the adjacent viscera involved or organs remained the mainstay of treatment. Radiotherapy plays a role in reducing the risk of recurrence but its effect on the overall survival of patients is not known. The case presented is a 48-year-old male patient with retroperitoneal liposarcoma, treated by complete surgical resection of the tumour and right hemicolectomy and currently on follow-up for possible recurrence.

关键词： Retroperitoneal Liposarcoma Surgical Resection Malignant Tumour

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