Characteristics &Outcome of Femur Neck Fracture Patients Treated with Hemiarthroplasty at Tikur Anbessa Specialized Hospita
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Date
2024-10-09
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Addis Ababa University
Abstract
Background : Augmentation cystoplasty (AC) is indicated for a variety of reasons to achieve the goal of increasing both bladder compliance and capacity. AC can be performed using a variety of methods. Although this technique has unquestionable benefits, it is not without complications. Data on its indication and complications are extensive in the developed world, but quite poor in developing countries, particularly in Sub-Saharan Africa. So study will be unique in this region of the world.
Objective : The aim of the study was to asses outcome of AC in pediatric age group at Tikure Anbessa Specialized Hospital (TASH) and Menilik II Hospital (MH) over the past 10 years period.
Methods : A10 year retrospective cross-sectional descriptive study is conducted to evaluate the outcome of AC in pediatric surgical patients who operated from January 2014 to December 2024 G.C. The study is conducted by reviewing the medical charts of all patients operated for AC. The data included demographic information, clinical diagnosis, investigations, surgical procedure, complications, and the outcome of each patient. Data then entered, cleaned, coded, and analyzed using SPSS software.
Results : A total of 20 AC procedures are performed on 19 patients. From this, 2 patients’s medical record was lost, so only 17 patient were described and listed. Ten (59%) were boys and 7 (41%) were girls. Age at operation ranged from 3 years to 15 years, with a median of 6 years. Most of the patient (64.7%) had follow up for 2 or more years. Twelve patients (70%) had bladder exstrophy epispadias complex and 11.8 had isolated epispadias (11.8%). Most common segment used was ilium (94.1%). All patient was incontinent before augmentation cystoplasty, but postoperatively 70% achieve continence. 94.1% had stable renal function postoperatively.
Conclusion and Recommendation: Augmentation cystoplasty is safe and effective method to achieve continence and prevent renal deterioration, in which more than 70% will become continent after the procedure. To improve outcome of patient a large prospective study is needed.
Key Words : Augmentation Cystoplasty, Outcome, Pediatric Population
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Fracture Patients Treated with Hemiarthroplasty