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  1. Article: Psoas abscess complicating endovascular aortic aneurysm repair.

    Moussa, O / Sreedharan, L / Poels, J / Ojimba, T

    Journal of surgical case reports

    2012  Volume 2012, Issue 10, Page(s) 16

    Abstract: Aortic stent graft infection is a rare but serious complication associated with high mortality. This report emphasizes the need for continued awareness of potential graft-related septic complications in patients undergoing Endovascular Aortic Repair ( ... ...

    Abstract Aortic stent graft infection is a rare but serious complication associated with high mortality. This report emphasizes the need for continued awareness of potential graft-related septic complications in patients undergoing Endovascular Aortic Repair (EVAR). We report a case in which a post-EVAR patient became unwell about 30 days post operatively and was shown on CT scanning to have a psoas abscess. The abscess was managed with percutaneous drainage and antibiotics. The patient remains well with no evidence of psoas collection or perigraft infection one year on. We review the available literature and discuss the merits of different management strategies.
    Language English
    Publishing date 2012-10-01
    Publishing country England
    Document type Journal Article
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/2012.10.16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Randomized clinical trial of intraoperative autotransfusion in surgery for abdominal aortic aneurysm (Br J Surg 2004; 91: 1443-1448).

    Ojimba, T / Baker, C / Morgan, R

    The British journal of surgery

    2005  Volume 92, Issue 2, Page(s) 253

    MeSH term(s) Aortic Aneurysm, Abdominal/surgery ; Blood Loss, Surgical/prevention & control ; Blood Transfusion, Autologous ; Humans ; Intraoperative Care/methods ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2005-02
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 2985-3
    ISSN 0007-1323 ; 0263-1202 ; 1355-7688
    ISSN 0007-1323 ; 0263-1202 ; 1355-7688
    DOI 10.1002/bjs.4943
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Drawbacks of endoscopic thoracic sympathectomy.

    Ojimba, T A / Cameron, A E P

    The British journal of surgery

    2004  Volume 91, Issue 3, Page(s) 264–269

    Abstract: Background: Endoscopic thoracic sympathectomy (ETS) has come into widespread use for palmar hyperhidrosis and other complaints of the upper limb and of the head and neck, but there are concerns about its safety. This review highlights the operative ... ...

    Abstract Background: Endoscopic thoracic sympathectomy (ETS) has come into widespread use for palmar hyperhidrosis and other complaints of the upper limb and of the head and neck, but there are concerns about its safety. This review highlights the operative complications and long-term side-effects that may occur.
    Methods: A Medline search was carried out using the terms 'thoracoscopic sympathectomy', 'endoscopic thoracic sympathectomy' and 'complications'. References from identified articles were handsearched for further relevant articles. The senior author's experience and personal communications were also taken into account.
    Results and conclusion: No death following ETS has ever been reported in the literature, but nine anecdotal fatalities are known, five resulting from major intrathoracic bleeding and three from anaesthetic mishap. Significant intrathoracic bleeding may occur in up to 5 per cent of patients but only a minority require thoracotomy; pneumothorax occurs in 2 per cent of patients and two instances of brain damage are known. In the longer term compensatory hyperhidrosis is extremely common and 1-2 per cent of patients regret having had surgery because of its severity. Horner's syndrome, on the other hand, is rare. Improvements in instrumentation, adequate training and careful patient selection may help reduce the drawbacks of ETS.
    MeSH term(s) Humans ; Medical Errors/legislation & jurisprudence ; Sympathectomy/adverse effects ; Sympathectomy/legislation & jurisprudence ; Sympathectomy/mortality ; Thoracoscopy/adverse effects ; Thoracoscopy/mortality
    Language English
    Publishing date 2004-03
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2985-3
    ISSN 0007-1323 ; 0263-1202 ; 1355-7688
    ISSN 0007-1323 ; 0263-1202 ; 1355-7688
    DOI 10.1002/bjs.4511
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Evaluation of the impact of transthoracic endoscopic sympathectomy on patients with palmar hyperhidrosis.

    Cameron, A E P / Ojimba, T A

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2004  Volume 27, Issue 5, Page(s) 567

    MeSH term(s) Hand Dermatoses/surgery ; Humans ; Hyperhidrosis/surgery ; Quality of Life ; Sympathectomy ; Thoracic Nerves/surgery ; Thoracoscopy
    Language English
    Publishing date 2004-05
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2004.03.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Life threatening iatrogenic major vascular injuries complicating groin hernia repair.

    Aghaji, M A / Ojimba, T A

    West African journal of medicine

    1993  Volume 12, Issue 2, Page(s) 133–135

    Abstract: Major vascular injuries complicating groin hernia repairs are very rare. Five such cases seen at the vascular unit of the Department of Surgery, UNTH, Enugu, Nigeria over a five year period are presented. The patients all of whom were adults (age range ... ...

    Abstract Major vascular injuries complicating groin hernia repairs are very rare. Five such cases seen at the vascular unit of the Department of Surgery, UNTH, Enugu, Nigeria over a five year period are presented. The patients all of whom were adults (age range 49-65) had initial problems of hypovolaemia due to massive blood loss followed by infection and anaemia. One of the patients died from irreversible shock while still in the Casualty Unit. The vascular injuries were dealt with by either primary repair, vein graft or dacron graft depending on the prevailing conditions e.g. presence or absence of infection. The other 4 patients who had surgery did well postoperatively and on 5 to 58 months follow-up. Emphasis is laid on the underlying causes of these iatrogenic injuries which include inexperience on the part of the operator and inadequate anaesthesia (often wrongly applied local anaesthesia). If this complication however occurs, the wound should be tightly packed and patient sent immediately to a unit with vascular surgical facilities.
    MeSH term(s) Aged ; Blood Vessel Prosthesis ; Female ; Femoral Artery/injuries ; Femoral Vein/injuries ; Follow-Up Studies ; Hernia, Femoral/surgery ; Hernia, Inguinal/surgery ; Humans ; Iliac Artery/injuries ; Intraoperative Complications/diagnosis ; Intraoperative Complications/surgery ; Male ; Middle Aged
    Language English
    Publishing date 1993-04
    Publishing country Nigeria
    Document type Case Reports ; Journal Article
    ZDB-ID 1132088-6
    ISSN 0189-160X
    ISSN 0189-160X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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