Current challenges with their evolving solutions in surgical practice in West Africa : a reader / editors, E.Q. Archampong, V.A. Essuman, J.C.B. Dakubo, J.N. Clegg-Lamptey.

Includes bibliographical references and index.

Print version record.

Worldwide, there is a plethora of study materials in the form of authoritative review articles on disease entities afflicting the Western world but relatively few publications exploring similar problems confronting the developing countries, where resource limitation adds an extra dimension to the challenges facing the clinician. The contributions in this Reader address common surgical challenges and what measures have evolved to countenance these problems. This therefore addresses "Current Surgical Practice", placing emphasis on the principles underlying the consensus opinions prevailing in surgical management. The approach is practical, avoiding the minutiae of procedures for which appropriate references detailing such information are provided. The contributions have come from a broad suave of critical management problems in the salient fields of surgery. Regrettably some urgent areas of public interest are not covered but it is clear that this volume represents the beginning of a process, yea, the initiation of an epoch of Recent Advances in Surgical Practice; we are confident that such yawning gaps in coverage would soon be made good by subsequent developments, stimulated by issuance of this publication.

Cover; Title page; Copyright page; Contents; List of Tables; List of Figures; Foreword; Preface; Contributors; Chapter 1 -- Department of Surgery Profile; Core Functions; Future Directions; Chapter 2 -- The World through the Child's Eyes -- The Journey Towards Elimination of Childhood Blindness in Ghana -- The Korle-Bu Experience; Introduction; History of WHO/Lions Club International/Government of Ghana Project for the Elimination of Childhood Blindness in Ghana; Goal and Objectives for the Project; A. Performance; I. Training; II. Infrastructure and Equipment at the CFECC; III. Service Delivery.

IV. Research and AdvocacyStrengths, Weaknesses, Opportunities andThreats (SWOT) Analysis of the Project; Going Forward/ Future Plans; Conclusion; Appreciation/Acknowledgements; References; Chapter 3 -- Current Global Developments in Breast Cancer and Management in Ghana; Introduction; General developments; Diagnosis of breast cancer; Pathology reports; Treatment; Conclusion; References; Chapter 4 -- Benign and Premalignant Breast Disease; Introduction; Assessment; Clinical Assessment; Radiological Assessment; Specific Disorders; Premalignant Disorders; References.

Chapter 5 -- Acute AppendicitisIntroduction; Incidence; Aetiology of acute appendicitis; Clinical features; Investigations; Treatment; Complications; References; Chapter 6 -- Peptic Ulcer Disease; Introduction; Pathogenesis of Peptic Ulcer Disease; The Influence of H. Pylori; The NSAID Factor in Ulcerogenesis; Diagnosis; Management; The Maastricht Consensus on H. Pylori Eradication; Treatment in NSAID Induced Ulcers; Surgical Management of Peptic Ulcer Disease; Conclusion; References; Chapter 7 -- Gastrointestinal Stromal Tumours (GIST); Epidemiology; Distribution of GISTs in the GIT; References.

Chapter 8 -- Malignant Gastric Neoplasms Hope for the Future; Introduction; Adenocarcinomas of the stomach; Conclusion; References; Chapter 9 -- Management of Upper Gastrointestinal Bleeding; Introduction; Epidemiology; Clinical Presentation; Initial Management; Patient Triage and Risk Stratifi cation; High-Risk Patients; Medical Therapy of Bleeding from Peptic Ulcer Patients; Long-Term PPI Management; Bleeding Oesophageal and Gastric Varices; Endoscopic Treatment of Varices; Balloon Tamponade; Surgical Management; Central Porto-systemic Shunts; Less Common Causes of UGIB.

Long-Term Treatment for Post-Variceal BleedingConclusion; Acknowledgement; References; Chapter 10 -- Cancer of the Colon and Rectum; Introduction; Incidence; Risk Factors; Presenting features; Pathology and Dukes Classifi cation; Investigations; Treatment; Prognosis; Screening; References; Chapter 11 -- Lower Gastrointestinal Bleeding; Introduction; Materials and Methods; Initial Management and Resuscitation; Diagnosis, Localisation, and Interventional Therapies; Surgical Intervention; Particular Entities Producing LGIB; Diverticular Disease; Haemorrhoids; Colorectal Cancer and Polyps.

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