Search PubMed⌕ Search

Biomedical subjects

B O Khwa-Otsyula

Publications and source records attributed to B O Khwa-Otsyula.

6 recordsLinked to original sources

Management of tracheo-bronchial foreign bodies in children.

OBJECTIVES: To review alternative surgical and anaesthetic options in the management of foreign bodies lodged in the tracheobronchial tree in children aged below 10 years. DESIGN: A five year retrospective secondary data analysis. SETTING: Three hospitals based in Eldoret Municipality, Kenya. MAIN OUTCOME MEASURES: Outcome variables included morbidity and mortality. RESULTS: Of the thirty two children studied, 74.1% had bronchoscopy and 25.9% thoracotomy. The overall mortality rate was 3.3%. CONCLUSION: Foreign bodies in the tracheo-bronchial tree are a major cause of morbidity and mortality in children aged below 10 years. In settings where appropriate equipment is inadequate, timely thoracotomy may be life saving.

Age Distribution↗

Hydatid disease of the spine: case report.

A rare case of spinal hydatid disease presenting with paraparesis and sensory loss is reported. The patient was treated with albendazole resulting in significant improvement within eight weeks. Investigations and treatment modalities are discussed.

Adult↗

Pregnancy after valve replacement.

Two patients who had mitral valve replacement presented during the second trimester of pregnancy. Both had uneventful pregnancies ending in normal delivery of healthy female babies. Though patients who are haemodynamically stable tolerate pregnancy well, because of the substantial risks of anticoagulant therapy, it is prudent to advise against pregnancy after valve replacement.

Adult↗

Closed mitral valvotomy at Kenyatta National Hospital.

Analysis of data concerning 24 patients with mitral stenosis treated surgically is presented. Twenty patients had closed valvotomy with good results in 19 of them. One patient died post operatively from cerebral embolism. Closed mitral valvotomy is recommended in selected cases.

Adolescent↗