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Biomedical subjects

H J Orford

Publications and source records attributed to H J Orford.

11 recordsLinked to original sources

High-risk factors for cervical cancer. An epidemiological study in SWA/Namibia.

In an epidemiological study conducted in SWA/Namibia to document the prevalence of high-risk factors for cervical cancer 754 women belonging to a number of ethnic groups were examined. The prevalence of cervical intra-epithelial neoplasia and human papillomavirus infection was among the highest reported in the world. There was also an alarming incidence of other sexually transmitted diseases and disturbingly low usage of contraceptive methods. There is an urgent need for a comprehensive, well-organised cytological screening programme if an 'epidemic' of cervical cancer is to be prevented in SWA/Namibia. There was good evidence to suggest that an identical situation exists in the RSA.

Adult

The repair of vesicovaginal fistulas with omentum. A review of 59 cases.

The treatment of 59 consecutive vesicovaginal fistulas is described. Five patients were treated by simple vaginal repair; in 52 patients repair was carried out with the aid of an omental pedicle. Only 2 of these patients are not fully continent; 1 awaits further surgery and 1 has stress incontinence but refuses a further operation. A further 2 patients were treated by urinary diversion. The cure rate was 93%. The value of omentum in overcoming fibrosis and tissue loss is discussed.

Adolescent