To present anastomosis with cyanoacrylate as a cheap, simple, fast, and available technique for anastomosis in urological, vascular, gynecological, and general surgical procedures. This method may in the future be a good alternative to microsurgery, particularly in centers where facilities are unavailable and the financial implication is unbearable for the patient. Cyanoacrylate is an adhesive or glue that is available in different chemical forms ranging from ethylcyanoacrylate (superglue) to Isobutylcyanoacrylate and octylcyanoacrylate (dermerbond), which is in clinical use. Anastomosis with cyanoacrylate requires the application of stay sutures, a luminal stent and the subsequent application of the adhesive. The adhesives with lower molecular weights produce a rigid and patent region of anastomosis, while the higher molecular compounds produce a consistency close to the normal tissue. This technique presents a surgical method that is socially, culturally, and ethically acceptable, which is affordable to a larger majority of patients in our subregion. Cyanoacrylate anastomosis may in the future present a fast, convenient, simple, and affordable option in the treatment of patients requiring anastomosis. In our subregion where the socio-cultural, psychological, and economic burden of failed anastomosis is high, associated with the low per capital income, this may be a novel option for the management of urogynecological, vascular, neurosurgical, and general surgical procedures requiring either microscopic or macroscopic anastomosis.

Fundal height measurements in centimeters (FH) have always been an objective method of evaluating fetal growth in pregnancy. The popular Mcdonald's rule refers mainly to caucasions unfortunately. Since FH may actually vary in an anthropological sense it was considered necessary to apply Mcdonald's rule to African subjects. Pregnant Nigerian women were studied to observe how their fundal height values compared with those obtained for caucasian women in western communities. A gravidogram was derived for the 10th, 50th and 90th centiles. Values outside the range of 10-90th centiles are to be used for the prediction of small-for-dates and large-for-dates babies accordingly. Prediction formulae for the various centiles derived from regression analysis were obtained and their usefulness in clinical anthropological practice using fundal height measurement highlighted. A simple universal formula for African subjects is presented. Normal values of pregnant women for somatotype, height, and abdominal girth are also presented. The result of this survey demonstrates a significant difference in fundal height values of African women from those of the hitherto utilized standards derived from the study of caucasian women, especially in early pregnancy. This report suggests an early intra-uterine growth retardation in the African pregnancies which is corrected in the third trimester.

Objective: There is limited data on fetal cranial dimensions of Nigerian population. This is important because the study of normal and abnormal growth of children has become an increasingly important part of the practice and research in all fields related to child health; more so that prenatal and postnatal growth is one continuous process. Material & Methods:In a cross-sectional study conducted on 13,740 Nigerian fetuses ranging from 12 weeks to 42 weeks at the Centre for Reproductive Health Research Jos; biparietal diameter and occipitofrontal diameter were measured using ultrasound machine in order to calculate fetal cephalic index. The values were statistically analyzed after deriving the relevant indices. Results:The regression equation was calculated between gestational age and cephalic index of fetuses of Nigerian women. This equation y = 1.3x + 59.88; showed a linear relationship which was stronger from 12 to 16 weeks of gestation. Above 16 weeks gestation, the relationship was found to be quite weak. Coefficient of correlation is r2 = 0.9844 (p < 0.0001). Conclusion:The fetal skulls were found to be mesocephalic in the early weeks and brachycephalic at term.

Objective: Fundal height measurements in centimeters have always been an objective method of evaluating fetal growth in pregnancy. The accepted Mcdonald's rule refers primarily to Caucasians regrettably. Since fundal height may actually vary in an anthropological sense it was considered necessary to apply Mcdonald's rule to African subjects to see whether there is any significant difference. The aim of this study is to construct symphysio-fundal height nomogram for normal pregnant Nigerian women. Material & Methods:In a cross sectional mode, four hundred and five pregnant Nigerian women were studied to examine how their fundal height values compared with those in the literature. A regression equation was derived for the 10th and 90th centiles. Values outside the range of 10 -90th centiles are to be used for the prediction of small-for-dates and large-for-dates babies respectively. The prediction formulae for the various centiles derived from regression analysis and their usefulness in clinical anthropological practice using fundal height measurement are highlighted. Results:The study demonstrated a significant difference in fundal height values of Nigerian women especially in late pregnancy compared with other published values in the literature. A positive linear correlation between symphysio-fundal height and fetal gestational age was found in Nigerians with a correlation coefficient of R2 = 0.9962 (p<0.001). The relationship is best described by the second order polynomial regression equation y = -0.0024x2 + 1.1255x -1.8334 where y is the symphysio-fundal height in centimeters while x is the gestational age in weeks. Conclusion:Symphysio-fundal height chart is a valuable tool for assessing fetal growth in the antenatal clinic in as much as it is cautiously constructed for a given population and the same method of measurement is strictly adhered to by different observers in the same organization.