Bio

Dr. Wyckliffe Kaisha Otsianyi

Was born in 1975. Educated to University level. Has a Bachelor of Medicine and Bachelor of Surgery, Masters of Medicine in Surgery. He also has Diploma in minimal access surgery and a fellowship in hepatobiliary and pancreatic surgery. He currently is a senior  lecturer at the Department of Human Anatomy. He consults in surgery for Kenyatta National Hospital.

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Publications


2014

W, K, E H.  2014.  17. Anatomical features of the sternum in a kenyan population. Anatomy . Journal of Africa. 3(1):229-233.
W, K, E H.  2014.  Prevalence of Abnormal Sternal Angles in a Kenyan Population. . Anat Physiol 2014. 4:1. . 4:1.(1)

2013

2012

Magoma H, H Saidi, K.  2012.  Origin of thyroid arteries in a Kenyan population. . AAS. 9
W, K.  2012.  12. Sternal foramina and variant xiphoid morphology in a Kenyan population. . Folia Morphol... Vol. 71,(No 1)

2011

KAISHA, DROTSIANYIWYCKLIFFE.  2011.  9. The femoral collodiaphyseal angle amongst selected Kenyan ethnic groups. Kaisha W, Pulei A, Koech A. Journal of morphological sciences.. Int. J. Morphol.. : Journal of Morphological sciences
KAISHA, DROTSIANYIWYCKLIFFE.  2011.  Topography of the recurrent laryngeal nerve in relation to the thyroid artery, Zuckerkandl tubercle, and Berry ligament in Kenyans.. Int. J. Morphol.. : Clin Anatomy. Abstract
Injury to the recurrent laryngeal nerve (RLN) is an important but avoidable complication of thyroidectomy. This complication may be avoided by the identification of the nerve facilitated by important landmarks found along its course. The setting for this work is the Human Anatomy Laboratory of the University of Nairobi. The aim of this work is to determine the topographic relationship of the RLN with the inferior thyroid artery (ITA), the tubercle of Zuckerkandl (TZ), and the ligament of Berry (LB) in a Kenyan population. The relationship between the nerve and the above landmarks was determined during dissection of 146 right and left thyroid lobes. One right side of the neck had a nonrecurrent nerve. Of the specimens where relationship was determined, the nerve was anterior to the ITA in 37% of cases and posterior in 51.4%. In relation to the LB, 45.3% were superficial (dorsolateral). The TZ was clearly delineated in 86 of the 146 specimens. No nerve traversed the tubercle. The RLN exhibited variations similar to those in other populations. The TZ when present was a reliable landmark to the nerve.
KAISHA, DROTSIANYIWYCKLIFFE.  2011.  The correlation of Esophageal body length with measure of external body parameters.. Int. J. Morphol.. 29, (3):895-898.: ScieloWebsite

2010

KAISHA, DROTSIANYIWYCKLIFFE.  2010.  Sigmoid Volvulus in pregnancy: Case report.. The Ann Afr Surg 2010; 5:44-46.. : Wiley Abstract
Sigmoid volvulus in pregnancy is a rare condition that poses a myriad of challenges in diagnosis and management of the patient. It demands on the clinician a high index of suspicion, expeditious treatment involving resuscitation and good judgment in handling of the bowel in face of added potential morbidity and mortality to the mother and fetus. We report a case of gangrenous sigmoid volvulus with a viable third trimester pregnancy and discuss potential pitfalls in diagnosis and management.
KAISHA, DROTSIANYIWYCKLIFFE.  2010.  Role of Laparoscopy in management of Gastric adenocarcinoma. Review.. Int. J. Morphol.. : Wiley Abstract
Sigmoid volvulus in pregnancy is a rare condition that poses a myriad of challenges in diagnosis and management of the patient. It demands on the clinician a high index of suspicion, expeditious treatment involving resuscitation and good judgment in handling of the bowel in face of added potential morbidity and mortality to the mother and fetus. We report a case of gangrenous sigmoid volvulus with a viable third trimester pregnancy and discuss potential pitfalls in diagnosis and management.
KAISHA, DROTSIANYIWYCKLIFFE.  2010.  Sigmoid volvulus in pregnancy. The Annals of African surgery. January 2010 . Int. J. Morphol.. : Wiley Abstract
Sigmoid volvulus in pregnancy is a rare condition that poses a myriad of challenges in diagnosis and management of the patient. It demands on the clinician a high index of suspicion, expeditious treatment involving resuscitation and good judgment in handling of the bowel in face of added potential morbidity and mortality to the mother and fetus. We report a case of gangrenous sigmoid volvulus with a viable third trimester pregnancy and discuss potential pitfalls in diagnosis and management.
KAISHA, DROTSIANYIWYCKLIFFE.  2010.  Locating the arcuate line of douglas: is it of surgical relevance? Int. J. Morphol.. : Wiley

2009

KAISHA, DROTSIANYIWYCKLIFFE.  2009.  Structural age related changes in the crural diaphragm changes with age. Congress of International Federation of anatomists. The Ann Afr Surg 2010; 5:44-46.. : Wiley Abstract
The pattern of formation of the rectus sheath from the aponeuroses of external oblique, internal oblique, and transversus abdominis muscles shows regional variations. These variations may influence the microscopic organisation of the rectus sheath. Specimens were collected during autopsies from thirty one subjects (16 male, 15 female) aged 18-70 years old. The rectus sheath was exposed through gentle dissection of the superficial fascia of the anterior abdominal wall. Five millimeter thick sections were harvested and processed for light microscopy. Both walls of the rectus sheath were made up of three distinct zones: superficial, intermediate, and deep. The superficial and deep zones were fibroelastic while the intermediate zones comprised compact bundles of collagen fibres. In the anterior wall of the rectus sheath, these bundles above and below the arcuate line, respectively, were obliquely and transversely disposed. The bundles of the posterior wall of the rectus sheath were, however, transversely aligned. In conclusion, the microscopic organisation of the rectus sheath is determined by its pattern of formation. This sheath is mainly formed by the aponeuroses of the internal oblique and transversus abdominis.
KAISHA, DROTSIANYIWYCKLIFFE.  2009.  Regional variations in the microscopic organisation of the human rectus sheath. Braz. J. Morphol. Sci.. 26(2):84-90.: Wiley Abstractregional_variations_in_the_microscopic_organisation_of_the_human_rectus_sheath.pdfWebsite

The pattern of formation of the rectus sheath from the aponeuroses of external oblique, internal oblique, and transversus abdominis muscles shows regional variations. These variations may influence the microscopic organisation of the rectus sheath. Specimens were collected during autopsies from thirty one subjects (16 male, 15 female) aged 18-70 years old. The rectus sheath was exposed through gentle dissection of the superficial fascia of the anterior abdominal wall. Five millimeter thick sections were harvested and processed for light microscopy. Both walls of the rectus sheath were made up of three distinct zones: superficial, intermediate, and deep. The superficial and deep zones were fibroelastic while the intermediate zones comprised compact bundles of collagen fibres. In the anterior wall of the rectus sheath, these bundles above and below the arcuate line, respectively, were obliquely and transversely disposed. The bundles of the posterior wall of the rectus sheath were, however, transversely aligned. In conclusion, the microscopic organisation of the rectus sheath is determined by its pattern of formation. This sheath is mainly formed by the aponeuroses of the internal oblique and transversus abdominis.

KAISHA, DROTSIANYIWYCKLIFFE.  2009.  Variations in the pattern of formation of Human Rectus sheath among Kenyans. Braz. J. Morphol. Sci., 2009, vol. 26, no. 2, p. 84-90.. The Ann Afr Surg 2010; 5:44-46.. : Wiley Abstract
The pattern of formation of the rectus sheath from the aponeuroses of external oblique, internal oblique, and transversus abdominis muscles shows regional variations. These variations may influence the microscopic organisation of the rectus sheath. Specimens were collected during autopsies from thirty one subjects (16 male, 15 female) aged 18-70 years old. The rectus sheath was exposed through gentle dissection of the superficial fascia of the anterior abdominal wall. Five millimeter thick sections were harvested and processed for light microscopy. Both walls of the rectus sheath were made up of three distinct zones: superficial, intermediate, and deep. The superficial and deep zones were fibroelastic while the intermediate zones comprised compact bundles of collagen fibres. In the anterior wall of the rectus sheath, these bundles above and below the arcuate line, respectively, were obliquely and transversely disposed. The bundles of the posterior wall of the rectus sheath were, however, transversely aligned. In conclusion, the microscopic organisation of the rectus sheath is determined by its pattern of formation. This sheath is mainly formed by the aponeuroses of the internal oblique and transversus abdominis.

2008

KAISHA, DROTSIANYIWYCKLIFFE.  2008.  Kaisha WO, Khainga S. Causes and pattern of unilateral hand injuries. East Afr Med J. 2008 Mar;85(3):123-8.. The Ann Afr Surg 2010; 5:44-46.. : Kenya Medical Association Abstract
OBJECTIVE: To assess the causes and pattern of hand injuries in patients with isolated unilateral acute hand injuries managed at the Kenyatta National Hospital (KNH). Design: A prospective cross-sectional descriptive study. SETTING: Kenyatta National Hospital, Nairobi, Kenya, between May and August 2006. SUBJECTS: All patients with isolated unilateral acute hand injuries who presented at the casualty department. RESULTS: A total of 99 patients were recruited. The mean age was 28.2 years with the modal age being 21-30 years. More males were injured than females. Occupational injuries and assaults were the most prevalent causes of hand injury. Majority of the injuries included lacerations, fractures and tendon injuries. The distal phalanges of the ring and long fingers were the most common sites of injury on the digits. CONCLUSION: Occupational hand injuries, a largely preventable problem, are the most prevalent cause of hand injury. This offers opportunity for strategies in preventing a large number of hand injuries by initiating safety measures at the work place.

2007

KAISHA, DROTSIANYIWYCKLIFFE.  2007.  The prevalence of malignancies among 1st and 2nd degree relatives of breast cancer patients.. The Ann Afr Surg 2010; 5:44-46.. : Kenya Medical Association Abstract
  Objective: To determine the prevalence malignancies among relatives of breast cancer patients. Design: Prospective study from October 2003 to October 2007. Setting:  Private clinic Kenyatta National Hospital doctors plaza Subjects: 156 Breast cancer patients being followed up in the breast clinic. Methods: H/o malignant disease in relatives was ascertained. Results: 23 (14.7%) of 156 patients had a relative affected.  8 (5.1%) had a pattern suggestive of  genetic breast cancer.  22 (52.4%)  1ST degree relatives (father 10, mother 4, sister 7 and brother 1).  GIT malignancy (18/42 relations), breast cancer (9/42) & prostate cancer (5/42) were the most frequent malignancies. Conclusion: H/o of malignancy in 1ST degree relatives & multiple malignancies appear to be assoc with breast cancer.
KAISHA, DROTSIANYIWYCKLIFFE.  2007.  Profile of unilateral acute hand injuries at a referral Hospital in Kenya.. The Ann Afr Surg 2010; 5:44-46.. : University of Nairobihand_study_final.pdf
KAISHA, DROTSIANYIWYCKLIFFE.  2007.  Hand injury: Association of Handedness with cause and site of injury. The Annals of African Surgery. 2007; 29-32. The Ann Afr Surg 2010; 5:44-46.. : Kenya Medical Associationhandedness.pdfWebsite

2006

KAISHA, DROTSIANYIWYCKLIFFE.  2006.  Esophageal stricture due to a common household water purifying agent.. The Ann Afr Surg 2010; 5:44-46.. : Kenya Medical Association Abstract
  Objective: To determine the prevalence malignancies among relatives of breast cancer patients. Design: Prospective study from October 2003 to October 2007. Setting:  Private clinic Kenyatta National Hospital doctors plaza Subjects: 156 Breast cancer patients being followed up in the breast clinic. Methods: H/o malignant disease in relatives was ascertained. Results: 23 (14.7%) of 156 patients had a relative affected.  8 (5.1%) had a pattern suggestive of  genetic breast cancer.  22 (52.4%)  1ST degree relatives (father 10, mother 4, sister 7 and brother 1).  GIT malignancy (18/42 relations), breast cancer (9/42) & prostate cancer (5/42) were the most frequent malignancies. Conclusion: H/o of malignancy in 1ST degree relatives & multiple malignancies appear to be assoc with breast cancer.

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