Spectrum of paediatric surgical cases in a private mission teaching hospital in Nigeria
Introduction: Establishing the nature of conditions requiring surgery among children in a particular location may be crucial for policy formulation and implementation as regards paediatric surgery. Objective: This study aimed to describe the pattern and outcome of paediatric surgical cases operated...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | African Journal of Paediatric Surgery |
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| Online Access: | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2022;volume=19;issue=1;spage=18;epage=22;aulast=Ajao |
| _version_ | 1798034222015840256 |
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| author | Akinlabi Emmanuel Ajao James Olaniyi Adeniran |
| author_facet | Akinlabi Emmanuel Ajao James Olaniyi Adeniran |
| author_sort | Akinlabi Emmanuel Ajao |
| collection | DOAJ |
| description | Introduction: Establishing the nature of conditions requiring surgery among children in a particular location may be crucial for policy formulation and implementation as regards paediatric surgery. Objective: This study aimed to describe the pattern and outcome of paediatric surgical cases operated upon in a newly established paediatric surgical unit in Nigeria. Subjects and Methods: This was a cross-sectional study of all subjects that were operated upon by the paediatric surgery unit over a 28-month period. Data obtained included age, sex, diagnosis, timing of surgery, post-treatment complications and outcome. Diagnoses were categorised based on the International Classification of Diseases 11th revision for morbidity and mortality statistics. Data analysis was done using Stata version 12. Results: A total of 377 procedures were performed on 336 patients with a male-to-female ratio of 2.1:1. The median age at surgery was 36 months. Disorders of the digestive system (184, 48.8%) and developmental anomalies (119, 31.6%) accounted for majority of the cases, with inguinal hernias and hydrocoeles accounting for 17.0% of all cases. Thirty-six per cent of the procedures were emergent ones, and the overall complication rate was 23.6% (89/377). The unplanned re-operation rate was 7.4% (25/336) and mortality rate was 5.1% (17/336). Typhoid ileal perforation was responsible for 4 (23.5%) of the deaths. Conclusion: Congenital anomalies and surgical infections represent a major surgical burden among children in our sub-region of Nigeria. There is, therefore, the need for focused research on these conditions and the integration of children surgery into public health programmes for children in sub-Saharan Africa. |
| first_indexed | 2024-04-11T20:40:19Z |
| format | Article |
| id | doaj.art-0175754bc501496284f964eb3a9390d5 |
| institution | Directory Open Access Journal |
| issn | 0189-6725 |
| language | English |
| last_indexed | 2024-04-11T20:40:19Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | African Journal of Paediatric Surgery |
| spelling | doaj.art-0175754bc501496284f964eb3a9390d52022-12-22T04:04:13ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67252022-01-01191182210.4103/ajps.AJPS_11_21Spectrum of paediatric surgical cases in a private mission teaching hospital in NigeriaAkinlabi Emmanuel AjaoJames Olaniyi AdeniranIntroduction: Establishing the nature of conditions requiring surgery among children in a particular location may be crucial for policy formulation and implementation as regards paediatric surgery. Objective: This study aimed to describe the pattern and outcome of paediatric surgical cases operated upon in a newly established paediatric surgical unit in Nigeria. Subjects and Methods: This was a cross-sectional study of all subjects that were operated upon by the paediatric surgery unit over a 28-month period. Data obtained included age, sex, diagnosis, timing of surgery, post-treatment complications and outcome. Diagnoses were categorised based on the International Classification of Diseases 11th revision for morbidity and mortality statistics. Data analysis was done using Stata version 12. Results: A total of 377 procedures were performed on 336 patients with a male-to-female ratio of 2.1:1. The median age at surgery was 36 months. Disorders of the digestive system (184, 48.8%) and developmental anomalies (119, 31.6%) accounted for majority of the cases, with inguinal hernias and hydrocoeles accounting for 17.0% of all cases. Thirty-six per cent of the procedures were emergent ones, and the overall complication rate was 23.6% (89/377). The unplanned re-operation rate was 7.4% (25/336) and mortality rate was 5.1% (17/336). Typhoid ileal perforation was responsible for 4 (23.5%) of the deaths. Conclusion: Congenital anomalies and surgical infections represent a major surgical burden among children in our sub-region of Nigeria. There is, therefore, the need for focused research on these conditions and the integration of children surgery into public health programmes for children in sub-Saharan Africa.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2022;volume=19;issue=1;spage=18;epage=22;aulast=Ajaoacute appendicitischildren surgerycongenital anomaliesnigeriaspectrum |
| spellingShingle | Akinlabi Emmanuel Ajao James Olaniyi Adeniran Spectrum of paediatric surgical cases in a private mission teaching hospital in Nigeria African Journal of Paediatric Surgery acute appendicitis children surgery congenital anomalies nigeria spectrum |
| title | Spectrum of paediatric surgical cases in a private mission teaching hospital in Nigeria |
| title_full | Spectrum of paediatric surgical cases in a private mission teaching hospital in Nigeria |
| title_fullStr | Spectrum of paediatric surgical cases in a private mission teaching hospital in Nigeria |
| title_full_unstemmed | Spectrum of paediatric surgical cases in a private mission teaching hospital in Nigeria |
| title_short | Spectrum of paediatric surgical cases in a private mission teaching hospital in Nigeria |
| title_sort | spectrum of paediatric surgical cases in a private mission teaching hospital in nigeria |
| topic | acute appendicitis children surgery congenital anomalies nigeria spectrum |
| url | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2022;volume=19;issue=1;spage=18;epage=22;aulast=Ajao |
| work_keys_str_mv | AT akinlabiemmanuelajao spectrumofpaediatricsurgicalcasesinaprivatemissionteachinghospitalinnigeria AT jamesolaniyiadeniran spectrumofpaediatricsurgicalcasesinaprivatemissionteachinghospitalinnigeria |