Pediatric laparoscopic surgery in North-Central Nigeria: Achievements and challenges
Background and Objective: Advances in laparoscopy are making the service accessible even in resource-poor countries where adaptations are made to meet local challenges. We report our experience in the provision of laparoscopy service to children at a tertiary health center in North-central Nigeria....
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-01-01
|
| Series: | Journal of Clinical Sciences |
| Subjects: | |
| Online Access: | http://www.jcsjournal.org/article.asp?issn=2468-6859;year=2016;volume=13;issue=4;spage=158;epage=162;aulast=Abdur-Rahman |
| _version_ | 1811322398718296064 |
|---|---|
| author | Lukman Olajide Abdur-Rahman Kayode T Bamigbola Abdulrasheed A Nasir Adewale O Oyinloye Nurudeen T Abdulraheem Olanrewaju O Oyedepo James O Adeniran |
| author_facet | Lukman Olajide Abdur-Rahman Kayode T Bamigbola Abdulrasheed A Nasir Adewale O Oyinloye Nurudeen T Abdulraheem Olanrewaju O Oyedepo James O Adeniran |
| author_sort | Lukman Olajide Abdur-Rahman |
| collection | DOAJ |
| description | Background and Objective: Advances in laparoscopy are making the service accessible even in resource-poor countries where adaptations are made to meet local challenges. We report our experience in the provision of laparoscopy service to children at a tertiary health center in North-central Nigeria. Methods: A team of pediatric surgeons, anesthetists, and nurses collaborated to provide service and train other personnel. A prospective collection of data on biodata, diagnoses, procedure, and outcome over an effective period of 36 months of laparoscopy intervention of the 54 months between September 2009 and February 2014 was done. Consent, which also included the possibility of conversion to open was obtained from the parents of the patients. Results: A total of 73 patients aged 2 weeks to 16 years with a male: female ratio of 3 to 1 had laparoscopy done during the period. Fifty-two (71.2%) procedures were therapeutic, and 21 (28.8%) cases were done as emergency. Laparoscopic appendectomy was the most commonly performed procedure 25 (34.3%), followed by laparoscopic orchidopexy 17 (23. 3%), and diagnostic laparoscopy for disorders of sexual differentiation in 13 (17.8%). The length of stay in hospital postoperative was 1-3 days with a mean of 1.34 0.45 days. The complications recorded included hemorrhage, in a case of infantile hypertrophic pyloric stenosis due to failed electrocautery, one port site burns injury from diathermy dissection, and two periport pain postoperation. There was no mortality recorded. Conclusion: Pediatric laparoscopic service is gaining recognition in our practice in spite of poor resources, incessant industrial actions, and apathy from support staff. The outcomes are encouraging as the patients had minimal morbidities. Skills are improved through practice and retraining and manpower, and instruments are being expanded through our collaboration and training. |
| first_indexed | 2024-04-13T13:35:41Z |
| format | Article |
| id | doaj.art-39e34287259442099bb8ca02aceae6b7 |
| institution | Directory Open Access Journal |
| issn | 2468-6859 2408-7408 |
| language | English |
| last_indexed | 2024-04-13T13:35:41Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical Sciences |
| spelling | doaj.art-39e34287259442099bb8ca02aceae6b72022-12-22T02:44:48ZengWolters Kluwer Medknow PublicationsJournal of Clinical Sciences2468-68592408-74082016-01-0113415816210.4103/2468-6859.192271Pediatric laparoscopic surgery in North-Central Nigeria: Achievements and challengesLukman Olajide Abdur-RahmanKayode T BamigbolaAbdulrasheed A NasirAdewale O OyinloyeNurudeen T AbdulraheemOlanrewaju O OyedepoJames O AdeniranBackground and Objective: Advances in laparoscopy are making the service accessible even in resource-poor countries where adaptations are made to meet local challenges. We report our experience in the provision of laparoscopy service to children at a tertiary health center in North-central Nigeria. Methods: A team of pediatric surgeons, anesthetists, and nurses collaborated to provide service and train other personnel. A prospective collection of data on biodata, diagnoses, procedure, and outcome over an effective period of 36 months of laparoscopy intervention of the 54 months between September 2009 and February 2014 was done. Consent, which also included the possibility of conversion to open was obtained from the parents of the patients. Results: A total of 73 patients aged 2 weeks to 16 years with a male: female ratio of 3 to 1 had laparoscopy done during the period. Fifty-two (71.2%) procedures were therapeutic, and 21 (28.8%) cases were done as emergency. Laparoscopic appendectomy was the most commonly performed procedure 25 (34.3%), followed by laparoscopic orchidopexy 17 (23. 3%), and diagnostic laparoscopy for disorders of sexual differentiation in 13 (17.8%). The length of stay in hospital postoperative was 1-3 days with a mean of 1.34 0.45 days. The complications recorded included hemorrhage, in a case of infantile hypertrophic pyloric stenosis due to failed electrocautery, one port site burns injury from diathermy dissection, and two periport pain postoperation. There was no mortality recorded. Conclusion: Pediatric laparoscopic service is gaining recognition in our practice in spite of poor resources, incessant industrial actions, and apathy from support staff. The outcomes are encouraging as the patients had minimal morbidities. Skills are improved through practice and retraining and manpower, and instruments are being expanded through our collaboration and training.http://www.jcsjournal.org/article.asp?issn=2468-6859;year=2016;volume=13;issue=4;spage=158;epage=162;aulast=Abdur-RahmanAchievementschallengespediatric laparoscopyresource-poor setting |
| spellingShingle | Lukman Olajide Abdur-Rahman Kayode T Bamigbola Abdulrasheed A Nasir Adewale O Oyinloye Nurudeen T Abdulraheem Olanrewaju O Oyedepo James O Adeniran Pediatric laparoscopic surgery in North-Central Nigeria: Achievements and challenges Journal of Clinical Sciences Achievements challenges pediatric laparoscopy resource-poor setting |
| title | Pediatric laparoscopic surgery in North-Central Nigeria: Achievements and challenges |
| title_full | Pediatric laparoscopic surgery in North-Central Nigeria: Achievements and challenges |
| title_fullStr | Pediatric laparoscopic surgery in North-Central Nigeria: Achievements and challenges |
| title_full_unstemmed | Pediatric laparoscopic surgery in North-Central Nigeria: Achievements and challenges |
| title_short | Pediatric laparoscopic surgery in North-Central Nigeria: Achievements and challenges |
| title_sort | pediatric laparoscopic surgery in north central nigeria achievements and challenges |
| topic | Achievements challenges pediatric laparoscopy resource-poor setting |
| url | http://www.jcsjournal.org/article.asp?issn=2468-6859;year=2016;volume=13;issue=4;spage=158;epage=162;aulast=Abdur-Rahman |
| work_keys_str_mv | AT lukmanolajideabdurrahman pediatriclaparoscopicsurgeryinnorthcentralnigeriaachievementsandchallenges AT kayodetbamigbola pediatriclaparoscopicsurgeryinnorthcentralnigeriaachievementsandchallenges AT abdulrasheedanasir pediatriclaparoscopicsurgeryinnorthcentralnigeriaachievementsandchallenges AT adewaleooyinloye pediatriclaparoscopicsurgeryinnorthcentralnigeriaachievementsandchallenges AT nurudeentabdulraheem pediatriclaparoscopicsurgeryinnorthcentralnigeriaachievementsandchallenges AT olanrewajuooyedepo pediatriclaparoscopicsurgeryinnorthcentralnigeriaachievementsandchallenges AT jamesoadeniran pediatriclaparoscopicsurgeryinnorthcentralnigeriaachievementsandchallenges |