American Journal of Biomedical and Life Sciences

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Challenges and Outcome of Neonatal Surgery at the Abia State University Teaching Hospital Aba Nigeria

Received: 23 July 2018    Accepted: 17 August 2018    Published: 10 September 2018
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Abstract

Background: Neonatal surgery is still a challenge in developing country due to lack of appropriate equipment, inadequate work force and lack of political will by hospital management. However, there has been significant improvement in outcome over the last century. Objective: This study evaluates neonatal surgery in commercial city of Aba South East Nigeria with emphasis on challenges and management outcome. Methods: Prospective analysis of sixty neonates who had operative treatment at Abia State University Teaching Hospital Aba from October 2016 to July 2018. Proforma was opened for sex, weight, prenatal care, age at presentation, duration of symptoms prior to presentation, surgical pathology, treatment offered, associated congenital anomaly, evidence of prenatal diagnosis, complications and outcome. Results: There were 40 males and 20 females, male to female ratio of 2:1. The mean weight of the neonates was 2.5kg (range1.1-4.3kg). The average age at operation was 3 days (1-15days), the mean duration of symptoms before presentation was 3.5days. The major indication for operation was anorectal malformation 32 patients {53.3%} anterior abdominal wall defect 8 patients {13.3%}, Intestinal atresia 8 patients {13.3%}, intestinal perforation 8 patients {13.3%}, obstructed hernia 4 patient {6.6%}/There was associated congenital abnormality in 5 patients {8.3%} and prenatal diagnoses was made in 10 cases {16.6%}. During a mean follow up of 3months {1week to 9months, procedure related complications in 16 patients {26.6%} and 8patients died {mortality of 13.3%}. Conclusion: Surgical care of the neonate with a wide range of pathologies is still major challenge in our setting. Good political will, capacity building in form of manpower development and procurement of appropriate equipment will enhance the outcome.

DOI 10.11648/j.ajbls.20180604.11
Published in American Journal of Biomedical and Life Sciences (Volume 6, Issue 4, August 2018)
Page(s) 69-72
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Neonatal Surgery, Challenges, Outcome

References
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[3] Ameh EA, Dogo PM, Mmadu PT. Emergency neonatal surgery in developing world. Paediatr Surg 2001; 17:448-451.
[4] Sowande OA, Ogundoyin OO, Adejuigbe O. Pattern and factors affecting management outcome of neonatal emergency surgery in Ile Ife Nigeria. Surg Pract 2007; 11:71-78.
[5] Ekwunife OH, Okpata A, Ugwu JO, Osuigwe AN. Outcome of neonatal surgeries in Nnewi Nigeria. Ann Pediatr Surg 2015; 11:132-135.
[6] Tenge-Kuremu, R., Kituyi, P. W., Tenge, C. N. and Ke- rubo, J. Neonatal surgical emergencies at moi teaching and referral hospital in Eldoret-Kenya. East and Central African Journal of Surgery, 2006; 12, 36-3.
[7] Mouafo Tambo, F. F., Chiabi, A., Ngowe Ngowe, M., Ze Minkande, J., Andze, O. G. and Sosso, M. Mortality of neonatal surgical emergencies at the gynecology- obstetric and pediatric hospital of Yaounde, Cameroon. Medecine Tropicale. 2011; 71, 206-207.
[8] Osifo, D. O. and Oriaifo, I. A. Factors affecting the management and outcome of neonatal surgery in Benin City, Nigeria. European Journal of Pediatric Surgery, 2008; 18, 107-11.
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[16] Ameh EA. Challenges of neonatal surgery in sub-saharan Africa. Afr J Paediatr Surg 2004; 1:43-48.
[17] Gangophyay AN, Upadhyaya VD, Sherma SP. Neonatal surgery: A ten year audit from a university Hospital. Indian J Pediatr Surg 2008; 75:1025-1030.
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Author Information
  • Department of Surgery, Abia State University, Aba, Nigeria

  • Department of Surgery, Abia State University, Aba, Nigeria

  • Department of Paediatrics, Abia State University, Aba, Nigeria

  • Department of Paediatrics, Abia State University, Aba, Nigeria

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    Samuel Chidi Ekpemo, Ndubuisi Eleweke, Nneka Okoronkwo, Chapp-Jumbo Assumpta. (2018). Challenges and Outcome of Neonatal Surgery at the Abia State University Teaching Hospital Aba Nigeria. American Journal of Biomedical and Life Sciences, 6(4), 69-72. https://doi.org/10.11648/j.ajbls.20180604.11

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    ACS Style

    Samuel Chidi Ekpemo; Ndubuisi Eleweke; Nneka Okoronkwo; Chapp-Jumbo Assumpta. Challenges and Outcome of Neonatal Surgery at the Abia State University Teaching Hospital Aba Nigeria. Am. J. Biomed. Life Sci. 2018, 6(4), 69-72. doi: 10.11648/j.ajbls.20180604.11

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    AMA Style

    Samuel Chidi Ekpemo, Ndubuisi Eleweke, Nneka Okoronkwo, Chapp-Jumbo Assumpta. Challenges and Outcome of Neonatal Surgery at the Abia State University Teaching Hospital Aba Nigeria. Am J Biomed Life Sci. 2018;6(4):69-72. doi: 10.11648/j.ajbls.20180604.11

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  • @article{10.11648/j.ajbls.20180604.11,
      author = {Samuel Chidi Ekpemo and Ndubuisi Eleweke and Nneka Okoronkwo and Chapp-Jumbo Assumpta},
      title = {Challenges and Outcome of Neonatal Surgery at the Abia State University Teaching Hospital Aba Nigeria},
      journal = {American Journal of Biomedical and Life Sciences},
      volume = {6},
      number = {4},
      pages = {69-72},
      doi = {10.11648/j.ajbls.20180604.11},
      url = {https://doi.org/10.11648/j.ajbls.20180604.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajbls.20180604.11},
      abstract = {Background: Neonatal surgery is still a challenge in developing country due to lack of appropriate equipment, inadequate work force and lack of political will by hospital management. However, there has been significant improvement in outcome over the last century. Objective: This study evaluates neonatal surgery in commercial city of Aba South East Nigeria with emphasis on challenges and management outcome. Methods: Prospective analysis of sixty neonates who had operative treatment at Abia State University Teaching Hospital Aba from October 2016 to July 2018. Proforma was opened for sex, weight, prenatal care, age at presentation, duration of symptoms prior to presentation, surgical pathology, treatment offered, associated congenital anomaly, evidence of prenatal diagnosis, complications and outcome. Results: There were 40 males and 20 females, male to female ratio of 2:1. The mean weight of the neonates was 2.5kg (range1.1-4.3kg). The average age at operation was 3 days (1-15days), the mean duration of symptoms before presentation was 3.5days. The major indication for operation was anorectal malformation 32 patients {53.3%} anterior abdominal wall defect 8 patients {13.3%}, Intestinal atresia 8 patients {13.3%}, intestinal perforation 8 patients {13.3%}, obstructed hernia 4 patient {6.6%}/There was associated congenital abnormality in 5 patients {8.3%} and prenatal diagnoses was made in 10 cases {16.6%}. During a mean follow up of 3months {1week to 9months, procedure related complications in 16 patients {26.6%} and 8patients died {mortality of 13.3%}. Conclusion: Surgical care of the neonate with a wide range of pathologies is still major challenge in our setting. Good political will, capacity building in form of manpower development and procurement of appropriate equipment will enhance the outcome.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Challenges and Outcome of Neonatal Surgery at the Abia State University Teaching Hospital Aba Nigeria
    AU  - Samuel Chidi Ekpemo
    AU  - Ndubuisi Eleweke
    AU  - Nneka Okoronkwo
    AU  - Chapp-Jumbo Assumpta
    Y1  - 2018/09/10
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ajbls.20180604.11
    DO  - 10.11648/j.ajbls.20180604.11
    T2  - American Journal of Biomedical and Life Sciences
    JF  - American Journal of Biomedical and Life Sciences
    JO  - American Journal of Biomedical and Life Sciences
    SP  - 69
    EP  - 72
    PB  - Science Publishing Group
    SN  - 2330-880X
    UR  - https://doi.org/10.11648/j.ajbls.20180604.11
    AB  - Background: Neonatal surgery is still a challenge in developing country due to lack of appropriate equipment, inadequate work force and lack of political will by hospital management. However, there has been significant improvement in outcome over the last century. Objective: This study evaluates neonatal surgery in commercial city of Aba South East Nigeria with emphasis on challenges and management outcome. Methods: Prospective analysis of sixty neonates who had operative treatment at Abia State University Teaching Hospital Aba from October 2016 to July 2018. Proforma was opened for sex, weight, prenatal care, age at presentation, duration of symptoms prior to presentation, surgical pathology, treatment offered, associated congenital anomaly, evidence of prenatal diagnosis, complications and outcome. Results: There were 40 males and 20 females, male to female ratio of 2:1. The mean weight of the neonates was 2.5kg (range1.1-4.3kg). The average age at operation was 3 days (1-15days), the mean duration of symptoms before presentation was 3.5days. The major indication for operation was anorectal malformation 32 patients {53.3%} anterior abdominal wall defect 8 patients {13.3%}, Intestinal atresia 8 patients {13.3%}, intestinal perforation 8 patients {13.3%}, obstructed hernia 4 patient {6.6%}/There was associated congenital abnormality in 5 patients {8.3%} and prenatal diagnoses was made in 10 cases {16.6%}. During a mean follow up of 3months {1week to 9months, procedure related complications in 16 patients {26.6%} and 8patients died {mortality of 13.3%}. Conclusion: Surgical care of the neonate with a wide range of pathologies is still major challenge in our setting. Good political will, capacity building in form of manpower development and procurement of appropriate equipment will enhance the outcome.
    VL  - 6
    IS  - 4
    ER  - 

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