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ABSTRACT
Year : 2012  |  Volume : 18  |  Issue : 1  |  Page : 40-44  

Abstracts (60th NSRS Conference Ile-Ife 1st - 3rd December, 2011)


Date of Web Publication30-Apr-2012

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. Abstracts (60th NSRS Conference Ile-Ife 1st - 3rd December, 2011). Niger J Surg 2012;18:40-4

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. Abstracts (60th NSRS Conference Ile-Ife 1st - 3rd December, 2011). Niger J Surg [serial online] 2012 [cited 2020 Oct 21];18:40-4. Available from: https://www.nigerianjsurg.com/text.asp?2012/18/1/40/95496

Abstracts of Papers Presented at the 60 th Scientific Conference of the Nigerian Surgical Research Society

Pattern of Salivary Gland Neoplasms

Nwogbo AC, Eke N 1


Departments of Otorhinolaryngology and 1 Surgery, University of Port-Harcourt Teaching Hospital, Port- Harcourt Rivers State, Nigeria

Background : Surgical treatment of salivary gland tumors, especially the major ones require careful approach due to the anatomic presence of vital structures that can be injured. Early presentation and surgical treatment is also a factor that contributes to successful treatment, especially if the lesion is malignant. Surgical treatment remains a major option in the management of salivary gland tumors. Aim : The objective of this study is to highlight the pattern of salivary gland tumors seen in Port Harcourt. Materials and Methods : A 4 years retrospective study of patients with salivary gland tumors, both major and minor was considered. Selection was within July 2007 to July 2011 in Port Harcourt. Results : Thirty one patients with salivary gland tumor were seen during the period under this study. Male 12 (38.7%) and Female 19 (61.3%), age range between 25 and 65 years with mean age of 45 years. Conclusion : Salivary gland tumor is not uncommon in this region. Late presentation appears to be the rule, with female preponderance.

Tracheostomy in Large and Recurrent Thyroid Gland Swellings

Nwogbo AC, Eke N 1


Departments of Otorhinolaryngology and 1 Surgery, University of Port-Harcourt Teaching Hospital, Port- Harcourt Rivers State, Nigeria

Background : Tracheostomy is a common ear, nose and throat (ENT) emergency procedure used in relieving, most times, upper airway obstruction. Other indications also exist. However, the procedure is also indispensable in some thyroidectomies, especially in large and recurrent thyroid swellings. Grave complication which can result from these thyroid surgeries are usually avoided following the use of tracheostomy. Aim : The aim of this study is to highlight and demonstrate the importance of tracheostomy in large and recurrent thyroidectomies. Materials and Methods : This is a prospective study of 13 patients who had thyroidectomies within January 2009 and January 2011 in Port Harcourt. Ten had large thyroid swellings and 3 had recurrent thyroid swellings. All the patients were females. Results : All the 13 female patients considered in this study were within the ages of 25 years to 60 years. Elective tracheostomy was done for 10 patients, while 3 patients had emergency tracheostomy. Ten patients that had elective tracheostomy were successfully extubated post operatively, while 3 that had emergency tracheostomy could not be extubated. Conclusion : Elective tracheostomy as part of throidectomy in large thyroid swellings is obviously indispensable. The procedure will help in preventing morbidity or mortality that may arise in the intra and post operative period.

Leisure Noise Exposure in Young Nigerian Adults

Eziyi JAE, Amusa YB, Ameye SA


Department of Surgery, Otorhinolaryngology Unit, Obafemi Awolowo, University Teaching Hospitals Complex, Ile- Ife, Nigeria

Background : Extensive focus has been in recent times on occupational noise exposure, its implication and prevention. However, noise exposure during leisure time activities has not gained much attention. Objectives : To determine the pattern of leisure noise exposure resulting from personal musical playing devices and the knowledge of effects of noise exposure in young Nigerian adults. Design : Study was a prospective study, which wasconducted among OAU students. Structured questionnaire was administered to the respondent to assess their exposure to recreational music through personal listening devices and also their knowledge of noise exposure. Results : Nine hundred and eighty eight students responded constituting 594 males. Seven hundred and sixty nine (77.8%) listen to music on their mobile phones and 724 (73.3%) listen to music every day. Nine hundred and four (91.5%) listen to music using earphones with 514 (52.0%) noting that they listen to music at the maximum level. Although, 749 (77.5%) believed that hearing impairment can result from listening to personal music devices, 898 (91.7%) responded that they do not know anyone who has developed hearing loss from loud music. Also, 640 (68.8%) respondent believed that hearing loss from noise can be treated medically. Conclusion : The study showed the prevalent exposure to recreational noise exposure among young adults and the knowledge gaps among the respondent with regards to the permanent nature of noise induced hearing loss.

Experience with Epigastric Hernia Repair Under Local Anesthesia at the Wesley Guild Hospital, Ilesa

Etonyeaku AC, Agbakwuru EA, Akinkuolie AA


Department of Surgery, Obafemi Awolowo University, Ile-Ife, Abeokuta, Nigeria

Introduction : Epigastric hernia is not uncommon in clinical practice. It is often neglected necessitating late presentation. Attention is drawn to it when a painful often no reducible swelling supervenes. Some patients would have been on treatment for dyspepsia for a while before accurate diagnosis. Traditionally repair has been done using general anesthesia, the fear of which could have been responsible for the late presentation or acceptance of surgery. Thus, the prospect of day surgery with local anesthesia was not only exciting but acceptable to our patients. We share our experience over the last 10years. Materials and Methods : This is a prospective review of all cases of epigastric hernia done under local anesthesia between April 2001 and October 2011. 0.5% xylocaine administered as field block was used. All cases done were entered into a register from which data on age, gender, presenting complaint(s), size of fascia defect, content of hernia, repair technique, volume of anesthetic agent and post operative complication(s) were retrieved. Data was analyzed using the SPSS 15.0 package. Results : Thirteen patients in all were treated, 86% were females, painful lump and dyspepsia were the more common presenting complaint, the fascia defect ranged from 1x1cm to 8x6cm. The hernia content was either pre- peritoneal fat (53%) or the greater omentum (47). One of the latter had the transverse colon involved. 30-80mls of xylocaine was used per patient (mean=48.1%). 60% had fascia closure using simple continuous suturing, while 23% and 7% had Keel and Mayor technique. Complication rate was 7% (seroma). Tolerability and acceptance was 100%. Conclusion : Epigastric hernia repair under local anesthesia is safe, tolerable and patients tend to prefer it to surgery under general anesthesia. The prospect of day surgery is also exciting for the patient.

Violence in the Emergency Department: A Multi-Centre Survey of Nurses' Perception

Ogundipe KO, Etonyeaku AC 1 , Adigun IA 2 , Ojo EO 3,4 , Aladesanmi B 5 , Taiwo JO 6 , Obimakinde OS 7


Departments of Surgery, Accident and Emergency, Division of Plastic and Reconstructive Surgery, University Teaching Hospital, Ado-Ekiti, Ekiti State, 1 Surgery, Federal Medical Centre, Owo, Ondo State, 2 Surgery, Division of Plastic and Reconstructive Surgery, University of Ilorin Teaching Hospital, Ilorin, Kwara State, 3 Surgery, University Teaching Hospital, Ado-Ekiti, Ekiti State, 4 State Specialist Hospital, Yola, Adamawa State, 5 Surgery, Federal Medical Centre, Ido-Ekiti, Ekiti State, 6 Surgery, Federal Medical Centre, Lokoja, Kogi State, 7 Oral and Maxillofacial Surgery, University Teaching Hospital, Ado-Ekiti, Ekiti State

Background : Emergency Department (ED) violence is common and widespread. Research suggests that ED staff receive the most amount of verbal and physical abuse. Nurses bear the brunt of the violence. The violence is becoming increasingly common and lethal. Many institutions are still improperly prepared to deal with it. Materials and Methods : A questionnaire based survey of the perception of violence among nurses working in 6 tertiary hospitals' EDs across 5 states in the country was conducted. Results : Eight one nurses were interviewed with a male to female ratio of 1:4. Most were right about the definition of violence. 88.6% have witnessed ED violence while 65.0% had been direct victims before. Nurses followed by doctors are the usual victims of the ED carried out mostly by visitors to the ED. Males are usually responsible for the violence, which occurred most usually in the evening. Weapons are not commonly utilized in our environment as only 15.8% of the nurses had been threatened with a weapon over a one year period. The main perceived reasons for violence are overcrowded emergency rooms, long waiting time and inadequate system of security. All the institutions are lacking in basic strategies for prevention. While most of the nurses are not satisfied with the EDs which are considered not safe, fewer would wish for redeployment to other departments. Conclusion : There is need to make the EDs safer for all users, or else we might have to start wishing our ED users "come back home safe."

Time of Passage of First Stool in Newborns in a Tertiary Health Facility in Southern Nigeria

Okoro PE, Enyindah C


Department of Surgery, Paediatric Surgery Unit, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State

Introduction : The first stool passed by the new born baby, the meconium, is different from the ordinary stool both in its nature and its implication. Delayed or non passage of the meconium may represent a number of clinical conditions. In this study, we sought to identify what should be considered as delayed passage of meconium in our babies. Aims and Objectives : To investigate the timing of passage of first stool in Nigerian neonates and whether it is influenced by gender, birth weight, maternal age and parity.

Materials and Methods : A proforma was designed to obtain the following data: maternal age, parity, mode of delivery, Apgar score at 1 min, birth weight, gender and interval between delivery and passage of first stool among normal newborn babies delivered at the obstetrics department of our center in August and September 2011. Results : One hundred babies out of 393 delivered during the period of the study were included in the study. There were 63 (63%) males and 37 (37%) females. The interval between delivery and passage of meconium ranged from 0.5 to 54 h; mean 16.2 (SD=10.57). This was not influenced by gender, weight, maternal age and parity. Conclusion : Non passage of meconium beyond 48 h of life could be considered delayed. We therefore, recommend that clinicians should re evaluate newborns, for hitherto unrecognized conditions, if after 48 h they have not passed stool.

The Place of Spermatic Fascia Closure During Open Hernia Repair in Children

Okoro PE, Gbobo I


Department of Surgery, Paediatric Surgery Unit, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State

Introduction
: There is currently no consensus opinion about closing or otherwise of the spermatic fascia at hernia repair in children. This stems from lack of evidence to justify either stand, and most literatures are silent on this. This study is an effort to evaluate the place of closure of the spermatic fascia at hernia repair. Aim : To determine if it is justifiable to close the spermatic fascia following inguinoscrotal hernia repair in children. Materials and Methods : Cases of inguinoscrotal hernia repaired by the same surgeon between July 2009 and June 2011 were randomly grouped into two; spermatic fascia closed (SC) and spermatic fascia open (SO) groups. They were assessed for operation duration, wound infection, scrotal hematoma, and scrotal edema post repair. The Data obtained was collated and analyzed using the SPSS 17.0. Results : Seventy six male children with unilateral complete inguinoscrotal hernia were included in this study. There was hematoma formation in 7 (17.9%) of the SC group and 9 (24.3%) of the SO group (P=0.5). Scrotal edema occurred in 24 (61.5%) of the SC and 18 (48.6%) of the SO group (P=0.3). No other complications were recorded during the period of study. Conclusion : Closure of the spermatic fascia at herniotomy for children does not appear to reduce the incidence of hematoma and scrotal edema; however, there is no increase in incidence of complications. We conclude that it is justifiable to close the spermatic fascia at herniotomy for children whenever possible.

The Practice of Awake Flexible Videobronchoscopy in Ile- Ife: A Two- Year Prospective Study

Onakpoya UU, Ogunrombi AB, Adewole O 1


Departments of Surgery and Respiratory Unit, Cardiothoracic Surgery Unit, 1 Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile- Ife, Nigeria

Introduction : Examination of the airway is necessary in a wide variety of diagnostic and therapeutic indications. This traditionally would require a rigid bronchoscopic airway examination. The advent of the flexible bronchoscope has revolutionized the procedure. Aim : To review our experience with flexible videobronchoscopy on the awake patient at the Obafemi Awolowo University Teaching Hospital, Ile- Ife. Materials and Methods : A prospective study of all consenting patients requiring awake flexible bronchoscopy was conducted between November 2009 and October 2011 using a 3.5mm Pentax™ fibreoptic bronchoscope. A Nellcor™ pulse oximeter was used for monitoring and sedation was effected with diazepam. Topical anesthesia was administered as 2mls of 10% lignocaine aerosol spray to the nostril, nasopharynx and oropharynx, as well as 1% lignocaine trans-bronchoscopically. Data was prospectively collected and analyzed using SPSS version 16. Results : Sixty five awake flexible videobronchoscopies were performed on 60 patients comprising 33 males and 27 females. The ages ranged between 19 and 89 years with a mean age of 49.02 ± 18.7 years. The most common indication unilateral pleural effusion in 7 patients (21.5%) while the transnasal route was employed in 61 cases (93.8%); 50% of patients had the procedure conducted without need for oxygen supplementation. The mean duration of the procedure was 23.4 ± 9.62 min. Scoping alone was done in 5 cases (7.7%), transbronchial needle aspiration in 3 cases (4.6%) while there were 53 endobronchial biopsies (81.5%), 52 bronchial washings (80%) and 25 endobronchial brushings (38.5%). Only one patient (1.5%) had a procedural complication- transient anterior epistaxis. Conclusion : Flexible videobronchoscopy is a simple and safe procedure in Ile- Ife. Its use is advocated especially for diagnostic assessment of the airway.

Day Case Endourology at Ibadan: 5 year Audit (October, 2006 - September, 2011)

Shittu OB, Takure AO, Adebayo SA, Olapade-Olaopa EO, Okeke LI


Department of Surgery, Division of Urology, University College Hospital, Ibadan, Nigeria

Introduction : Day case urology is economical to the patient, hospital and surgical resident. This is a 5 years retrospective audit of day case endourological practice at Ibadan. Aim : To audit our day case endourological practice. Materials and Methods : Data was obtained from the endourology day case register and these were analyzed using simple statistics. The surgical senior trainees are taught how to administer the caudal anesthesia. Results : A total of 559 patients were managed. Their age ranged from 10-88 years, with a male to female ratio of 4 to 1. Four hundred and thirty eight (78.4%) were diagnostic and 121 (21.6%) were therapeutic. The main diagnostic procedures were urethrocystoscopy (n=222), and cystoscopy alone (n=106), cystoscopy and biopsy (n=46) while the therapeutic procedures were direct visual internal urethrotomy (n=86), endoscopic cystolitholapaxy (n=10), and endoscopic alignment (7) for urethral injury. The main anesthesia was caudal block in 472 patients and topical 2% xylocaine jelly with sedation in 86 patients. Conclusion : There is a steady increase in therapeutic day case endourology. Caudal anesthesia is beneficial to the patient and surgical trainee.

Characteristics of Diabetics who Defaulted from Scheduled Diabetic Retinopathy Screening

Onakpoya OH, Kolawole BA 1 , Adeoye, Olateju SO, Adegbehingbe BO, Olorundare OK


Departments of Surgery, Ophthalmology Unit, 1 Medicine, Endocrinology Unit, Obafemi Awolowo University, Ile-Ife, Nigeria

Aim : To analyze the characteristics of diabetics who did not present for scheduled eye screening so as develop an appropriate/efficient diabetic retinopathy screening protocol for the region. Materials and Methods: Prospective case-control study of diabetic patients in Wesley Guild Hospital, Ilesa conducted July 2010 to November 2010. All consenting consecutive diabetics attending the endocrinology clinic of the study center during the period of study were recruited. The age, sex, domicile, highest educational level, current anti-diabetic management, knowledge of possible damage to other parts of the body including the eye, eye complaints, previous eye examination since onset of diabetes mellitus, height and weight were recorded into a previously designed protocol. Retinopathy screening appointment was then jointly scheduled; patients who reported for the examination were grouped as A, while those who did not, were grouped as B. Data analyzed with SPSS and presented as frequencies; further comparison with Chi square, Fisher's exact and Student's t-test as appropriate. Statistical significance assumed at P<0.05. Results: One hundred and seventy nine patients with mean age 61.2±11.5 years, mean height 1.62±0.09 and mean weight 69.7±12.6 kg formed the study population. There were 91 males and 88 females. Seventy nine (41.1%) presented for the scheduled eye examination (Group A) while 91 (50.8%) did not present at all (Group B). There were no statistically significant differences between groups A and B patients in relation to their age, height, weight, level of education, current management, knowledge of dm damage to the eye, as well as presence of eye complains. Diabetic patients who presented for schedule eye examination were more likely to have had previous eye examinations, since diagnosis of disease (P=0.027) and while those who had been diagnosed diabetic for 6-10 years duration were least likely to present DR screening. (P=0.0012). Conclusion : Appropriate DR screening protocol should include education on diabetic eye complication at DM diagnosis, as well as ensuring an initial DR screening along with other baseline investigations at diagnosis.

General Anaesthesia for Ophthalmic Surgical Procedures in the Wesley Guild Hospital, Ilesa

Onakpoya OH, Asudo FD 1 , Adeoye AO


Department of Surgery, Ophthalmology Unit, Obafemi Awolowo University, Ile-Ife, Osun State, 1 Anaesthesia, Gwagwalada Specialist Hospital, Gwagwalada, Abuja, Nigeria

Aim : Review factors influencing the choice of general anesthesia for ophthalmic surgical. Materials and Methods : Retrospective review of all ophthalmic surgeries in the operating theatre of WGH, Ilesa from January2002 to December2009. Age, sex, ophthalmic diagnosis, type/time of surgery as well as the type of anesthesia were recorded. Data analysis with SPSS version 11 was carried out for frequencies and comparison between variables; statistical significance assumed at P<0.05. Results : Two hundred and ninety ophthalmic surgeries were carried out during the study period. Age range was 1-95 years and mean of 61.0±1.9; most (55%) were elderly while 4.8% were children. 147 (50.7%) were males, One hundred and forty three (49.3%) females giving male: female of 1.03:1. Local anesthesia was the more commonly (92.1%) employed while general anesthesia was used in 23 (7.9%) patients. General anesthesia was used more frequently (71.4%) in children compared with other age groups; the mean age and standard error of means for patients who had general anesthesia (27.2/5.4 years) is smaller compared with 63.9/0.93 years for patients who had local anesthesia (P<0.0001). Regional anesthesia was the most frequently used for all types of procedures except for eye wall repairs in which general anesthesia was used for 71.4% of patients. (P<0.0001). General anesthesia was indicated in 7 (41.2%) of emergency ophthalmic surgical procedures as compared with 16 (5.9%) of elective ophthalmic procedures P<0.0001. Conclusion : General anesthesia was more commonly employed for children, eye wall repairs and emergency ophthalmic surgical procedures.

Non-operative Treatment of Isolated Blunt Splenic Injury: Causes of its Failure

Akinkuolie AA, Arowolo OA, Etonyeaku AC, Agbakwuru EA, Olasehinde O


Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria

Introduction : Non-operative treatment is the first line management of isolated blunt splenic trauma; however, some of these patients require operative intervention. Aim : The authors sought to determine factors predisposing to surgery and the types of operative intervention in this group of patients. Materials and Methods : Patients treated between 1991 and 2009 for isolated blunt splenic traumas were longitudinally studied. Patients were stratified into 3 groups based on treatment offered: non-operative, operative salvage and splenectomy. Logistic regression was performed to determine factors responsible of operative management. Results : Vehicular motor accident accounted for majority of patients with isolated blunt splenic trauma. Significantly, year of presentation and grade of injury are the major determinants of operative intervention. Conclusion : Improvement in surgical and radiological interventional facilities will improve non-operative treatment of isolated blunt splenic trauma.

Influence of Benign Prostatism on Evolution of Inguinal Hernias

Akinkuolie AA, Salako AA Badmus TA, Arowolo OA, Agbakwuru EA


Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria

Introduction : Delayed presentation for inguinal hernia surgery until onset of complications is common in the aged with symptomatic benign prostatic enlargement (BPE) in our community. This study is to evaluate the influence of BPE on the evolution of inguinal hernias with the objective of improving management of the two diseases. Materials and Methods : Two groups of patients were prospectively studied; Group A: those that developed their inguinal hernia before onset of prostatism and Group B: those that developed their hernia after onset of prostatism. Results : Significant differences seen in the two groups were: Types of inguinal hernia (x 2= 15.016, df = 3, P = 0.002); Occurrence of incarcerated hernia (x 2 = 10.400, df = 1, P = 0.001); Their posterior wall defects (x 2 = 28.512, df = 4, P = 0.001) and Recurrence of hernias (x 2 = 4.173, df = 1, P = 0.041). Discussion : Prostatism has significant influence on the type of inguinal hernia, occurrence of incarcerated inguinal hernia, posterior inguinal wall defect and recurrent inguinal hernia. Conclusion : Conducting urodynamic studies in an elderly patient presenting with inguinal hernia may help in detecting asymptomatic BPE. The finding of incarcerated inguinal hernia in an elderly man may suggest underlying BPE and a need for early surgery to reduce incidence of obstructed hernia and post-operative morbidity. In addition, a man with previous history of hernia repair presenting with BPE should have preference on an elective list; in order to prevent recurrence.

Early Outcome of Laparoscopic Appendectomy in Ile-Ife, Nigeria

Adisa AO, Alatise OI, Arowolo OA, Lawal OO


Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria

Background : Laparoscopic appendectomy in the poor resource setting remains controversial due to its high cost and the wide acceptability of open appendectomy. Aim : This study aims to describe the impact of introduction of laparoscopy on the early outcome of patients with appendicitis in our hospital. Materials and Methods : All adult patients who had appendectomy from January 2010 through June 2011 at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria were prospectively studied. Results : Of 139 patients with acute appendicitis within the study period, open appendectomy (OA) was performed in 83 (59.7%), laparotomy in 19 (13.7%) patients whose clinical and radiological findings at presentation suggested complicated appendicitis while 37 (26.6%) had laparoscopic procedures. In the laparoscopy group, diagnostic laparoscopy in 4 patients revealed normal appendix alongside other findings that precluded appendectomy. Laparoscopic appendectomy (LA) was performed in 33 (23.7%) patients with 2 (6.1%) conversions to open laparotomy. Mean operation time for LA was higher than OA (56.2 vs. 38.9 min). Patients in the LA group were discharged 1-3 days after surgery (Mean=1.8) compared to 2-4 (Mean 3.0) days for the OA group. Wound infection occurred in port sites of 2 (6.5%) of LA patients and 8 (9.6%) of OA. Conclusion : Laparoscopic appendectomy reduced postoperative hospital stay thereby potentially reducing the congestion, we usually encounter on our surgical wards. It also reduced the rate of unnecessary appendectomy; hence we advocate increased use of initial diagnostic laparoscopy especially in young women.

Surgical Management of the Giant Scrotal Lymphoedema in Ile-Ife

Salako AA, Olabanji JK, Oladele AA, Alabi GO, Adejare OA


Department of Surgery, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria

Aim : To report our experience with the surgical treatment of the giant (greater than the patient's head) scrotal lymphoedema in our practice in Ile-Ife. Materials and Methods : Prospective study of 6 consecutive patients who presented with giant scrotal lymphoedema at Obafemi Awolowo University Teaching hospital Ile-Ife, between January 2003 and operative and post-operative data entered into a proforma is presented. Results : All patients had surgical treatment. Age range was between 23 years and 63 years, with a mean of 44 years. Duration of symptoms was between 1.5 years and 20 years. Scrotal and penile edema, superficial wound infection were the commonest complications in the patients. Outcome of surgery was satisfactory to all the patients. Conclusion : A giant scrotal lymphoedema poses severe physical challenge to the sufferer. Surgery remains the only hope to reduce the size in these patients. The combined effort of urological and plastic surgeons is essential in the management of these patients.

Graft Survival in Living Related Kidney Transplant Recipients in Ile-Ife

Salako AA, Badmus TA, Arogundade FA, Sanusi AA, Akinsola W, Adesunkanmi ARK, Agbakwuru EA


Renal Transplant Unit, Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria

Background : End stage renal disease is prevalent in Nigeria. Traditional methods of treatment by peritoneal and hemodialysis are expensive, indefinite and confounded by infrastructural and technical inadequacies. Renal transplantation is the treatment of choice for patients with ESRD, worldwide. Only living related transplant programme is yet available in Nigeria. Aim : Prospective review of the graft survival in patients who had living related kidney transplantation in Ile-Ife. Materials and Methods : All patients who have had living related kidney transplantation between 2002 and 2011 were monitored. The age of the graft determined at follow up and percentage graft survival for each year after transplantation determined. Results : Nine patients were studied over a 10 year period. Age range was between 25 and 55 years. All patients except one had spontaneous graft function at operation. Seventy five percent of the graft functioned beyond one year of transplantation .Fifty percent of the graft survived beyond 4 years and 22.5% survived beyond 7 years. Conclusion : Graft survival among living related kidney transplant is high. Percent graft survival, however declines with the age of graft.




 

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