دورية أكاديمية
Mitigating the challenges of laparoscopic paediatric surgery in Ile Ife: The trend so far and lessons learnt.
| العنوان: | Mitigating the challenges of laparoscopic paediatric surgery in Ile Ife: The trend so far and lessons learnt. |
|---|---|
| المؤلفون: | Igwe, Arua, Talabi, Ademola, Adumah, Collins, Ogundele, Ibukun, Adisa, Adewale, Sowande, Oludayo, Adejuyigbe, Olusanya, Igwe, Arua Obasi, Talabi, Ademola Olusegun, Adumah, Collins Chijioke, Ogundele, Ibukun Olufemi, Adisa, Adewale O, Sowande, Oludayo Adedapo |
| المصدر: | African Journal of Paediatric Surgery; Jul-Dec2020, Vol. 17 Issue 3, p68-73, 6p, 4 Color Photographs, 4 Charts, 2 Graphs |
| مصطلحات موضوعية: | LAPAROSCOPIC surgery, ABDOMINAL abscess, BOWEL obstructions, LIVER biopsy, AGE groups, APPENDECTOMY, LENGTH of stay in hospitals, PILOT projects, DIGESTIVE system diseases, RETROSPECTIVE studies, TREATMENT effectiveness, LAPAROSCOPY |
| مصطلحات جغرافية: | CHICAGO (Ill.) |
| مستخلص: | |
| Copyright of African Journal of Paediatric Surgery is the property of Wolters Kluwer India Pvt Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| قاعدة البيانات: | Complementary Index |
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Array ( [Name] => Author [Label] => Authors [Group] => Au [Data] => <searchLink fieldCode="AR" term="%22Igwe%2C+Arua%22">Igwe, Arua</searchLink><br /><searchLink fieldCode="AR" term="%22Talabi%2C+Ademola%22">Talabi, Ademola</searchLink><br /><searchLink fieldCode="AR" term="%22Adumah%2C+Collins%22">Adumah, Collins</searchLink><br /><searchLink fieldCode="AR" term="%22Ogundele%2C+Ibukun%22">Ogundele, Ibukun</searchLink><br /><searchLink fieldCode="AR" term="%22Adisa%2C+Adewale%22">Adisa, Adewale</searchLink><br /><searchLink fieldCode="AR" term="%22Sowande%2C+Oludayo%22">Sowande, Oludayo</searchLink><br /><searchLink fieldCode="AR" term="%22Adejuyigbe%2C+Olusanya%22">Adejuyigbe, Olusanya</searchLink><br /><searchLink fieldCode="AR" term="%22Igwe%2C+Arua+Obasi%22">Igwe, Arua Obasi</searchLink><br /><searchLink fieldCode="AR" term="%22Talabi%2C+Ademola+Olusegun%22">Talabi, Ademola Olusegun</searchLink><br /><searchLink fieldCode="AR" term="%22Adumah%2C+Collins+Chijioke%22">Adumah, Collins Chijioke</searchLink><br /><searchLink fieldCode="AR" term="%22Ogundele%2C+Ibukun+Olufemi%22">Ogundele, Ibukun Olufemi</searchLink><br /><searchLink fieldCode="AR" term="%22Adisa%2C+Adewale+O%22">Adisa, Adewale O</searchLink><br /><searchLink fieldCode="AR" term="%22Sowande%2C+Oludayo+Adedapo%22">Sowande, Oludayo Adedapo</searchLink> ) Array ( [Name] => TitleSource [Label] => Source [Group] => Src [Data] => African Journal of Paediatric Surgery; Jul-Dec2020, Vol. 17 Issue 3, p68-73, 6p, 4 Color Photographs, 4 Charts, 2 Graphs ) Array ( [Name] => Subject [Label] => Subject Terms [Group] => Su [Data] => <searchLink fieldCode="DE" term="%22LAPAROSCOPIC+surgery%22">LAPAROSCOPIC surgery</searchLink><br /><searchLink fieldCode="DE" term="%22ABDOMINAL+abscess%22">ABDOMINAL abscess</searchLink><br /><searchLink fieldCode="DE" term="%22BOWEL+obstructions%22">BOWEL obstructions</searchLink><br /><searchLink fieldCode="DE" term="%22LIVER+biopsy%22">LIVER biopsy</searchLink><br /><searchLink fieldCode="DE" term="%22AGE+groups%22">AGE groups</searchLink><br /><searchLink fieldCode="DE" term="%22APPENDECTOMY%22">APPENDECTOMY</searchLink><br /><searchLink fieldCode="DE" term="%22LENGTH+of+stay+in+hospitals%22">LENGTH of stay in hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22PILOT+projects%22">PILOT projects</searchLink><br /><searchLink fieldCode="DE" term="%22DIGESTIVE+system+diseases%22">DIGESTIVE system diseases</searchLink><br /><searchLink fieldCode="DE" term="%22RETROSPECTIVE+studies%22">RETROSPECTIVE studies</searchLink><br /><searchLink fieldCode="DE" term="%22TREATMENT+effectiveness%22">TREATMENT effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22LAPAROSCOPY%22">LAPAROSCOPY</searchLink> ) Array ( [Name] => SubjectGeographic [Label] => Geographic Terms [Group] => Su [Data] => <searchLink fieldCode="DE" term="%22CHICAGO+%28Ill%2E%29%22">CHICAGO (Ill.)</searchLink> ) Array ( [Name] => Abstract [Label] => Abstract [Group] => Ab [Data] => <bold>Background: </bold>Paediatric laparoscopic surgery is fast growing worldwide, with many pathologies now being treated even in the youngest of patients. We hereby report our experience with the first 114 cases.<bold>Objectives: </bold>Our aim was to highlight our progress and lessons learnt practicing laparoscopic paediatric surgery in our institution.<bold>Materials and Methods: </bold>This is a retrospective study of the first 114 children who underwent laparoscopic surgery in our hospital. We focussed on demographics, indications, procedures performed, rate of conversion to open and complications. Records were retrieved from January 2011 to December 2019. Data were analysed using the SPSS software version 23 (SPSS Inc., Chicago, Illinois, USA).<bold>Results: </bold>There were 83 males and 31 females (ratio of 3:1). Age groups included infants (13.2%), 1-5 years (21.9%), 5-10 years (33.3%) and > 10 years (31.6%). There was a remarkable increase in the frequency and complexity of cases performed from an average of 5 per year between 2011 and 2015 to an average of 23.5 per year between 2016 and 2019. The conversion rate was 6%, 5 appendectomies, 1 Swenson pull-through, 1 diagnostic laparoscopy and 1 Ladd's procedure. Four complications were noted; one recurrent adhesive intestinal obstruction, one residual intra-abdominal abscess, one port site abscess and one excessive bleeding from liver biopsy requiring conversion to open surgery.<bold>Conclusion: </bold>We have demonstrated that the routine use of laparoscopy in children is feasible and safe in our environment. However, the need for training, endurance through a steep learning curve and the willingness to battle the technical challenges are necessary for success. [ABSTRACT FROM AUTHOR] ) Array ( [Name] => Abstract [Label] => [Group] => Ab [Data] => <i>Copyright of African Journal of Paediatric Surgery is the property of Wolters Kluwer India Pvt Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) ) |
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