Day-Case Herniotomy Surgery for Children with Inhalational Anaesthesia in Lagos, Nigeria
Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2011, Vol 4, Issue 2
Abstract
Introduction: Inguinal herniotomy is a common surgical procedure in Nigeria and may sometimes require hospital admission. In most low-income countries, bed spaces are inadequate and waiting lists for surgery long. We reviewed morbidity and mortality of herniotomy cases operated under inhalational anaesthesia and managed as day-cases in our hospital between 2004 and 2006. Materials and Methods: Relevant data was extracted from the medical records of all the children that had herniotomy surgery under inhalational anaesthesia in our hospital during the period. The data included the demography, side of swelling, post operative complications and time required for full recovery from anaesthesia. Results: A total of 181 patients were operated within the period, with a male to female ratio of 19.1:1. The hernia was right sided in 138, (76.2%) and bilateral in 6.1%. The hemoglobin level was between 10- 12g/dL in 168 (73%) of the children. All the children recovered fully from anaesthesia within 4 hours of surgery and tolerated food before going home. Post-operative vomiting occurred in 3 (1.67%) and scrotal swelling in 1.11% cases. Conclusion: Inhalational anaesthesia is safe for day-case herniotomy surgery in selected children, and preoperative preparations carried out on out-patient basis.
Authors and Affiliations
Bamidele Olayiwola| Paediatric Surgery Unit, Department of Surgery, Lagos State University Teaching Hospital/College of Medicine, Ikeja-Lagos, Nigeria, Idowu Olusegun Fadeyibi| Burn & Plastic Surgery Unit, Department of Surgery, Lagos State University Teaching Hospital, College of Medicine, Ikeja-Lagos, Nigeria, Peter Imoni Jewo| Department of Anatomy, Lagos State University College of Medicine, PMB 21266, Ikeja, Lagos, Nigeria, Naseem Olufimihan Sanyaolu| Paediatric Surgery Unit, Department of Surgery, Lagos State University Teaching Hospital/College of Medicine, Ikeja-Lagos, Nigeria, Michael Akin Bankole| Paediatric Surgery Unit, Department of Surgery, Lagos State University Teaching Hospital/College of Medicine, Ikeja-Lagos, Nigeria
Keywords
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- EP ID EP8800
- DOI 10.3889/MJMS.1857-5773.2011.0166
- Views 342
- Downloads 16
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