Open Nephrectomy: Experience in a Nigerian Teaching Hospital
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 24, Issue 12
Abstract
Background: Nephrectomy is a surgical operation that requires removal of the kidney. Indications for nephrectomy vary across the globe. Scope of disorders, available human and material resources affect the type and method of nephrectomy offered in a centre. Aims: To study the indications for nephrectomy and outcome of treatment in a resource limited tertiary hospital. Methods: All patients who had nephrectomy between January 2007 and October 2017 were included in this retrospective study. Data obtained from the records departments, ward and theatre records were collated. Information gathered included the age, clinical and radiological features, indications for and type of nephrectomies as well as outcome of treatment. Data was analysed using SPSS version 20. (IBM SPSS Inc. Chicago, IL). Results: Fifty seven patients had nephrectomy within the period. The mean age was 36.97+/-19.16 years. Twenty seven patients (47.37%) were male while 30 (52.63%) were female, with Male: Female ratio of 1:1.1. Benign and malignant conditions accounted for 42.11% and 57.89% respectively. The most common malignant condition was renal cell carcinoma. Abdominal pain and swelling as well as haematuria were the main clinical features. All the patients had ultrasound scan with majority have multiple findings. Renal cell carcinoma was diagnosed in 29 patients (50.88%) while 17 patients (29.82%) had renal stones with non-functioning kidney. Fifty two patients (91.23%) had good and satisfactory outcome. Conclusion: Only open nephrectomies were performed in this centre. Though malignant conditions are more common, late presentation of benign conditions make nephrectomy inevitable in conditions that in more developed societies will not have led to irremediable renal damage.
Authors and Affiliations
Onyeanunam Ngozi Ekeke, Olatunde Ezekiel Amusan
Keywords
Related Articles
- EP ID EP312599
- DOI 10.9734/JAMMR/2017/38766
- Views 81
- Downloads 0
Potential Mechanisms Underlying the Facilitation of Fear Memory Extinction by Cotinine
Posttraumatic stress disorder is a type of anxiety disorder that manifests after exposure to a traumatic event that was perceived as life threatening. Individuals with posttraumatic stress disorder have a deficiency in t...
Comparison of DNA Extraction Methods for Human Oral Microbiome Research
The oral micro biome is highly diverse and its composition is associated with oral disease and potentially diseases at other sites. Our objective is to evaluate DNA extraction methods potentially suitable for population-...
The Association of Eating Attitudes between Metabolic Control and Quality of Life in Patients with Type 1 and Type 2 Diabetes Mellitus
Aims: The combination of an eating disorder and diabetes mellitus (DM) puts patients at high risk of mortality and morbidity. The purpose of this study was to determine the association of eating attitudes between metabol...
A Simple Computed Tomography Scoring System to Predict Histological Malignancy of Solitary Fibrous Tumors of the Pleura
Purpose: The aim of the present study was to define the very first score enabling discrimination between benign and malignant solitary fibrous tumors of the pleura (SFTPs), on the basis of reliable preoperative CT featur...
Glycogen Synthase Kinase-3β Expression and Phosphorylation in Peripheral Blood Mononuclear Cells of Patients with Amyotrophic Lateral Sclerosis
Aims: To quantify total glycogen synthase kinase (GSK)-3β and GSK-3β phosphorylated at serine 9 in the peripheral blood mononuclear cells from Amyotrophic Lateral Sclerosis (ALS) patients and to assess if GSK-3β could be...