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

Samuel Chidi Ekpemo; Ndubuisi Eleweke; Nneka Okoronkwo; Chapp-Jumbo Assumpta

doi:doi:10.11648/j.ajbls.20180604.11

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

Samuel Chidi Ekpemo, Ndubuisi Eleweke, Nneka Okoronkwo, Chapp-Jumbo Assumpta

Published in American Journal of Biomedical and Life Sciences (Volume 6, Issue 4)

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.

Published in	American Journal of Biomedical and Life Sciences (Volume 6, Issue 4)
DOI	10.11648/j.ajbls.20180604.11
Page(s)	69-72
Creative Commons	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), 2018. Published by Science Publishing Group

Keywords

Neonatal Surgery, Challenges, Outcome

References

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[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.
[9]	Ilori IU, Ituen AM, Eyo ES. Factors associated with mortality in neonatal surgical emergencies in a developing tertiary hospital in Nigeria. OJPed 2013; 3:231-235.
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[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.
[18]	Olumide F, Adedeji A, Adesula AO. Intestinal obstruction in Nigeria Children. J Pediatr. Surg. 1976; 11:195-204.

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APA Style

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://article.sciencepublishinggroup.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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Author Information

Samuel Chidi Ekpemo

Department of Surgery, Abia State University, Aba, Nigeria
Ndubuisi Eleweke

Department of Surgery, Abia State University, Aba, Nigeria
Nneka Okoronkwo

Department of Paediatrics, Abia State University, Aba, Nigeria
Chapp-Jumbo Assumpta

Department of Paediatrics, Abia State University, Aba, Nigeria

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APA Style

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

Copy | Download

@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://article.sciencepublishinggroup.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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