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Article: Awareness and Practice of Laparoscopic Surgery among Trainee Surgeons in Nigerian Tertiary Hospitals.

Ray-Offor, E / Abdur-Rahman, L O

2021 Volume 38, Issue 5, Page(s) 454–459

Abstract: Background: The advent of laparoscopy has been a notable landmark in surgery; however, there is a slow progress to widespread utilization in West Africa.: Aims: To study the awareness and practice of laparoscopic surgery among trainee surgeons in ... ...

Abstract	Background: The advent of laparoscopy has been a notable landmark in surgery; however, there is a slow progress to widespread utilization in West Africa. Aims: To study the awareness and practice of laparoscopic surgery among trainee surgeons in Nigerian tertiary hospitals while highlighting measures to mitigate challenges. Materials and methods: A cross-sectional study conducted during a 2-week West African College of Surgeons update course in September 2018 at Ilorin, Kwara State, Nigeria. A structured questionnaire was distributed to registered trainee surgeons for completion. Data collated included demographics, cognitive knowledge, common procedures in centres, referrals, routine practice, performing laparoscopic surgeon, and routine practice. Statistical analysis was done using IBM SPSS Statistics for Windows version 20 Armonk NY USA. Results: There were 184 registered trainee surgeons with 80 respondents from 26 Nigerian tertiary health facilities. The age range was 29 -51 years (mean 35.0 ± 4.4) and a mean training duration of 3.3 years (R2= 0.12). Seven (63.6%) senior registrars and 54(76.3%) registrars were reported as first assistants in laparoscopic surgeries performed but no unassisted surgery. Four (15.4%) represented centres had no laparoscopy equipment or expertise. A non-referral rate of 52/80(65.0%) for laparoscopic surgery was recorded. Conclusion: Laparoscopic surgery is practiced in some Nigerian tertiary hospitals with trainee surgeons actively involved in performing these surgeries. However, there is limited unassisted experience by trainee surgeons in the basic laparoscopic surgeries predominantly performed.
MeSH term(s)	Adult ; Africa, Western ; Cross-Sectional Studies ; Humans ; Laparoscopy ; Middle Aged ; Nigeria ; Surgeons ; Tertiary Care Centers
Language	English
Publishing date	2021-05-27
Publishing country	Nigeria
Document type	Journal Article
ZDB-ID	1132088-6
ISSN	0189-160X
ISSN	0189-160X
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Article ; Online: The Nutritional Content of Meal Images in Free-Living Conditions-Automatic Assessment with goFOOD

Papathanail, Ioannis / Abdur Rahman, Lubnaa / Brigato, Lorenzo / Bez, Natalie S / Vasiloglou, Maria F / van der Horst, Klazine / Mougiakakou, Stavroula

Nutrients

2023 Volume 15, Issue 17

Abstract: A healthy diet can help to prevent or manage many important conditions and diseases, particularly obesity, malnutrition, and diabetes. Recent advancements in artificial intelligence and smartphone technologies have enabled applications to conduct ... ...

Abstract	A healthy diet can help to prevent or manage many important conditions and diseases, particularly obesity, malnutrition, and diabetes. Recent advancements in artificial intelligence and smartphone technologies have enabled applications to conduct automatic nutritional assessment from meal images, providing a convenient, efficient, and accurate method for continuous diet evaluation. We now extend the goFOOD
MeSH term(s)	Humans ; Artificial Intelligence ; Retrospective Studies ; Social Conditions ; Meals ; Diet, Healthy
Language	English
Publishing date	2023-09-02
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu15173835
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Article ; Online: Outcomes of surgical treatment of malrotation in children

Nasir A / Abdur-Rahman L / Adeniran J

African Journal of Paediatric Surgery, Vol 8, Iss 1, Pp 8-

2011 Volume 11

Abstract: Background: Abnormalities of rotation and fixation of the intestines are of intense interest to the pediatric surgeon, as they are frequently associated with volvulus which has catastrophic consequences when diagnosis is delayed or not even considered. ... ...

Abstract	Background: Abnormalities of rotation and fixation of the intestines are of intense interest to the pediatric surgeon, as they are frequently associated with volvulus which has catastrophic consequences when diagnosis is delayed or not even considered. This study evaluates the outcomes of surgical management of intestinal malrotation (IM) in children. Materials and Methods: The medical records of all patients with symptomatic malrotation, who underwent surgery between January 2000 and September 2009, were reviewed. Patients′ characteristics, management, complications, and survival were evaluated. Results: Nine patients (eight boys and a girl) underwent surgery for malrotation at a median age of 15 days. Eight presented with acute symptoms and one with chronic symptoms. All the patients had symptoms of intermittent or complete upper intestinal obstruction, and malrotation was documented by an upper gastrointestinal contrast study in two of them. Volvulus was found at the time of surgery in seven patients, five of whom were neonates. One patient also had associated mesentery cyst. Seven patients were treated by Ladd′s operation. One patient with massive bowel gangrene due to volvulus had right hemicolectomy. There was one perioperative death from anastomostic leak. Median length of stay was 9 days. Postoperative bowel obstruction was seen in two patients (one died), resulting in an overall mortality of 22.2%. Conclusions: Bowel gangrene from volvulus contributes to mortality, and small bowel adhesive intestinal obstruction is a cause of morbidity and mortality following surgery for IM. Neonates with bilious vomiting should raise the suspicion of malrotation until proven otherwise and given prompt intervention. There is a need for high index of suspicion in babies with bilious vomiting especially when recurrent to prevent devastating complications when present.
Keywords	Children ; intestinal malrotation ; Ladd′s procedure ; outcomes ; volvulus ; Pediatrics ; RJ1-570 ; Medicine ; R ; DOAJ:Pediatrics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Surgery ; RD1-811 ; DOAJ:Surgery
Subject code	610
Language	English
Publishing date	2011-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: One-stage correction of intermediate imperforate anus in males.

Adeniran, J O / Abdur-Rahman, L

Pediatric surgery international

2005 Volume 21, Issue 2, Page(s) 88–90

Abstract: This prospective study was designed to assess the safety, cost-effectiveness, and advantages of performing posterior sagittal anorectoplasty (PSARP) without colostomy on males with intermediate imperforate anus in a developing country. Fifteen ... ...

Abstract	This prospective study was designed to assess the safety, cost-effectiveness, and advantages of performing posterior sagittal anorectoplasty (PSARP) without colostomy on males with intermediate imperforate anus in a developing country. Fifteen consecutive males with intermediate imperforate anus were entered into the study. Chest and abdominal x-rays, skeletal surveys, renal ultrasound scans, and invertograms were done. Patients were resuscitated and Pena's PSARP done in prone positions. A 2-ml syringe vent was inserted into the new anus for 10 days. Babies were nursed prone postoperatively. Cephalosporin and metronidazole were given as perioperative antibiotics. All patients had intermediate anomalies. There were no other major associated congenital anomalies. A urethral catheter could not be inserted in one patient, and one patient who presented with septicemia and jaundice was deemed too ill to withstand a major operation; these two patients therefore had diverting colostomies. There were no problems with PSARP in the other 13 patients. One patient's father discharged him against medical advice on the 5th postoperative day; the mother had had postpartum hemorrhage, so they opted for traditional treatment because they could not provide blood donors. The skin wounds of 10 patients healed completely with removal of stitches; two boys had superficial wound infection. Parents who lived far from the hospital were taught how to dilate the anus. Follow-up has ranged between 3 months and 2 years. This prospective study shows that it is feasible for males with intermediate imperforate anus to have safe PSARP without colostomy. The advantages of one instead of three major operations are many, especially in developing countries. If this result can be reproduced in cases of high anomalies, colostomy may be unnecessary in many cases of anorectal malformations, with many benefits to these children and their families.
MeSH term(s)	Anus, Imperforate/surgery ; Digestive System Surgical Procedures/methods ; Humans ; Infant, Newborn ; Male ; Prospective Studies
Language	English
Publishing date	2005-02
Publishing country	Germany
Document type	Journal Article
ZDB-ID	632773-4
ISSN	0179-0358
ISSN	0179-0358
DOI	10.1007/s00383-004-1211-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Circumcision: perspective in a Nigerian teaching hospital.

Abdur-Rahman, L O / Nasir, A A / Adeniran, J O

African journal of paediatric surgery : AJPS

2013 Volume 10, Issue 3, Page(s) 271–274

Abstract: Background: The practice and pattern of male infants circumcised is influenced by culture, religion and socio-economic classification. The debate about the benefits and risks of circumcision has made a hospital-based practice the most acceptable.: ... ...

Abstract	Background: The practice and pattern of male infants circumcised is influenced by culture, religion and socio-economic classification. The debate about the benefits and risks of circumcision has made a hospital-based practice the most acceptable. Objective: The objective of this study is to evaluate the ages, indications, co-morbidity, types and methods of circumcision, usage and mode of anaesthesia and outcome of male circumcision at a tertiary health centre in Nigeria. Materials and methods: A retrospective review of male circumcision in a paediatric surgery unit was done from January 2002 to December 2007. The data was analysed using SPSS software version 15. Results: There were 438 boys with age ranged between 6 days and 10 years (median 28 days, mean 53.6 days standard deviation 74.2). Neonatal circumcision (<29 days) was 201 (46%) and 318 (72.6%) of the children were circumcised by the 3 rd month of live. Religion or tradition were the major indicators in 384 (87.7%) patients while phimosis 38 (8.7%), paraphimosis 4 (1%), redundant post circumcision skin 10 (2.3%) and defective prepuce in 2 (0.5%) were other indications. Plastibel™ (PD) was used in 214 (48.9%), classical circumcision 194 (44.2%), guillotine technique (GT) and Gomco™ 10 (2.3%) cases each while 10 (2.3%) had a refashioning/re-excision post previous circumcision. There was an increase in use of PD, drop in the use of GT; and increase in the number of circumcision done over the years. Only 39.7% had anaesthesia administered and complication rate was 6.7%. Conclusion: Neonatal circumcision was highest in the hospital-based circumcision practice, which allowed the expected ideals in the use of devices in a tertiary health centre. However, the low rate of anaesthetic use is unacceptable.
MeSH term(s)	Child ; Child, Preschool ; Circumcision, Male/methods ; Circumcision, Male/utilization ; Hospitals, Teaching/statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Male ; Nigeria ; Retrospective Studies
Language	English
Publishing date	2013-07
Publishing country	India
Document type	Journal Article
ZDB-ID	2392865-7
ISSN	0974-5998 ; 0189-6725
ISSN (online)	0974-5998
ISSN	0189-6725
DOI	10.4103/0189-6725.120906
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Fetus -in -fetu in a 6-month-old

Abdur-Rahman L / Abdul-Kadir A / Rahman A

African Journal of Paediatric Surgery, Vol 5, Iss 2, Pp 96-

2008 Volume 98

Abstract: Fetus-in-fetu is a malformed parasitic monozygotic diamniotic twin found inside the body of the living child or adult. We report a case of lumbar mass having superficial rudimentary phallus, labioscrotal fold, testes, pedunculated thumb-like digit and ... ...

Abstract	Fetus-in-fetu is a malformed parasitic monozygotic diamniotic twin found inside the body of the living child or adult. We report a case of lumbar mass having superficial rudimentary phallus, labioscrotal fold, testes, pedunculated thumb-like digit and rudimentary pelvis in addition to bowel loops in a 6-month-old Nigerian girl. The mass was excised and the baby did well. We propose based on these that dizygotic parasitic foetiform twin could exist.
Keywords	Dizygotic parasitic twin ; differentiated teratoma ; foetus in foetu ; Pediatrics ; RJ1-570 ; Medicine ; R ; DOAJ:Pediatrics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Surgery ; RD1-811 ; DOAJ:Surgery
Language	English
Publishing date	2008-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: New method of hand anastomosis to complete the Duhamel operation for Hirschsprung′s disease

Adeniran J / Abdur-Rahman L / Odi T

African Journal of Paediatric Surgery, Vol 5, Iss 1, Pp 40-

2008 Volume 42

Abstract: Objective/Purpose: This paper describes a new method of hand anastomosis to complete the Duhamel operation for Hirschsprung′s disease (HD). Methodology: All patients had diagnosis of Hirschsrung′s disease confirmed by rectal biopsy and had defunctioning ... ...

Abstract	Objective/Purpose: This paper describes a new method of hand anastomosis to complete the Duhamel operation for Hirschsprung′s disease (HD). Methodology: All patients had diagnosis of Hirschsrung′s disease confirmed by rectal biopsy and had defunctioning colostomy. At the definitive operation, the ganglionic bowel was brought down in a retro-rectal position and anastomosed at the anal canal just above the dentate line. At this anastomosis, the sutures at 11 and 1 o′clock were left long as stay sutures. An incision was then made down the new bowel at the antimesenteric border from the pelvic brim. Another incision was made down the back of the native rectum. A long-curved artery forceps was then passed into the incision in the native rectum out of the anal canal. This forceps was now hooked round the anastomosis at 12 o′clock and further pushed in until the point appears through the colotomy in the ganglionic bowel. The two layers of bowel between the forceps were incised. The forceps was now inserted to grab the long sutures at 11 o′clock and 1 o′clock in turn, and delivered through the pelvis. Anastomosis between the edges of the native rectum and the neorectum was then done with interrupted PDS inside and silk outside. Results: Seven patients had the procedure done. Age ranged between 4 months and 4 years (mean 3.4 years). They were all males. One patient died early in the series from reaction to postoperative analgesia. Four older patients have bowel motions 2-3 times per day, do not soil at night, and are fully continent. Conclusion: This preliminary study shows that hand anastomosis could be used to complete Duhamel operation for patients with HD with satisfactory early results.
Keywords	Duhamel ; Hirschsprung ; operations ; soave ; Swenson ; Pediatrics ; RJ1-570 ; Medicine ; R ; DOAJ:Pediatrics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Surgery ; RD1-811 ; DOAJ:Surgery
Subject code	610
Language	English
Publishing date	2008-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: EFFICACY AND SAFETY OF ORAL KETAMINE PREMEDICATION IN CHILDREN UNDERGOING DAY CASE SURGERY.

Oyedepo, O O / Nasir, A A / Abdur-Rahman, L O / Kolawole, I K / Bolaji, B O / Ige, O A

Journal of the West African College of Surgeons

2017 Volume 6, Issue 1, Page(s) 1–15

Abstract: Background: Oral premedication for paediatric age group is an uncommon practice amongst anaesthetists in Nigeria. Both parents and the child suffer some form of emotional or psychological distress.: Aim: To determine the efficacy and safety of oral ... ...

Abstract	Background: Oral premedication for paediatric age group is an uncommon practice amongst anaesthetists in Nigeria. Both parents and the child suffer some form of emotional or psychological distress. Aim: To determine the efficacy and safety of oral formulated ketamine for premedication in children scheduled for ambulatory surgeries. Methods: Seventy three children aged 1 - 6 years with American Society of Anesthesiologists (ASA) physical status I-II were prospectively studied. They were assigned randomly to receive either 5 mg/kg (Group A), 10 mg/kg (Group B), or no ketamine (Group C).The children were observed for acceptance of premedication, sedation and anxiolysis at 10, 20 and 30 minutes after drug administration. Behavior/response of each child at the time of separation from parents, intravenous access, and acceptance of facemask for induction, postanaesthetic arousal state and complications were also recorded. Results: There were 73 children in this study with a mean age of 37.4±18.0 months. The groups were comparable in age. The studied agent was tolerated by both groups that received premedication with no significant difference (P 0.73). Adequate sedation and anxiolysis were observed in groups A and B, (52%, 84%) and (68%, 88%) respectively. However, more children in group B (82.6%) had satisfactory behaviour at separation from parents and a better acceptance of anaesthetic face mask (64%) at induction than those in groups A and C (33.3%, 21.7%, respectively). No side effect was recorded in either of the premedication groups or the control group. Conclusion: Oral ketamine is acceptable and safe premedication for children. It provided good sedation, relieved anxiety and had no side effect in the children at the studied doses.
Language	English
Publishing date	2017-01-22
Publishing country	Nigeria
Document type	Journal Article
ISSN	2276-6944
ISSN	2276-6944
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Article ; Online: Hirschsprung′s disease

Nasir A / Adeniran J / Abdur-Rahman L

Journal of Indian Association of Pediatric Surgeons, Vol 12, Iss 2, Pp 68-

8 years experience in a Nigerian teaching hospital

2007 Volume 71

Abstract: Background: Hirschsprung′s disease (HD) is a common cause of intestinal obstruction in children. Despite increased understanding of the disease and several techniques of treatment, significant complications continued to be associated with its management. ...

Abstract	Background: Hirschsprung′s disease (HD) is a common cause of intestinal obstruction in children. Despite increased understanding of the disease and several techniques of treatment, significant complications continued to be associated with its management. Objective: To study the outcome of management of HD in the University Teaching Hospital, Ilorin, Nigeria. Materials and Methods: The clinical records of all children managed for HD between January 1998 and December 2005 were retrospectively reviewed. Demographic data, modes of presentation, methods of diagnosis, age at colostomy formation, age and type of definitive operations were noted from patients′ records. Complications associated with colostomy, pre- and postoperative complications, final outcome and duration of follow-up were also noted. Results: Twenty-one patients (20 males, one female) managed for HD were reviewed. Eight (38%) were diagnosed in the neonatal period, the mean age at diagnosis being 22 months. Fourteen patients had completed the three stages of the operation, one is awaiting colostomy closure and two patients are waiting for definitive operations. Out of the 15 patients who had definitive surgery, nine had Swenson′s pull-through operations while six had Duhamel operations. At presentation, six patients had enterocolitis, one of whom had spontaneous colonic perforation, two patients had sepsis. Colostomy-related complications recorded included sixteen patients with dermatitis, nine with colostomy prolapse, one patient with colostomy diarrhea and one with enterocolitis and sepsis. Following definitive surgery, three patients had wound infection, one partial intestinal obstruction, one postDuhamel hemorrhage and two enterocolitis. Complications after colostomy closure included two wound infections and one severe enterocolitis. There were five deaths (23.8%)-two from sepsis, two from enterocolitis and one from an adverse drug reaction. One of the children who had enterocotitis preoperatively died of enterocolitis after colostomy. Range of follow-up was six weeks- to eight years. Conclusions: Many complications from HD resulted from late presentation to our unit. Colostomy caused unacceptable morbidity. Most deaths were due to sepsis and enterocolitis. The Swenson′s and Duhamel operations gave satisfactory results. Early presentation and improved facilities in our pediatric surgical unit will reduce morbidity and mortality.
Keywords	Colostomy ; Duhamel ; enterocolitis ; Hirschsprung′s disease ; Swenson ; Surgery ; RD1-811 ; Medicine ; R ; DOAJ:Surgery ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Pediatrics ; RJ1-570 ; DOAJ:Pediatrics
Subject code	610
Language	English
Publishing date	2007-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Concurrent dextrogastria, reverse midgut rotation and intestinal atresia in a neonate

Abdur-Rahman L / Adeniran J / Taiwo J

Journal of Indian Association of Pediatric Surgeons, Vol 12, Iss 4, Pp 228-

2007 Volume 230

Abstract: A case of dextrogastria associated with multiple jejunal atresia and inverse rotation of the bowel in a neonate is presented. The management of this rare condition is highlighted with a review of the literature. ...

Abstract	A case of dextrogastria associated with multiple jejunal atresia and inverse rotation of the bowel in a neonate is presented. The management of this rare condition is highlighted with a review of the literature.
Keywords	Dextrogastria ; intestinal atresia ; malrotation ; Surgery ; RD1-811 ; Medicine ; R ; DOAJ:Surgery ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Pediatrics ; RJ1-570 ; DOAJ:Pediatrics
Language	English
Publishing date	2007-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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