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Article: Biliary Atresia Splenic Malformation: A Case Report from A Tertiary Centre in West Africa and the Lessons Learnt.

Elebute, Olumide A / Timo, Manuella Talla / Alakaloko, Felix M / Seyi-Olajide, Justina O / Bode, Christopher O / Ademuyiwa, Adesoji O

Journal of the West African College of Surgeons

2023 Volume 13, Issue 1, Page(s) 106–110

Abstract: Biliary atresia (BA) is a rare disease characterised by biliary obstruction of unknown origin that presents in the neonatal period. It is classified into syndromic with various congenital anomalies and non-syndromic (isolated anomaly). We present a case ... ...

Abstract	Biliary atresia (BA) is a rare disease characterised by biliary obstruction of unknown origin that presents in the neonatal period. It is classified into syndromic with various congenital anomalies and non-syndromic (isolated anomaly). We present a case of syndromic BA associated with polysplenia and intestinal malrotation, discovered incidentally during the Kasai procedure. The small intestine was found to be non-rotated with the duodenojejunal junction to the right of the vertebral column. The presence of accessory spleens was noted. Kasai portoenterostomy and Ladd's procedure were performed. The patient had an uneventful postoperative course with the passage of cholic stool from the third postoperative day. At the seventh-month follow-up, the stool remained cholic. A multidisciplinary approach in the care of babies with BA and long-term follow-up is crucial for a successful outcome.
Language	English
Publishing date	2023-01-18
Publishing country	India
Document type	Case Reports
ISSN	2276-6944
ISSN	2276-6944
DOI	10.4103/jwas.jwas_195_22
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Article: Formal saline versus honey as escharotic in the conservative management of major omphaloceles.

Bode, Christopher O / Ademuyiwa, Adesoji O / Elebute, Olumide A

The Nigerian postgraduate medical journal

2018 Volume 25, Issue 1, Page(s) 48–51

Abstract: Background: The use of honey as an escharotic agent in the conservative management of omphalocele major has not been widely explored in spite of its proven benefits in chronic wound management. We explored the use of local honey as an escharotic agent ... ...

Abstract	Background: The use of honey as an escharotic agent in the conservative management of omphalocele major has not been widely explored in spite of its proven benefits in chronic wound management. We explored the use of local honey as an escharotic agent by comparing its use with 2.5% formal saline in the conservative management of major omphaloceles at the Lagos University Teaching Hospital, Lagos, Nigeria. Methods: From January 2006 to December 2009, 43 consecutive newborns with intact omphalocele major were alternately assigned into either Honey (H) or formal saline (FS) group. The membrane cover of each omphalocele was painted with the allotted group agent once every 48 h. The occurrence of faecal fistulas, rupture of eschar, intestinal obstruction as well as the mean duration of full wound healing, infection rates and overall mortality rates were compiled for the two groups. Results: Eighteen newborns were assigned to the FS group while 25 others were prospectively enrolled into the H group. The age, sex and weight of newborns in both groups at presentation were comparable. Three omphaloceles (16.7%) ruptured and eviscerated among the FS group during the study while 1 (4%) of these occurred in the H group. Four (22.2%) cases of faecal fistula occurred in the FS group while none was recorded in the H group. One (5.6%) patient in the FS group developed small bowel stricture. This was not recorded in the honey group. Overall, there were 8 (44.4%) complications in the FS group and 1 (4%) in the H group. There was no statistical difference between the two groups concerning the occurrence of fistulae, sac rupture or bowel stricture. However, overall number of complications was statistically more in the FS group when compared to the H group (P < 0.05). Wounds in the H group healed within a mean period of 34.4 ± 4.9 days while those in the FS group healed within a mean period of 45.7 ± 6.8 days P < 0.01). Conclusion: Honey is a good escharotics agent in the conservative management of major omphaloceles. Honey promotes faster healing and unlike 2.5% formal saline, is not significantly associated with faecal fistulas, rupture or bowel stricture.
MeSH term(s)	Conservative Treatment/methods ; Cross-Sectional Studies ; Hernia, Umbilical/therapy ; Honey ; Humans ; Infant, Newborn ; Nigeria ; Saline Solution/therapeutic use ; Treatment Outcome ; Wound Healing
Chemical Substances	Saline Solution
Language	English
Publishing date	2018-04-19
Publishing country	Nigeria
Document type	Journal Article
ZDB-ID	2171096-X
ISSN	1117-1936
ISSN	1117-1936
DOI	10.4103/npmj.npmj_159_17
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Article: Impact of corona virus disease 2019 pandemic on paediatric surgery in a sub-saharan tertiary hospital: An observational study.

Seyi-Olajide, Justina O / Bode, Christopher O / Ihediwa, George C / Elebute, Olumide A / Alakaloko, Felix M / Ladipo-Ajayi, Oluwaseun A / Ademuyiwa, Adesoji O

The Nigerian postgraduate medical journal

2022 Volume 29, Issue 2, Page(s) 102–109

Abstract: Background: The impact of the corona virus disease 2019 (COVID-19) pandemic on global health, has reached far beyond that caused by the disease itself. With ongoing mutations and the emergence of new strains of the virus alongside repeated waves of the ... ...

Abstract	Background: The impact of the corona virus disease 2019 (COVID-19) pandemic on global health, has reached far beyond that caused by the disease itself. With ongoing mutations and the emergence of new strains of the virus alongside repeated waves of the pandemic, the full impact of the pandemic is still evolving and remains difficult to predict or evaluate. In paediatric surgery, it has led to significant disruptions in patient care, the extent and consequence of which are not fully documented in Nigeria. Aim: This study aims to evaluate the impact of COVID-19 on services, training and research in a busy paediatric surgery unit during the initial 3-month period of the COVID-19 pandemic lockdown. Methods: This study was an ambispective evaluation of the preceding 3 months before lockdown and the initial 3 months of lockdown. Clinic cancellations, elective and emergency surgeries, delays in access, extra cost of care to patients, impact on training and research, and the psychologic impact of the pandemic on staff and guardians were evaluated. Results: During the 3-month lockdown period, an estimated 78 new cases and 637 follow-up cases could not access care. Ninety-seven elective surgeries in 91 patients were postponed. Two (2.2%) patients' symptoms progressed. All emergency patients received care. Out-of-pocket expenditure increased averagely by $124. The pandemic contributed to delays in seeking (13%), reaching (20%) and receiving care (6%). Trainee participation in surgeries was reduced and academic programmes were suspended. Five staff were exposed to the virus and 3 infected. Conclusion: Paediatric surgery has been negatively impacted by COVID-19. Efforts must focus on planning and implementing interventions to mitigate the long-term impact.
MeSH term(s)	COVID-19/epidemiology ; Child ; Communicable Disease Control ; Humans ; Influenza, Human/epidemiology ; Nigeria/epidemiology ; Pandemics ; Tertiary Care Centers
Language	English
Publishing date	2022-06-06
Publishing country	Nigeria
Document type	Journal Article ; Observational Study
ZDB-ID	2171096-X
ISSN	1117-1936
ISSN	1117-1936
DOI	10.4103/npmj.npmj_761_21
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Article: Evaluation of the effect of nutritive versus non-nutritive pacifiers as adjuncts to local anaesthesia in male neonatal circumcision using the plastibell technique - A prospective randomised controlled study.

Ihediwa, Chibuike George / Bode, Christopher O / Alakaloko, Felix M / Elebute, Olumide A / Seyi-Olajide, Justina O / Ladipo-Ajayi, Oluwaseun Abiola / Ademuyiwa, Adesoji O

The Nigerian postgraduate medical journal

2022 Volume 29, Issue 4, Page(s) 310–316

Abstract: Background: Male circumcision is the most common surgical procedure worldwide and is often carried out for religious, cultural, medical and public health reasons. It is commonly performed during the neonatal period. Many studies have now shown that pain ...

Abstract	Background: Male circumcision is the most common surgical procedure worldwide and is often carried out for religious, cultural, medical and public health reasons. It is commonly performed during the neonatal period. Many studies have now shown that pain is a common intra- and post-operative complication. To ensure proper analgesia during the procedure, many surgeons opt for the use of pacifiers as an adjunct to anaesthesia during neonatal circumcision. The aim of this study is to compare nutritive pacifiers (NPs) versus non-NPs (NNPs) as adjuncts to local anaesthesia in male neonatal circumcision using the Plastibell technique. Methods: A prospective randomised controlled study was carried out between October 2019 and March 2020. A total of 100 neonates were circumcised using the Plastibell technique and randomised into NP (Group A, n = 33), NNP (Group B, n = 33) and controls (Group C, n = 34), respectively. The differences in pain scores using the Neonatal Infant Pain Scale, total crying time and heart rate during circumcision were recorded and assessed. Results: The age of participants ranged from 5 to 28 days and the weight ranged from 2.5 to 5.0 kg. The overall mean age, birth weight and current weight of the participants were 15.5 ± 6.1 days, 3.4 ± 0.4 kg and 3.5 ± 0.6 kg, respectively. The control group had the highest average pain score of 5.5 (4.5-5.8) compared to the intervention groups with median pain score (NP: 3.3 [1.3-4.3] and (NNP: 4.3 [3.1-5.1], respectively). NPs had significantly lower pain scores (P = 0.023) and reduced total crying time (P = 0.019) at all stages of the circumcision compared to those given NNPs and controls. Conclusion: This study showed that NPs were superior to NNPs in providing additional pain control during male neonatal circumcision.
MeSH term(s)	Infant ; Infant, Newborn ; Male ; Humans ; Circumcision, Male/adverse effects ; Circumcision, Male/methods ; Anesthesia, Local/adverse effects ; Prospective Studies ; Pacifiers/adverse effects ; Nigeria ; Pain/etiology
Language	English
Publishing date	2022-10-13
Publishing country	Nigeria
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	2171096-X
ISSN	1117-1936
ISSN	1117-1936
DOI	10.4103/npmj.npmj_189_22
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Article ; Online: Erratum to "Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries" [

Kachapila, Mwayi / Monahan, Mark / Ademuyiwa, Adesoji O / Adinoyi, Yakubu Momohsani / Biccard, Bruce M / George, Christina / Ghosh, Dhruva N / Glasbey, James / Morton, Dion G / Osayomwanbo, Osaheni / Pearse, Rupert / Roberts, Tracy E / Suroy, Atul / Yakubu, Saidu Yusuf / Oppong, Raymond

BJA open

2024 Volume 9, Page(s) 100251

Abstract: This corrects the article DOI: 10.1016/j.bjao.2023.100207.]. ...

Abstract	[This corrects the article DOI: 10.1016/j.bjao.2023.100207.].
Language	English
Publishing date	2024-02-28
Publishing country	England
Document type	Published Erratum
ISSN	2772-6096
ISSN (online)	2772-6096
DOI	10.1016/j.bjao.2023.100251
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Article ; Online: Erratum to 'Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries' [

BJA open

2024 Volume 10, Page(s) 100267

Abstract: This corrects the article DOI: 10.1016/j.bjao.2023.100207.]. ...

Abstract	[This corrects the article DOI: 10.1016/j.bjao.2023.100207.].
Language	English
Publishing date	2024-03-06
Publishing country	England
Document type	Published Erratum
ISSN	2772-6096
ISSN (online)	2772-6096
DOI	10.1016/j.bjao.2024.100267
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Article: Mitigating the impact of COVID-19 on children's surgery in Africa.

Mazingi, Dennis / Ihediwa, George / Ford, Kathryn / Ademuyiwa, Adesoji O / Lakhoo, Kokila

BMJ global health

2020 Volume 5, Issue 6

MeSH term(s)	Africa ; Betacoronavirus ; COVID-19 ; Child ; Child Welfare ; Coronavirus Infections ; General Surgery/education ; General Surgery/organization & administration ; Health Care Rationing ; Health Personnel ; Hospitalization ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Surgery Department, Hospital/organization & administration ; Surgery Department, Hospital/standards
Keywords	covid19
Language	English
Publishing date	2020-06-08
Publishing country	England
Document type	Editorial
ISSN	2059-7908
ISSN	2059-7908
DOI	10.1136/bmjgh-2020-003016
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Article ; Online: Preputial cyst in the newborn: A case report from Africa.

Elebute, Olumide Abiodun / Komolafe, Muyiwa D / Akinjo, A O / Alakaloko, Felix Makinde / Seyi-Olajide, Justina O / Ladipo-Ajayi, Oluwaseun / Abdulkareem, Fatimah Biade / Ademuyiwa, Adesoji O / Bode, Christopher O

African journal of paediatric surgery : AJPS

2023 Volume 20, Issue 1, Page(s) 80–82

Abstract: Cysts of the prepuce are rare, and documented reports from the English literature are mostly from Asia. Presentations in children are worrisome to the parents. We report a case of a preputial cyst occurring in a neonate who was brought to our facility ... ...

Abstract	Cysts of the prepuce are rare, and documented reports from the English literature are mostly from Asia. Presentations in children are worrisome to the parents. We report a case of a preputial cyst occurring in a neonate who was brought to our facility due to parental anxiety. After a thorough clinical evaluation, a freehand circumcision technique was performed which allowed exposure of the full extent of the cyst, the external urethral meatus and the glans, thus ensuring complete excision and minimising the risk of injury to the adjoining structures. We postulate that preputial cysts are rare in Africa due to the universality of circumcision, which is one of the options of treatment. Preputial cysts are benign foreskin cystic lesions that can be effectively treated with circumcision. This is probably the first reported case of a benign epithelioid preputial cyst from Africa. The paucity of reported cases may be due to the universal practice of circumcision in most of Africa.
MeSH term(s)	Child ; Male ; Infant, Newborn ; Humans ; Circumcision, Male ; Africa ; Cysts/surgery ; Foreskin ; Parents
Language	English
Publishing date	2023-02-10
Publishing country	India
Document type	Case Reports
ZDB-ID	2392865-7
ISSN	0974-5998 ; 0974-5998
ISSN (online)	0974-5998
ISSN	0974-5998
DOI	10.4103/ajps.ajps_142_21
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Article ; Online: A Prospective Epidemiological Survey of Paediatric Trauma in Africa: A Cross-Sectional Study.

Ali, Abdelbasit Elsayed / Ademuyiwa, Adesoji O / Lakhoo, Kokila / Kefas, John / Houmenou, Esperance / Abdulsalam, Moruf / Leopold, Azakpa / Bankole, Rouma / Gbenou, Seraphin / Covi, Pautin

African journal of paediatric surgery : AJPS

2023 Volume 21, Issue 1, Page(s) 6–11

Abstract: Background: Trauma is a leading cause of morbidity and mortality in children worldwide. There is a need for development and provision of efficient paediatric trauma services based on adequate information and funding which are lacking in low- and middle- ... ...

Abstract	Background: Trauma is a leading cause of morbidity and mortality in children worldwide. There is a need for development and provision of efficient paediatric trauma services based on adequate information and funding which are lacking in low- and middle-income countries. Aims: This study was carried out to assess the scale of the problem, identify the most common causes of trauma in Pan African Paediatric Surgical Association (PAPSA) zone and to define the limiting factors for provision of the necessary services required to reduce the potential mortality and disability. Materials and methods: Data were collected through an electronic form sent out in PAPSA platform. Members were requested to provide prospective data on all paediatric major trauma admitted to or seen at their health facilities between the beginning of April 2019 and the end of June 2020. Hospital location, child's age, gender, type of injury, mechanism of injury, severity, initial management, method of transport, time to arrive to hospital, availability of surgical specialities, length of hospital stay and injury outcome were analysed. Results: There were 531 entries. The mean age was 3.53 years and median age 1.34 years. Male-to-female ratio was 2:1. The leading causes for injuries were falls 194 (36.53%) and motor vehicle crashes (MVCs) 176 (33.15%) followed by obstetrical 42 (7.9%), thermal 27 (5.1%) and domestic injuries 22 (4.1%). The most common injuries were limb fractures 181 (34.1%) and traumatic brain injury 111 (20.9%). Public and private transport were used in 313 (58.9%), while ambulance service was used in only 54 (10.1%). Distances to a health facility varied between 1 and 157 km. 70.2% of cases did not receive any primary care, while definitive care was received in 95.5% of the cases. Outcome was full recovery in 90.6% of patients, morbidity in 8.1% and a mortality rate of 1.3%. Conclusions: Most of the injuries were in the under 5-year age group. The two main causes of trauma in children in this study were the falls from height and MVCs. Long distance travels to reach health-care facilities were noticeable in this study, together with substantial lack of adequate ambulance facilities and shortage in necessary subspecialty services such as neurosurgical, orthopaedics and rehabilitation. Implementing proposed recommendations can reduce the burden.
MeSH term(s)	Humans ; Female ; Male ; Child ; Child, Preschool ; Infant ; Cross-Sectional Studies ; Prospective Studies ; Africa ; Hospitals ; Length of Stay
Language	English
Publishing date	2023-02-14
Publishing country	India
Document type	Journal Article
ZDB-ID	2392865-7
ISSN	0974-5998 ; 0974-5998
ISSN (online)	0974-5998
ISSN	0974-5998
DOI	10.4103/ajps.ajps_80_22
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Article ; Online: Surgical research-comic opera no more.

Bagenal, Jessamy / Lee, Naomi / Ademuyiwa, Adesoji O / Nepogodiev, Dmitri / Ramos-De la Medina, Antonio / Biccard, Bruce / Lapitan, Marie Carmela / Waweru-Siika, Wangari

Lancet (London, England)

2023 Volume 402, Issue 10396, Page(s) 86–88

MeSH term(s)	Humans ; Biomedical Research ; Research Design
Language	English
Publishing date	2023-05-09
Publishing country	England
Document type	Journal Article
ZDB-ID	3306-6
ISSN	1474-547X ; 0023-7507 ; 0140-6736
ISSN (online)	1474-547X
ISSN	0023-7507 ; 0140-6736
DOI	10.1016/S0140-6736(23)00856-5
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