adisa adewale mbchb , fwacs, fmcs(nig.), d.mas department of surgery,
DESCRIPTION
SAGES 2012 San Diego, CA. Local Adaptations Aid Establishment Of Laparoscopic Surgery In A Semi-urban Nigerian Hospital AO Adisa , OO Lawal , OA Arowolo , OI Alatise. Adisa Adewale MBChB , FWACS, FMCS(Nig.), D.MAS Department of Surgery, Obafemi Awolowo University, & - PowerPoint PPT PresentationTRANSCRIPT
Local Adaptations Aid Establishment Of
Laparoscopic Surgery In A Semi-urban Nigerian Hospital
AO Adisa, OO Lawal, OA Arowolo, OI Alatise.
Adisa Adewale MBChB, FWACS, FMCS(Nig.), D.MAS
Department of Surgery,Obafemi Awolowo University, &
Obafemi Awolowo University Teaching Hospitals ComplexIle-Ife 220005, Nigeria
E mail: [email protected]
SAGES 2012 San Diego, CA
SAGES 2012 Disclosure Slide
AO Adisa OO Lawal
OA Arowolo OI Alatise
Nothing To Disclose
Laparoscopic Surgery in Nigeria
Decades of diagnostic procedures
Gynecological procedures
Visiting Surgeons
Few private centers, occasional practices
OAUTHC
Ile-Ife, South-West Nigeria. Semi-urban, largely agrarian
population. Laparoscopy in general surgery
Initial attempt in 2008 Consistent deployment from 2009 Improvised set-up Local adaptations
1 2
34
OAUTHC, Ile-Ife
Local Adaptations & Improvisations
Locally assembled set-up Easily maintained and reproducible
Re-useable hand instruments Improvisations for consumables
Camera cover Endoloop Endobag Intracorporeal staplers
Each procedure costs 20,000 - 45,000NGN
(125-300USD)
OAUTHC, Ile-Ife 181 consecutive laparoscopic surgeries
Laparoscopic cholecystectomies 48 Laparoscopic appendectomies 36 Laparoscopic evaluation and
biopsy of intra-abdominal tumours 53 Laparoscopic adhesiolysis 18
Laparoscopy assisted colon surgeries 2 Laparoscopic hernia repair 6 Others 18
Outcome
Conversion to open procedure 5/181
Cholecystectomy 1 Hepatic biopsy 1 Complicated appendicitis 2 Colon cancer 1
Port site infections 11/518 Bile duct injury 1 Mortality Nil
Wound outcome
Greetings from Nigeria