Pattern and outcome of emergency surgery in a new Nigerian Teaching Hospital--The LAUTECH Osogbo experience

Niger Postgrad Med J. 2006 Sep;13(3):172-5.

Abstract

Aims and objectives: To present a 5 years experience on the pattern and outcome of emergency operations in a new teaching hospital.

Materials and methods: A retrospective study carried out between April 1998 and March 2003 with appropriate data extracted from the available case notes.

Results: Two thousand and seventy operations were performed within the period of study. Seven hundred and twenty six of them were done as emergency. Obstetrics' and Gynaecology cases were 66.6% while 33.4% (including six cases of perforated uterus and gangrenous bowel from unsafe abortion) belong to the general surgery and specialty emergencies. Waiting time, mean of which was 39.5+/-2.7 hours, was unduly prolonged. Mortality was 10.3%.

Conclusion: The high morbidity and mortality as reflected in this study could be reduced through prompt surgical interventions, education on contraceptive awareness and legistilation against unsafe abortion.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Hospitals, Teaching
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Nigeria / epidemiology
  • Pregnancy
  • Pregnancy Complications
  • Retrospective Studies
  • Surgical Procedures, Operative / mortality
  • Surgical Procedures, Operative / statistics & numerical data*
  • Treatment Outcome