Aesthetic Surgery & the Indications at A Sub-Urban Tertiary Hospital in Edo State, Nigeria

Offiong A. A., Nzomiwu D. C., Onyima S. C., Bassey B. O., Udemba T. J., Nsodukwa C. O., Iheonu U. C.
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Abstract

Background: Aesthetic surgery though growing at an exponential rate in developed countries is still not well developed in Nigeria. Though lately, there has been an increasing demand for cosmetic procedures in Nigeria but still, the practice is still slow growing. Objective: Few reports of the scope of aesthetic surgery are available from the sub region and Nigeria as a whole. In this study we seek to determine the aesthetic procedures and its indications in our centre, a sub urban teaching hospital in Irrua, Edo State, Southern Nigeria. Methods: A retrospective study of all aesthetic surgery cases carried out over a 5-year period – Jan 2019 to December 2023 at Irrua Specialist Teaching Hospital. Data from theatre records and case notes were analysed with respect to age, sex, procedure and indications for surgery done. Descriptive analysis of variables, means and percentages were considered. Results: In the period of study, 1,066 plastic surgery procedures were documented: 34 (3.19%) were for aesthetic indications. Sixteen of the patients (47.1%) were male and 18 (52.9%) female. Age range of patients that had aesthetic surgery was 1 - 60 years and the mean age was 24.1 + 18.08 years. The commonest aesthetic procedure was cleft repair 14 (41.17%) following cleft lip/palate, the rest were scar revisions 6 (17.65%) with the commonest indication being unsightly scar, otoplasties 5 (14.70%) following traumatic injury to the ear, liposuction 3 (8.82%) indicated by lipodystrophy, rhinoplasties 3 (8.82%) post traumatic injury to the nose, mammoplasties 2 (5.88%) which were done post mastectomy, and one (2.94%) cranioplasty following gun-shot orbital injury. Conclusion: There is paucity in the volume of cosmetic procedures in Irrua and the pattern of requests here differs in many respects from western centres. With the current reduced pool of aesthetic surgery, it is advisable to establish an aesthetic surgery sub-unit in most tertiary institutions. This sub-unit should be fully functional including special clinic days, as this could help attract future clients and develop this branch of Plastic Surgery.
尼日利亚埃多州一家城市下三级医院的美容手术及适应症
背景:尽管美容手术在发达国家以指数级的速度增长,但在尼日利亚仍未得到很好的发展。尽管最近尼日利亚对美容手术的需求不断增加,但美容手术的发展仍然缓慢:次区域和整个尼日利亚很少有关于美容手术范围的报告。在这项研究中,我们试图确定本中心(位于尼日利亚南部埃多州伊尔鲁阿市的一家次城市教学医院)的美容手术及其适应症:方法:对 5 年内(2019 年 1 月至 2023 年 12 月)Irrua 专科教学医院开展的所有美容手术病例进行回顾性研究。根据年龄、性别、手术方法和手术适应症,对手术室记录和病例记录中的数据进行了分析。对变量、平均值和百分比进行了描述性分析:在研究期间,共记录了 1,066 例整形手术:其中 34 例(3.19%)为美容适应症。其中男性患者 16 人(占 47.1%),女性患者 18 人(占 52.9%)。接受美容手术的患者年龄范围为 1 - 60 岁,平均年龄为 24.1 + 18.08 岁。最常见的美容手术是唇裂/腭裂后的裂隙修复手术 14 例(41.17%),其余的是疤痕修复手术 6 例(17.65%),最常见的适应症是难看的疤痕,耳部外伤后的耳整形手术 5 例(14.70%),吸脂手术 3 例(8.82%)。鼻整形手术 3 例(8.82%),乳房整形手术 2 例(5.88%)是在乳房切除术后进行的,1 例(2.94%)是在枪弹击中眼眶后进行的颅骨整形手术:结论:伊尔鲁阿的美容手术数量很少,而且这里的要求模式在许多方面与西方中心不同。由于目前美容外科的人才储备减少,建议在大多数三级医疗机构设立美容外科分科。该分科应充分发挥功能,包括特别门诊日,因为这有助于吸引未来的客户,发展整形外科的这一分支。
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