Nigerian Journal of Surgery最新文献

{"title":"Epidermoid Cyst in Inguinal Canal: A Rare Presentation.","authors":"Sumitoj Singh,&nbsp;Jaspreet Singh,&nbsp;Brij Mohan Joshi,&nbsp;Mandeep Singh Sandhu,&nbsp;Ashok Kumar","doi":"10.4103/njs.NJS_47_16","DOIUrl":"https://doi.org/10.4103/njs.NJS_47_16","url":null,"abstract":"<p><p>The patients presenting with lump in inguinal area are mostly suspected as hernias. Epidermoid cyst commonly presenting in head and neck region rarely may develop from inguinal canal structures. We present here a rare case of epidermoid cyst measuring 7×8 cm as a content of inguinal canal diagnosed by ultrasonography. Surgical excision was done and confirmed as epidermoid cyst by histopathology. We conclude that cutaneous cysts in inguinal area may be a presentation and should be kept in mind for differential diagnosis.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"138-140"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/78/NJS-23-138.PMC5649431.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35509827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Experience with Laparoscopic Management of Nonpalpable Undescended Testes.","authors":"Okechukwu Hyginus Ekwunife,&nbsp;Victor Ifeanyichukwu Modekwe,&nbsp;Jideofor Okechukwu Ugwu,&nbsp;Chuka Abunike Ugwunne","doi":"10.4103/njs.NJS_59_16","DOIUrl":"https://doi.org/10.4103/njs.NJS_59_16","url":null,"abstract":"<p><strong>Background: </strong>Nonpalpable undescended testes (NPT) constitute 20%-30% of undescended testes, and its management has been a challenge both in diagnosis and treatment. Worldwide, laparoscopy is the current gold standard of management. In Nigeria, the management of NPT has largely been by open surgery with consequent high morbidity. In Nigeria, the trend is changing from a largely open management with its attendant high morbidity, to laparoscopic management which is the current worldwide gold standard of care.</p><p><strong>Aim: </strong>This study aims to classify the laparoscopic features of NPT and determine the outcome of managed cases in our center.</p><p><strong>Methodology: </strong>Prospective data were collected from consecutive patients who had laparoscopy for NPT at the Paediatric Surgical Unit of Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria from June 2014 to July 2016.</p><p><strong>Results: </strong>A total of 15 patients with 23 testes were treated. There were eight patients with bilateral NPT; four had left and the remaining three right NPT. The age ranged from 1.2 to 29 years with a median of 5 years. Eleven out of the 22 internal inguinal rings were open. The position of the testes was canalicular (2), peeping (2), low abdominal (6), high abdominal (6), blind-ended vas (1), absent vas and vessels (5). No further intervention was needed for the six agenetic/atrophic testes. Standard open orchiopexy was done for the two canalicular testes. Eight testes were brought down by one stage laparoscopic orchiopexy while four were brought down by staged laparoscopic Fowler-Stephens procedure. Laparoscopic orchiectomy was done in two patients (a grossly dysmorphic testes [nubbin] and a high abdominal testis in a 29-year-old). Orchiopexy was successful in 11 out of 15 fixed testes. Of the unsuccessful ones, three testes were atrophic (volume less than what it was initially) while two were high scrotal (one testes has both complications). There was no conversion to open abdominal surgery. All patients were discharged within 24 h of surgery.</p><p><strong>Conclusion: </strong>Laparoscopy provides for a better management of NPT by combining diagnosis and intervention in the same sitting with a good success rate and minimal postoperative morbidity.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"115-118"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/f1/NJS-23-115.PMC5649426.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35560807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 10-Year Review of Urethral Stricture Management in Irrua, Nigeria.","authors":"Eshiobo Irekpita","doi":"10.4103/njs.NJS_50_16","DOIUrl":"https://doi.org/10.4103/njs.NJS_50_16","url":null,"abstract":"<p><strong>Background: </strong>Several authors have demonstrated regional and temporal changes in the demographics of urethral stricture and its management.</p><p><strong>Objectives: </strong>To assess the changes in the demographics of the patients and the evolution of the management of urethral stricture in this institution.</p><p><strong>Subjects and methods: </strong>This is a retrospective study. The files of all the men who were diagnosed with urethral stricture from May 2006 to April 2016 were retrieved from the database of the records department of the hospital. The predictor variables assessed included age at presentation, occupation, etiology, presenting symptoms, stricture site, length of stricture, treatment method, year of treatment, complications of treatment, result of urine microscopy and sensitivity, comorbidities, and social habits of the patients. The outcome variables were the proportion of men in relation to the predictor variables and the test of correlation (<i>P</i> = 0.05 and below significant). Analysis was done using the Statistical Package for the Social Sciences (SPSS) version 21.</p><p><strong>Results: </strong>Forty-six patients were diagnosed as having urethral stricture within the study period. All were males. The mean age was 53.11 years (standard deviation 17.63852) with a range from 19 to 96. There were 4 (8.7%) students, 11 (23.9%) civil servants, 4 (8.7%) businessmen, 3 (6.5%) military men, and 24 (52.2%) others who were essentially artisans. Majority of them (68.9%) presented with lower urinary tract symptoms while <i>Escherichia coli</i> was the most commonly cultured organism from their urine (17.4%). The most common single etiology was urethritis (30.4%). From 2013 onward, there was an abrupt transition from conservative treatment using dilatation which dropped from 38.9% to 17.9%. More complex surgeries such as buccal mucosal graft urethroplasty for bulbar strictures and two-stage repair for penile strictures increased from 11.1% to 57.1%.</p><p><strong>Conclusion: </strong>Urethritis is still the most common single etiological factor in urethral stricture disease in this rural community. Artisans such as drivers and mechanics were the most commonly afflicted. There was an abrupt transition from the old conservative methods of treatment to complex urethroplasties within the study period.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"119-124"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2b/b5/NJS-23-119.PMC5649427.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35560808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness and Use of Surgical Checklist among Theatre Users at Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria.","authors":"Johnson Dare Ogunlusi,&nbsp;Moruf Babatunde Yusuf,&nbsp;Popoola Sunday Ogunsuyi,&nbsp;Obafemi K Wuraola,&nbsp;Waheed O Babalola,&nbsp;Kehinde Sunday Oluwadiya,&nbsp;Oduwole Olayemi Ajogbasile","doi":"10.4103/njs.NJS_3_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_3_17","url":null,"abstract":"<p><strong>Background: </strong>Surgical checklist was introduced by the World Health Organization to reduce the number of surgical deaths and complications. During a surgical conference on \"safety in surgical practice,\" it was noticed that the awareness and the use of surgical checklist are poor in Nigerian hospitals. This study was aimed at determining the awareness and use of surgical checklist among the theater users in our hospital, factors militating against its implementation, and make recommendations.</p><p><strong>Methods: </strong>This is a prospective study at Ekiti State University Teaching Hospital, Ado-Ekiti; questionnaires were distributed to three groups of theater users - surgeons, anesthetists, and perioperative nurses. The responses were collated by the lead researcher, entered into Microsoft Excel spreadsheet, exported, and analyzed with SPSS.</p><p><strong>Results: </strong>Eighty-five questionnaires were distributed, 70 were returned, and 4 were discarded due to poor filling. The studied 66 comprised 40, 12, and 14 surgeons, anesthetists, and perioperative nurses, respectively. Fifty-five (83.3%) of the responders indicated awareness of the checklist but only 12 (21.8%) correctly stated that the main objective is for patients' safety and for safe surgery. Major barriers to its use include lack of training 58.2%, lack of assertiveness of staff 58.2%, and that its delays operation list 47.2%.</p><p><strong>Conclusion: </strong>The study demonstrated high level of awareness of surgical checklist in our hospital; however, this awareness is based on wrong premises as it is not reflected in the true aim of the checklist. Majority of the responders would want to be trained on the use of checklist despite the highlighted barriers.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"134-137"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ac/d9/NJS-23-134.PMC5649430.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35509826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To Compare the Effectiveness of Short-term Three Dose Perioperative Antibiotic Coverage during Decisive Period with Conventional Prolonged Postoperative Antibiotic Usage in Clean Elective Surgical Cases: An Indian Perspective.","authors":"Sudhir Khichy,&nbsp;Baldev Singh,&nbsp;Manpreet Singh,&nbsp;Sukha Singh","doi":"10.4103/njs.NJS_55_16","DOIUrl":"https://doi.org/10.4103/njs.NJS_55_16","url":null,"abstract":"<p><strong>Background: </strong>Surgical site infections are the most common postoperative complications and frequently cause morbidity and mortality. Different antibiotic regimens were evaluated as prophylaxis in wound infection following elective surgical procedures. Prophylactic antibiotics should be given to cover the \"decisive period\" which is a period after incision to mobilization of host defenses thus preventing an infection from developing.</p><p><strong>Objectives: </strong>The aim is to study the effectiveness of short-term antibiotic coverage during decisive period in the prevention of postoperative wound sepsis in clean surgical cases.</p><p><strong>Materials and methods: </strong>The prospective randomized comparative study included 50 patients divided into two groups of 25 each. Group A (short-term ceftriaxone prophylaxis) patients received three doses of 1 g intravenous ceftriaxone. First dose 12 h, 2^nd dose 1 h before operation and the 3^rd dose was given 10 h after the operation. The Group B (conventional postoperative ceftriaxone prophylaxis) patients received postoperatively 1 g B. D intravenous ceftriaxone for 5 days. We compared the incidence of surgical site infection in two groups.</p><p><strong>Study period: </strong>November 2014 to September 2016. A predesigned and pretested proforma was used to collect the data. Surgical sites were examined for 30 days. Robertson grading was used to assess the severity of infection.</p><p><strong>Results: </strong>Surgical site infection rate was 4% in Group A and 24% in Group B. The severity of infection was less in short-term prophylaxis group. Anemia, nutritional status, and use of drain were other factors associated with postoperative wound infections.</p><p><strong>Conclusion: </strong>Short course perioperative (three doses) ceftriaxone prophylaxis is sufficient in preventing wound infection. Prophylactic antibiotic should be given to cover the decisive period to prevent an infection from developing. The judicious use of antibiotics can reduce the cost, unnecessary prolonged exposure, side effects, and the emergence of resistant micro-organisms.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"92-97"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/b1/NJS-23-92.PMC5649436.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35560802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived and Real Histopathology Turnaround Time: A Teaching Hospital Experience.","authors":"Akinfenwa Taoheed Atanda,&nbsp;Ibrahim Yusuf,&nbsp;Muhammad Sanusi Haruna","doi":"10.4103/njs.NJS_4_17","DOIUrl":"https://doi.org/10.4103/njs.NJS_4_17","url":null,"abstract":"<p><strong>Background: </strong>This study aims to audit analytic turnaround time (TAT) in a histopathology laboratory with a view to assessing the timeliness of its reports, identify causes of delay in its TAT, and compare this with client perception of its performance.</p><p><strong>Materials and methods: </strong>Records of 1440 batches of specimens processed over a 5-year period in the histopathology laboratory of a teaching hospital were retrieved from archives. From these, median and mean TATs were calculated and causes of delay identified. Questionnaires were also deployed to assess physicians' perception of the laboratory's performance.</p><p><strong>Results: </strong>Analytic TAT was 3.6 ± 2 days, with 86.7% of reports being ready within 5 working days. The delays in timeliness of report generation were due mainly to residency training-related factors; tissue processing-related factors, and inadequate clinical information among others. Client perception of TAT rated the laboratory below average by 18.4%; average by 57.5%; good by 20.7%, and excellent in its performance by 3.4% of respondents.</p><p><strong>Conclusion: </strong>Even though physicians perceived the laboratory's TAT to be just average, its analytic TAT for reports is within acceptable international standards but with room for improvement in its performance.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"98-101"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/81/NJS-23-98.PMC5649437.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35560803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Tranexamic Acid on Blood Loss in Laparoscopic Cholecystectomy.","authors":"Paras Kumar Pandove,&nbsp;Rachan Lal Singla,&nbsp;Pallavi Mittal,&nbsp;Nikhil Mahajan,&nbsp;Ashwani Kumar","doi":"10.4103/njs.NJS_53_16","DOIUrl":"https://doi.org/10.4103/njs.NJS_53_16","url":null,"abstract":"<p><strong>Context: </strong>Nonsurgical uses of tranexamic acid include the management of bleeding associated with leukemia, ocular bleeding, recurrent hemoptysis, menorrhagia, hereditary angioneurotic edema, and numerous other medical problems. However, there is hardly any documentation of the use of tranexamic acid in laparoscopic cholecystectomy.</p><p><strong>Aims: </strong>This study was conducted to evaluate the role of tranexamic acid in limiting blood loss in laparoscopic cholecystectomy and to evaluate the effect of blood loss on morbidity in terms of hospital stay and mortality of the patient.</p><p><strong>Subjects and methods: </strong>The study was conducted on sixty patients admitted with gallstones, candidates for laparoscopic cholecystectomy. Thirty patients received an intravenous 20 mg/kg bolus dose of tranexamic acid at induction of anesthesia (Group A), and another thirty did not receive the aforementioned drug at induction (Group B).</p><p><strong>Statistical analysis: </strong>The two groups were compared, and the data collected were entered and tabulated using Microsoft Office Excel and analyzed using appropriate statistical tests.</p><p><strong>Results: </strong>The mean postoperative hospital stay (2.4 vs. 2.63, <i>P</i> = 0.4147), drain fluid hemoglobin (Hb) (0.83 vs. 0.90, <i>P</i> = 0.2087), drain fluid hematocrit (0.2434 vs. 0.2627, <i>P</i> = 0.3787), mean drain output (85 vs. 87.23, <i>P</i> = 0.9271), mean pulse rate at the start of surgery (74.2 vs. 75, <i>P</i> > 0.999), mean pulse rate 24 h after surgery (75.9 vs. 76.4, <i>P</i> = 0.5775), and mean change in Hb (0.240 vs. 0.266, <i>P</i> = 0.2502) in both the groups were not significant.</p><p><strong>Conclusions: </strong>There is no active role of tranexamic acid in elective laparoscopic cholecystectomy.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"111-114"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/a2/NJS-23-111.PMC5649425.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35560806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spectrum of Eye Disorders Seen in a Pediatric Eye Clinic South East Nigeria.","authors":"Eberechukwu O Achigbu,&nbsp;Ngozi C Oguego,&nbsp;Kingsley Achigbu","doi":"10.4103/njs.NJS_37_16","DOIUrl":"https://doi.org/10.4103/njs.NJS_37_16","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to determine the prevalence, pattern, and time of presentation for the ocular disorders seen among children attending a pediatric eye clinic in Nigeria.</p><p><strong>Materials and methods: </strong>A retrospective chart review of all first-time patients at a pediatric eye clinic, within 2005-2007 was carried out. Data on cohort demographics, duration of illness before the presentation, and types of ocular disorders were collected and analyzed. Statistical significance was indicated by <i>P</i> < 0.05.</p><p><strong>Results: </strong>A total of 335 cases were reviewed, comprising 171 males and 164 females. The majority of children were in the 10-14 age group (31.94%). Allergies (40.72%) were the most common ocular disorder followed by refractive errors (22.16%), trauma (7.98%), and inflammation/infections (7.98%). Among others, ocular disorders seen in decreasing frequency were ocular motility imbalance (5.41%), tumors (1.28%), and ptosis (0.77%). Least common was juvenile glaucoma (0.51%). Majority (42.09%) presented more than 1 year after onset of illness while only 16.2% presented within 1 month of their illness.</p><p><strong>Conclusion: </strong>Most common causes of ocular disorder in this study were allergy, refractive error, and trauma. Majority of the children presented late, and most of the disorders can result in visual impairment/blindness if not treated early. This emphasizes the need for appropriate health education to avert most cases of childhood blindness/visual impairment.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"125-129"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/f8/NJS-23-125.PMC5649428.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35560809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subacute Gastric Volvulus: A Report of Two Cases with Review of Literature.","authors":"Adarshpal Kaur,&nbsp;Rachan Lal Singla,&nbsp;Sanjay Yadav,&nbsp;Ashwani Kumar","doi":"10.4103/1117-6806.199958","DOIUrl":"https://doi.org/10.4103/1117-6806.199958","url":null,"abstract":"<p><p>Gastric volvulus is a rare medical entity that requires high index of suspicion for diagnosis and treatment as it has different implications in terms of clinical presentation, diagnosis, imaging support, pathological behavior, and evaluation. When it presents acutely, it may be easily detected. However, in patients with subacute presentation, symptoms are vague due to episodic twisting and untwisting. Definite preoperative diagnosis can be established if imaging is performed during symptomatic interval. The main aim of this report was to stress on the need for keeping high index of suspicion for this medical condition and for imaging the patient during symptomatic interval.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"145-147"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/c7/NJS-23-145.PMC5649433.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35509830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trend Over Time for Cholecystectomy following the Introduction of Laparoscopy in a Nigerian Tertiary Hospital.","authors":"Adewale Oluseye Adisa,&nbsp;Oladejo Olukayode Lawal,&nbsp;Olusanya Adejuyigbe","doi":"10.4103/njs.NJS_56_16","DOIUrl":"https://doi.org/10.4103/njs.NJS_56_16","url":null,"abstract":"<p><strong>Background: </strong>There still exist some concerns about the desirability of laparoscopic surgery in lower-middle income countries. We recently adopted laparoscopy for common general surgical procedures and observed many benefits. This study aims to describe the changing rate of cholecystectomy before and after the introduction of laparoscopy in our hospital.</p><p><strong>Methods: </strong>We reviewed the records of cholecystectomies performed before and after the introduction of laparoscopic cholecystectomy (LC) in 2009 in a single general surgery unit of the Ife Hospital Unit of the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Cholecystectomy was reviewed as a percentage of general procedures performed, and postoperative length of stay was calculated.</p><p><strong>Results: </strong>A total of 173 cholecystectomies were performed in the hospital between January 2005 and December 2015. The yearly number rose from 7 in 2005 to 31 in 2015 corresponding to 2.7% of total elective major general surgery procedures in 2005 and 9.1% in 2015. A marked progressive increase was observed in the number and rate of cholecystectomies from 2009 following introduction of LC. From 0% in 2005, LC rose to 90% of all cholecystectomies in 2015. The mean postoperative length of stay of patients undergoing cholecystectomy declined from 5.2 days in 2005 to 3 days in 2009 and 1.8 days in 2015.</p><p><strong>Conclusion: </strong>This study demonstrates an increased rate of cholecystectomy following the introduction of LC in our setting. We recommend increased adoption of laparoscopy and other forms of minimally invasive surgery across the country.</p>","PeriodicalId":30399,"journal":{"name":"Nigerian Journal of Surgery","volume":"23 2","pages":"102-105"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/f6/NJS-23-102.PMC5649423.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35560804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}