Journal of the West African College of Surgeons最新文献

{"title":"Large Omental Inflammatory Myofibroblastic Tumour with Infiltration of Transverse Colon: A Case Report.","authors":"Sherkar Nitin, Mehra Bhupendra, Dubhashi Siddharth, Raja Shruti","doi":"10.4103/jwas.jwas_92_25","DOIUrl":"10.4103/jwas.jwas_92_25","url":null,"abstract":"<p><p>Inflammatory myofibroblastic tumours (IMTs) are rare and complex neoplastic lesions that are mostly composed of myofibroblastic spindle cells combined with inflammatory cells involving multiple organs with varying clinical presentations with aggressive nature and chances of recurrence and pose a significant diagnostic challenge and requires comprehensive histological evaluation to ensure accurate diagnosis and effective management strategies. We are presenting a case of IMT arising from greater omentum with involvement of transverse colon for which resection of omental tumour with transverse colon and colocolic anastomosis was performed.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 2","pages":"228-231"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791032","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":"Knowledge, Attitude, and Practice of House Officers on the Use of Pulse Oximeter in Critically Ill Patients: A Quality Enhancement Study.","authors":"Nasir Oyelowo, Tunde Sholadoye, Saidu Umar Abdulkarim, Lawal Khalid","doi":"10.4103/jwas.jwas_4_25","DOIUrl":"10.4103/jwas.jwas_4_25","url":null,"abstract":"<p><strong>Background: </strong>The pulse oximeter is an inexpensive and valuable device for managing critically ill patients. It is utilised in the diagnosis and evaluation of these patients by the medical team, including the house officers, who are the first-line healthcare providers, though under supervision. The knowledge, attitude, and practice of this cadre of doctors on the use of pulse oximeters is an important quality assurance review on basic critical care practice in our hospital setting.</p><p><strong>Materials and methods: </strong>This was a cross-sectional study involving house officers in surgical rotation within a year. The participants filled out a pretested questionnaire regarding their knowledge, attitude, and practice of the use of pulse oximeters in critically ill patients. Questions relating to likely factors that may influence these variables were also asked. Descriptive and inferential statistics were used to analyse the responses.</p><p><strong>Results: </strong>Fifty-one house officers participated in the study with a complete response rate of 98%. All the participants had used the device in practice. Good knowledge, appropriate attitude, and practice were seen in 66%, 70%, and 51% of the participants, respectively. Further training in critical care affected the knowledge of the participants significantly but not their attitude or practice.</p><p><strong>Conclusion: </strong>Pulse oximeters are readily available in the routine care of critically ill patients. House officers have a good knowledge and understanding of the principles of the use of this device; the practice of these doctors needs to be supervised with emphasis made on the right use of pulse oximeters.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 3","pages":"279-282"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13362882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439240","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":"Comparison of C-Reactive Protein and Procalcitonin as Biomarkers for Severity of Sepsis in Odontogenic Infection.","authors":"Jonathan T Olesu, Solomon Obiri-Yeboah, Richard Setsofia Yaw Atuwo-Ampoh, Paul Frimpong, Robert Nii Lamy Larmie, Alexander Oti Acheampong, Nana Tuffour Ampem-Gyimah","doi":"10.4103/jwas.jwas_69_25","DOIUrl":"10.4103/jwas.jwas_69_25","url":null,"abstract":"<p><strong>Introduction: </strong>Morbidity and mortality rates are correlated with the severity of infections. In order to lower the incidence of morbidity and death, it is critical for the clinician to assess the severity of the odontogenic infection and implement an aggressive treatment protocol. C-reactive protein (CRP) and procalcitonin (PCT) are common biomarkers of sepsis.</p><p><strong>Aim: </strong>To determine the severity of infection with biomarkers of sepsis in persons with odontogenic infection.</p><p><strong>Materials and methods: </strong>This was a prospective cross-sectional study. It was conducted on selected participants with odontogenic infection over 6 months (August 2023-January 2024 inclusive) in the Oral and Maxillofacial Surgery Department of the Oral Health Directorate of Komfo Anokye Teaching Hospital (KATH). Data were collected after getting ethical clearance from the KATH Institutional Review Board. Participants' blood samples were collected for laboratory investigations, including FBC, LFT, KFT, CRP, and PCT. Plasma concentrations of CRP and PCT were used as laboratory indices to determine the severity of odontogenic infection. Data were captured and coded using Excel and then cleaned and analysed using Statistical Package for the Social Sciences version 25.0.</p><p><strong>Results: </strong>CRP levels were ≤50.2 mg/L for mild odontogenic infections, and PCT levels were ≤0.179 ng/mL. Moderate infections encompassed a CRP range of 50.3 to 80.3 mg/L and a PCT range of 0.18 to 9.7 ng/mL. Severe infections were characterised by CRP levels ≥80.4 mg/L and procalcitonin levels ≥9.8 ng/mL.</p><p><strong>Conclusion: </strong>PCT is a superior biomarker of sepsis compared to CRP.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 3","pages":"243-249"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13362952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439261","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 Randomised Comparison of Extended View Totally Extraperitoneal Repair (eTEP) and Conventional Totally Extraperitoneal Repair (TEP) for Inguinal Hernia.","authors":"Abhinav Nakra, Navneet Kumar, Md Abu Masud Ansari, Lalit Kumar Bansal, Shardool Vikram Gupta, Atul Jain, Neeti Kapur","doi":"10.4103/jwas.jwas_51_25","DOIUrl":"10.4103/jwas.jwas_51_25","url":null,"abstract":"<p><strong>Background: </strong>Inguinal hernia is a common surgical condition requiring definitive repair. While totally extraperitoneal repair (TEP) is a widely used laparoscopic approach, its limitations include restricted space for dissection and a steep learning curve. The extended view totally extraperitoneal repair (eTEP) technique was developed to address these issues by providing a larger surgical field and improved port placement. This study aimed to evaluate the efficiency, benefits, limitations, surgery duration, hospital stay, and recurrence rates of eTEP, comparing its outcomes with conventional TEP in inguinal hernia repair.</p><p><strong>Materials and methods: </strong>A randomised comparative study was conducted on 36 patients with a primary inguinal hernia at ABVIMS and Dr. RML Hospital over 2 years. Patients were divided into two groups (TEP and eTEP, with 18 in each). Variables, such as operative time, postoperative pain, hospital stay, and recurrence, were assessed. Statistical analysis included Mann-Whitney, <i>t</i>-tests, and chi-square tests, with a significance level of <i>P</i> < 0.05.</p><p><strong>Results: </strong>The mean operative time was 78.89 min for TEP and 82.50 min for eTEP, with no statistically significant difference (<i>P</i> = 0.413). One conversion to open surgery occurred in the TEP group, while none occurred in the eTEP group. There was one case of vascular injury in the TEP group, but no visceral or nerve injuries in either group. Postoperative pain scores, hospital stay duration, and recurrence rates showed no significant differences between groups.</p><p><strong>Conclusion: </strong>eTEP is comparable to TEP in terms of perioperative outcomes. Although eTEP takes slightly longer, it has fewer complications and a lower conversion rate. Both techniques are equally effective for laparoscopic inguinal hernia repair.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 3","pages":"262-267"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13362871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439229","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":"Spinal Anaesthesia in Non-instrumented Lumbar Spine Surgery: Does it Work?","authors":"Obiegbu Henry Obinna, Nze Iheanyichukwu Noel, Okafor Sylvester Ezechukwu, Obiegbu Chisom Renee","doi":"10.4103/jwas.jwas_131_24","DOIUrl":"10.4103/jwas.jwas_131_24","url":null,"abstract":"<p><strong>Introduction: </strong>Lumbar spine surgery has been traditionally performed under general anaesthesia for a variety of reasons, including less time constraints, a secured airway with the patient in prone position, and preference by anaesthesiologists. However, spinal anaesthesia (SA) has been reported to be a safe alternative and is preferable in high-risk patients with other comorbidities.</p><p><strong>Objective: </strong>To determine the effectiveness of SA in non-instrumented lumbar spine surgeries.</p><p><strong>Methodology: </strong>A retrospective study was performed on 32 patients who had underwent lumbar spine surgery under SA between January 2022 and January 2024. Patients who had instrumented spine surgeries were excluded from this study.</p><p><strong>Results: </strong>There were statistically significant satisfactory outcomes in patients postoperatively, using the Oswestry scoring system. There were few complications recorded, including a dural tear in one patient (3.1%) and post spinal headache in two patients (6.3%). There were no mortalities recorded.</p><p><strong>Conclusion: </strong>The use of SA in lumbar spine surgery offers a safe alternative to general anaesthesia.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 2","pages":"151-153"},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791114","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":"Outcomes of Decompressive Laminectomy in Thoracic Myelopathy due to Ossification of Ligamentum Flavum in North Indian Population.","authors":"Sandeep K Yadav, Laxman Choudhary, Srikanth Eppakayala, Nitesh Gehlot, Abhay Elehence, Prabodh Kantiwal","doi":"10.4103/jwas.jwas_113_24","DOIUrl":"10.4103/jwas.jwas_113_24","url":null,"abstract":"<p><strong>Introduction: </strong>Ossification of the ligamentum flavum (OLF) is a well-recognised cause of thoracic myelopathy in East Asian countries like Japan and China. T10 and T11 are the most frequently involved segments in the thoracic spine. Initial clinical features are numbness in lower limbs, loss of vibration, and proprioception, as severity increases spastic paraparesis ensues. In this study, the authors retrospectively analysed the clinical outcomes after decompressive laminectomy for thoracic myelopathy due to OLF at the thoracic spine.</p><p><strong>Materials and methods: </strong>This was a retrospective study conducted in the Department of Orthopaedics, in the author's tertiary institute, using medical records from January 2020 to May 2023, after obtaining informed consent from patients and institutional ethics committee approval. Fourteen cases diagnosed with thoracic myelopathy meeting the inclusion criteria and underwent decompressive laminectomy, with at least one year of follow-up, were considered in the study. Demographic data, detailed history of patient's symptoms and duration of symptoms, preoperative and postoperative neurological status, in the form of Japanese Orthopaedic Association (JOA) score, Hirabayashi recovery rate, and Visual Analogue Scale (VAS) score for pain or numbness, were evaluated.</p><p><strong>Results: </strong>Mean operation time was 75.71 ± 28.58 min, and mean blood loss was 166.42 ± 44.99 mL. The mean preoperative JOA score was 4.71 ± 1.43 points which significantly improved to 7.50 ± 2.06 points postoperatively (<i>P</i> < 0.001). The mean Hirabayashi recovery rate was 48.25% (range 12.5-80%). The surgical outcome was excellent in three patients, good in five patients, fair in five patients, and unchanged in one patient.</p><p><strong>Conclusion: </strong>Decompressive laminectomy is a safe and effective treatment for thoracic myelopathy due to OLF, which provides satisfactory clinical outcomes improvement.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 2","pages":"177-182"},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791125","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":"Epidemiology and Management Outcome of Urogenital Trauma in Lafia, Nigeria.","authors":"Christian Agbo Agbo, Chibuzor Godwin Nwachukwu, Musa Yahaya Muhammad","doi":"10.4103/jwas.jwas_24_25","DOIUrl":"10.4103/jwas.jwas_24_25","url":null,"abstract":"<p><strong>Background: </strong>Urogenital trauma accounts for 10% of all traumas. Although mortality arising from isolated urogenital trauma is rare, there can be a lifelong morbidity. The objective of this study was to determine the pattern of urogenital trauma and management outcomes in Lafia, Nigeria.</p><p><strong>Materials and methods: </strong>This was a retrospective study conducted between November 2018 and December 2021 at Federal University Teaching Hospital, Lafia, Nigeria. Patients with urogenital trauma who presented within the study period were identified and information retrieved from their medical records. The sociodemographic data, pattern of presentation, site of trauma, aetiology of trauma, type of treatment, and the immediate outcome were recorded.</p><p><strong>Results: </strong>A total number of 77 patients were involved in this study. The age range was 2 years to 69 years, with a mean age was 38.6 ± 12.2 years. The male-female ratio was 5:1. The genitalia (penis, scrotum, and testis) were the most affected in 37.7% of the patients, followed by the urethra (25.9%). Road traffic accidents (RTAs) were the commonest cause of trauma (50.7%), followed by iatrogenic causes (16.9%) and gunshot injuries (15.6%). Most of the renal and extraperitoneal bladder injuries were managed nonoperatively, while most other injuries, especially ureteric and genital injuries, were managed surgically.</p><p><strong>Conclusion: </strong>Urogenital trauma, although rare, can cause a lifelong morbidity. Majority were caused by RTA,s followed by iatrogenic causes.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 2","pages":"154-157"},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791390","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":"Using the Postgraduate Hospital Educational Environment Measure (PHEEM) Questionnaire to Evaluate the Learning Experience of Doctors Undergoing Postgraduate Residency Training Programme in two South-Western States in Nigeria.","authors":"Salami Sule, Olumide Elebute, Tunde Olobatoke, George Ihediwa, Moruf Abdulsalam, Ibukun Ogundele, Esther Olutola, Bamidele Adebayo, Matthew Adeyemi, Charles Ememonu, Moses Agbulu, Bolaji Mofikoya, Emmanuel Jeje","doi":"10.4103/jwas.jwas_86_24","DOIUrl":"10.4103/jwas.jwas_86_24","url":null,"abstract":"<p><strong>Introduction: </strong>Medical residency training of doctors is to produce specialists in various fields of medicine and surgery, which requires several years of training regulated by a postgraduate medical education body.</p><p><strong>Objectives: </strong>To ascertain the perception of resident doctors of the role of autonomy, teaching, and social support in residency training institutions using the three domains of the Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire in South-West, Nigeria. To determine the correlation between the perception of the educational environment using PHEEM questionnaire with resident doctors' demographics, stages of the residency training, and area of specialisation.</p><p><strong>Materials and methods: </strong>This is a cross-sectional observational study design using the 40-item validated self-administered PHEEM questionnaire. Data was obtained online using Google Forms from 272 resident doctors who participated in the study by invitation from six purposely selected residency training institutions in South-West Nigeria for six months. Quantitative data analysis was performed using SPSS software.</p><p><strong>Results: </strong>The mean age of the respondents was 35.83 ± 6.32. There were 144 (52.9%) male and 128 (47.1%) female respondents. The global PHEEM mean score was 82.78 ± 1.12. The means of the individual PHEEM items ranged between 1.04 (±1.27) and 3.43 (±0.97). The mean score of the domain of the role of autonomy, teaching, and social support is 28.52 (±1.24), 31.61 (±1.15), and 23.07 (±1.23), respectively. Interpreted as \"a more positive perception of one's job,\" \"moving in the right direction,\" and \"more pros than cons,\" respectively. There was no statistically significant difference in global PHEEM scores, the sex of the respondents, and their level of training.</p><p><strong>Conclusion: </strong>The study concluded that most resident doctors who participated perceived positively their level of training in the areas of autonomy of learning skill acquisition and teaching support but were marginally satisfied with the social support received.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 2","pages":"167-176"},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791137","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":"Effect of Preoperative Donor Hydration on Outcomes in Living Donor Renal Transplantation: A Prospective Randomised Study.","authors":"Revanth Kumar Reddy Pothapi, Lalit Sharma, Gyan Ranjan Kumar, Manoj Kumar Dokania, Umesh Sharma, Nitin Agarwal","doi":"10.4103/jwas.jwas_7_25","DOIUrl":"10.4103/jwas.jwas_7_25","url":null,"abstract":"<p><strong>Objectives: </strong>Living renal donors do not usually undergo preoperative hydration, which may cause subclinical graft renal injury. We planned a prospective randomised study to determine the effect of preoperative renal donor hydration on intraoperative graft parameters, neutrophil gelatinase-associated lipocalin (NGAL) levels, and other complications.</p><p><strong>Materials and methods: </strong>Living donor renal transplantation pairs were randomised into two groups: Group 1 donors (controls) were fasting overnight with no hydration from 11 PM to 7 AM, while Group 2 donors were fasting with preoperative hydration (2 L of intravenous Ringer's lactate) from 11 PM to 7 AM. The primary outcome parameter was positive graft ischaemia (PGI), deemed positive when at least two were present: visible graft discolouration, renal arterial spasm, reduction in urine output before and after division of ureter, and, flaccidity of the graft.</p><p><strong>Results: </strong>The two groups were comparable in demographic, clinical parameters including graft function. PGI was present in 7/32 (22%), with no significant differences between the groups. Mean NGAL levels were lower in Group 2 without statistical significance. There was a significant correlation between PGI and proportion of functional delayed graft function (85% versus 36%; <i>P</i> = 0.03), but not between of PGI and warm ischaemia time (WIT - 55.57 ± 10.86 min vs 50.32 ± 13.14; <i>P</i> = 0.342), cold ischaemia time (CIT - 32.14 ± 9.12 vs 26.53 ± 11.58; <i>P</i> = 0.204), or mean urinary NGAL (30.67 ± 1.97 ng/mL versus 28.67 ± 2.65 ng/mL; <i>P</i> = 0.78).</p><p><strong>Conclusion: </strong>Preoperative donor hydration may decrease perioperative subclinical renal injury, but more studies with larger sample size are required.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 2","pages":"158-166"},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13120810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791444","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":"Safety and Efficacy of Paediatric Spinal Anaesthesia in a Tertiary Hospital in Ghana.","authors":"Oluwayemisi Esther Ekor, Akwasi Antwi-Kusi, Wendy Miranda, Patrick Maison, Victor Etwire, P Craymah Joshua","doi":"10.4103/jwas.jwas_171_24","DOIUrl":"10.4103/jwas.jwas_171_24","url":null,"abstract":"<p><strong>Background: </strong>Paediatric spinal anaesthesia has some advantages in children, especially for infra-umbilical surgeries. It is, however, an underutilised technique when compared with General anaesthesia (GA). This study sets to determine the efficacy and complications of spinal anaesthesia in infra-umbilical surgeries among paediatrics.</p><p><strong>Materials and methods: </strong>A prospective analytic study was conducted among thirty-three children <16 years, scheduled for elective infra-umbilical surgeries. Data generated was analysed descriptively in proportions for categorical data and mean with standard deviation to assess heart rate, respiratory rate, SPO2, and blood pressure between the times that the vital signs were recorded.</p><p><strong>Results: </strong>The majority of participants (69.7%) were between 0 and 5 years. The surgeries performed were mostly herniotomy (39.4%). The onset of the block was <3 min in 84.8% of patients. The level of block achieved was mostly T8 (45.5%) and T10 (42.4%). There was no need for conversion to GA in 90.9% of patients and the average duration of the procedure was 25 min. There were no complications recorded.</p><p><strong>Conclusion: </strong>The use of spinal anaesthesia in paediatrics that underwent infra-umbilical surgeries was safe and successful in 90.9% of patients. Therefore, spinal anaesthesia can be explored in larger samples of paediatric patients for its full adoption in paediatric surgeries.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":"16 1","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12959857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367627","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}