Afolabi Adefemi Oladiran, Ulasi Ikechukwu Bartholomew, Ladipo Josephus Kayode
Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Department of Surgery, University College Hospital, Ibadan, Nigeria.
J West Afr Coll Surg. 2020 Jul-Sep;10(3):19-29. doi: 10.4103/jwas.jwas_42_21. Epub 2022 May 4.
There is a paucity of documentation of the procedures performed by general surgeons in sub-Saharan Africa.
To describe the pattern of general surgical procedures performed at our institution.
A descriptive, retrospective study.
Divisions of general surgery, department of Surgery.
All general surgical procedures performed in the department of surgery between 1 January 2007 and 31 December 2011 were obtained from the central theatre operation registers and registers of the three divisions of General Surgery - gastrointestinal, oncological, and endocrine surgery. Data was analyzed using version 25.0 of the Statistical Package for Social Sciences.
The records of 3,160 patients, 67% of which were complete, who underwent a total of 3,317 procedures, were obtained. Most of the patients were in the 25-44-year age range with a mean age of 41.4 ± 16.8 years and a male-to-female ratio of 1.5:1. A total of 2,537 procedures (80.3%) were elective. There were 3,050 non-trauma-related procedures (96.5%) with only 110 procedures (3.5%) being trauma-related. Overall, the commonly performed surgical procedures included laparotomies, 997(30.06%), biopsies, 985(29.70%), herniorrhaphies, 378 (11.40%), mastectomies 270 (8.14%), appendicectomies, 213 (6.42%) and thyroidectomies, 161 (4.85%). The two most common procedures for emergency and elective cases were exploratory laparotomy and biopsy respectively.
General surgeons at our institution perform a wide variety of mainly elective, non-trauma procedures, laparotomy being the commonest. Improved data collection system and periodic surgical audit would guide judicious allocation of meagre healthcare resources and ensure focused surgical training in the developing countries.
撒哈拉以南非洲地区普通外科医生所实施手术的记录资料匮乏。
描述我院普通外科手术的模式。
描述性回顾性研究。
外科系普通外科各科室。
从中央手术室手术登记册以及普通外科三个科室（胃肠外科、肿瘤外科和内分泌外科）的登记册中获取2007年1月1日至2011年12月31日期间在外科系进行的所有普通外科手术。使用社会科学统计软件包第25.0版进行数据分析。
获取了3160例患者的记录，其中67%的记录完整，这些患者共接受了3317例手术。大多数患者年龄在25至44岁之间，平均年龄为41.4±16.8岁，男女比例为1.5:1。共有2537例手术（80.3%）为择期手术。有3050例非创伤相关手术（96.5%），仅有110例手术（3.5%）为创伤相关手术。总体而言，常见的外科手术包括剖腹术997例（30.06%）、活检985例（29.70%）、疝修补术378例（11.40%）、乳房切除术270例（8.14%）、阑尾切除术213例（6.42%）和甲状腺切除术161例（4.85%）。急诊和择期病例最常见的两种手术分别是剖腹探查术和活检。
我院普通外科医生实施多种主要为择期、非创伤性的手术，剖腹术最为常见。改进数据收集系统和定期进行手术审计将有助于明智地分配稀缺的医疗资源，并确保发展中国家有针对性的外科培训。
