BACKGROUND: Ambulatory surgical care accounts for over 70% of elective procedures in Northern America. Ambulatory paediatric surgical practice is not widespread in Nigeria. This report examined clinical indicators for quality care in paediatric ambulatory surgery using common outcomes after day case procedures as benchmark. METHODS: This was a cross-sectional study of children who were presente...

The fi rst publication that identifi ed injury and surgery as major risk factors for chronic pain appeared in 1998.1 This paper reported that around 40% of 5130 chronic pain patients in 10 pain clinics in the United Kingdom had developed their chronic pain problem after surgery or trauma. This fi nding has led to a dramatic increase in interest in this subject; searches on PubMed for key words ...

BACKGROUND Renal and hepatic dysfunction or injury might be involved by ether based anesthetic and intravenous anesthetic drug or surgical stress. The purpose of this study is to compare the effect of moderate duration low-flow sevoflurane versus total intravenous anesthesia on renal and hepatic functions. PATIENTS AND METHODS Eighty (80) patients between the ages of 25-70 scheduled for elect...

Inguinal hernia is a very common condition in children 1-3 and adults and is the most common operation performed on children 4 (other than ritual circumcision). Since the “classic” open repair was introduced, it has become the standard operation for hernias, with very few controversies: whether the surgeon should perform only a herniotomy or reinforce the repair, whether a contralateral groin e...

A 7-year-old child reported with swelling in the bilateral inguinoscrotal region. Parents have noticed swelling just after the 6 months from birth. There was also a complaint of penile shortening as far as its size is concerned. No other complaints were present. The vitals were stable. On local examination, bilateral inguino-scrotal swelling was present of a size about 8 x 6 cm on both sides, f...

Received August 6, 2003 Abstract Development of laparoscopic or minimally invasive surgery (MIS) in infants and children has taken a tremendous pace over the past decade. With the availability of appropriately sized fine instruments tailored made for small paediatric patients, together with significant improvement in surgical technique and anaesthetic experience, a wide range of operations can ...

Surgical repair of large umbilical hernias may present a challenging surgical problem; standard surgical techniques have proven to be inadequate for both closing the fascial defect of the umbilicus and providing a satisfactory cosmetic result. We describe here a case of double half-cone flap umbilicoplasty that was performed in a 2 years old boy. The case of a 2 years old child with proboscoid ...

INTRODUCTION The Laparoscopic TAPP (transabdominal pre-peritoneal inguinal hernia repair) - technique is becoming more widely and frequently used due to higher patient satisfaction and lower rates of both relapse and complications. MATERIALS AND METHODS The role of the fixation of the mesh is especially important in regard to the endoscopic technique. The fixation of mesh through penetrating ...

INTRODUCTION Evidence for the effect of post-operative abdominal binders on post-operative pain, seroma formation, physical function, pulmonary function and increased intra-abdominal pressure among patients after surgery remains largely un-investigated. METHODS A systematic review was conducted. The PubMed, EMBASE and Cochrane databases were searched for studies on the use of abdominal binder...