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3. Paediatric surgical outcomes in sub-Saharan Africa: a multicentre, international, prospective cohort study

Author

Niyi Ade-Ajayi, Dan Poenaru, Damian Clarke, Stephen Tabiri, Larry Akoko, Sharon Cox, Toru Shimizu, Bassey Edem, Kokila Lakhoo, Zaitun M Bokhary, Adesoji Ademuyiwa, Felix Alakaloko, Emmanuel Ameh, Theophilus Teddy Kojo Anyomih, Rouma Bankole, Eric Borgstein, Bruce Bvulani, Milind Chitnis, Miliard Derbew, Stella Eguma, Omolara Faboya, Jacques Fadhili Bake, Intisar Hisham, Nasser Kakembo, Bertille Ki, Phyllis Kisa, Rashmi Kumar, Jerome Loveland, Bothwell Mbuwayesango, Mulewa Mulenga, Emmanuel Owusu Abem, Yona Ringo, John Sekabira, Justina Seyi-Olajide, Albert Wandaogo, Anne Wesonga, Ali Hamad, Naomi Jane Wright, Abdelbasit E Ali, Ainhoa Costas-Chavarri, Samuel Osei-Nketiah, William Appeadu-Mensah, Opeoluwa Adesanya, Olalekan Ajai, Aminu Mohammad, Stephanie Van Straten, Robert Jaich, Osman Imoro, Lawal Abdullahi, Roel Matos-Puig, Andrew JM Leather, Emma Thomson, Ademola Olusegun Talabi, Oludayo Adedapo Sowande, Christopher Bode, Taiwo Akeem Lawal, Samson Olori, Reitze Rodseth, Andre Theron, Emily Rose Smith, Alessandra Bisquera, Anyanwu Lofty John-Chukwuemeka, Justine Seyi-Olajide, Bernadette Béré, Luc Malemo, Elisee Bake, Nwokoro Collins, Aberibigbe M. O. Shonubi, Daniel Sidler, Houégban Romeo, Gbenou Antoine Seraphin, Eugene Zoumenou, Béré Bernadette, Bandré Emile, Tapsoba W. Toussaint, Kabre Yvette, Manuela Ehua, Agbara Kouame, Moulot Olivier, Nandiolo Rose, Mesay Hailemariam Asfaw, Gudeta Didi, Hanna Getachew, Woubedil Kiflu, Samuel Negash, Tihitiena Negussie, Amezene Tadesse, Fiseha Temesgen, Afua Hesse, Francis Atidana Abantanga, Adakudugu Ida, Martin Kyere, Anwar Sadat Seidu, Paul M. Wondoh, Thomas Kirengo, Michael Ganey, Michael Mwachiro, Robert K Parker, Sinkeet Ranketi, Bitiel Banda, Caroline Melhado, Biplab Nandi, Mohakhelha Nyamulani, Johannes Verweij, Moustapha Helle, Paschal Anyanwu, Matthias Igoche, Elizabeth Ogboli-Nwasor, Baba Suleiman, Sholadoye Tunde Talib, Mustapha Abdulazeez, Farinyaro Aliyu, Aliyu Mohammed, Terlumun Patrick, Charles Soo, Akinlabi Emmanuel Ajao, Olayemi Anthony Ajiboye, Michael Abel Alao, Odion-Obomhense Kesiena Helen, Adenike Odewabi, Anuoluwapo Aremo, Taiwo Jones Olaoluwa, Odi Temitope, Kayode Bamigbola, E Uduehe Enono, Abdulsalam Moruf, Roland I Osuoji, Omolara M. Williams, Fatuga Adedeji, Ihediwa Chibuike, Ibironke Desalu, Olumide Abiodun Elebute, Charles Ememonu, Oluwaseun Ladipo-Ajayi, Sola Kushimo, Kayode Olayade, Adebambo Olowu, Okechukwu Hyginus Ekwunife, Victor Ifeanyichukwu Modekwe, Obiechina Sylvester Okwuchukwu, Ngozi Chidinma Osuji, Ezidiegwu Ugochukwu Stanley, Jideofor Okechukwu Ugwu, Chuka Ifeanyichukwu Ugwunne, Collins Chijioke Adumah, Lukmon Amosu, Ibukunolu Ogundele, Aderibigbe M. O. Shonubi, Felix Kumolalo, Olakayode Ogundoyin, Dare Olulana, John Chinda, Osagie Olabisi, Akan Inyang, Ijeoma Esther Nwachukwu, Nurudeen Toyin Abdulraheem, Lukman O. Abdur-Rahman, James O. Adeniran, Muslimat A. Alada, Abdulrasheed A. Nasir, David C. Nwosu, Christopher C Amah, Sebastian Okwuchukwu Ekenze, Uchechukwu Obiora Ezomike, Emmanuel I. Nwangwu, Ijeoma C. Obianyo, Nene E Obianyo, Nwankwo Elochukwu Perpetua, Alfred T Aggo, Tobin Maxwell, Philemon Okoro, James A. Brown, Moses Kasumba, Steve Kyota, Joy Robinson, Seo-Hwa Chung, Savannah smit, Andrew Grieve, Charles Carapinha, Mie Elsen, Nayha Gautam, Shamaman Harilal, Sanele Madziba, Hansraj Mangray, Babalwa Nondela, Ria Naidoo, Arasha Thotharam, Kondjela Sara Hamunyela, Corne De Vos, Enas Musa Ismail, Robert Bahati, Peter Dattani, Ezekiel Kambona, Silas Msangi, Komla Gnassingbé, Hamza Doles Sama, Mary T Nabukenya, Emma Lillie, Rae Oranmore-Brown, Hope Phiri, Victoria Simiyu, Tungamirai Gwatirisa, Houessou Gandjehou, Ebassa Karl, Goutam Chowdhury, Alagie Manneh, Michael Amoah, Boateng Nimako, Allan Kochi, Connie Keung, Robert Kuremu, Heuric Rakotomalala, Habou Oumarou, Okafor David, Faruk A Suleiman, Faturoti Olubukola, Innocent Igwilo, Alwanlehi Eighemhenrio, Andrew Shitta, Musa Ibrahim Zarenawa, Iyekeoretin Evbuomwan, Wabada Samuel, Emmanuel Kayibanda, Joseph Lule, and Riikka Valjakka

Subjects
Medicine (General), R5-920, Infectious and parasitic diseases, RC109-216
Abstract

Introduction As childhood mortality from infectious diseases falls across sub-Saharan Africa (SSA), the burden of disease attributed to surgical conditions is increasing. However, limited data exist on paediatric surgical outcomes in SSA. We compared the outcomes of five common paediatric surgical conditions in SSA with published benchmark data from high-income countries (HICs).Methods A multicentre, international, prospective cohort study was undertaken in hospitals providing paediatric surgical care across SSA. Data were collected on consecutive children (birth to 16 years), presenting with gastroschisis, anorectal malformation, intussusception, appendicitis or inguinal hernia, over a minimum of 1 month, between October 2016 and April 2017. Participating hospitals completed a survey on their resources available for paediatric surgery.The primary outcome was all-cause in-hospital mortality. Mortality in SSA was compared with published benchmark mortality in HICs using χ2 analysis. Generalised linear mixed models were used to identify patient-level and hospital-level factors affecting mortality. A p

Published
2021
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4. Laparoscopic treatment of varicocele within adolescents in two African countries

Author

Gbenou Antoine Seraphin, Fiogbe Michel Armand, Akakpo-Numado Gamedzi Komlatsè, Metchihoungbe Codjo Serge, and Uroz Tristan Jos

Subjects
adolescent, africa, laparoscopic, varicocele, Pediatrics, RJ1-570, Surgery, RD1-811
Abstract

Varicocele is often ignored by adolescents and their parents, in our context. The aim of the study is to present the indications and results of laparoscopic treatment in a population of adolescent students. Subjects and Methods: It is a descriptive and analytical prospective study over a period of 9 months (January to September 2013), focussed on cases of varicocele Grade 3 found in adolescents during a screening, and who underwent surgical treatment by laparoscopy. The laparoscopic treatment was done as part of a training mission to paediatrics surgeons, through a European Non-governmental organisation in two university hospitals in Africa. Of 2724 adolescent students examined, 149 (5.47%) had a varicocele. The average age was 16.39 ± 2.05 years (12 and 19). The side was unilateral (79.19%) with 76.51% left or bilateral (20.81%) (P = 0.00). According to the classification of Dubin and Amelar, there were 58 (38.92%) cases of Grade 1, 66 (44.30%) were Grade 2 and 25 (16.78%) were Grade 3. Results: The laparoscopic treatment was performed in 23 patients with varicocele Grade 3, by modified Palomo's technique, sectioning a segment of vessels between clips (15) between nodes (2) or after coagulation without clips and ligation (6). The hospital stay was 36 h. It has been observed one case of post-operative moderate vaginal hydrocele and 11 cases testicular hypertrophy. Conclusion: The laparoscopic treatment of varicocele in adolescents reduces post-operative morbidity related to conventional open surgery. This technique has been available in two poor African countries through partnership north-south.

Published
2019
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5. Are multidisciplinary consultation meetings for prenatal diagnosis achievable in a low-income country? A descriptive cross-sectional survey in Benin

Author

Yassegoungbe, Monsoia Gildas, primary, Assan, Beaudelaire Romulus, additional, Houegban, Amoussou Sedjro Clotaire Romeo, additional, Metchihoungbe, Codjo Serge, additional, Lecompte, Jean-Francois, additional, Aguemon, Christine Tschabu, additional, Gbetey, Sidoine Bitho, additional, Breaud, Jean, additional, and Gbenou, Antoine Seraphin, additional

Published
2023
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6. Ten Years of Management of Esophageal Atresia in Benin: State of the Art, Experiences and Needs for Families of Children with Stoma

Author

Samuel Boris Gogan, Mahunakpon Vihotogbe Leon, primary, Romeo Houegban, Amoussou Sedjro Clotaire, additional, Metchihoungbe, Codjo Serge, additional, Khen-Dunlop, Naziha, additional, Sergine Dossou, Modoukpe Grace Immaculee, additional, Covi, Aldrico Pautin, additional, Fiogbe, Michel Armand, additional, and Gbenou, Antoine Seraphin, additional

Published
2023
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10. Management and Outcomes of Malformations Associated with Intestinal Malrotations in Newborns: About 5 Cases

Author

Yassegoungbe, Monsoïa Gildas, primary, Guedenon, Médard Ayawo, additional, Philemon Satingo Segbedji, Géraud Garcia, additional, Metchihoungbe, Codjo Serge, additional, Orion Akokpe, Mahussi Henok, additional, Léon Samuel Boris Gogan, Mahunakpon Vihotogbé, additional, Fiogbe, Michel Armand, additional, and Gbenou, Antoine Seraphin, additional

Published
2021
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11. Paediatric surgical outcomes in sub-Saharan Africa: a multicentre, international, prospective cohort study

Author

Niyi Ade-Ajayi, Dan Poenaru, Damian Clarke, Stephen Tabiri, Larry Akoko, Sharon Cox, Toru Shimizu, Bassey Edem, Kokila Lakhoo, Zaitun M Bokhary, Adesoji Ademuyiwa, Felix Alakaloko, Emmanuel Ameh, Theophilus Teddy Kojo Anyomih, Rouma Bankole, Bruce Bvulani, Milind Chitnis, Miliard Derbew, Stella Eguma, Omolara Faboya, Jacques Fadhili Bake, Intisar Hisham, Nasser Kakembo, Bertille Ki, Phyllis Kisa, Rashmi Kumar, Jerome Loveland, Bothwell Mbuwayesango, Mulewa Mulenga, Emmanuel Owusu Abem, Yona Ringo, John Sekabira, Albert Wandaogo, Anne Wesonga, Ali Hamad, Naomi Jane Wright, Abdelbasit E Ali, Ainhoa Costas-Chavarri, Samuel Osei-Nketiah, William Appeadu-Mensah, Opeoluwa Adesanya, Olalekan Ajai, Aminu Mohammad, Stephanie Van Straten, Robert Jaich, Osman Imoro, Lawal Abdullahi, Roel Matos-Puig, Andrew JM Leather, Ademola Olusegun Talabi, Oludayo Adedapo Sowande, Christopher Bode, Taiwo Akeem Lawal, Samson Olori, Reitze Rodseth, Andre Theron, Emily Rose Smith, Alessandra Bisquera, Anyanwu Lofty John-Chukwuemeka, Justine Seyi-Olajide, Bernadette Béré, Luc Malemo, Elisee Bake, Nwokoro Collins, Aberibigbe M. O. Shonubi, Daniel Sidler, Houégban Romeo, Gbenou Antoine Seraphin, Eugene Zoumenou, Béré Bernadette, Bandré Emile, Tapsoba W. Toussaint, Kabre Yvette, Manuela Ehua, Agbara Kouame, Moulot Olivier, Nandiolo Rose, Mesay Hailemariam Asfaw, Gudeta Didi, Hanna Getachew, Woubedil Kiflu, Samuel Negash, Tihitiena Negussie, Amezene Tadesse, Fiseha Temesgen, Afua Hesse, Francis Atidana Abantanga, Adakudugu Ida, Martin Kyere, Anwar Sadat Seidu, Paul M. Wondoh, Thomas Kirengo, Michael Ganey, Michael Mwachiro, Robert K Parker, Sinkeet Ranketi, Bitiel Banda, Caroline Melhado, Biplab Nandi, Mohakhelha Nyamulani, Johannes Verweij, Moustapha Helle, Paschal Anyanwu, Matthias Igoche, Elizabeth Ogboli-Nwasor, Baba Suleiman, Sholadoye Tunde Talib, Mustapha Abdulazeez, Farinyaro Aliyu, Aliyu Mohammed, Terlumun Patrick, Charles Soo, Akinlabi Emmanuel Ajao, Olayemi Anthony Ajiboye, Michael Abel Alao, Odion-Obomhense Kesiena Helen, Adenike Odewabi, Anuoluwapo Aremo, Taiwo Jones Olaoluwa, Odi Temitope, Kayode Bamigbola, E Uduehe Enono, Abdulsalam Moruf, Roland I Osuoji, Omolara M. Williams, Fatuga Adedeji, Ihediwa Chibuike, Ibironke Desalu, Olumide Abiodun Elebute, Charles Ememonu, Oluwaseun Ladipo-Ajayi, Sola Kushimo, Kayode Olayade, Adebambo Olowu, Okechukwu Hyginus Ekwunife, Victor Ifeanyichukwu Modekwe, Obiechina Sylvester Okwuchukwu, Ngozi Chidinma Osuji, Ezidiegwu Ugochukwu Stanley, Jideofor Okechukwu Ugwu, Chuka Ifeanyichukwu Ugwunne, Collins Chijioke Adumah, Lukmon Amosu, Ibukunolu Ogundele, Aderibigbe M. O. Shonubi, Felix Kumolalo, Olakayode Ogundoyin, Dare Olulana, John Chinda, Osagie Olabisi, Akan Inyang, Ijeoma Esther Nwachukwu, Nurudeen Toyin Abdulraheem, Lukman O. Abdur-Rahman, James O. Adeniran, Muslimat A. Alada, Abdulrasheed A. Nasir, David C. Nwosu, Christopher C Amah, Sebastian Okwuchukwu Ekenze, Uchechukwu Obiora Ezomike, Emmanuel I. Nwangwu, Ijeoma C. Obianyo, Nene E Obianyo, Nwankwo Elochukwu Perpetua, Alfred T Aggo, Tobin Maxwell, Philemon Okoro, James A. Brown, Moses Kasumba, Steve Kyota, Joy Robinson, Seo-Hwa Chung, Savannah smit, Andrew Grieve, Charles Carapinha, Mie Elsen, Nayha Gautam, Shamaman Harilal, Sanele Madziba, Hansraj Mangray, Babalwa Nondela, Ria Naidoo, Arasha Thotharam, Kondjela Sara Hamunyela, Corne De Vos, Enas Musa Ismail, Robert Bahati, Peter Dattani, Ezekiel Kambona, Silas Msangi, Komla Gnassingbé, Hamza Doles Sama, Mary T Nabukenya, Emma Lillie, Rae Oranmore-Brown, Hope Phiri, Victoria Simiyu, Tungamirai Gwatirisa, Houessou Gandjehou, Ebassa Karl, Goutam Chowdhury, Alagie Manneh, Michael Amoah, Boateng Nimako, Allan Kochi, Connie Keung, Robert Kuremu, Heuric Rakotomalala, Habou Oumarou, Okafor David, Faruk A Suleiman, Faturoti Olubukola, Innocent Igwilo, Alwanlehi Eighemhenrio, Andrew Shitta, Musa Ibrahim Zarenawa, Iyekeoretin Evbuomwan, Wabada Samuel, Emmanuel Kayibanda, Joseph Lule, and Riikka Valjakka

Subjects
Medicine (General), Infectious and parasitic diseases, RC109-216, paediatrics, surgery, 03 medical and health sciences, R5-920, 0302 clinical medicine, Humans, 030212 general & internal medicine, Prospective Studies, Child, Africa South of the Sahara, Original Research, treatment, Health Policy, Public Health, Environmental and Occupational Health, Infant, Newborn, Infant, 3. Good health, Treatment Outcome, 030220 oncology & carcinogenesis, Income, child health, epidemiology
Abstract

IntroductionAs childhood mortality from infectious diseases falls across sub-Saharan Africa (SSA), the burden of disease attributed to surgical conditions is increasing. However, limited data exist on paediatric surgical outcomes in SSA. We compared the outcomes of five common paediatric surgical conditions in SSA with published benchmark data from high-income countries (HICs).MethodsA multicentre, international, prospective cohort study was undertaken in hospitals providing paediatric surgical care across SSA. Data were collected on consecutive children (birth to 16 years), presenting with gastroschisis, anorectal malformation, intussusception, appendicitis or inguinal hernia, over a minimum of 1 month, between October 2016 and April 2017. Participating hospitals completed a survey on their resources available for paediatric surgery.The primary outcome was all-cause in-hospital mortality. Mortality in SSA was compared with published benchmark mortality in HICs using χ2 analysis. Generalised linear mixed models were used to identify patient-level and hospital-level factors affecting mortality. A pResults1407 children from 51 hospitals in 19 countries across SSA were studied: 111 with gastroschisis, 188 anorectal malformation, 225 intussusception, 250 appendicitis and 633 inguinal hernia. Mortality was significantly higher in SSA compared with HICs for all conditions: gastroschisis (75.5% vs 2.0%), anorectal malformation (11.2% vs 2.9%), intussusception (9.4% vs 0.2%), appendicitis (0.4% vs 0.0%) and inguinal hernia (0.2% vs 0.0%), respectively. Mortality was 41.9% (112/267) among neonates, 5.0% (20/403) in infants and 1.0% (7/720) in children. Paediatric surgical condition, higher American Society of Anesthesiologists score at primary intervention, and needing/receiving a blood transfusion were significantly associated with mortality on multivariable analysis.ConclusionMortality from common paediatric surgical conditions is unacceptably high in SSA compared with HICs, particularly for neonates. Interventions to reduce mortality should focus on improving resuscitation and timely transfer at the district level, and preoperative resuscitation and perioperative care at paediatric surgical centres.

Published
2020

12. Management of Pediatric Abdominal Trauma in Countries with Limited Resources: Is Computed Tomography Indispensable for a Good Result?

Author

ASSAN, Beaudelaire Romulus, primary, YASSEGOUNGBE, Monsoïa Gildas, additional, SETO, Djibril Morel, additional, COVI, Pautin Aldrico, additional, KOCO, Houénoukpo, additional, ASSOUTO, Cédric Bignon Ulrich, additional, FIOGBE, Michel Armand, additional, GBENOU, Antoine Seraphin, additional, and HOUEGBAN, Amoussou Sèdjro Clotaire Roméo, additional

Published
2021
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13. Guided Growth Vs. Tibial Osteotomy in Early Stage of Blount Disease

Author

ASSAN, Beaudelaire Romulus, primary, SIMON, Anne-Laure, additional, ADJADOHOUN, Sonia, additional, SEGBEDJI, Geraud Garcia Philemon Satingo, additional, ASSOUTO, Cedric Bignon Ulrich, additional, HOUEGBAN, Amoussou Sedjro Clotaire Romeo, additional, SOUCHET, Philippe, additional, GOUDJO, Eudes Ulrich Elvis Mahougnon, additional, METCHIHOUNGBE, Codjo Serge, additional, YASSEGOUNGBE, Monsoïa Gildas, additional, FIOGBE, Michel Armand, additional, ILHARREBORDE, Brice, additional, and GBENOU, Antoine Seraphin, additional

Published
2021
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