Publications by authors named "Igwe Arua Obasi"
Management of oesophageal atresia (OA) with tracheoesophageal fistula (TOF) in Nigeria and the West African subregion has no doubt been a very demanding task for paediatric surgeons, not necessarily due to lack of skills, but due to the significant demand on neonatal intensive care, which in our region, is often fitted with the poor infrastructure needed to make this a success. Furthermore, the use of open thoracotomy has increased this demand resulting in a significant number having severe morbidities and significant mortality rates. Hence, in our subregion, there is still a slow progression to meet up with the evolving trend of the management of this complex condition in the developed world.
View Article and Find Full Text PDFPenile agenesis is complete absence of the penis in an otherwise normal phenotypic and genotypic male at birth that results from failure of development of the genital tubercle. It is an extremely rare anomaly that may be associated with anomalies in other organ systems, the extent and severity of which may affect the prognosis. The management is challenging and may have far reaching implications for the individual and family.
View Article and Find Full Text PDFComparison of dorsal penile nerve block alone and in combination with lidocaine-prilocaine cream in neonates undergoing circumcision: a randomized controlled study.
World J Pediatr Surg
November 2022
Article Synopsis
- This study investigates the effectiveness of lidocaine-prilocaine cream (LPC) applied before a dorsal penile nerve block (DPNB) for analgesia during neonatal circumcision compared to DPNB alone.
- A total of 72 neonates were divided into two groups: one receiving DPNB with plain lidocaine and the other LPC before DPNB.
- Results showed that the group with LPC experienced significantly lower increases in cortisol levels, heart rate, and better oxygen saturation, indicating less pain during the procedure compared to the DPNB-only group.
Background: Paediatric laparoscopic surgery is fast growing worldwide, with many pathologies now being treated even in the youngest of patients. We hereby report our experience with the first 114 cases.
Objectives: Our aim was to highlight our progress and lessons learnt practicing laparoscopic paediatric surgery in our institution.
Inguinal hernia in children is currently treated through a groin incision with access to the inguinal canal and handling of the spermatic cord. In the face of the growing utilization of laparoscopic surgery in Nigeria, it was important to compare the outcome of laparoscopic and open herniotomy (OH) in our local teaching hospital to create a basis for recommendation. We compared OH with laparoscopic needle assisted hernia repair (LNAR) in children in Obafemi Awolowo University Teaching Hospital Complex, Ile Ife.
View Article and Find Full Text PDFBackground/purpose: The analysis of perioperative mortality as well as surgery- and anesthesia-related death in pediatric patients may serve as a potential tool to improve outcome. The aim of this study is to report the 24-h and 30-day overall, and surgery and anesthesia-related, mortality in a tertiary hospital.
Methods: This is a retrospective review of perioperative mortality in children ≤15years at a general pediatric surgery unit.