Reasons for elective surgery cancellation in a referral hospital.

Background: Case cancellation can be very distressing not only to the patient and relatives but also to health care professionals.

Objectives: This study aims at detecting the causes of case cancellations on the intended day of surgery (DOS) at a tertiary hospital in Enugu that handles both elective and emergency cases.

Methods: The data was extracted retrospectively from the anesthetists' daily activity book during a period of 32 months.

General anesthesia for repair of omphalocele in a pair of conjoined twins in Enugu, Nigeria.

Conjoined twins have been viewed with fascination since antiquity. There are numerous reports in the literature documenting anesthetic management strategies for the separation of conjoined twins. There are also reports in the literature detailing anesthetic approaches for surgical procedures not involving separation.

Ruptured omphalocele in thoracoomphalopagus conjoined twins.

A ruptured omphalocele is a very rare complication in conjoined twins. Some cases have prompted emergency neonatal separation of the twins with varying results. We report a case of ruptured omphalocele in a thoraco-omphalopagus twin managed by primary repair of the defect at the University of Nigeria Teaching Hospital, Enugu.