Adisa Adewale MBChB, FWACS, FMCS(Nig.), D.MAS Department of Surgery, Obafemi Awolowo University,...

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Transcript of Adisa Adewale MBChB, FWACS, FMCS(Nig.), D.MAS Department of Surgery, Obafemi Awolowo University,...

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  • Adisa Adewale MBChB, FWACS, FMCS(Nig.), D.MAS Department of Surgery, Obafemi Awolowo University, & Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife 220005, Nigeria E mail: wadisc@yahoo.com SAGES 2012 San Diego, CA
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  • SAGES 2012 Disclosure Slide AO Adisa OO Lawal OA Arowolo OI Alatise Nothing To Disclose
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  • Decades of diagnostic procedures Gynecological procedures Visiting Surgeons Few private centers, occasional practices
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  • Ile-Ife, South-West Nigeria. Semi-urban, largely agrarian population. Laparoscopy in general surgery Initial attempt in 2008 Consistent deployment from 2009 Improvised set-up Local adaptations
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  • OAUTHC, Ile-Ife
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  • Locally assembled set-up Easily maintained and reproducible Re-useable hand instruments Improvisations for consumables Camera cover Endoloop Endobag Intracorporeal staplers Each procedure costs 20,000 - 45,000 NGN (125-300 USD )
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  • OAUTHC, Ile-Ife 181 consecutive laparoscopic surgeries Laparoscopic cholecystectomies48 Laparoscopic appendectomies36 Laparoscopic evaluation and biopsy of intra-abdominal tumours53 Laparoscopic adhesiolysis18 Laparoscopy assisted colon surgeries 2 Laparoscopic hernia repair 6 Others18
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  • Conversion to open procedure 5/181 Cholecystectomy1 Hepatic biopsy1 Complicated appendicitis2 Colon cancer1 Port site infections 11/518 Bile duct injury 1 MortalityNil
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