Print this page Email this page
Users Online: 1516
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2018  |  Volume : 8  |  Issue : 4  |  Page : 159-165

Neurosurgical operative interventions in a new neurosurgical centre in resource-limited settings: A hospital-based study in Nigeria

1 Department of Neurological Surgeon, University of Benin Teaching Hospital, P.M.B.1111, Benin City, Edo State, Nigeria
2 Department of Neurological Surgery, University of Benin Teaching Hospital, P.M.B.1111, Benin City, Edo State, Nigeria
3 Department of Anaesthesiology, University of Benin Teaching Hospital, P.M.B.1111, Benin City, Edo State, Nigeria

Correspondence Address:
Dr. David O Udoh
Division of Neurological Surgery, Department of Surgery, University of Benin Teaching Hospital, Benin City, Edo State 300283
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ais.ais_12_19

Rights and Permissions

Background: Neurosurgical operations commenced in this institution (which was established in 1973) in 2006. Serving populations of 10 to 12 million, it was, until 2014, the sole neurosurgical facility in the mid-western regions of the country where the demand for neurosurgical care - especially neurotrauma, congenital anomalies, intracranial tumour and degenerative diseases - is very high. We undertook an audit of neurosurgical operations highlighting limitations to effective care and factors influencing outcome. Patients and Method: We studied retrospectively the demographic data, the indications for and nature of operations, as well as outcomes, in neurosurgical patients at our teaching hospital between June 2006 and August 2014. Results: A total of 1,184 patients (51% of all neurosurgical admissions) underwent operative procedures during the eight-year period. Male to female ratio was 2.4 to 1. Most operations were performed in patients aged 0-10 years (25.4%); this was followed by patients aged 21-30 years (17.5%) and >60 years (17.14%). Among patients operated in their first decade of life, those aged 2 years and under accounted for the vast majority (208 i.e. 17.6%). The leading indications were traumatic brain injury (28%), hydrocephalus (16%), chronic subdural haematoma (14%), intracranial tumours (12%) and spinal canal stenoses (10.7%). However, in children 2 years and below, congenital anomalies were the commonest indication for surgery. Operative mortality was 6.25%; this was higher in operations for brain tumours and in the elderly. Conclusion: The profile of central nervous system surgery in Benin City, Nigeria over eight years underscores the need for improvement in the available neurosurgical services, personnel training and facility to meet the escalating society demands.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded227    
    Comments [Add]    

Recommend this journal