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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 20, No. 1, 2015, pp. 63-67
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Bioline Code: js15009
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 20, No. 1, 2015, pp. 63-67
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Ambulatory Cleft Lip Surgery in a Developing Country
Olawoye, O.A.; Olusanya, A.A.; Ademola, S.A.; Iyun, A.O.; Michael, A.I. & Akinmoladun, V.I.
Abstract
Background:
Ambulatory cleft lip surgery has been practiced extensively in many
developed countries, however cleft lip repair in most developing countries involve patient
hospitalization of varying duration. Driven by the recent acute shortage of pediatric bed
space in our hospital, an increasing number of cleft lip surgeries are being performed on
out-patient basis. The aim of this study was to report our experience with ambulatory cleft
lip surgery at the University College Hospital, Ibadan.
Methods:
A retrospective review of Cleft lip Surgeries performed between February 2007
and January 2010 was done. Data of patients who had
cleft lip surgery was retrieved from
our Smile Train data base, the operating room surgery records and the Nurses’
admission/discharge records on all the wards on which the patients were either received or
admitted. Information obtained included the demographic characteristics of the patients,
complications reported, length of stay (LOS) for in-patients and the need for re-admission
before the first follow-up clinic appointment among
the two groups.
Results:
Eighty three patients were identified but complete
data was obtained for forty
patients. (Retrieval rate of 48%) The ambulatory group comprised of 15 patients while- the
in-patient group had 25 patients. The mean patient
age was 5.7 years in the ambulatory
and 9.7 years in the in-patient group. Both groups
were homogenous for other parameters.
None of the patients in the ambulatory group was re-admitted for any post-operative
complication while only one patient in the in-patient group had a post-operative
complication necessitating prolonged hospitalization.
Conclusion:
Ambulatory cleft lip surgery was found to be safe
in our practice with
comparable patient outcome to the in-patient group.
It is anticipated that this may assume
increasing prominence in the scope of cleft lip management in many more centers in the
developing world.
Keywords
Cleft lip repair; Out-patient cleft lip surgery; Ambulatory cleft lip surgery
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© Copyright - 2015 East and Central African Journal of Surgery
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