ORIGINAL ARTICLE Year : 2005 | Volume : 8 | Issue : 1 | Page : 4--8 Congenital malformations in paediatric and neurosurgical practices: Problems and pattern (a preliminary report) JO Adeniran1, TO Odebode2, 1 Departments of Paediat ric Surgery University of Ilorin Teaching Hospital, Ilorin, Nigeria 2 Departments of Neurosurgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria Correspondence Address: AIM: To determine the pattern and identify problems and outcome of management of congenital anomalies in Ilorin, Nigeria. METHODOLOGY: We retrospectively studied all children presenting over a 5-year period (1998 to 2002 ) with congenital anomalies to the Paediatric S urgery and Neurosurgery unit s of the University Teaching Hospital, Ilorin, Nigeria. Clinical data abstracted and analy zed include age, type of congenital anomaly, management, complications and outcome. RESULTS: There were 803 children with various systemic congenital malformations. Of these, 588 (73.2% ) were operated, constituting 54.4% of the total o perations performed on children (1080) during the study period. Malformations oj the gastrointestinal tract (536) including hernias (317), anorectal malformations (61), Hirschsprung�SQ�s disease(45), and omphalocoeles(19), were the most frequent. Next in f requency were malformations of the centra/nervous system (114 ), the commonest being spinal dysraphism (50 ) and hydrocephalu s (44 ). Less common malf ormations included urogenital (105) and biliary (3) anomalies as well as lesions of the neck ( 35), skin (8) and soft tissues(2). The overall mortality rate of 3.4% (201586) was predominantly due to the deaths of infants with oesophageal atresia, gastroschisis, and ruptured myelomeningocoele. CONCLUSION: The commonest systemic congenital malformations encountered by the paediatric and neurosurgical units in this center are in order of decreasing frequency gastrointe.l�SQ�tinal, central nervous and genitourinary.
|
|||
|