Browsing by Author "Adeoye, P.O"

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    First successfully separated set of thoracic-omphalopagus twins in Ilorin, Nigeria
    (Faculty of Clinical Sciences, College of Medicine, University of Lagos., 2023) Abdur-Rahman, L.O; Raji, T.K; Lawal, A.O; Nasir, A.A; Adesiyun, O.A; Abdulkadir, M.B; Sayomi, O; Ayinmode, I; Oyinloye, O.; Bolaji, B.O; Adegboye, K.A; Adegboye, M.B.; Adeoye, P.O; Oyedepo, O.O; Olafimihan, B.M; Olatunbosun, L.O; Shittu, A; Arinpe, S.F; Deborah, A; Rufai, Z
    The birth of babies sharing body part(s) and surviving independently is indeed a scientific marvel. Conjoined twinning is a rare phenomenon with various presentations, having an estimated incidence of 1 per 200,000 live births. The successes recorded by experts in developed countries in the separation of conjoined twins in recent times, especially among those with complex unions are indeed fascinating. The management of conjoined twins presents a great challenge to medical and surgical teams in tropical African countries such as ours where we are faced with challenges of limited resources and facilities, even amidst the presence of well‑trained experts. The incidence of conjoined twins is difficult to report in our practice because of failures that accompanied previous cases that were managed and not reported. This is the first successful separation after two previous failed attempts at our center. We report a case of successful surgical separation of thoraco‑omphalopagus conjoined twins who were undiagnosed prenatally and delivered by emergency cesarean section following prolonged labor by a primiparous woman. Babies were joined from the lower chest and the upper abdomen and they shared a single umbilicus and omphalocele sac. No internal viscus was shared apart from the torso wall. They were cared for from 12 h of live until 127 days of live when they were successfully separated by a team of medical and surgical experts. This is a report of a successful separation of conjoined twins at the University of Ilorin Teaching Hospital in North Central Nigeria. Careful interdisciplinary conduct of expert activities will ensure the survival of rare congenital malformations such as conjoined twinning even in underdeveloped climes
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    Open Ligation of Persistent Ductus Arteriosus Still a Reliable Modality in a Resource‑Challenged Environment
    (Medknow, Wolters Kluwer Health, India, 2022-01-29) Adeoye, P.O; Akanbi, O.R; Azeez, L.A; Ofoegbu, C.K.; Olaoye, I; Abdulkadir, Mohammed Baba; Ige, O.A.
    Background: Persistent ductus arteriosus (PDA) is one of the most common congenital heart diseases, and its management ranges from pharmacologic, surgical, or catheter‑based therapy. Advances in cardiac surgery have made ligation of PDAs a safe surgical procedure. Objective: The objective of this study is to evaluate the experience in the surgical management of PDA at the University of Ilorin Teaching Hospital. Subjects and Methods: Retrospective data of patients who had open ligation of PDA at the Thoracic and Cardiovascular Surgery division University of Ilorin Teaching Hospital from 2006 to 2021 were reviewed. Results: Of the 27 patients (10 males and 17 females), 25 had left posterolateral thoracotomy for PDA ligation. Their median age was 1 year. The mean weight was 7.75 kg with a range of 3.9–20 kg. The mean preoperative PDA size by echocardiography was 5.06 mm and a range of 3–8 mm. Krichenko type B was the most common morphology seen in eight of the patients. The majority (18) had no other comorbidities, whereas two had cardiac and seven had extracardiac comorbidities. Two patients developed pulmonary complications (pneumonia and pulmonary edema), one patient developed surgical site infection and one patient postoperative pyrexia and seizures which resulted in the only observed mortality. Conclusions: We report our experience with surgical ligation of PDA the only treatment modality at our institution currently as we lack the capacity for transcatheter closure.