An audit of nephrectomy by general surgeons
AbstractObjectve: To analyse all nephrectomies performed by general surgeons at Usmanu Danfodiyo University Teaching Hospital, Sokoto (UDUTH) over a ten-year period. The setting provided an opportunity to critically examine the process and outcome of nephrectomies done by general surgeons.
Method: A retrospectively study of nephrectomies performed by general surgeons in UDUTH in the 10 year period (January 1993 to December 2002).
Results: A total of 25 nephrectomies were performed by the general surgeons during the study period. The male to female ratio was 4:1. The indications were renal malignancy in 39.0% of cases others were non-functioning symptomatic hydronephrotic kidneys. Renal function was not assessed in two patients with renal trauma before surgery. In some patients with polycystic renal disease and pelvic- ureteric junction obstruction indication for nephrectomy was not properly described. The disease staging and extent of surgery in patients with kidney cancer were not often stated. In 20% of patients there was significant morbidity and a threat to life and the overall mortality was 13.0%.
Conclusion: In the dearth of the urological surgeons in our environment the had to supplement in the occasional care of some urological patients. The best result is outcome is from patients having nephrectomy for non functioning hydronephrotic kidneys. The outcome in the treatment of the congenital renal anomalies, malignant and trauma to the kidney was not satisfactory suggesting the trained urologist will be better equipped to sort things out.
Keywords: audit, nephrectomy, general surgeons
Nigerian Journal of Surgical Research Vol. 7(3&4) 2005: 256-259