Abstract
IntroductionMore than forty years after the first open heart surgery in Nigeria, all open heart surgeries were carried out in government-owned hospitals before the introduction of such surgeries in 2013 at Biket Medical Centre, a privately owned hospital in Osogbo, South-western Nigeria. The aim of this paper is to review our initial experience with open heart surgery in this private hospital.MethodsAll patients who underwent open heart surgery between August 2013 and January 2014 were included in this prospective study. The medical records of the patients were examined and data on age, sex, diagnosis, type of surgery, cardiopulmonary bypass details, complications and length of hospital stay were extracted and the data was analysed using SPSS version 16.ResultsEighteen patients comprising of 12 males and 6 females with ages ranging between 8 months and 52 years (mean= of 15.7 +/- 15 years) were studied. Pericardial patch closure of isolated ventricular septal defect was done in 7 patients (38.9%) while total correction of isolated tetralogy of Fallot was carried out in 5 patients (27.8%). Two patients had mitral valve repair for rheumatic mitral regurgitation. Sixty day mortality was 0%.ConclusionSafe conduct of open heart surgery in the private hospital setting is feasible in Nigeria. It may be our only guarantee of hitch free and sustainable cardiac surgery.
Highlights
More than forty years after the first open heart surgery in Nigeria, all open heart surgeries were carried out in government-owned hospitals before the introduction of such surgeries in 2013 at Biket Medical Centre, a privately owned hospital in Osogbo, South-western Nigeria
More than forty years after the first open heart surgery was performed in Nigeria on the 1st of February 1974 [1], there still does not exist any hospital in the country performing routine daily open heart surgeries
Biket Medical Centre (BMC), in Osogbo, South-west Nigeria was the first privately owned hospital to perform open heart surgery in West Africa on the 23rd of August 2013 and the aim of this paper is to review our initial 16-month experience of open heart surgeries at this facility
Summary
More than forty years after the first open heart surgery in Nigeria, all open heart surgeries were carried out in government-owned hospitals before the introduction of such surgeries in 2013 at Biket Medical Centre, a privately owned hospital in Osogbo, South-western Nigeria. Conclusion: Safe conduct of open heart surgery in the private hospital setting is feasible in Nigeria. It may be our only guarantee of hitch free and sustainable cardiac surgery. Patients with surgically correctable lesions often have to go outside Nigeria for their procedures or wait long periods because most hospitals currently offering open heart surgery services are government-owned and frequently have to pool patients for foreign-assisted missions. The availability of personnel was very limited in Nigeria until recently when due to the surgical postgraduate residency training programme and interest of trainees in acquiring skills in high volume centres outside Nigeria, surgical competencies have improved [4,5]
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