Clinical Presentations and Outcomes of Inexperienced Surgical Interventions in Specialized General Surgery Diseases: Case Series and Literature Review
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Abstract
Background: The burden of responsibilities involved in surgical care constitutes 11.2% of the global burden of diseases, which makes it tightly regulated globally. This case series reported the clinical presentations and outcomes of inexperienced surgical interventions in specialized General Surgery diseases seen in Teaching Hospital over a period of a six months.
Materials and Methods: The clinical case notes of patients with non-specialist interventions in specialized General Surgery diseases over six months (February 2025-July 2025) were retrieved, and data were collected and analysed for the study.
Case Presentations: Case 1: A 45year old male who had fecal and urinary incontinence following biopsy/surgery on anal tumour. He was optimized, and offered exploratory laparotomy with temporary colostomy, and discharged to outpatient clinic for further review. Case 2: A 22-year-old male who developed intrabdominal sepsis following “surgery” done for appendicitis/appendix mass. He was optimized and had emergency exploratory laparotomy/appendicectomy, and drainage of 1.7litres of purulent fluid was drained. Case 3: A 33-year-old who developed enterocutaneous fistula following suturing of penetrating abdominal trauma wound. He was optimized and responded well on conservative management for enterocutaneous fistula. Case 4: A 49-year-old male with a huge tumour of the right arm mass of a football size. He developed a fungating ulcer and foul-smelling discharge and bleeding, after cuts were made on it.
Conclusion: This case series highlighted instances of aberrations in surgical management at the “grass-root” with preventable deteriorations in the clinical conditions of the patients involved. Regulatory actions and advocacies should therefore be upscaled.
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