The Jos University Teaching Hospital (JUTH) has performed undertook its first surgery to remove brain tumour using a machine that drills the skull bone to gain access to the tumour.
The brain operation involving tumour had been in the patient (a woman) for three years before the surgery was done by a combined effort of neurosurgeons, Ear-Nose-Throats (ENT), surgeons and the Anaesthetists.
According to Origoya Binitie, the lead neurosurgeon in the operation, described the tumour as an abnormal growth of tissue largely outside the brain stem, adding that the new approach helps the surgeons to navigate around the head to see all sides at the same time.
In his words:
“It is the first Trans-labyrinthine approach to a posterior fossa tumour. We used the C-Arm machine to drill the skull bone so as to see what is behind even while facing the front of the head.
In the past, we had to open the brain which was always risky and led to deaths because the brain is delicate.
Half of her face was affected and she could not hear with the ear affected.
In the past, we used X-rays to ascertain the position of every part of the head; that involved moving the X-ray machine up and down to, and from, the theatre.
That process usually takes a longer time and will not give us the position of a bone or the tissue in real time. But with the new machine, it is very quick and saves more than two hours.
With the new device, we can easily get the picture in motion. While the X-ray is static and one must wait for results, the new device is a kind of video where one can see the picture in motion, instead of static motion.
The new device is also more accurate, can tell you exactly where you are and saves cost because you spend less time on anaesthesia which minimises the money you pay for that particular service.
“We can also ease our job by taking the picture up, down, front, back or sideways.
JUTH is one of the few centres training neurosurgeons in Nigeria. Six are currently being trained and are at various stages of the programme.”
Mr. Binitie, first neurosurgeon in northern Nigeria, who had been in service since 1974, said that the cost of such operation was “around ₦300,000 in JUTH”.
He further stated that it costs several millions of naira in other hospitals and even more when done outside Nigeria.
The expert said that there were a total of 90 neurosurgeons in the country, adding that more were being trained to meet rising demands.
Mr. Binitie commended the management of JUTH for its efforts to improve services through acquiring modern equipment like C-Arm that would ease surgery and enable the hospital to break new grounds.
Speaking on the C-Arm device, Edmund Banwat, Chief Medical Director of JUTH, said that it cost ₦32 million, adding that more equipment was being acquired to improve service delivery and break new grounds.
Mr. Banwat said that a German NGO, Christofell Blind Mission (CBM), recently donated an operating microscope to be used by the ophthalmology (eye) department.
He said that the hospital was undertaking a free eye surgery for children, which would end in September , adding that children requiring glasses would equally receive them. He advised parents to take advantage of this opportunity to correct any defect in the eyes of their children.
Mr. Banwat, however, decried the poor funding of teaching hospitals, saying that much funds were required to purchase equipment, meet infrastructure needs, as well as for training and research.
JUTH is the main tertiary hospital in Plateau State, North-central Nigeria. It, like many other public hospitals, suffers from inadequate funding, which has led to insufficient personnel and equipment.