The surgical specialty units include:
I. General Surgery Gastroenterology,
(i) Upper GI & Pancrease and Liver
II General Surgery Endocrinology/Oncology,
III Cardiothoracic Surgery,
IV Paediatric Surgery,
V Accident/Trauma and Surgery,
VI Urology Neurosurgery,
In addition Sub-special areas where special procedure are carried out:
A. Laparoscopic procedure
B. GI Endoscopy
Working Days & Hours:
Monday To Sunday (24 Hours)
In Various Departments
Brief History of the Department
The functional organization of the Department of Surgery for service, teaching and research is based on recognized surgical specialty units, each unit headed by one or more consultant surgeons who hold academic appointment in the University of Benin.
Professors, Associate Professors, Senior Lecturers, Lecturers I are lecturers primarily employed by the University of Benin and hold honorary consultant appointments with the University of Benin Teaching Hospital. To each specialty unit is assigned on a rotating basis, resident doctors primarily employed by the University of Benin Teaching Hospital.
The Department is organized for service, teaching and research on the basis of surgical specialty units to satisfy relevant needs, for example:
1. The need to provide full coverage of surgical services to the community based on specialties in a teaching hospital setting.
2. The need to afford consultants and residents opportunities to carry out meaningful research on specialty basis and publish in well defined areas of specialisation.
3. The need to provide appropriate teaching/learning experiences for undergraduate medical students on specialty basis to satisfy the requirements of the new regulations curriculum and syllabus in surgery for the MBBS examinations of the University of Benin.
4. The need to utilize these units as nuclei for the establishment of academic postgraduate surgical programmes as required by the University of Benin to be based in the School of Postgraduate Studies.
5. The need to satisfy the requirements for the training and Examinations of various Medical Colleges for higher surgical training, in particular, the Nigerian Postgraduate Medical College and The West African College of Surgeons.
Appraisal of Standard of Degree Examination
The syllabus content covers the requirement for teaching/training students in surgery for the MBBS of University of Benin and in accordance with regulations of the National Universities Commission (NUC) and the Medical and Dental Council of Nigeria.
The course contents ensure that all aspects are covered, and all staff ace involved for all specialties and often overlap to ensure full coverage. In this regard extra tutorials and demonstrations are mounted and staff leave may be encroached on.
Regular continuous assessments are made with examinations, group assessments and clinical evaluations to ensure that the training is imparted and adequately absorbed. Students’ answers serve as good guide for evaluation of performances.
As with the policy of the university and the National Universities Commission (N UC) there is always involvement of External Professors from various universities in the country in the examination. They evaluate course contents, quality of examination questions and students’ answers to the various questions; participate in the final examinations in the Department including the conclusion and release of results.
As part of the Course of Surgery and especially in the Final Examination in Surgery for the M.B.,B.S. Degree other Departments affiliated are: Anaesthesiology, Orthopaedics, Ophthalmology, Radiology.
Administration and General Programme
The administrative and secretarial staffs of the Department are drawn from employees of the University of Benin and employees of the University of Benin Teaching Hospital.
The Head of Department of Surgery is appointed by the Vice-Chancellor of the University of Benin and is responsible to the Vice-chancellor through the Dean School of Medicine and the Provost College of Medical Sciences. He combines his duties as a Consultant Surgeon to the University of Benin Teaching Hospital with his academic duties as Professor of Surgery in the University of Benin. In addition, he performs administrative duties at high managerial level for the efficient day to day and overall smooth running of a large department whose commitments straddle the provision of high level surgical services in a Teaching Hospital setting and academic excellence in a university setting.
(a) There is an organization structure of the department.
(b) All matters of the department and involving individuals in relationship to departmental affairs/development are discussed in departmental meetings. When details are required committees are set up by staff to obtain authentic information and reaching decisions.
(c) Staff development is encouraged. There is free flow of information within the meager resources of journal and library facilities for research, scientific publication and participation in seminars, conferences and relevant workshops.
(d) Staff promotion follows the regulation of the university’s appointments and promotions.
CURRENT STAFF LIST OF THE DEPARTMENT OF SURGERY
1 Prof. I. Evbuomwan
2 Prof. Festus Ogisi
MBBS, FRCSEdin, FMCS,FWACS
3 Prof M.N. Okobia
MBBS,FMCS,FWACS, MPH, PhD
4 Prof E.C. Ohanaka
Upper GI/Laparoscop Surgery
MBBS, FRACS, DMAC
5 Prof. S.O. Elusoji
MBBS, FMCS, FICS
6 Dr. O.C. Osime
MBBS, FMCS, MSc, DMAS
Email: clementosime @yahoo.com
7 Dr. M.I. Momoh
8 Dr. T.A. Njoku
9 Dr. T.C. Oguike
10 Dr. D. Osifo
MBBS, FWACS FICS
11 Dr. D.O. Udoh
MBBS, FWACS ,FICS
12 Dr. P.R.O.C. Adobamen
Ear,Nose,Throat,Head & Neck Surgery
FWACS, FMCORL, FRHD
13 Dr. S.U. Okugbo
14 Dr.G.A. Anyanhun
15 Dr. A.L. Okhakhu
FWACS, FMCORL, MBBS
16 Dr. E. Obarisiagbon
17 Dr. N.C. Onyeagwara
18 Dr. (Mrs) E.O. Emokpaire
19 Dr. P.N. Akumabor
Hospital Chief Consultant
20 Dr. E. Egwaikhide
Hospital Chief Consultant
21 Dr. J. Agbugui
23 Dr. O. Irowa
24 Dr. E. Okoro
25 Mrs. A. Airhunmwunde
HND Sec Admin., PGD Public Admin
26 Mrs. V.N. Eteri
SSCE,Diploma in Public Admin.,
50 WPM in Typewriting
27 Mrs. A. Eliboh
Snr. Lab. Supervisor
S. 75 Certificate
28 Miss E. Ekomwanredo
Chief Clerical Officer
29 Mrs. I. Oviasogie
First School Leaving Certificate
30 Mrs. M. E. Otokiti
Prim 6 Leaving Certificate
(a) Academic grievances are freely discussed between the concerned staff and Head of Department or at departmental meetings to obtain informed decisions.
(b) Staff is deployed as advisers to students who are placed in course groups but are free to reach their adviser individually.
Examinations in Surgery
Examinations are conducted along the guidelines stipulated by the Academic Board of The School of Medicine and the Senate of the University. All academic staff are fully involved in all aspects of all examination. Usually staff leave is not allowed during examinations.
Existing Curriculum for the Programme / in the Department
(a) Programme tide: Surgery courses for MBBS.
(b) Programme/philosophy and objectives
Lectures in topical subjects in surgery, clinical posting to all surgical specialties for bedside patient care, out-patients, operating theatre, emergency care, tutorials are mounted for further close staff-student discussions. Students are placed in groups. All students rotate through all the specialties. There is always end of posting evaluation.
Requirements are in accordance with the Regulations and processes of the University of Benin admissions into the MBBS degree course of the University of Benin.
Schedules of Surgical Tutorials and Lectures
General Surgery: Basic principles
Wounds; ulcers; sinuses; fistulae; inflammation; gangrene; wound healing; dressing. Wound infection; gram positive pyogenic cocci; gram negative pyogenic bacilli; anaerobic clostridia infection; tetanus; gas gangrene; cross infection; antibiotics; sterilization of instruments; investigation of postoperative fever. Metabolic response to injury, shock, haemorrhage, haemostasis, blood transfusion, fluid, electrolyte and acid-base balance; parenteral nutrition. Inguino-scrotal swellings, hernia, hydrocoele, testicular swellings, pididymitis.
General Surgery: Gastroenterology
Haematemesis and melaena, physiology of gastric secretion, gastric function tests, complications of gastric surgery. Peptic ulcer, Carcinoma of stomach, Gastrointestinal polyps, Primary and secondary liver tumors, Small and large intestinal obstruction, volvulus of sigmoid colon, intussusception.
Colostomy, ileostomy, faecal fistula, umbilical discharge, Ruptured spleen, blunt abdominal injury. Ascites, gall stones, bile duct strictures, surgical jaundice. Pancreatico-duodenal carcinoma, pancreatitis. Subphrenic abscess, Liver abscess, surgical complications of amoebiasis. Typhoid, Appendicitis, Tb. Abdomen. Rectal bleeding, anal pain, anal discharge, pruritus ani. Haemorrhoids, anal fissure, anorectal abscesses, fistula-in-ano, rectal prolapse. Inflammatory bowel disease. Diverticulitis. Colorectal polyps and carcinoma.
The differential diagnosis of acute abdominal pain. Non-surgical causes of abdominal pain.
General Surgery: Breast, Endocrines, Oncology
Breast abscess, nipple discharge,Benign tumours of the breast, malignant tumors of the breast. Salivary gland tumours, sialoadenitis, salivary gland calculi. Differential diagnosis of neck swellings, goiters. Thyrotoxicosis, carcinoma of the thyroid, thyroiditis, thyroidectomy, thyroid function tests. Surgical aspects of hypertension, phaeochromocytoma, Cushing’s disease, insulinoma, hyper-parathyroidism, apudoma. Tumors in general - classification; modes of spread, cytotoxic chemotherapy, irradiation, immune-therapy, hormonal therapy (ablative and additive); terminal care in inoperable malignancy. Reticulosis, Hodgkin’s disease, lymphosarcoma,
Cardiothoracic and Vascular Surgery
Dysphagia, oesophagitis, lye and other benign oesophageal strictures, achalasia, carcinoma of the oesophagus, oesophageal diverticula. Cardio-pulmonary resuscitation, extracorporeal circulation. Pulmonary tuberculosis, carcinoma of the lung, bronchiectasis, Heamoptysis, Varicose veins, lymphoedema, deep vein thrombosis, pulmonary embolism, pulmonary embolism, Portal venous hypertension, Oesophageal varices, Aneurysms. Acute and chronic occlusive disease of the major arteries (aorta, femoropopliteal, mesenteric, carotid, vertebro-basilar). Sympathectomy. Operations of the heart and heart Valves.
Haematuria, investigation of the urinary tract, renal, ureteric and bladder stone, bladder tumors. Retention of urine, benign prostatic hypertrophy,urethral structure, carcinoma of the prostate. Anuria: Renal failure, hydronephrosis, Renal tumors, perinephric abscess. Circumcision, unde-scended and maldescended testes, ectopia vesicae, congenital abnormalities of the kidneys, hypospadias, vesico-ureteeric reflux.
Immunology of transplantation: kidney, liver, heart and lung transplants,dialysis.
Tracheo-oesophageal fistula, infantile hypertrophic pyloric stenosis, intestinal atresia and stenoses, Hirschprung’s disease, ano-rectal anomalies, intussusceptions, urogenital abnormalities in infancy and childhood.
Plastic Surgery & Burns
Hare lip and cleft palate, thyroglossal cyst, bronchial cyst, Burns, skin graft, keloids, hypertrophic scars, Peripheral nerve injuries, Tendon injuries, Burns and cold injuries. Abscesses, wound infection, dressings, Peripheral nerve injuries, Tendon injuries, Burns and cold injuries, Abscesses,wound infection, dressings.
Otitis: epistaxis, tonsillitis, sinusitis, nasal and oropharyngeal tumors; tracheostomy.
Conjunctivitis, uveitis, glaucoma, red eye, cataract, tumors of the eye.
Osteomyelitis, hand infections, septic arthritis, bone and joint Tb, Melanoma Pedis. Polio myelitis, peripheral nerve injuries, low back pain, sciatica, Bone tumours, os-teomalacia, rickets, osteoporosis.
Classification of fractures, Complications of fractures, Principles of management of fractures, Common fractures of the upper limbs, Common fractures of the lower limb, Common fractures of the pelvis and shoulder girdle. Common fracture of the vertebral spine, Common dislocations and fractures at the shoulder, Common dislocations and fractures at the hip, Common dislocations and fractures at the knee, Common dislocations and fractures at the ankle, Common dislocations and fractures at the elbow Common dislocations and fractures at the wrist, Common dislocations and fractures of the hand and foot, plaster of Paris techniques, bandaging and elastoplasts, Strpping, splints, rehabilitation, physiotherapy and occupational therapy.
Trauma, multiple injuries, organisation of the accident and emergency (traumatology) unit. Mass casualties, Head injury, Blunt abdominal injuries & penetrating injuries to the abdomen, Chest injuries, flail chest, open and closed pneumothorax, Urinary trace injuries, Eye injuries, Ear, Nose and Throat injuries, Vascular injuries, Maxillofacial injuries, Spinal injuries.
The University of Benin Teaching Hospital has full accreditation for training a good number of House Officers, Doctors who have graduated from University of Benin and other Universities in the country and from other countries.
House Officers posted to Surgery spend 3 months (being part of the mandatory 12 months Housemanship requirement of the Nigerian Medical and Dental Council) rotating through General Surgery and Subspecialties. During the postings each House Officer participates in all clinical activities, including Out-patient clinics, in-patient care and procedure, emergency calls. Consultants in the Units ensure that the House Officer acquires adequate skills and ethical practice. At the end of the posting the House Officer is assessed and duly signed up towards the full registration by the Nigerian Medical and Dental Council.
RESIDENCY TRAINING PROGRAME:
The UBTH Department of Surgery has a full complement of Consultant Surgeons and Resident Doctors committed to professional training for the F.M.C.S., F.W.A.C.S. as well as Board Certification Examination of the Royal Colleges of Surgeons of the United Kingdom, the American College of Surgeons and the Canadian and European Colleges of Surgeons.
Currently, the Department has full accreditation for residency training by the Postgraduate Medical College and the West African College of Surgeons for Part I Examinations in Surgery in general, and for Part II (Final) Examinations in General Surgery, Paediatric Surgery, Urology, Otorhinilaryhgology (ENT) & Head & Neck
Resident Doctors are released by the Department on full sponsorship by the UBTH Management to attend update courses in various parts of the country. Resident Doctors are also released to do outside postings in the specialties where the Department has only partial accreditation (Orthopaedics, Cardiothoracic, Neurosurgery), both in the country and overseas (Ghana, Europe, India, South Africa)
Our surgical Residents have so far performed very well in the various statutory examinations of these bodies.
GENERAL ACTIVITIES OF THE DEPARTMENT
• Grand journal/guest lectures research in progress meeting will hold on alternate Tuesdays.
• Mortality /Morbidity and surgical pathology/meetings will hold on first Monday of the month.
• Journal club meeting will hold on alternate Fridays. Clinical services meeting (Nursing and Medical Staff) holds every Wednesday morning.
• Inter-departmental Clinical/Research Meetings hold alternate Wednesdays (Pathology, Radiology)
• Residents’ meeting with the Head of Department of Surgery holds once a month; Academic staff meeting holds once a month and other times as the activities and circumstances demand.
PAST AND PRESENT HEADS OF DEPARTMENT
Heads of Departments are usually appointed for tenure beginning July 1 of the year for three years (Professor); one year in case of non-professors renewable the following year.
1. DR. VICTOR O.N. ODIASE 1973-1975
2. DR. JOSEPH .O. AYANRU 1975-1977
3. DR. VICTOR O.N. ODIASE 1977-1979
4. PROF. FELIX A. OREHEWERE 1979-1982
5. PROF. FLORENCIO IKE IWEZE 1982-1985
6. PROF. REGINALD O. OFOEGBU 1985-1988
7. DR. SAMUEL O.A. DUVIE 1988-1989
8. DR. USIFO OSIME 1989-1991
9. DR. FESTUS O. OGISI 1991-1992
10. PROF. USIFO OSIME 1992-1995
11. PROF. REGINALD O. OFOEGBU 1995-1998
12. PROF. USIFO OSIME 1998-2001
13. DR. FESTUS O. OGISI 2001-2004
14. PROF. IYEKEORETIN EVBUOMWAN 2004-2007
15. PROF. CHIBUNDU E. OHANAKA 2007-2010
16. PROF. IYEKEORETIN EVBUOMWAN 2010- Current