A Pilot Program of Mass Surgery Weeks for Treatment of Hydrocele Due to Lymphatic Filariasis in Central Nigeria

Gail Thomas The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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Frank O. Richards Jr The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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Abel Eigege The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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Nuhu K. Dakum The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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Martin P. Azzuwut The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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John Sarki The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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Ibrahim Gontor The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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Jacob Abimiku The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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Gladys Ogah The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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Munirah Y. Jindau The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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Jonathan Y. Jiya The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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Emmanuel S. Miri The Carter Center, Atlanta, Georgia; The Carter Center, Nigeria National Office, Jos, Plateau State, Nigeria; Jos University Teaching Hospital, Department of Surgery, Jos, Plateau State, Nigeria; Plateau State Ministry of Health, State Secretariat, Jos, Nigeria; Nasarawa State Ministry of Health, State Secretariat, Lafia, Nigeria; Public Health Department, Federal Ministry of Health, Garki, Abuja, Nigeria

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In a pilot program of mass surgery weeks (MSW) to provide hydrocelectomy services to men with filarial scrotal hydrocele, local general practitioners performed 425 surgical repairs in 301 men in five MSW in three rural Nigerian community hospitals between 2002 and 2005. The most common (94%) procedure used was the eversion technique, which was most familiar to the practitioners. Postoperative complications included hematoma (3.7%) and infection (3%), and there was one death from infection in an elderly man with previously unrecognized diabetes. In 115 patients (38%) followed for 1 to 3 years, the hydrocele recurrence rate was 7%. The eversion technique gives an acceptable outcome, and MSW are safe and effective if strict attention is paid to preoperative screening of candidates and asepsis.

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