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With access to leading-edge diagnostic and treatment resources, as well as a total commitment to family-centered care, our consultant paediatrician is well-equipped to diagnose and treat common, everyday illnesses, as well as serious childhood diseases and conditions like cancer, diabetes and congenital heart disease.
There are several subspecialties in paediatrics and these include :
Neonatology – This area of paediatrics is concerned with the care of the newborn from birth to 28days of age. The neonatologist is commonly faced with such problems as perinatal asphyxia, neonatal jaundice, neonatal sepsis/infections and prematurity. Other problems encountered by the neonatologist include congenital abnormalities/deformoties, birth trauma and other myriad of problems that a neonate could present with.
Cardiology – Paediatric cardiology is concerned with the treatment of cardiac/heart problems. These cardiac problems could be congenital ( ‘born with it’) or acquired (occurring after birth) heart diseases. Common congenital heart diseases seen by the paediatric cardiologist include ventricular septal defect, atrial septal defect, patent ductus arteriosus, tetralogy of Fallot, transposition of great arteries etc. On the other hand common acquired heart diseases in paediatrics include acute rheumatic fever and rheumatic heart diseases, infective endocarditis, myocarditis etc. There are several less common cardiac diseases in paediatrics. The paediatric cardiologist works closely with cardiothoracic surgeons for repairs of structural heart defects.
Other paediatric subspecialties include emergency paediatrics,Pulmonology,Infectious diseases,Nephrology,Neurology,Haematology/oncology e.t.c
The Paediatrician consults between 8.00am to 12 noon and also from 5.00pm to 7.00pm Mondays to Fridays.
She is also available for emergencies outside these periods.
Our Obstetrics and Gynaecological Unit provides modern comprehensive diagnostic and treatment modalities in a caring environment for women throughout all seasons of life.
Our labour room has disposable delivery packs, oxygen supply, suction devices and other baby resuscitation equipment. There is a modern delivery bed and CTG machines which helps the labour room team monitor uterine contractions vis-a-vis blood supply to the fetus. Rupture of the uterus from excessive contractions can easily be prevented by using CTG to monitor progress of labour. It also helps to regulate the contractions to just what is required to push out the baby without disturbing the blood flow to the baby.
The two Gynaecologists in our service are keenly interested in Minimal Access Surgery, such as laparoscopic surgery and Infertility care, such as Invitro Fertilization (IVF).
Our Urology department is devoted to clinical excellence in urology care.
The problems we see in Urology include:
Gastroenterology is the specialty that is responsible for the care of people with medical or surgical problems in the alimentary tract. The liver is, anatomically and physiologically, part of the alimentary tract. The Physician Gastroenterologist is responsible for the care of patients with medical problems. Surgical problems like passage of blood per rectum or persistent vomiting, with or without blood, are best handled by the Surgeon.
Gastro-intestinal endoscopy services like oesophago-gastro-duodenoscopy and flexible colonoscopy are routinely available in Kelina Hospital.
Cardiology is a sub-specialty in internal medicine that deals with diseases of the heart and blood vessels (i.e cardiovascular diseases). It involves the diagnosis and treatment of conditions such as congenital heart defects, coronary artery disease, valvular heart disease, heart muscle disease, diseases of the pericardium, infiltrative conditions of the heart, heart failure, and cardiac electrophysiology. Other conditions dealt with in cardiology include hypertension, atherosclerosis, aneurysms, vessel dissection, deep vein thrombosis, and vasculitis (inflammation of blood vessels).
A number of diagnostic tests and procedures are specific to cardiology. These include electrocardiography (ECG), stress ECG, imaging studies such as trans-thoracic echocardiography, electrophysiologic studies, and cardiac catheterization. Blood tests relevant to the field of cardiology include cardiac enzyme assay, serum D-dimer levels, uric acid levels, serum cholesterol profile, BNP levels, clotting profile with INR, and blood gas analysis.
The most common problem managed by cardiologists in our environment is hypertension, with its complication of hypertensive heart disease. At Kelina hospital, a cardiologist is available for consultation by people who suspect they have cardiovascular disease, or those who actually have these diseases and need to be managed and followed up by a specialist. ECG is available on demand, and trans-thoracic echocardiography is performed by the cardiologist. A number of the aforementioned blood tests are also available to help optimize patient care, both on in-patient and out-patient basis.
Gynaecology is that aspect of medicine that manages the diseases of the female reproductive tract. There are different sub specialties of gynaecology.These include urogynaecology, fertility and oncology.
Gynaecological surgery can be open surgery or minimal assess surgery. They include myomectomy, total abdominal hysterectomy, vaginal hysterectomy, ovarian cystectomy, marsupialization, polypectomy, laparoscopy and dye test, diagnostic hysteroscopy, laparoscopic myomectomy, laparoscopic total abdominal hysterectomy, laparoscopcally assisted vaginal hysterectomy, laparoscopic ovarian hysterectomy, laparoscopic adhesiolysis, hysteroscopic myomectomy, hysteroscopic adhesiolysis, hysteroscopic polypectomy, open and laparoscopic bilateral tubal ligation. Various methods of fertility control (contraception) are also handled by the gynaecologist. Fertility management is also a crucial aspect of gynaecology and is taking varied dimensions in the present day medicine. Assisted reproductive technology is an aspect of gynaecologic practice that helps couples achieve conception when the natural method fails.
The available methods include invitro fertilization and embryo transfer (IVF-ET), intrauterine insermination (IUI), intracytoplasmic sperm injection (ICSI), testicular sperm aspiration (TESA), ovulation induction and timed intercourse (TI). Screening for gynaecological cancers such as PAP smear for cervical cancer are available in gynaecology department
The Paediatric Surgeon is responsible for treating most surgical problems in children and new born babies. Some of these problems are also treated by the Urologist, Orthopaedic Surgeon, Neurosurgeon, or Plastic Surgeon. But the Paediatric Surgeon is primarily involved in most surgical problems affecting the newborn baby or young children.
Children born with birth defects such as cleft lip or cleft palate, ectopia vesicae, anorectal anomalies (imperforate anus), oesophageal atresia and other congenial anomalies involving the alimentary tract, will require the services of the Paediatric Surgeon. Birth defects involving the heart, alimentary tract, reproductive system and urinary tract are very common.
In older children, tumours or cancers involving the kidney (Wilm’s tumour) or other organs begin to show up.
All surgical problems in children can be taken care of by the Paediatric Surgeon. The Paediatric Surgeon, however, shares some of these areas with the Orthopaedic Surgeon (talipes or club foot), the Urologist (hernias, genito-urinary defects or problems), the Cardiothoracic Surgeon (heart defects), the Neurosurgeon (defects involving the brain or spinal cord) and the Plastic Surgeon (musculo-skeletal defects requiring changing the appearance or functionality of an organ).
Endoscopic Surgery refers to surgery that is done through the natural orifices of the body, such as the mouth, the nose, the ear, the anus or the urethra, without opening up the body. For this to be possible, the instruments have to be soft or highly lubricated to avoid injury through these organs. They also have to be smaller than the caliber of the organs they are passed through. The beauty of these surgery is that there is no wound left on the skin, and patient can sometimes go home the same day and return to work the next day. The disadvantage is that the requisite equipment is very expensive and not available in many hospitals and not many doctors are trained to safely carry out these procedures. This makes the procedures very expensive.
The following endoscopic surgical procedures are available in Kelina Hospital:
In laparoscopic surgery, tiny puncture openings are made on the body surface with a needle and then the openings are stretched until stiff tubes the size of a biro are passed through these openings into the body. Usually a special gas is insufflated into the cavity inside to create a space between the organs inside and the skin. This way, as instruments are passed through the tube that has been created, they do not come in contact with the organs within until tiny cameras, mounted within the next instruments, can be passed through the channel created to visualize the internal organs. The instruments carrying the camera are connected to a large screen. This way, the Surgeon can determine exactly under vision which organ he is seeing and surgery can be safely done without damaging the adjoining organs.
At the moment, Cholecystectomy, appendicectomy, uterine fibroids, and ovarian cysts are done laparoscopically in Kelina Hospital.
The Dentist is available 8am to 5pm Monday to Friday. She is also available in the weekends but for emergencies only.
We have several equipment to back up the work of the Dentist, including Dental X-ray machine, Autoclave, Amalgamator and Curing Light.
The Dental Chair is automated, and can store pictures of procedures before and after treatment.
The Clinic offers the following services:
Kelina Hospital offers General Surgical services delivered by well trained surgeons with broad experience in the field.
Some of our work includes breast disease management and breast cancer screening, endocrine surgery both open and laparoscopic, gastrointestinal surgical disease management both open and laparoscopic, endoscopic surgery ( balloon dilatation of strictures, polyps snaring, sclerosant injections, variceal banding as well as diagnostic upper and lower gastrointestinal endoscopy).
We treat skin tumors, both benign and malignant and offer some plastic reconstruction of skin defects and ulcers. We repair anterior abdominal wall hernias with natural tissue as well as the use of mesh reinforcement. Patient management is wholistic and involves multidisciplinary and multimodal approach and in Kelina we avail ourselves of the availability of widespread Specialist thereby striving to attain the current best practice. Our quest is for minimal access surgery using modern technology with a wide support base.
Our radiologists use multiple technologies to perform various scans that help to identify diseases, pinpoint the location of tumors and foreign bodies, thereby guide surgical procedures or monitor the progress of treatment.
The following are available in our Radiology service
We have over 1000 variety of drugs in stock. It is very unusual to have prescription that is unavailable in the Pharmacy.
There are four (4) pharmacists and two (2) assistants in the services of Kelina Hospital.
The Pharmacy is open 24 hours, 7 days in a week, with a Pharmacist on duty round the clock. Drugs are sold to inpatients and outpatients, as well as patients from other hospitals with prescriptions.
The Pharmacy also supplies vaccines for over 10 immunizable diseases.
We have a consultant ENT Surgeon.
The ENT specialty takes care of a wide variety of diseases affecting the ear, nose and throat, ranging from infections (like otitis media, otitis externa, pharyngotonsilitis, rhinosinusitis) to tumours and growths in the ear, nose and throat.
The practice takes care of removal of impacted wax and foreign bodies from the ear, nose and throat as well as management of nasal allergies, deafness and vertigo (dizziness).
We also do a variety of minor and immediate surgery including antrostomies for chronic sinusitis, adenotosilectomy for children with difficult and noisy breathing as a result of airway obstruction from enlarged adenoids and tonsils.
Our laboratory is furnished with standard testing equipment as well as state-of-the art high-tech systems such as auto-analyzers that can concurrently and speedily perform several tests such as Liver function test, kidney function test, serum lipid profile, complete blood count, and blood sugar levels. Most of our patients sit down and wait for their results and then complete their consultation and go home, rather than go home and come back again for review of laboratory results. This is the type of service and efficiency of operations that we intend to keep as a trademark of Kelina.
Whether patients require a hospital stay or outpatient care, the nurses at the Kelina Hospital are uniquely qualified to provide compassionate care during every phase of treatment.
Our nursing care is fuelled by the compassion and clinical expertise of several staff members including RNs (Registered Professional Nurses), RMs (Registered Midwives), RNM (double-qualified, the majority of our Nurses) and STs (Surgical Technicians).Our Nurse-to-patient bed ratio in Kelina Hospital is 2:1, much better than the WHO requirement of 1:4.
As a patient, you can expect the nursing staff to manage your immediate symptoms including control of pain, to educate you and your family regarding your illness and your medications and to assist in planning for your discharge.
With brand new anaesthetic machines and patient monitors, electrosurgical equipment, endoscopes, multiple safety measures e.g. 2 theatre lights with one on UPS, spare anaesthetic machine, multiple suction machines, spare diathermy machines, piped oxygen supply, ventilator.
If a critically ill patient needs to be transported to the hospital from their home, office, or in-between, we have a modern sophisticated ambulance to do the job. Designed and built in the US to the highest standards, our ambulance has the capacity to continuously supply oxygen to the patient between any 2 towns in this country. We also have other life-support facilities for patients that are unconscious, and equipment to monitor vital signs and assist on-board caregivers. We also have a spinal board for moving spinal-injured patients. Minor surgical operations can be performed inside the ambulance while moving dire emergencies from accident scene to hospital. Up to 3 patients can be transported and supplied with oxygen simultaneously.
There is a Nephrologist available in the services of Kelina Hospital. He consults in the evenings. Nephrology is the branch of medicine that is responsible for medical treatment of kidney diseases, while the Urologist is responsible for surgical treatment.
Kidney transplant programmes cannot thrive in the absence of the Nephrologist. The Nephrologist is in charge of dialysis for patients who have medical problems responsible for kidney failure. If the cause of kidney failure is surgical, it could be cured permanently sometimes without the need for continuous dialysis. It is important for all patients in kidney failure to see both the Urologist and the Nephrologist before a final decision is taken to continue with dialysis. Once in a while, kidney stones in both kidneys are responsible for the kidney failure. If such stones are taken out, the patient can sometimes recover fully. If there is any evidence of hydronephrosis (kidney distension with water or urine that cannot pass out), the patient is most likely to have obstruction in the urinary tract. If such obstruction is relieved, he could fully recover from kidney failure and have no need for further dialysis.
Lithotripsy is a process by which kidney stones or stones formed naturally in any part of the urinary tract can be pulverized and the particles automatically flushed out without the need for open surgical operation. Our Holmium laser is capable of zapping any type of stone in the urinary tract. While the laser remains the most effective lithotripter, not all patients may be suitable candidates for this approach. For this reason, we have also installed two other lithotripsy technologies, to ensure the most effective treatment for the most patients.
In January 2015, Kelina Hospital launched the first Swiss Lithoclast Master in Nigeria. This machine is the most powerful and fastest technology for stone treatment or lithotripsy.
Ultrasonic lithotripsy focuses high frequency sound waves on a kidney stone to break it up into tiny pieces that are easily and safely removed. Ultrasonic lithotripsy is most useful where the stones are rather large and equipment expending minimal energy like the calcuson would cause the least damage to surrounding kidney structures. To our knowledge, Kelina is the first hospital in Nigeria to acquire this technology, and its effectiveness is nothing but splendid.
Apart from the Calcuson, which is purely an ultrasonic lithotripter, in January 2015, Kelina Hospital launched the first Swiss Lithoclast Master in Nigeria. This machine is the most powerful and fastest technology for stone treatment or lithotripsy. It combines both ultrasonic and pneumatic technology in one.
Lithotripers based on pneumatic technology are best suited for stones in the lower part of the urinary tract, or large stones in the kidney, especially when it is necessary to use a semi-rigid or rigid endoscopes to visualize the stone as part of the procedure. By acquiring these three lithotripters with complementary technologies and use situations, we are in a position to tackle virtually any type, size, and location of stones in the urinary tract.
It is for this reason that Kelina is gaining recognition as the "centre of gravity" for total kidney stone treatment in Nigeria.
This equipment is used to examine the oesophagus, stomach and duodenum. When a person complains of “stomach pain”, it is not easy to tell whether that indicates a simple ulcer or whether the pain is from cancer. It is equally difficult to specify the diagnosis when the patient starts passing blood in the stool or vomiting blood. This crucial equipment is used to assess the exact nature of the problem, removing mere dependence on guesswork. The equipment can also take biopsy samples to be used for detailed lab analysis by the Pathologist who could then make an accurate diagnosis of the exact problem to enable appropriate treatment. Without an accurate diagnosis, cancer can be missed, and treatment for ulcer could be futile.
This equipment is used to examine the large intestine or colon, another part of the body where cancers occur very commonly. Indeed, colon cancers can be very aggressive and deadly, yet can be fully treatable if diagnosed in time. In much of the developed world, colonoscopy is performed as part of an annual or routine physical exam in persons aged 50 years and over. Kelina has brought this technology home. As with the deodenoscope, biopsy samples can be taken with the colonoscope as well, so as to obtain additional information from detailed laboratory analysis.
"Kelina Hospital has two systems from the best companies worldwide for uretero-renoscopy. Patients can have video copies of all their endoscopic procedures here in Kelina Hospital.
If kidney stones are suitable for this technology, patients can actually have their surgery and go home the same day or the next day.
This is used for resection of Posterior Urethral Valves in children. Some male children are born with these useless valves right from their mothers’ wombs. The valves disturb urination. The entire urinary tract often gets distended with urine, and without treatment, the children end up in kidney failure.
Kelina Hospital has two theatre suites with brand new anaesthetic machines, patient monitors, and piped oxygen delivery systems as well as piped gasses for laparoscopic surgery. Our Operating Room is about the most sophisticated and equipped of all private hospitals in Abuja. We have never lost any patient in our Operating Room since this hospital opened. All our anaesthesia is administered by the Consultant Anaesthesiologist and all our surgery are done by the Consultant (Specialist) Surgeons only.
Our labour room is one of the few in Abuja with a functional CTG machine. We have brand new delivery bed, disposable delivery packs, baby resuscitator, oxygen, resuscitation equipment. Here in the picture you can see the Kelina Hospital Labour Room with CTG machine, oxygen supply, disposable delivery packs
Bipolar Transurethral Resection of the Prostate(TURP) is superior to monopolar TURP. Instead of hypotonic solutions used for monopolar TURP, normal saline is used. Hypotonic solutions like glycine and 5% dextrose saline tend to get absorbed into the circulation and cause swelling of the brain and lysis of red blood cells. A syndrome called TURP syndrome with devastating consequences on the patient can easily develop especially when resecting large prostate glands.
From the beginning, Kelina started prostate surgery with bipolar TURP, and our equipment were perhaps the first to be installed in Nigeria. Using bipolar equipment, even very large prostates can be resected successfully. The bleeding or transfusion rate is less. At the moment, we transfuse only 2 out of 10 patients. Complication rates are also less. Very feeble patients tend to withstand bipolar resection better than monopolar.
In January 2015, Kelina Hospital launched the first Swiss Lithoclast Master in Nigeria. This very powerful machine is a combination of ultrasonic and pneumatic lithotripsy. We will be able to do stones at a much faster rate and patients will be spending the least time in the operating room when we use the best technology for the job, as found in the best hospitals around the world. .
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