The Vice-Chancellor, Professor K.O. Adebowale, FAS, mni, cordially invites you to the 586th Inaugural Lecture, to be delivered by Professor Amos O. Adeleye of the College of Medicine, University of Ibadan (CoMUI).
TITLE: ADVERSITY. NEUROSUGERY. INNOVATIONS. IBADAN
DATE: THURSDAY, 10TH JULY, 2025
TIME: 3:00 P.M. West Central Africa
VENUE: TRENCHARD HALL, UNIVERSITY OF IBADAN
TO BE DELIVERED BY: PROFESSOR AMOS O. ADELEYE
Thank you
Prof. Temidayo Ogundiran FAS
Provost
586TH INAUGURAL LECTURE, UNIVERSITY OF IBADAN, BY PROFESSOR AMOS O. ADELEYE
Modern-day practice of neurological surgery is expensive due to its dependence on cutting-edge technology in advanced centers of the West. In contrast, the practice in Nigeria, as in most developing countries, is still plagued by the well-known, peculiar systemic challenges of our resource-constrained socio-demographics. Nevertheless, we strive to practice this same rarefied field of medical /surgical science in our austere milieu with an irrepressible spirit that seeks to meet the global standard-of-care metrics.
This Inaugural lecture, the 586th, is titled Adversity. Neurosurgery. Innovations. Ibadan. It proposes to showcase how we believe we are not wide of the mark in this pursuit.
Receiving his medical education here in the University of Ibadan, as well as his training in the surgical subspecialty of Neurosurgery in the University College Hospital, UCH, Ibadan, Professor Olufemi Adeleye, went further to observe a 2-year training in yet another subspecialty of Neurosurgery, which is Skull Base Surgery, for two years in Jerusalem, at Israel’s foremost center of medical education, the Hadassah-Hebrew University Medical Center, Department of Neurosurgery, Ein-Kerem Jerusalem. He also underwent several short stints at other prominent units in the West, Europe, and the United States of America, including Johns Hopkins University Hospital, Baltimore, Maryland, and Harvard Medical School, at the Children’s Hospital Boston, Massachusetts, USA. Returning home, to the University College Hospital (UCH), Ibadan, he began his academic neurosurgery journey as Lecturer I in the College of Medicine. He put a lot of the knowledge and skills acquired abroad to use, modified and adapted them to the local environment here, and often came up with innovative ways of delivering reasonably advanced care to his patients. This lecture features some instances of these innovations amid adversity here in Ibadan, Nigeria, in Neurosurgery.
In one instance, he converts the surgical treatment of compound depressed skull fracture from the usual multi-stage, at least double, to a single-stage surgical treatment. The same was done to the surgical treatment of compound complex frontal-orbital convexital skull fracture. Similarly, he treats well-selected cases of chronic subdural haematoma non-operatively; and when he chooses to operate, he innovated a much less disruptive surgical procedure, single frontal burr-hole craniostomy under local anaesthesia plus sedation, for the procedure.
Over time, he has devised other less-disruptive surgical procedures for certain neurosurgical conditions. One example is a nuanced practice of Awake Craniotomy in several patients, and this is in situations that pose fundamental logistic constraints. Another one is the use of an old neurosurgical technique of osteoplastic craniotomy to execute the procedure of hinged decompressive craniectomy, or hinged craniotomy, to try to surgically mitigate raised intracranial pressure.
Finally, this lecture also highlights the lecturer as the only known published academic neurosurgeon on the subject of non-shaved cranial surgery in all of the black-man's world.
In all, rigorously acquired clinical data are used to document the tolerable outcomes, some as good as those obtainable in much better-resourced units in the West, of many of the surgical innovations.