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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Rural surgery in southern Sudan
World Journal of Surgery, Volume 30, No. 4, Year 2006
Notification
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Description
Introduction: This article reports a retrospective analysis of a 6-year experience of providing surgical care in remote areas of southern Sudan under extremely adverse conditions. Methods: Teams of expatriate consultants (surgeon, anesthetist, scrub nurse) carried out 28 "surgical missions" with the aims of treating surgical cases previously selected and of training local personnel in basic surgery on the job. Results: A total of 1642 patients (71% males, 30% under the age of 16) have undergone an operation. Altogether, 1264 elective procedures (77%) and 378 emergency procedures (23%) were performed. Hernia surgery comprised the main workload, followed by proctologic and gynecologic operations. Most operations were performed under spinal anesthesia. Other cases required ketamine, and a small number of patients had local anesthesia. There were 14 fatal complications, most of them related to the delay in obtaining medical attention. Based on the training results, the Sudanese personnel of two of the five health centers involved in the program are already fully autonomous. Two doctors and two nurses are proficient in essential surgery; two not qualified nurses are proficient in "primary" anesthesia; and others are proficient in scrubbing and surgical nursing. Conclusions: This report demonstrates that it is feasible to establish surgical services in rural areas of developing countries by utilizing simple facilities, providing them with basic equipment, and employing local personnel selected and trained on the job by teams composed of a consultant surgeon, anesthetist, and scrub nurse. This seems to be the only realistic possibility for providing surgical care to the rural populations of the least developed countries. © 2006 by the Société Internationale de Chirurgie.
Authors & Co-Authors
Meo, Giuseppe
Sudan
Program Surgery in Remote Areas of Sudan
Italy, Torino
Comitato Collaborazione Medica
Andreone, Dario
Italy, Orbassano
Azienda Ospedaliera S. Luigi Gonzaga
De Bonis, Umberto
Italy
Anaesthetist Ospedale Civile
Cometto, Giorgio
Somalia, Nairobi
Nairobi Office for Sudan
Enrico, Stefano
Italy, Orbassano
Azienda Ospedaliera S. Luigi Gonzaga
Giustetto, Guido
Italy, Turin
Università Degli Studi Di Torino
Kiss, Alberto
Italy, Bologna
Ospedale Maggiore
Landra, Marino
Italy, Cuneo
Azienda Ospedaliera S. Croce e Carle
Palmas, Maria
Italy, Oristano
Ospedale Civico Di Ghilarza
Sacchi, Laura
Italy, Turin
Ospedale S. Croce-moncalieri
Taliente, Peter
Italy, Sondrio
Ospedale Morelli Di Sondalo
Vergnano, Guido
Italy, Bologna
Ospedale Maggiore
Statistics
Citations: 75
Authors: 12
Affiliations: 11
Identifiers
Doi:
10.1007/s00268-005-0093-y
ISSN:
03642313
e-ISSN:
14322323
Research Areas
Health System And Policy
Study Design
Cohort Study
Study Locations
Sudan