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Keywords surgery in Low and middle inco...

surgery in Low and middle income countries

https://read.qxmd.com/read/38468678/a-case-that-encapsulates-the-challenges-of-being-a-neurosurgeon-in-war-torn-countries-perspectives-from-iraq
#21
Yara Alfawares, Mustafa Ismail, Vishan P Ramanathan, Norberto Andaluz, Samer S Hoz
BACKGROUND: The provision of healthcare services in Iraq has been negatively affected by a lack of resources, strained healthcare infrastructure, and low patient socioeconomic status. This paper describes a case of multiple intracranial aneurysms (MIAs) that highlight the challenges of practicing vascular neurosurgery in Iraq. CASE DESCRIPTION: A 57-year-old female presented with sudden-onset severe headache, photophobia, and drowsiness and was diagnosed with subarachnoid hemorrhage in the basal cistern...
2024: Surgical Neurology International
https://read.qxmd.com/read/38466683/timing-of-surgery-in-acute-deep-partial-thickness-burns-a-study-protocol
#22
JOURNAL ARTICLE
Roos F C Salemans, Denise van Uden, Margriet E van Baar, Tjitske M Haanstra, Carine H M van Schie, Paul P M van Zuijlen, Ymke Lucas, Sonja M H J Scholten-Jaegers, Annebeth Meij-de Vries, Fiona M Wood, Dale W Edgar, Inge Spronk, Cornelis H van der Vlies
For deep partial-thickness burns no consensus on the optimal treatment has been reached due to conflicting study outcomes with low quality evidence. Treatment options in high- and middle-income countries include conservative treatment with delayed excision and grafting if needed; and early excision and grafting. The majority of timing of surgery studies focus on survival rather than on quality of life. This study protocol describes a study that aims to compare long-term scar quality, clinical outcomes, and patient-reported outcomes between the treatment options...
2024: PloS One
https://read.qxmd.com/read/38463379/first-experience-in-laparoscopic-surgery-in-low-and-middle-income-countries-a-systematic-review
#23
JOURNAL ARTICLE
Rebekka Troller, Jasmine Bawa, Olivia Baker, James Ashcroft
BACKGROUND: Laparoscopic surgery has reduced morbidity and mortality rates, shorter postoperative recovery periods and lower complication rates than open surgery. It is routine practice in high-income countries and is becoming increasingly common in countries with limited resources. However, introducing laparoscopic surgery in low-and-middle-income countries (LMIC) can be expensive and requires resources, equipment, and trainers. AIM: To report the challenges and benefits of introducing laparoscopic surgery in LMIC as well as to identify solutions to these challenges for countries with limited finances and resources...
February 27, 2024: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38463130/barriers-to-accessing-neurosurgical-care-in-low-and-middle-income-countries-from-africa-editorial
#24
EDITORIAL
Inibehe I Okon, Aymar Akilimali, Muhammad Furqan, Fadele K Precious, Tolulope J Gbayisomore, Oday Atallah, Micheal O Erhayanmen, Ekpenyong C Christopher, Florence Umutoni, Menelas Nkeshimana, Don E Lucero-Prisno
No abstract text is available yet for this article.
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38463098/microsurgical-treatment-of-posterior-circulation-aneurysms-an-institutional-experience-from-nepal
#25
JOURNAL ARTICLE
Mohan Raj Sharma, Susmin Karki, Amit B Pradhanang, Gopal Sedain
BACKGROUND: Management strategies and outcomes of patients with posterior circulation aneurysms are varied due to uncertainty in the optimal treatment modality and limited experience of neurosurgeons. Data are scarce regarding patients with posterior circulation aneurysms from developing countries. This study aims to describe the clinical characteristics, management strategies and outcome of patients with these aneurysms treated microsurgically in an academic institute in Nepal. METHODS: The clinical records of patients confirmed to have posterior circulation aneurysms treated microsurgically between July 2014 and July 2022 were retrospectively reviewed...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38462924/advancing-pediatric-perioperative-care-in-india-a%C3%A2-contemporary-overview
#26
REVIEW
Ekta Rai, Elsa Varghese, Sandhya Yaddanapudi, Rajeev S Iyer
BACKGROUND: In the last 30 years, significant advances have been made in pediatric medical care globally. However, there is a persistent urban-rural gap which is more pronounced in low middle-income countries than high-income countries, similar urban-rural gap exists in India. While on one hand, health care is on par or better than healthier nations thriving international medical tourism industry, some rural parts have reduced access to high-quality care. AIM: With this background, we aim to provide an overview of the present and future of healthcare in India...
March 11, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38460816/embracing-exoscope-in-the-arsenal-of-spine-surgeons-in-the-low-and-middle-income-countries
#27
JOURNAL ARTICLE
Anand Kumar Das, Saraj Kumar Singh, Suraj Kant Mani, Mainak Sinha, Ajay Gupta
INTRODUCTION: Exoscope (EX) is a device that combines the convenience of an endoscope with the image clarity of an operating microscope (OM) to fill the void between the two. This study aims to compare the 2D EX with OM in spine surgeries and to explore its utility and feasibility in small and peripheral hospitals of low- and middle-income countries. METHODS: 82 patients with intradural spinal tumors (extramedullary and intramedullary) aged more than 18 years were included between August 2021 to August 2023...
March 7, 2024: World Neurosurgery
https://read.qxmd.com/read/38460454/covid-19-and-mortality-in-the-global-surgical-population-a-systematic-review-and-meta-analysis
#28
REVIEW
Prisca Obidike, Allison Chang, Olivia Calisi, Jungeun J Lee, Paddy Ssentongo, Anna E Ssentongo, John S Oh
INTRODUCTION: To date, no systematic review or meta-analysis has comprehensively estimated the risk of mortality by surgery type on an international scale. We aim to delineate the risk of mortality in patients with COVID-19 who undergo surgery. METHODS: PubMed (MEDLINE), Scopus, OVID, the World Health Organization Global Literature on Coronavirus Disease, and Corona-Central databases were searched from December 2019 through January 2022. Studies providing data on mortality in patients undergoing surgery were included...
March 8, 2024: Journal of Surgical Research
https://read.qxmd.com/read/38459903/erratum-to-accuracy-of-the-wound-healing-questionnaire-in-the-diagnosis-of-surgical-site-infection-after-abdominal-surgery-in-low-and-middle-income-countries
#29
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
March 2, 2024: British Journal of Surgery
https://read.qxmd.com/read/38452645/a-rare-case-of-gastro-intestinal-stromal-tumor-presented-with-hematemesis-and-severe-anemia-from-a-low-and-middle-income-country
#30
Md Saiful Islam, Abhigan Babu Shrestha, Fahmida Rimti, Suju Bhattarai, Md Raihan Kabir Ziko, Barsha Pantha
INTRODUCTION AND IMPORTANCE: Gastrointestinal stromal tumors (GISTs) are rare mesenchymal tumors with varied clinical presentations. This case report highlights the significance of recognizing atypical GIST presentations, such as hematemesis, especially in resource-limited settings. CASE PRESENTATION: A 52-year-old male from an economically disadvantaged background presented with hematemesis and severe anemia. Initial investigations suggested iron deficiency anemia, but further evaluation revealed a gastric mass, raising suspicion of GIST...
March 4, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38451500/design-and-usability-of-an-open-source-low-cost-flexible-laryngoscope-for-resource-limited-settings
#31
JOURNAL ARTICLE
Yashes Srinivasan, David Shamritsky, Asmita Bhatta, Ellaine Chou, Trang Pham, Yashi Sanghvi, Lily Woolf, Michael Zhang, Eseosa Odigie, Clemence Chidziva, Erasmus Muganda, Priscilla Zimani, Newton de Faria, Anaïs Rameau
IMPORTANCE: Endoscopes are paramount to the practice of otolaryngology. To provide physicians in low-middle-income countries with adequate tools to treat otolaryngologic problems, it is necessary to create a low-cost sustainable option. OBJECTIVE: To describe the design and usability of an open-source, low-cost flexible laryngoscope that addresses the lack of affordable and accessible methods for otolaryngologic visualization in resource-limited settings. DESIGN, SETTING, AND PARTICIPANTS: This quality improvement study used a mixed-methods approach, including a technical description of device design as well as quantitative and qualitative survey evaluation of device usability...
March 7, 2024: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/38450692/factors-influencing-outcome-in-patients-with-perforated-peptic-ulcer-disease-at-a-south-african-tertiary-hospital
#32
JOURNAL ARTICLE
J J Nanack, L Ferndale
BACKGROUND: Perforated peptic ulcer (PPU) is associated with significant morbidity and mortality, particularly in low to middle income countries. This study aimed to scrutinise the clinical course of patients diagnosed with PPU and identify modifiable factors to improve outcomes. METHODS: A retrospective review of the hybrid electronic medical record (HEMR) database at Grey's Hospital was performed. All patients diagnosed with PPU between January 2013 and December 2020 were entered into the study...
November 2023: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://read.qxmd.com/read/38450342/treatment-acceptance-and-its-associated-determinants-in-cancer-patients-a-systematic-review
#33
JOURNAL ARTICLE
Rima Novirianthy, Maimun Syukri, Soehartati Gondhowiardjo, Rachmad Suhanda, Marty Mawapury, Agung Pranata, Teuku Renaldi
Treatment recommendations for cancer patients are carried out according to clinical assessment, type and stage of cancer and treatment guidelines. However, many patients do not accept the recommendations. This raises obstacles in managing of cancers, which not only affects the patients, but also the family and people around the patients. This problem could increase morbidity, mortality and recurrence rate, which might result in lower quality of life. Since this condition is a complex problem, there is necessity to explore and determine various determinants from different levels...
December 2023: Narra J
https://read.qxmd.com/read/38440052/erratum-to-exploring-the-cost-effectiveness-of-high-versus-low-perioperative-fraction-of-inspired-oxygen-in-the-prevention-of-surgical-site-infections-among-abdominal-surgery-patients-in-three-low-and-middle-income-countries-bja-open-7-2023-100207
#34
Mwayi Kachapila, Mark Monahan, Adesoji O Ademuyiwa, Yakubu Momohsani Adinoyi, Bruce M Biccard, Christina George, Dhruva N Ghosh, James Glasbey, Dion G Morton, Osaheni Osayomwanbo, Rupert Pearse, Tracy E Roberts, Atul Suroy, Saidu Yusuf Yakubu, Raymond Oppong
[This corrects the article DOI: 10.1016/j.bjao.2023.100207.].
March 2024: BJA Open
https://read.qxmd.com/read/38437056/an-analysis-of-participant-preferences-regarding-virtual-versus-in-person-format-of-orthopaedic-surgery-educational-materials-in-low-and-middle-income-countries
#35
JOURNAL ARTICLE
Michael J Flores, Kelsey E Brown, Madeline C MacKechnie, Jamieson M O'Marr, Patricia Rodarte, David W Shearer
INTRODUCTION: The University of California, San Francisco Institute for Global Orthopaedics and Traumatology Surgical Management and Reconstructive Training (SMART) course has instructed orthopaedic surgeons from low-resource countries on soft-tissue reconstruction. Before the COVID-19 pandemic, the course was conducted in-person; however, it was transitioned to a virtual format during the pandemic. The aim of this study was to determine participant preferences regarding a virtual or in-person SMART course format...
March 1, 2024: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/38433864/rural-trauma-team-development-training-amongst-medical-trainees-and-traffic-law-enforcement-professionals-in-a-low-income-country-a-protocol-for-a-prospective-multicenter-interrupted-time-series
#36
JOURNAL ARTICLE
Herman Lule, Michael Mugerwa, Robinson SSebuufu, Patrick Kyamanywa, Jussi P Posti, Michael L Wilson
BACKGROUND: Road traffic injuries and their resulting mortality disproportionately affect rural communities in low-middle-income countries (LMICs) due to limited human and infrastructural resources for postcrash care. Evidence from high-income countries show that trauma team development training could improve the efficiency, care, and outcome of injuries. A paucity of studies have evaluated the feasibility and applicability of this concept in resource constrained settings. The aim of this study protocol is to establish the feasibility of rural trauma team development and training in a cohort of medical trainees and traffic law enforcement professionals in Uganda...
March 2024: International journal of surgery protocols
https://read.qxmd.com/read/38414749/challenges-in-treating-children-with-optic-pathway-gliomas-an-18-year-experience-from-a-middle-income-country
#37
JOURNAL ARTICLE
Jorge Luis Ramírez-Melo, Daniel C Moreira, Ana Luisa Orozco-Alvarado, Fernando Sánchez-Zubieta, Regina M Navarro-Martín Del Campo
INTRODUCTION: Patients with optic pathway gliomas (OPG) have good survival rates although their long-term quality of life can be affected by the tumor or treatment-related morbidity. This retrospective study sought to describe the clinical presentation and outcomes of children with OPG at a tertiary center in Mexico. METHODS: Consecutive patients <18 years-of-age with newly diagnosed OPG between January 2002 and December 2020 at the Hospital Civil de Guadalajara Dr...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38410336/clinical-characteristics-and-outcomes-of-neurosurgical-patients-at-a-level-iii-intensive-care-unit-in-pakistan-a-retrospective-cohort-study
#38
JOURNAL ARTICLE
Atqua Sultan, Muhammad F Khan, Muhammad Sohaib, Faisal Shamim
Objective Neurosurgical patients account for the majority of cases across all surgical specialties that are admitted to the surgical intensive care unit (ICU) at our institution. The goal of this study was to analyze factors leading to ICU admission, type of neurosurgical intervention, length of ICU/hospital stays, and outcomes in terms of complications and ICU and in-hospital mortality. Methods This retrospective study conducted at the surgical ICU, Aga Khan University Hospital, investigated clinical data of neurosurgical patients admitted between January 2020 and June 2022...
January 2024: Curēus
https://read.qxmd.com/read/38409082/the-global-burden-of-cervical-cancer-requiring-surgery-database-estimates
#39
JOURNAL ARTICLE
Emma R Allanson, Syed Nabeel Zafar, Chidinma P Anakwenze, Kathleen M Schmeler, Edward L Trimble, Surbhi Grover
BACKGROUND: Scaling up surgical services for cervical cancer in low and middle income countries requires quantification of the need for those services. The aim of this study was to estimate the global burden of cervical cancer for which access to surgery is required. METHODS: This was a retrospective analysis of publicly available data. Cervical cancer incidence was extracted for each country from the World Health Organization, International Agency for Research, Global Cancer Observatory...
February 26, 2024: Infectious Agents and Cancer
https://read.qxmd.com/read/38404722/mechanical-valve-replacement-for-patients-with-rheumatic-heart-disease-the-reality-of-inr-control-in-africa-and-beyond
#40
JOURNAL ARTICLE
Peter Zilla, Paul Human, Tim Pennel
The majority of patients requiring heart valve replacement in low- to middle-income countries (LMICs) need it for rheumatic heart disease (RHD). While the young age of such patients largely prescribes replacement with mechanical prostheses, reliable anticoagulation management is often unattainable under the prevailing socioeconomic circumstances. Cases of patients with clotted valves presenting for emergency surgery as a consequence of poor adherence to anticoagulation control are frequent. The operative mortality rates of reoperations for thrombosed mechanical valves are several times higher than those for tissue valves, and long-term results are also disappointing...
2024: Frontiers in Cardiovascular Medicine
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