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Preliminary Experience with Laparoscopic Surgery in Sudanese Low-Resourced Teaching Hospital
Current Issue
Volume 2, 2015
Issue 6 (December)
Pages: 94-98   |   Vol. 2, No. 6, December 2015   |   Follow on         
Paper in PDF Downloads: 34   Since Oct. 23, 2015 Views: 1676   Since Oct. 23, 2015
Authors
[1]
Mohammedsuror B. M. Alsammani, Department of Surgery, University of Gezira, Almanagil, Sudan.
[2]
Mohamed Alfatih A. Alhaj, Department of Surgery, University of Gezira, Almanagil, Sudan.
[3]
Awad Ali M. Alawad, Department of Surgery, Prince Sultan Armed Forces Hospital, Madina, KSA.
Abstract
Introduction: Laparoscopic surgery currently is a standard management tool of many surgical procedures; however it is still limited by low trained personnel and instrumental resources in many developing countries, especially in remote hospital with low resources. Objective: To assess the feasibility and outcome of introducing laparoscopic surgery in a remote low-resourced hospital. Methods: This is a retrospective descriptive study. All the patients who had laparoscopic surgery at Al Managil teaching hospital in Sudan between July 2013 and February 2015 were included in this study. The patients' demographic data, diagnosis, results of investigations and intra-operative findings were obtained from the records. Additional information extracted from the records was the duration of surgery, complications, and outcome and discharge periods. Results: A total of 296cases underwent laparoscopic procedures in the time and place of the study, including 134 cholecystectomies, 120 appendicectomies, and 42 variable procedures ranging from simple diagnostic laparoscopy to advanced procedures such as laparoscopic Nissen's fundoplication (1 patient) and splenectomy (1patient). Mean age of patients was 39.9 years. Male to female ratio in the study was 1:3.The conversion rate from laparoscopic to open surgery was 1.35% (4 patients). Mortality rate is Zero. Conclusion: Basic and advanced Laparoscopic surgery is feasible in remote low-resourced hospitals. Mortality, morbidity and conversion rates are comparable to some regional and international series.
Keywords
Laparoscopy, Low Resourced Hospital, Outcome
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