Mukhida Karim, Shilpakar Sushil K, Sharma Mohan R, Bagan Merwyn
Division of Neurosurgery, University of Toronto, Toronto, Ontario, Canada.
Neurosurgery. 2005 Jul;57(1):172-80; discussion 172-80. doi: 10.1227/01.neu.0000163429.92507.d4.
February 6, 2005, marks the 10th anniversary of the first neurosurgical procedure performed at Tribhuvan University Teaching Hospital, one of only a few tertiary-care hospitals in Nepal. Neurosurgery began at the hospital with the arrival of an American neurosurgeon to train Nepalese surgeons locally and, later, the return of these Nepalese surgeons to Kathmandu after subsequent fellowship training in the United States. This article traces the origins of neurosurgery in Nepal, outlines the specialty's development in Kathmandu at Tribhuvan University Teaching Hospital during the past decade from international education strategies, and describes the status of and challenges facing the provision of neurosurgical care in Nepal. The role of neurosurgical services in improving the health care status of populations in developing countries is considered. Neurosurgeons in developing and developed countries alike should continue to work to remedy the inequitable distribution of neurosurgical knowledge and services throughout the world.
2005年2月6日，是在特里布万大学教学医院开展首例神经外科手术的10周年纪念日，该医院是尼泊尔仅有的几家三级护理医院之一。神经外科在这家医院的起步，始于一位美国神经外科医生前来对尼泊尔外科医生进行本地培训，后来这些尼泊尔外科医生在美国接受后续进修培训后返回加德满都。本文追溯了尼泊尔神经外科的起源，概述了过去十年间该专业在加德满都特里布万大学教学医院基于国际教育策略的发展情况，并描述了尼泊尔神经外科护理服务的现状及面临的挑战。文中还探讨了神经外科服务在改善发展中国家民众医疗保健状况方面的作用。发展中国家和发达国家的神经外科医生都应继续努力，纠正全球神经外科知识和服务分配不均的状况。
