Department of Orthopaedic Surgery, Nuffield Orthopaedic Centre, Oxford University, Windmill Road, Oxford, OX3 7LD, UK.
World J Surg. 2011 Feb;35(2):262-71. doi: 10.1007/s00268-010-0885-6.
This is a review of recently published literature on surgery in tropical Africa. It presents the current state of surgical need and surgical practice on the continent. We discuss the enormous burden of surgical pathology (as far as it is known) and the access to and acceptability of surgery. We also describe the available facilities in terms of equipment and manpower. The study looked at the effects of the human immunodeficiency virus, the role of traditional healers, anesthesia, and the economics of surgery. Medical training and research are discussed, as are medical migration out of Africa and the concept of task shifting, where surgical procedures are performed by others when surgeons are not available. It closes with recommendations for involvement and action in this area of great global need.
这是一篇关于热带非洲外科手术的最新文献综述。它介绍了该大陆当前的外科需求和外科实践状况。我们讨论了巨大的外科病理学负担（就已知情况而言）以及获得和接受手术的情况。我们还描述了设备和人力方面的现有设施。该研究探讨了人类免疫缺陷病毒的影响、传统治疗师的作用、麻醉以及手术的经济学。还讨论了医学培训和研究，以及非洲以外的医学移民和任务转移的概念，即在没有外科医生的情况下，由其他人员进行外科手术。最后提出了在这一具有巨大全球需求的领域参与和行动的建议。
