Amponsah Gladys, Etwire Victor Kobby
School of Anaesthesia, Ridge Regional Hospital, Accra, Ghana.
Department of Surgery, Paediatric Surgery Unit of Korle-Bu Teaching Hospital, Accra, Ghana.
Afr J Paediatr Surg. 2018 Apr-Jun;15(2):80-83. doi: 10.4103/ajps.AJPS_114_16.
Conditions that are amenable to surgery are found globally. However, surgery is not easily accessible for most people in low- and middle-income countries due to physical and financial barriers, among others. One-way of mitigating against this situation is through surgical outreach programmes.
A paediatric surgical outreach in a teaching hospital in the Central Region of Ghana was carried out by a paediatric surgeon from Korle Bu Teaching Hospital. Data on the cases done from June 2011 to June 2014 were analysed.
A total of 185 patients had surgery during the study. There were 153 males with the mean age of 4.53 ± 3.67 years. Patients aged 1-5 years represented 51.9% of the patients. Twenty-four (13%) had major surgery and 161 (87%) had minor operations. The most common minor operation performed was inguinal herniotomy representing 47.2% of the cases. None of the patients had any complications.
The need for paediatric surgical outreach programme has been shown in this paper as well as its cost-effectiveness. With the current rate of graduation of paediatric surgeons in Ghana, paediatric outreach programmes will be needed in Ghana in the foreseeable future. This outreach should be extended to other regions of the country to cover a larger percentage of children in Ghana.
适合手术治疗的病症在全球范围内都有发现。然而,由于身体和经济等方面的障碍,低收入和中等收入国家的大多数人难以获得手术治疗。缓解这种情况的一种方法是通过外科外展项目。
来自科勒布教学医院的一名儿科外科医生在加纳中部地区的一家教学医院开展了一次儿科外科外展活动。对2011年6月至2014年6月期间进行的病例数据进行了分析。
在研究期间共有185名患者接受了手术。其中男性153名,平均年龄为4.53±3.67岁。1至5岁的患者占患者总数的51.9%。24例(13%)接受了大手术,161例(87%)接受了小手术。最常见的小手术是腹股沟疝修补术,占病例的47.2%。所有患者均无任何并发症。
本文显示了开展儿科外科外展项目的必要性及其成本效益。以加纳目前儿科外科医生的毕业率,在可预见的未来加纳将需要儿科外展项目。这种外展活动应扩展到该国其他地区,以覆盖加纳更大比例的儿童。