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外科“狩猎”与教育项目:在尼日利亚开展国际心脏外科研讨活动的经验。

Surgical 'Safari' vs. Educational Program: Experience with International Cardiac Surgery Missions in Nigeria.

机构信息

Department of Surgery, National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.

Department of Surgery, Faculty of Medical Sciences, University of Nigeria, Ituku-Ozalla, Nsukka, Nigeria.

出版信息

Braz J Cardiovasc Surg. 2020 Dec 1;35(6):918-926. doi: 10.21470/1678-9741-2020-0155.

DOI:10.21470/1678-9741-2020-0155
PMID:33306318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7731857/
Abstract

INTRODUCTION

In any country, the development and growth of open-heart surgery parallel stable political climate, economic growth, good leadership, and prudent fiscal management. These were lacking in Nigeria, which was under a military rule. The enthronement of democratic rule, in 1999, has caused desirable changes. The objective of this study is to report our experience with foreign cardiac teams that visited the National Cardiothoracic Center of Excellence, University of Nigeria Teaching Hospital, for seven years, in order to restart its open-heart surgery program.

METHODS

To achieve the desired open-heart surgery training, our center received regular and frequent visits from foreign cardiac teams who would perform open-heart surgery with the local team.

RESULTS

During the period of seven years, a total of 266 open-heart operations involving both adults and children were performed, with a mean of 38 cases per year; 150 (54.4%) males and 116 (43.6%) females were treated, with a ratio of 1.0:0.8. Six different teams visited the center at different periods.

CONCLUSION

After these years of cardiac missions to our center, the experience of the local team, especially the surgeons, is far from desirable because each team visit usually lasted about a week or two and each team, with exception of the CardioStart International/William Novick Global Cardiac Alliance, adopted the surgical 'safari' method.

摘要

简介

在任何国家,心脏外科学的发展和成长都与稳定的政治气候、经济增长、良好的领导和谨慎的财政管理并行。这些在尼日利亚都缺乏,尼日利亚当时处于军事统治之下。1999 年民主统治的登基带来了理想的变化。本研究的目的是报告我们与外国心脏团队的合作经验,这些团队在七年内访问了尼日利亚大学教学医院国家心胸中心卓越中心,以重启其心脏外科学计划。

方法

为了实现理想的心脏外科学培训,我们的中心定期和频繁地接待外国心脏团队,他们将与当地团队一起进行心脏外科学手术。

结果

在七年期间,总共进行了 266 例涉及成人和儿童的心脏直视手术,平均每年 38 例;150 例(54.4%)男性和 116 例(43.6%)女性接受了治疗,比例为 1.0:0.8。六个不同的团队在不同时期访问了该中心。

结论

经过这些年对我们中心的心脏任务,当地团队的经验,特别是外科医生的经验,远非理想,因为每个团队的访问通常持续大约一周或两周,每个团队,除了 CardioStart International/William Novick 全球心脏联盟外,都采用了外科手术的“狩猎”方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a02/7731857/cbd874cf8b46/rbccv-35-06-0918-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a02/7731857/85146c71f8d5/rbccv-35-06-0918-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a02/7731857/cbd874cf8b46/rbccv-35-06-0918-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a02/7731857/85146c71f8d5/rbccv-35-06-0918-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a02/7731857/cbd874cf8b46/rbccv-35-06-0918-g04.jpg

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