Alare Kehinde, Salam Temiloluwa, Abioye Elishama, Utah Francisca, Balogun Opeyemi, Adedokun Precious, Moradeyo Abdulrahmon, Adeniran-Yusuf Abd'Muiz, Soyinka Ebunoluwa, Egbo Chisom, Alao Adedoyin
Department of Medicine, Ladoke Akintola University of Technology, Ogbomoso, Nigeria.
Department of Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.
Clin Neurol Neurosurg. 2024 Sep;244:108419. doi: 10.1016/j.clineuro.2024.108419. Epub 2024 Jul 2.
In Africa, peripheral nerve pathologies are a major source of disability, and the results of surgical therapies differ greatly among countries. The goal of this narrative review is to compile the most recent data on peripheral nerve surgery results in Africa, pinpoint critical variables that affect surgical outcomes, and offer suggestions for enhancing patient care.
A comprehensive literature review was conducted, focusing on studies published over the past four decades. The sources included peer-reviewed journals, hospital records, and reports from healthcare organizations. The review examined outcomes related to functional recovery, quality of life, and postoperative complications.
The outcomes of peripheral nerve surgeries in Africa are influenced by the availability of medical infrastructure, the level of surgeon expertise, and the timeliness of the intervention. Urban centers with better resources tend to report more favorable outcomes, whereas rural areas face significant challenges. Common barriers include limited access to advanced surgical tools, a shortage of specialized surgeons, and inadequate postoperative care and rehabilitation services. Despite these challenges, successful interventions have been reported, particularly in settings where targeted training programs and international collaborations are in place.
Enhancing surgeon training programs, building comprehensive postoperative care and rehabilitation facilities, and investing in healthcare infrastructure are critical to improving peripheral nerve surgery results in Africa. International and regional collaborations can be extremely helpful in advancing these initiatives by enabling the sharing of knowledge and granting access to cutting-edge methods. Patients with peripheral nerve injuries across the continent may experience improved functional recovery and overall quality of life if these criteria are met.
在非洲，周围神经病变是致残的主要原因，而且不同国家的外科治疗结果差异很大。本叙述性综述的目的是汇总非洲周围神经手术结果的最新数据，找出影响手术结果的关键变量，并为改善患者护理提供建议。
进行了全面的文献综述，重点关注过去四十年发表的研究。资料来源包括同行评审期刊、医院记录和医疗保健组织的报告。该综述考察了与功能恢复、生活质量和术后并发症相关的结果。
非洲周围神经手术的结果受医疗基础设施的可及性、外科医生的专业水平以及干预的及时性影响。资源较好的城市中心往往报告有更有利的结果，而农村地区面临重大挑战。常见障碍包括难以获得先进的手术工具、专科外科医生短缺以及术后护理和康复服务不足。尽管存在这些挑战，但仍有成功干预的报道，特别是在有针对性培训计划和国际合作的环境中。
加强外科医生培训计划、建立全面的术后护理和康复设施以及投资于医疗基础设施对于改善非洲周围神经手术结果至关重要。国际和区域合作通过促进知识共享和提供获取前沿方法的机会，对推进这些举措可能极其有帮助。如果满足这些标准，非洲大陆患有周围神经损伤的患者可能会经历功能恢复改善和总体生活质量提高。
