Aboalsamh Anas, Bassi Yousef, Khafagi Dana, AlShamrani Sarah Ali, AlZahrani Ahmad A, Mesawa Abdullah, Alsaywid Basim
Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Education and Research Skills Directory, Saudi National Institute of Health, Riyadh, Saudi Arabia.
Front Public Health. 2025 Apr 17;13:1486283. doi: 10.3389/fpubh.2025.1486283. eCollection 2025.
Surgeons operating in resource-limited settings encounter unique challenges due to the scarcity of materials and resources. Complex urological disorders (CUDs) such as bladder exstrophy, cloacal exstrophy, and posterior urethral valves, prevalent in these settings, often lead to varying surgical outcomes. This study aims to understand the experiences of surgeons treating pediatric patients with varying CUDs in a setting where resources are scarce through a qualitative phenomenological approach. We conducted six in-depth interviews with six pediatric urologists and surgeons who participated in humanitarian missions sponsored by the King Salman Humanitarian and Relief Center. The interviews, analyzed using the Nvivo v14.23.0 software, revealed common themes: inadequate equipment, lack of trained personnel, infrastructure challenges, emotional and physical tolls, and the need for effective communication and collaboration with local healthcare teams and providers. The findings highlighted the surgeons' adaptive strategies and resilience in overcoming these obstacles, emphasizing the critical role of support from humanitarian organizations. The study underscores the importance of ongoing education for local medical staff, the potential of telemedicine, and the need for consistent presence in resource-limited areas to improve patient care and outcomes. Addressing these challenges requires a concerted effort to optimize resources, enhance training, and support healthcare providers' wellbeing in these demanding environments.
由于材料和资源匮乏，在资源有限环境中开展手术的外科医生面临着独特的挑战。膀胱外翻、泄殖腔外翻和后尿道瓣膜等复杂泌尿系统疾病（CUDs）在这些环境中很常见，往往会导致不同的手术结果。本研究旨在通过定性现象学方法，了解在资源稀缺环境中治疗患有不同CUDs的儿科患者的外科医生的经历。我们对六名参与由沙特国王萨勒曼人道主义救援中心赞助的人道主义任务的儿科泌尿科医生和外科医生进行了六次深入访谈。使用Nvivo v14.23.0软件进行分析的访谈揭示了一些共同主题：设备不足、缺乏训练有素的人员、基础设施挑战、情感和身体负担，以及与当地医疗团队和提供者进行有效沟通与协作的必要性。研究结果突出了外科医生在克服这些障碍时的适应性策略和韧性，强调了人道主义组织支持的关键作用。该研究强调了对当地医务人员进行持续教育的重要性、远程医疗的潜力，以及在资源有限地区持续存在以改善患者护理和治疗结果的必要性。应对这些挑战需要共同努力，以优化资源、加强培训，并在这些要求苛刻的环境中支持医疗保健提供者的福祉。
