Attah C A
Department of Surgery, University of Nigeria Teaching Hospital, Enugu.
S Afr J Surg. 1993 Sep;31(3):106-8.
A review of 1,645 major and intermediate operations performed in a 20-bed rural hospital over a period of 4 years was undertaken to highlight the problems associated with rural surgical practice. Despite such problems as lack of essential facilities, poorly trained paramedical and support staff, a commendable measure of success was achieved in terms of low rates of mortality and morbidity. This was possible through hard work, meticulous surgical technique and sound judgement. Interestingly, all the cases comprising 271 major and 1,374 intermediate operations were performed using local, regional, light general anaesthesia or combinations thereof, without the help of an anaesthetist. Our surgical training programmes should include rotations through rural surgical units, because of the particular situations involved.
对一家拥有20张床位的农村医院在4年时间内进行的1645例大手术和中手术进行了回顾，以突出农村外科手术实践中存在的问题。尽管存在诸如缺乏基本设施、辅助医疗和支持人员培训不足等问题，但在死亡率和发病率较低方面取得了值得称赞的成功。这是通过努力工作、细致的手术技巧和合理的判断实现的。有趣的是，包括271例大手术和1374例中手术在内的所有病例都是在没有麻醉师帮助的情况下，使用局部、区域、轻度全身麻醉或其组合进行的。由于涉及特殊情况，我们的外科培训计划应包括在农村外科单位的轮转。
