Minimally Invasive Surgery in Port Harcourt, Nigeria: Progress So Far.

Autor:	Ijah RF; Department of Surgery, Rivers State University Teaching Hospital, Port Harcourt, NGA., Ray-Offor E; Department of Colorectal Surgery, Ellen Leifer Shulman and Steven Shulman Digestive Disease Institute, Cleveland Clinic Florida, Weston, USA.; Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, NGA.; Department of Surgery, University of Port Harcourt, Choba, NGA., Igwe PO; Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, NGA., Ekeke ON; Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, NGA., Okoro PE; Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, NGA., Nyengidiki TK; Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, NGA., Omodu JO; Department of Surgery, Rivers State University Teaching Hospital, Port Harcourt, NGA., Oriji VK; Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, NGA., Ocheli EO; Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, NGA., Okohue JE; Department of Obstetrics and Gynaecology, Madonna University, Port Harcourt, NGA., Jebbin N; Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, NGA., Ikimalo JI; Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, NGA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Nov 30; Vol. 14 (11), pp. e32049. Date of Electronic Publication: 2022 Nov 30 (Print Publication: 2022).
DOI:	10.7759/cureus.32049
Abstrakt:	Background The global practice of minimally invasive surgery (MIS) has progressed from basic to advanced procedures. Consequent to this, almost all surgical procedures can be performed through a minimally invasive technique. This study aims to audit the practice of MIS in healthcare facilities within a city in a developing country in Africa. Methods This is a multicenter, multispecialty, retrospective descriptive study of minimally invasive diagnostic and therapeutic surgeries performed in private and public health care facilities in Port Harcourt, Rivers State, Nigeria, conducted for a duration of 10 years, from January 2010 to December 2019. A proforma was distributed for completion to identified surgeons from the included study centers. Data on MIS, including types of procedures, time trends, frequency, category of surgery, and cost, were collated. Statistical analysis was performed using IBM Statistical Package for the Social Sciences (IBM SPSS version 20.0, New York, USA). Results There were 5845 minimally invasive procedures performed during the study period, out of which only 92 (1.57%) were carried out in government-owned hospitals. Of these, 2570 were gynecologic (44.0%), 1873 were urologic (32.0%), 1300 were general surgeries (22.2%), 142 were pediatric surgeries (2.4%), and 3 (0.05%) were thoracic minimally invasive procedures performed within the 10-year period. The cost of procedures ranged from <$200 USD to >$2000 USD. The hospital stays ranged from <1 day to a maximum of 13 days. Conclusion The practice of MIS has made significant progress but has been primarily driven by the private sector. Subsidizing the cost of MIS procedures in government-owned hospitals is likely to improve patronage and improve the skills of surgeons. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Ijah et al.)
Databáze:	MEDLINE
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