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The Use of the Laparoscope in Rural Thailand
Author(s) -
Chaturachinda Kamheang
Publication year - 1980
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/j.1879-3479.1980.tb00532.x
Subject(s) - medicine , forceps , sterilization (economics) , obstetrics and gynaecology , laparoscopy , rural area , developing country , general surgery , medical emergency , family medicine , surgery , pregnancy , pathology , biology , monetary economics , economics , foreign exchange market , genetics , foreign exchange , economic growth
A survey of the use of laparoscopy in rural Thailand was undertaken between June 1974 and December 1977. All the physicians were trained at either Ramathibodi Hospital, Bangkok, or The Johns Hopkins Program for International Education in Gynecology and Obstetrics in the USA; about 30% and 46% of the physicians, respectively, were endoscopically inactive. The complication rate of rural laparoscopy was high and was inversely proportional to the degree of utilization. It is concluded that for a developing country with limited resources, laparoscopic sterilization in rural areas is not cost‐effective; a technique using simpler and hardier equipment should be chosen.