Open AccessLa Chirurgie Foraine : Une Solution Aux Problemes D’acces Aux Soins Chirurgicaux Des Populations Rurales
Author(s) -
Boyodi Tchangaï,
Fousséni Alassani,
Kossigan Ayi Amavi,
K Attipou
Publication year - 2016
Publication title -
european scientific journal
Language(s) - English
Resource type - Journals
eISSN - 1857-7881
pISSN - 1857-7431
DOI - 10.19044/esj.2016.v12n36p174
Subject(s) - medicine , outreach , general surgery , surgery , retrospective cohort study , law , political science
Assessment of the quality of care in surgical outreach programs is necessary to improve their reliability. Purpose: The purpose of this study is to evaluate the clinical results of a surgical outreach program involving large numbers of patients. Material and Method: Retrospective study of clinical data and outcomes of patients operated on within a surgical outreach held in Togo's Central Region was carried out. Data was collected from patient’s files with a follow-up, of 2 years. Results: Two hundred and seventy seven patients (277) underwent 304 surgical procedures within the surgical outreach. The conditions were essentially made of hernias of the abdominal wall (89%). Cases of hydroceles, endemic goiter and uterine myo-fibroids were also managed. Spinal anesthesia was the most common procedure of anesthesia (75%). Day case surgery involved 165 patients (59.5%). A post operative morbidity was observed in 31 patients (11%) essentially made of hematoma 28 cases (9.2%) and parietal abscesses 20 cases (6.5%).There were no postoperative deaths. Conclusion: outcomes in this study encourage surgical outreach programs as reliable means to address surgery accessibility issues of rural populations in low incomes countries.