Availability, procurement, training, usage, maintenance and complications of electrosurgical units and laparoscopic equipment in 12 African countries

Oosting, R.M.; Wauben, L.S.G.L.; Madete, June; Groen, Reinou S.; Dankelman, Jenny

doi:10.1002/bjs5.50255

Cited by 11 publications

(5 citation statements)

References 29 publications

(48 reference statements)

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“…Shortage of medical equipment increases workload, relocation, washing and disinfection, depreciation, and the need for repairs. In this regard, Salah et al (13)(14)(15) found that the cost of maintaining medical equipment was directly related to their availability. Many studies found that poor low-income countries generally face a shortage of medical equipment.…”

Section: Equipment Repair Agencies and Companiesmentioning

confidence: 99%

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Effective Dimensions of Medical Equipment Maintenance Management in Educational Hospitals: A Qualitative Study

Ahadinezhad¹,

Khosravizadeh²,

Maleki³

et al. 2022

JEBHPME

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Background: Medical equipment maintenance plays an important role in improving the equipment's function, increasing its effectiveness and efficiency, providing continuous health services, and improving the quality of services. This study is conducted to investigate the factors affecting medical equipment maintenance management. Methods: The present study was a qualitative investigation based on content analysis that was conducted in 2021. Data collection method was an open ended interview. The interviewees included all medical equipment operators and technicians of educational and medical centers affiliated with Qazvin University of Medical Sciences. The semi-structured interview guide was used as a data collection tool. Qualitative data obtained from interviews were analyzed by the content analysis method. The obtained coded were classified into dimensions and components using MAXQDA Software12 . Results: According to the findings, categories of time constraints, access to information, instructions and programs, type and number of equipment, financial constraints, user, patients, training programs, and equipment repair agencies were the most important factors affecting medical equipment maintenance management. Conclusion: Observing purchasing standards and guaranteed equipment, training all the staff involved, developing and explaining instructions and programs are essential for optimal equipment maintenance. These measurements will reduce the cost of repairing. g medical equipment and the need to purchase equipment; improve equipment, service quality performance, patient and user safety; and increase the device life.

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Section: Equipment Repair Agencies and Companiesmentioning

confidence: 99%

“…[ DOI: 10.18502/jebhpme.v6i3.10854 ] [ Downloaded from jebhpme.ssu.ac.ir on 2022-[10][11][12][13][14][15][16][17][18][19][20][21][22][23] …”

mentioning

confidence: 99%

Effective Dimensions of Medical Equipment Maintenance Management in Educational Hospitals: A Qualitative Study

Ahadinezhad¹,

Khosravizadeh²,

Maleki³

et al. 2022

JEBHPME

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“…Laparoscopic surgery is associated with multiple barriers to implementation in LMICs. Previously, these have been described as a lack of reliable gas supply, lack of ability to maintain laparoscopic equipment, costs, irregular power supplies, lack of trained personnel, and a lack of motivation from both healthcare providers and the population [7][8][9]. However, many laparoscopic programs have been initiated despite these challenges, and innovative methods have been used to overcome many of the issues.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopy in Low- and Middle-Income Countries: A Survey Study

Tanoli,

Ahmad,

Khan

et al. 2023

Cureus

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Introduction: An increasing shift towards non-communicable diseases and an existing high surgical burden of disease in low-middle-income countries (LMICs) has impelled the need for implementing laparoscopic surgery, a safe and cost-effective surgical service. However, despite countless benefits, laparoscopic surgery programs remain limited throughout LMICs, and limited understanding is known of healthcare professionals' views regarding the implementation of laparoscopic surgery in their local healthcare environments. Therefore, the purpose of this study is to better understand the perceived challenges and barriers to implementing long-term laparoscopic surgery programs from the perspective of healthcare professionals. Methods: Upon receiving ethical approval from the McGill University Health Center (MUHC), a ninequestion survey (concerning attributes required to establish a successful laparoscopic program in LMICs and to gain insight into what surgeons from LMICs believed were the necessary next steps) was pilot tested amongst faculty members, and subsequently disseminated to healthcare professionals practicing in LMICs. Explicit consent was obtained from the participants before answering the survey. Results: Thirty-four participants representing a total of 35 countries participated in the survey with the majority having received laparoscopic surgery training. Overall, participant responses were characterized by two major themes. Highlighted in the first theme, Laparoscopic Experience and Training Curriculum, were responses concerning current laparoscopic training and education, improved career opportunities provided by laparoscopic training, and a particular existing potential to incorporate laparoscopic surgery into the current surgical curriculum at various levels of training. Emphasized in the second theme, Challenges and Next Steps, were responses concerning barriers to the implementation of laparoscopic surgery, current institutional capabilities, and the need for improving mentorship through existing surgical societies such as the College of Surgeons of East, Central, and Southern Africa (COSECSA), West African College of Surgeons (WACS), and The Pan-African Academy of Christian Surgeons (PAACS).Conclusions: A buy-in from the government, hospitals, staff, and industry is crucial for the long-term implementation of laparoscopic surgery in LMICs, which can only be accomplished through increased advocacy and the dissemination of the benefits of minimally invasive surgery both economically and socially.

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“…This creates an inequality gap, with patients undergoing laparoscopy surgery in HICs benefiting from lower infection rates [ 2 , 3 ] and better outcomes [ 4 ] compared to those undergoing open surgery. The main challenges to the introduction of laparoscopy in LMICs are the limited carbon dioxide supply for insufflation, cost and access to laparoscopic equipment, limited anaesthetic cover, and training opportunities [ 5 , 6 ]. Despite these challenges, a few laparoscopic training programmes have been successfully undertaken in Mongolia [ 7 ], Botswana [ 8 ] and South America [ 9 ], proving that it is possible provided resources are available for training and capacity building.…”

Section: Introductionmentioning

confidence: 99%

Training programme in gasless laparoscopy for rural surgeons of India (TARGET study) - Observational feasibility study

Aruparayil

Gnanaraj

Maiti³

et al. 2021

International Journal of Surgery Open

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Background Benefits of laparoscopic surgery are well recognised but uptake in rural settings of low- and middle-income countries is limited due to implementation barriers. Gasless laparoscopy has been proposed as an alternative but requires a trained rural surgical workforce to upscale. This study evaluates a feasibility of implementing a structured laparoscopic training programme for rural surgeons of North-East India. Methods A 3-day training programme was held at Kolkata Medical College in March 2019. Laparoscopic knowledge and Fundamentals of Laparoscopic Skills (FLS) were assessed pre and post simulation training using multiple choice questions and the McGill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS), respectively. Competency with an abdominal lift device was assessed using the Objective Structured Assessment of Technical Skills (OSATS) and live operating performance via the Global Operative Assessment of Laparoscopic Skills (GOALS) scores during live surgery. Costs of the training programme and qualitative feedback were evaluated. Results Seven rural surgeons participated. There was an improvement in knowledge acquisition (mean difference in MCQ score 5.57 (SD = 4.47)). The overall normalised mean MISTELS score for the FLS tasks improved from 386.02 (SD 110.52) pre-to 524.40 (SD 94.98) post-training (p = 0.09). Mean OSATS score was 22.4 out of 35 (SD 3.31) indicating competency with the abdominal lift device whilst a mean GOALS score of 16.42 out of 25 (SD 2.07) indicates proficiency in performing diagnostic laparoscopy using the gasless technique during live operating. Costs of the course were estimated at 354 USD for trainees and 461 USD for trainers. Conclusion Structured training programme in gasless laparoscopy improves overall knowledge and skills acquisition in laparoscopic surgery for rural surgeons of North-East India. It is feasible to deliver a training programme in gasless laparoscopy for rural surgeons. Larger studies are needed to assess the benefits for wider adoption in a similar context.

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Availability, procurement, training, usage, maintenance and complications of electrosurgical units and laparoscopic equipment in 12 African countries

Cited by 11 publications

References 29 publications

Effective Dimensions of Medical Equipment Maintenance Management in Educational Hospitals: A Qualitative Study

Effective Dimensions of Medical Equipment Maintenance Management in Educational Hospitals: A Qualitative Study

Laparoscopy in Low- and Middle-Income Countries: A Survey Study

Training programme in gasless laparoscopy for rural surgeons of India (TARGET study) - Observational feasibility study

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