Current Challenges of Plastic Surgical Care in Sub-Saharan Africa (Maputo, Mozambique)

Guzman, Kevin J.; Gemo, Natacha; Martins, Deborah B.; Santos, Pedro; DeUgarte, Daniel A.; Ademo, Fatima; Kulber, David A.; Issufo, Celma

doi:10.1097/gox.0000000000001893

Cited by 11 publications

(15 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, this fact began to direction of this surgery, as the concept of plastic surgery in this region is still largely considered a cosmetic luxury. The total number of patients reviewed in this study is the same as that available in international data [1,7,8]. A study done by Kieran et al showed the ratio of elective to emergency procedures to be 2:1 [13], whereas in our series the emergency operations were almost equal to elective ones.…”

Section: Discussionmentioning

confidence: 66%

“…In contrast, some developing countries consider plastic surgery as an unnecessary field, and the establishment of a department in publicly funded hospitals was not considered [7]. For instance, there is a significant lack of data from sub-Saharan Africa regarding plastic surgery practice [8]. However, plastic surgery cases represent about 20% of the surgical workload in rural hospitals [9].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Review of Plastic and Reconstructive Surgery in a General Hospital Setting: Experience from a Developing Country

Bakhiet

HabibAlla²,

Assil

et al. 2023

SJMS

View full text Add to dashboard Cite

Background: Plastic and reconstructive surgery in developing countries and underserved areas are significantly limited and face changes to start a proper service. This study presents a review of plastic surgery services and experiences in a district hospital located in an underserved area.Methods: This descriptive, retrospective, hospital-based study was conducted to review patients who presented to the plastic and reconstruction departments from January 2014 to January 2015. All patients seen in the outpatient clinic or emergency departments for plastic surgical consultation or management were included in the study.Results: The total of 403 cases fulfilled the inclusion criteria. The emergency surgical operation performed in our unit were distributed in the following descending order; fingertip injury (32%), cut wrist (12.7%), cut extensor tendon (9.9%), gunshot injuries (9.4%), fracture of a small bone of the hand (8.3%), and lower limb trauma. Surgery for congenital deformities constituted the most elective operation done in our unit (31.6 %), followed by tumor surgery (18.7%), burn surgery (17.3%), aesthetic surgery procedure (12.2%), and other miscellaneous cases (12.2%).Conclusion: This report demonstrates the efficacy of secondary hospital setting to accommodate a large volume of patients during the first year of establishment, and further predicting development needs, staff training, and governmental support.

show abstract

Section: Discussionmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Review of Plastic and Reconstructive Surgery in a General Hospital Setting: Experience from a Developing Country

Bakhiet

HabibAlla²,

Assil

et al. 2023

SJMS

View full text Add to dashboard Cite

show abstract

“…There is limited access to safe surgical care in many LMICs [ 2 , 31 , 32 ]. Past work has cited burn depth to be the most important indication for surgery, but this work suggests the additional importance of joint involvement to the treatment paradigm [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Severity of Burn Scars in Rural Mozambique

et al. 2022

View full text Add to dashboard Cite

Background Burn injuries are common in low- and middle-income countries (LMICs) and their associated disability is tragic. This study is the first to explore burn scars in rural communities in Mozambique. This work also validated an innovate burn assessment tool, the Morphological African Scar Contractures Classification (MASCC), used to determine surgical need. Methods Using a stratified, population-weighted survey, the team interviewed randomly selected households from September 2012 to June 2013. Three rural districts (Chókwè, Nhamatanda, and Ribáuè) were selected to represent the southern, central and northern regions of the country. Injuries were recorded, documented with photographs, and approach to care was gathered. A panel of residents and surgeons reviewed the burn scar images using both the Vancouver Scar Scale and the MASCC, a validated visual scale that categorizes patients into four categories corresponding to levels of surgical intervention. Results Of the 6104 survey participants, 6% (n = 370) reported one or more burn injuries. Burn injuries were more common in females (57%) and most often occurred on the extremities. Individuals less than 25 years old had a significantly higher odds of reporting a burn scar compared to people older than 45 years. Based on the MASCC, 12% (n = 42) would benefit from surgery to treat contractures. Conclusion Untreated burn injuries are prevalent in rural Mozambique. Our study reveals a lack of access to surgical care in rural communities and demonstrates how the MASCC scale can be used to extend the reach of surgical assessment beyond the hospital through community health workers.

show abstract

“…In many developing countries interventions are primarily required for reconstructive needs in trauma, burns, and congenital anomalies. [10][11][12][13][14][15] The spectrum of reconstructive surgery procedures is widening with the top five surgeries at our center being trauma reconstruction, skin tumor surgeries, hand surgeries, AV fistula creation, and oculoplasty, similar to American Society of Plastic Surgery (ASPS) 2018 statistics, 16 where tumor removal, laceration repair, maxillofacial surgery, scar revision, and hand surgery topped the charts. But there are variations.…”

Section: Discussionmentioning

confidence: 99%

“…In many developing countries interventions are primarily required for reconstructive needs in trauma, burns, and congenital anomalies. 10 11 12 13 14 15 …”

Section: Discussionmentioning

confidence: 99%

Its Not about the Destination, Its about the Journey—Plotting 50 Years of Changing Clinical Trends in Plastic Surgery in a Public Sector Teaching Hospital

Rajan

Menedal

Pereira

et al. 2021

Indian J Plast Surg

View full text Add to dashboard Cite

Background The year 2019 marked the 50th anniversary of plastic surgery department of our institution. We present an audit to plot the changing clinical trends in our work in the past five decades. Methods A single-center retrospective cohort study based on the department demographics was performed and compared across the decades from 1969 to 2019. Results In 1969, the relative proportion of reconstructive versus cosmetic surgery procedures was 94.32% versus 5.68%; in 2019 this was 76.25% and 23.75%, respectively. An increase of 22 times increase in outpatient registrations, 13.1 times in total surgeries, 642 times in trauma reconstruction, 290 times for hand surgeries, and 323 times for skin tumor surgeries was noted. Male patients (64.9%) increased every decade more than females (35.1%), mostly for trauma surgery and gynecomastia correction. Proportion of pediatric cleft patients have markedly decreased. Spectrum of surgical procedures have widened. Top five reconstructive surgeries in 2019 were limb trauma reconstruction, skin tumor surgeries, hand surgeries, arterio-venous fistula (AV) creation, and oculoplasty. The most common surgery performed was cleft lip surgery in 1969 and hand surgery in 2019. The top five cosmetic surgeries performed in 2019 were scar revisions, nevus excision, liposuction and gynecomastia correction, rhinoplasty, and otoplasty. Conclusions Data collection and archiving and periodic audits help us study changing trends in our field compared with the global trends. Knowing societal demands will help to improve the resident training in teaching hospitals.

show abstract

Current Challenges of Plastic Surgical Care in Sub-Saharan Africa (Maputo, Mozambique)

Cited by 11 publications

References 13 publications

Review of Plastic and Reconstructive Surgery in a General Hospital Setting: Experience from a Developing Country

Review of Plastic and Reconstructive Surgery in a General Hospital Setting: Experience from a Developing Country

Prevalence and Severity of Burn Scars in Rural Mozambique

Its Not about the Destination, Its about the Journey—Plotting 50 Years of Changing Clinical Trends in Plastic Surgery in a Public Sector Teaching Hospital

Contact Info

Product

Resources

About