The Role of Minimally Invasive Gynecologic Surgery in Sub Saharan Africa

Onibokun, Oluwatosin; Boatin, Adeline A.; Diouf, Khady

doi:10.1007/s13669-016-0184-9

Cited by 2 publications

(1 citation statement)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are many unanswered research questions on minimally invasive surgery practice. In a low-and middle-income country (LMIC) where challenges abound that mitigate a technology-based surgical practice, it is reasonable to adopt a city-based reporting approach for robust data collection [20][21][22][23]. The extent of progress over the early years of practice can be glimpsed from a city-based registry.…”

Section: Introductionmentioning

confidence: 99%

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

Ijah

Ray-Offor

Igwe

et al. 2022

Cureus

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

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

Ijah

Ray-Offor

Igwe

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

Analyzing the emergence of surgical robotics in Africa: a scoping review of pioneering procedures, platforms utilized, and outcome meta-analysis

Falola,

Dada,

Adeyeye

et al. 2024

J Minim Invasive Surg

View full text Add to dashboard Cite

Purpose Surgical practice globally has undergone significant advancements with the advent of robotic systems. In Africa, a similar trend is emerging with the introduction of robots into various surgical specialties in certain countries. The need to review the robotic procedures performed, platforms utilized, and analyze outcomes such as conversion, morbidity, and mortality associated with robotic surgery in Africa, necessitated this study. This is the first study examining the status and outcomes of robotic surgery in Africa. Methods A thorough scoping search was performed in PubMed, Google Scholar, Web of Science, and African Journals Online. Of the 1,266 studies identified, 16 studies across 3 countries met the inclusion criteria. A meta-analysis conducted using R statistical software estimated the pooled prevalences with the 95% confidence interval (CI) of conversion, morbidity, and mortality. Results Surgical robots are reportedly in use in South Africa, Egypt, and Tunisia. Across four specialties, 1,328 procedures were performed using da Vinci (Intuitive Surgical), Versius (CMR Surgical), and Senhance (Asensus Surgical) surgical robotic platforms. Urological procedures (90.1%) were the major procedures performed, with robotic prostatectomy (49.3%) being the most common procedure. The pooled rate of conversion and prevalence of morbidity from the meta-analysis was 0.21% (95% CI, 0%–0.54%) and 21.15% (95% CI, 7.45%–34.85%), respectively. There was no reported case of mortality. Conclusion The outcomes highlight successful implementation and the potential for wider adoption. Based on our findings, we advocate for multidisciplinary and multinational collaboration, investment in surgical training programs, and policy initiatives aimed at addressing barriers to the widespread adoption of robotic surgery in Africa.

show abstract

The Role of Minimally Invasive Gynecologic Surgery in Sub Saharan Africa

Cited by 2 publications

References 42 publications

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

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

Analyzing the emergence of surgical robotics in Africa: a scoping review of pioneering procedures, platforms utilized, and outcome meta-analysis

Contact Info

Product

Resources

About