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Journal articles on the topic 'Rural Surgery'

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Author: Grafiati

Published: 26 July 2024

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1

SUHAIL, MUHAMMAD ALI, BHAMAR LAL, JAI PAL PARYANI, and Ubedullah Shaikh. "RURAL SURGERY;." Professional Medical Journal 20, no. 04 (May 25, 2013): 566–75. http://dx.doi.org/10.29309/tpmj/2013.20.04.1024.

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objective: To study the pattern of Urological & Non-Urological cases and their management at rural hospital. StudyDesign: descriptive and case series study. Place and Duration of Study: All surgical patients managed at civil hospital Mithi, from 3rdJune 2009 to 3rd June 2012. Methodology: In this study 4657 patients were enrolled. All patients presented with symptoms suggestingsurgical disease and managed as surgical cases were included in the study. These patients were either admitted via outpatientdepartment (OPD), emergency department or operated as OPD cases. The patients who received 1st aid medication and referred totertiary care were not included. The variables noted and analyzed were patient's demographic data, provisional and final diagnosis,disease pattern, presentation, mode of admission, mode of treatment, nature of operation, complications and final outcome. All the datawas analyzed by SPSS version-16 on computer. Results: During three year study period, 4657 patients were managed eitherconservatively or operated upon. Out of total, 2591(55.6%) were emergency and 2066(44.36%) were elective admissions. The malefemale ratio was 4:1 .The mean age of patients was 36.5 Years. Urinary tract diseases were responsible for 1638 (35.17%), alimentarytract diseases 1242 (26.6%), trauma 932 (20.01 %), soft tissue infections 546 (26.9%),superficial lumps 367 (18.13%) admission.Most common operative procedures for urinary tract diseases 409 (20.20%), soft tissue infections 546 (26.9%). superficial lumps367(18.13%), alimentary tract diseases (15.06%) 305, trauma (soft tissue repair and fractures 14.9 %( 303), were major bulk foroperations. Regarding procedures Abscesses incision and drainage in 197 (22.6%) patients, cystolithotomy in 153(17.6%),Hernioraphy (130) 14.9%, appendecectomy 105 (12.09%),haemorrhoidectomy 51(5.8%),breast abscess 38 (4.3%) breastlump(fibroadenoma) 25 (3.6%), hydrocele23 (2.6%), Ureterolithotomy 22 (2.5%) laparotomy 15 (1.7%), pyelolithotomy12, (1.3%)fissure in ano 13, (1.4%) undecended testis 12 (1.3%) Orchidectomy11 (1.3%) and abscesses psoas, perinal, scrotal 13 (1.4%), 18(2.07%) , 12 (1.3%) respectively. Conclusions: The concluded that the most common cause of seeking surgical care at back ward ruralTharparker was urinary tract diseases. Presence of surgical specialist at remote and back ward region Tharparker is candle in thedark.Main reason of patient referral to tertiary care was deficient in skill medical and surgical professionals, paramedic staff and medicalequipments.

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2

Hughes, Tyler G. "Rural Surgery." Surgical Clinics of North America 100, no. 5 (October 2020): i. http://dx.doi.org/10.1016/s0039-6109(20)30086-4.

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3

Waddle, Brian J. "Rural Surgery." Archives of Surgery 135, no. 2 (February 1, 2000): 121. http://dx.doi.org/10.1001/archsurg.135.2.121.

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4

Gregg, J. T. "Rural Surgery." Archives of Surgery 135, no. 8 (August 1, 2000): 989—a—989. http://dx.doi.org/10.1001/archsurg.135.8.989-a.

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5

Farmer, Diana. "Rural Surgery Is Global Surgery." JAMA Surgery 148, no. 9 (September 1, 2013): 821. http://dx.doi.org/10.1001/jamasurg.2013.2707.

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6

Morfesis, F. Andrew. "Defining Rural Surgery." Archives of Surgery 135, no. 10 (October 1, 2000): 1231. http://dx.doi.org/10.1001/archsurg.135.10.1231.

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7

Kim, Eric K., Rohini Dutta, Nobhojit Roy, and Nakul Raykar. "Rural surgery as global surgery before global surgery." BMJ Global Health 7, no. 3 (March 2022): e008222. http://dx.doi.org/10.1136/bmjgh-2021-008222.

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8

Clarke, DL, M. Naidoo, and VY KONG. "Acute Appendicitis in Rural KwaZulu-Natal, South Africa." Impact Surgery 1, no. 2 (April 12, 2024): 41–45. http://dx.doi.org/10.62463/surgery.39.

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Abstract The Lancet commission on Global Surgery identified a huge global burden of surgical illness which is not adequately treated, as the resources needed to effectively treat these many common surgical conditions are not readily available in many regions. This review aims to provide a comprehensive overview of the epidemiology, management, and outcomes of acute appendicitis in South Africa. Methods A scoping search was conducted across major electronic databases to identify relevant studies published between January 2000 and December 2023. Articles reporting on the incidence, presentation, diagnostic methods, surgical interventions, and outcomes of acute appendicitis in South Africa were included. Results The literature review revealed an increasing incidence of acute appendicitis among African patients in South Africa, potentially linked to dietary changes accompanying urbanization. Despite advancements in surgical techniques, open appendectomy remains the primary approach, particularly in public healthcare facilities, indicating disparities in access to laparoscopic surgery. Complications such as wound infections and hospital-acquired pneumonia contribute to prolonged hospital stays, high morbidity, and high mortality. However, outcomes in private healthcare settings demonstrate higher rates of laparoscopic procedures and lower complication rates compared to public institutions. Conclusion Acute appendicitis in South Africa presents unique challenges, including disparities in surgical access and outcomes between public and private healthcare sectors. Addressing these challenges requires efforts to improve healthcare infrastructure, enhance surgical training, and promote equitable access to laparoscopic techniques. Collaborative research endeavors and evidence-based interventions are essential for optimizing the management and outcomes of acute appendicitis across diverse socio-economic contexts in South Africa.

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9

Meyerson, Joseph, Gregory Pearson, and Ernest Manders. "Exploring Rural Plastic Surgery." Plastic and Reconstructive Surgery 142, no. 2 (August 2018): 246e. http://dx.doi.org/10.1097/prs.0000000000004567.

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10

Hedberg, Peter S. "Challenges of rural surgery." Surgical Endoscopy 22, no. 7 (April 10, 2008): 1582–83. http://dx.doi.org/10.1007/s00464-008-9834-y.

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11

Memon, Amjad Siraj. "Rural Surgery in Pakistan." World Journal of Surgery 30, no. 9 (June 13, 2006): 1628–29. http://dx.doi.org/10.1007/s00268-005-0641-5.

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12

Baker, Darrell K. "Rural Surgery in Canada." World Journal of Surgery 30, no. 9 (March 13, 2006): 1632–33. http://dx.doi.org/10.1007/s00268-005-0643-3.

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13

Mehendale, Vinay. "Rural Surgery In India." World Journal of Surgery 31, no. 9 (July 20, 2007): 1898–99. http://dx.doi.org/10.1007/s00268-007-9161-9.

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14

Shively, Eugene H., and Susan A. Shively. "Threats to rural surgery." American Journal of Surgery 190, no. 2 (August 2005): 200–205. http://dx.doi.org/10.1016/j.amjsurg.2005.05.012.

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15

Finlayson, Samuel R. G. "Surgery in Rural America." Surgical Innovation 12, no. 4 (December 2005): 299–305. http://dx.doi.org/10.1177/155335060501200403.

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16

Damp, Mike. "Rural Surgery—Invited Critique." Archives of Surgery 135, no. 2 (February 1, 2000): 122. http://dx.doi.org/10.1001/archsurg.135.2.122.

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17

Ritchie, W. P. "Rural Surgery—Invited Critique." Archives of Surgery 135, no. 2 (February 1, 2000): 123. http://dx.doi.org/10.1001/archsurg.135.2.123.

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18

Rainer, W. G. "Invited Critique: Rural Surgery." Archives of Surgery 135, no. 2 (February 1, 2000): 124—a—124. http://dx.doi.org/10.1001/archsurg.135.2.124-a.

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19

Inglis, Frederic G. "Rural Surgery—Invited Critique." Archives of Surgery 135, no. 2 (February 1, 2000): 125. http://dx.doi.org/10.1001/archsurg.135.2.125.

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20

Sticca, Robert P., Brady C. Mullin, Joel D. Harris, and Clint C. Hosford. "Surgical specialty procedures in rural surgery practices: implications for rural surgery training." American Journal of Surgery 204, no. 6 (December 2012): 1007–13. http://dx.doi.org/10.1016/j.amjsurg.2012.05.023.

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21

Graham, John C. "RURAL SURGERY AND RURAL SURGEONS: MEETING THE NEED." ANZ Journal of Surgery 77, no. 11 (November 2007): 919–20. http://dx.doi.org/10.1111/j.1445-2197.2007.04281.x.

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22

Diaz, Adrian, and Timothy M. Pawlik. "Rural Surgery and Status of the Rural Workplace." Surgical Clinics of North America 100, no. 5 (October 2020): 835–47. http://dx.doi.org/10.1016/j.suc.2020.05.009.

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23

Alexander, Philip. "Global Surgery in Rural Settings: Where are the giants?" Impact Surgery 1, no. 3 (May 23, 2024): 78. http://dx.doi.org/10.62463/surgery.56.

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24

Mercier, Phillip J., Steven J. Skube, Samantha L. Leonard, Ashley N. McElroy, Tyler G. Goettl, Melissa M. Najarian, Paula M. Termuhlen, and Jeffrey G. Chipman. "Creating a Rural Surgery Track and a Review of Rural Surgery Training Programs." Journal of Surgical Education 76, no. 2 (March 2019): 459–68. http://dx.doi.org/10.1016/j.jsurg.2018.09.004.

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25

Ingle, Ronald Ferguson. "Essential skills for rural surgery." South African Medical Journal 106, no. 6 (May 5, 2016): 535. http://dx.doi.org/10.7196/samj.2016.v106i6.10720.

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26

Musgrove, Kelsey A., Jad M. Abdelsattar, Stephanie J. LeMaster, Marguerite C. Ballou, David A. Kappel, and David C. Borgstrom. "Optimal Resources for Rural Surgery." American Surgeon 86, no. 9 (September 2020): 1057–61. http://dx.doi.org/10.1177/0003134820942142.

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Background Timely access to emergency general surgery services, including trauma, is a critical aspect of patient care. This study looks to identify resource availability at small rural hospitals in order to improve the quality of surgical care. Methods Forty-five nonteaching hospitals in West Virginia were divided into large community hospitals with multiple specialties (LCHs), small community hospitals with fewer specialties (SCHs), and critical access hospitals (CAHs). A 58-question survey on optimal resources for surgery was completed by 1 representative surgeon at each hospital. There were 8 LCHs, 18 SCHs, and 19 CAHs with survey response rates of 100%, 83%, and 89%, respectively. Results One hundred percent of hospitals surveyed had respiratory therapy and ventilator support, computerized tomography (CT) scanner and ultrasound, certified operating rooms, lab support, packed red blood cells (PRBC), and FFP accessible 24/7. Availability of cryoprecipitate, platelets, tranexamic acid (TXA), and prothrombin complex concentrate (PCC) decreased from LCHs to CAHs. The majority had board-certified general surgeons; however, only 86% LCHs, 53% SCHs, and 50% CAHs had advanced trauma life support (ATLS) certification. One hundred percent of LCHs had operating room (OR) crew on call within 30 minutes, emergency cardiovascular equipment, critical care nursing, on-site pathologist, and biologic/synthetic mesh, whereas fewer SCHs and CAHs had these resources. One hundred percent of LCHs and SCHs had anesthesia availability 24/7 compared to 78% of CAHs. Discussion Improving access to the aforementioned resources is of utmost importance to patient outcomes. This will enhance rural surgical care and decrease emergency surgical transfers. Further education and research are necessary to support and improve rural trauma systems.

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27

Jesudian, Gnanaraj. "LAPAROSCOPIC SURGERY IN RURAL AREAS." ANZ Journal of Surgery 77, no. 9 (September 2007): 799–800. http://dx.doi.org/10.1111/j.1445-2197.2007.04235.x.

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28

Lynge, Dana Christian, and Eric H. Larson. "Workforce Issues in Rural Surgery." Surgical Clinics of North America 89, no. 6 (December 2009): 1285–91. http://dx.doi.org/10.1016/j.suc.2009.07.003.

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29

Bruening, Martin H., and Guy J. Maddern. "Rural Surgery: The Australian Experience." Surgical Clinics of North America 89, no. 6 (December 2009): 1325–33. http://dx.doi.org/10.1016/j.suc.2009.07.004.

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30

Borgstrom, David C., and Steven J. Heneghan. "Bassett Healthcare Rural Surgery Experience." Surgical Clinics of North America 89, no. 6 (December 2009): 1321–23. http://dx.doi.org/10.1016/j.suc.2009.07.011.

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31

Doty, Brit, and Randall Zuckerman. "Rural Surgery: Framing the Issues." Surgical Clinics of North America 89, no. 6 (December 2009): 1279–84. http://dx.doi.org/10.1016/j.suc.2009.09.010.

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32

Martin, Ronald F. "The Challenges within Rural Surgery." Surgical Clinics of North America 100, no. 5 (October 2020): xiii—xvi. http://dx.doi.org/10.1016/j.suc.2020.07.005.

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33

Broughan, Thomas A. "SAGES 2007 rural surgery panel." Surgical Endoscopy 22, no. 7 (April 24, 2008): 1579–81. http://dx.doi.org/10.1007/s00464-008-9835-x.

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34

Zuckerman, Randall S. "Rural surgery and surgical education." Surgical Endoscopy 22, no. 7 (April 24, 2008): 1592. http://dx.doi.org/10.1007/s00464-008-9838-7.

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35

Meo, Giuseppe, Dario Andreone, Umberto De Bonis, Giorgio Cometto, Stefano Enrico, Guido Giustetto, Alberto Kiss, et al. "Rural Surgery in Southern Sudan." World Journal of Surgery 30, no. 4 (March 10, 2006): 495–504. http://dx.doi.org/10.1007/s00268-005-0093-y.

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36

Contini, Sandro, and Richard A. Gosselin. "Rural Surgery in Southern Sudan." World Journal of Surgery 31, no. 3 (January 5, 2007): 613. http://dx.doi.org/10.1007/s00268-006-0306-z.

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37

Cogbill, Thomas H., Joseph B. Cofer, and Benjamin T. Jarman. "Contemporary Issues in Rural Surgery." Current Problems in Surgery 49, no. 5 (May 2012): 263–318. http://dx.doi.org/10.1067/j.cpsurg.2012.01.002.

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38

Nakayama, Don K. "Article Commentary: Rural Pediatric Surgery." American Surgeon 81, no. 3 (March 2015): 223–28. http://dx.doi.org/10.1177/000313481508100321.

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Published outcome studies support regionalization of pediatric surgery, in which all children suspected of having surgical disease are transferred to a specialty center. Transfer to specialty centers, however, is an expensive approach to quality, both in direct costs of hospitalization and the expense incurred by families. A related question is the role of well-trained rural surgeons in an adequately resourced facility in the surgical care of infants and children. Local community facilities provide measurably equivalent results for straightforward emergencies in older children such as appendicitis. With education, training, and support such as telemedicine consultation, rural surgeons and hospitals may be able to care for many more children such as single-system trauma and other cases for which they have training such as pyloric stenosis. They can recognize surgical disease at earlier stages and initiate appropriate treatment before transfer so that patients are in better shape for surgery when they arrive for definitive care. Rural and community facilities would be linked in a pediatric surgery system that covers the spectrum of pediatric surgical conditions for a geographical region.

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39

Fallat, Mary E., and Thomas F. Tracy. "Comments on Rural Pediatric Surgery." American Surgeon 81, no. 3 (March 2015): 229–31. http://dx.doi.org/10.1177/000313481508100322.

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40

Huang, Lyen C., Jordan Esplin, Jessica Cohan, Mark Savarise, and Kimberly A. Kaphingst. "Rural Patient Experience after Surgery." Journal of the American College of Surgeons 229, no. 4 (October 2019): e30. http://dx.doi.org/10.1016/j.jamcollsurg.2019.08.831.

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41

Milligan, John L., Henry S. Nelson, Matthew L. Mancini, and Mitchell H. Goldman. "Rural Surgery Rotation during Surgical Residency." American Surgeon 75, no. 9 (September 2009): 743–46. http://dx.doi.org/10.1177/000313480907500902.

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General surgery in the rural hospital is threatened by declining resident interest in pursuing a career in the rural setting. We found that by initiating a rural rotation of 3 months in the senior resident years, a case mix that more approximated that of the rural surgeons was experienced. Also, by experiencing a rural rotation, more residents chose to practice in a rural setting when compared with residents before the initiation of the rotation.

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42

Massenburg, Benjamin B., Nakul P. Raykar, Amul Pawaskar, Jesudian Gnanaraj, and Nobhojit Roy. "Collaboration and innovation in rural surgery." International Health 8, no. 6 (November 2016): 367–68. http://dx.doi.org/10.1093/inthealth/ihw046.

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43

Antonenko, David R. "Rural Surgery: The North Dakota Experience." Surgical Clinics of North America 89, no. 6 (December 2009): 1367–72. http://dx.doi.org/10.1016/j.suc.2009.07.010.

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44

Sim, Andrew J. W., Fiona Grant, and Annie K. Ingram. "Surgery in Remote and Rural Scotland." Surgical Clinics of North America 89, no. 6 (December 2009): 1335–47. http://dx.doi.org/10.1016/j.suc.2009.09.012.

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45

Hughes, Tyler G. "Rural Surgery: Then, Now, and Beyond." Surgical Clinics of North America 100, no. 5 (October 2020): xvii—xviii. http://dx.doi.org/10.1016/j.suc.2020.06.007.

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46

Tebala, Giovanni Domenico. "Colorectal surgery in a rural setting." Updates in Surgery 67, no. 4 (November 6, 2015): 407–19. http://dx.doi.org/10.1007/s13304-015-0331-2.

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47

Schein, Moshe. "Editorial Comment: Surgery in Rural America." World Journal of Surgery 30, no. 3 (February 13, 2006): 271–72. http://dx.doi.org/10.1007/s00268-005-0535-6.

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48

Baridon, Nicolás Oddone. "Problems in Rural Surgery in Uruguay." World Journal of Surgery 30, no. 9 (July 21, 2006): 1634–35. http://dx.doi.org/10.1007/s00268-005-0642-4.

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49

Barclay, Andrew J., Steven R. Clifforth, and Olivia Warne. "Obesity Surgery in a Rural Setting." Obesity Surgery 14, no. 10 (November 1, 2004): 1415–18. http://dx.doi.org/10.1381/0960892042583969.

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50

Banerjee, J. K. "Rural surgery, caring for developing communities." European Journal of Surgery 165, no. 1 (February 1999): 69–71. http://dx.doi.org/10.1080/110241599750007531.

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