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Operation Open Heart in PNG, 1993-2006.

N Tefuarani1, J Vince, R Hawker

  • 1Clinical Sciences Division, School of Medicine and Health Sciences, University, of Papua New Guinea, P.O. Box 5623, Boroko, National Capital District, Papua New Guinea. ntefuarani@gatec.net.pg

Heart, Lung & Circulation
|July 13, 2007
PubMed
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This summary is machine-generated.

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Operation Open Heart (OOH) successfully provided cardiac surgery in Papua New Guinea (PNG), achieving a high operation rate and low mortality. The program facilitated significant skill transfer to local healthcare professionals.

Area of Science:

  • Cardiovascular Surgery
  • Global Health
  • Medical Education

Background:

  • Papua New Guinea (PNG) faces challenges in providing advanced cardiac surgical care.
  • The 'Operation Open Heart' (OOH) initiative aimed to address this gap through international collaboration.

Purpose of the Study:

  • To evaluate the outcomes of the OOH cardiac surgical program in PNG.
  • To document the short-term surgical results and assess skill transfer to national healthcare providers.

Main Methods:

  • Analysis of a database containing records of patients operated on by a visiting cardiothoracic surgical team.
  • Review of patient demographics, procedures performed, and clinical outcomes.

Main Results:

  • 470 patients underwent operations, with 72% being children under 12.

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  • Open heart procedures were performed on 40% of patients, with a low short-term mortality rate of 1.9%.
  • Significant clinical skill transfer occurred among national anaesthetists, surgeons, paediatricians, physicians, and nurses.

    • Conclusions:

    • The OOH program exceeded previous efforts in operation rates and demonstrated a lower mortality.
    • The initiative successfully delivered services and facilitated substantial skill transfer, establishing a capable local team for procedures like patent ductus repair.
    • The program proved cost-effective and less disruptive for patients and families compared to prior initiatives.