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Challenges in global reconstructive microsurgery: The sub-Saharan african surgeons' perspective
Chihena H Banda1,2, Pafitanis Georgios3, Mitsunaga Narushima1
1Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Mie University, Tsu, Japan.
JPRAS Open
|March 12, 2020
Summary
Microsurgery is crucial in sub-Saharan Africa, but faces challenges like poor perioperative care and lack of resources. Enhancing training and multidisciplinary teams can improve reconstructive microsurgery access.
Area of Science:
- Plastic Surgery
- Microsurgery
- Global Health
Background:
- Microsurgery is vital in plastic surgery but underdeveloped in sub-Saharan Africa.
- This study explores plastic surgeons' experiences and challenges in the region.
Purpose of the Study:
- To identify challenges in sub-Saharan Africa's microsurgery practice.
- To propose methods for improving global reconstructive microsurgery in the region.
Main Methods:
- An online survey was distributed to plastic surgeons in East, Central, and Southern Africa.
- Data collected included practice location, experience, and microsurgical procedure rates.
Main Results:
- 56% of surgeons responded, deeming microsurgery essential.
- Key challenges: inadequate perioperative care (91% cited staff shortages), lack of expertise/resources, and low public awareness.
- Enhancing training with a multidisciplinary approach was the top improvement suggestion.
Conclusions:
- Plastic surgeons recognize the need for Global Reconstructive Microsurgery in sub-Saharan Africa.
- Major obstacles include inadequate perioperative care, expertise, equipment, and public awareness.
- Improving advocacy, training, and multidisciplinary team building is essential for regional microsurgery advancement.
