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Neurosurgery in Nepal: Past, Present, and Future
Shabal Sapkota1, Suman Rijal2, Mitesh Karn3
1National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal.
World Neurosurgery
|November 3, 2021
Summary
Modern neurosurgery in Nepal, pioneered by Dr. Upendra Devkota, has advanced significantly since 1990. However, neurosurgical care remains concentrated in Kathmandu, highlighting the need for wider access and more specialists.
Area of Science:
- Neurosurgery
- Medical History
- Healthcare Systems
Background:
- Modern neurosurgery in Nepal commenced post-1990, significantly influenced by Dr. Upendra Devkota.
- The field has benefited from international and local expertise, leading to notable advancements.
- Despite progress, neurosurgical services are predominantly centralized in Kathmandu.
Purpose of the Study:
- To review the historical development and current state of neurosurgery in Nepal.
- To identify key challenges and limitations in neurosurgical care delivery.
- To propose future directions for enhancing neurosurgical services nationwide.
Main Methods:
- Historical review of neurosurgical development in Nepal.
- Analysis of current neurosurgical infrastructure and workforce distribution.
- Identification of barriers to neurosurgical care access.
Main Results:
- Neurosurgery in Nepal has a history spanning over 50 years, with modern services established after 1990.
- A significant disparity exists, with neurosurgical care largely confined to Kathmandu.
- There is a notable shortage of qualified neurosurgeons across the country.
Conclusions:
- Further development requires expanding neurosurgical care geographically.
- Revising residency training programs is crucial for increasing the neurosurgical workforce.
- Establishing subspecialty-focused neurosurgical practices will enhance care quality and scope.
