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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Related Experiment Video

Updated: May 23, 2025

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How Should Laparoscopic Surgery Training be Planned in a Resource-Limited Environment?

Huseyin Kilavuz1, Abdirahman Burale Ahmed2, Abdinasir Mohamed Mohamud2

  • 1University of Health Sciences, Hamidiye Faculty of Medicine, Department of General Surgery, Uskudar, Istanbul, Turkey.

Journal of Surgical Education
|March 8, 2025
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Summary

Bilateral collaboration successfully introduced laparoscopic surgery in Ethiopia. This program trained local staff and initiated 25 procedures, demonstrating feasibility in low-resource settings.

Keywords:
Global healthLaparoscopic surgeryLaparoscopic trainingSurgical training

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Area of Science:

  • Global Health
  • Surgical Innovation
  • Medical Education

Background:

  • Laparoscopic surgeries (LSs) are underutilized in low-income countries due to infrastructure and resource limitations.
  • Introducing advanced surgical techniques requires tailored training and collaborative efforts.

Purpose of the Study:

  • To describe the implementation and outcomes of the first bilateral collaboration protocol (BCP) for LS at an African university hospital.
  • To establish laparoscopic surgery in a region where it was previously unavailable.

Main Methods:

  • A 3-stage BCP was conducted between a Turkish and an Ethiopian university hospital from January to June 2024.
  • Training involved 3-6 months of surgical education in Turkey, followed by a week of on-site training and initial procedures in Ethiopia.
  • The program included installation of equipment, training of surgeons and operating room staff, and remote follow-up via video call.

Main Results:

  • During the initial week in Ethiopia, 25 patients underwent the first LSs, covering general surgery, gynecology, and ENT.
  • In the subsequent 30 days, 24 additional LS procedures were performed.
  • The collaboration facilitated the introduction of minimally invasive surgery in the Somali State of Ethiopia.

Conclusions:

  • Laparoscopic surgery can be successfully introduced in low-income countries through well-structured training programs and international collaboration.
  • This BCP model provides a framework for expanding surgical capabilities in resource-limited healthcare settings.