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Sökning: WFRF:(Sahr O.) > (2020-2023) > Standardised Compet...

Standardised Competency-Based Training of Medical Doctors and Associate Clinicians in Inguinal Repair with Mesh in Sierra Leone

Ashley, Thomas (författare)
Connaught Hosp, Sierra Leone,Department of Surgery, Connaught Hospital, Freetown, Sierra Leone
Ashley, Hannah F. (författare)
Connaught Hosp, Sierra Leone; Upper Eden Med Practice, England,Department of Surgery, Connaught Hospital, Freetown, Sierra Leone; Upper Eden Medical Practice, Cumbria, United Kingdom
Wladis, Andreas (författare)
Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Katastrofmedicinskt centrum,Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
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Nordin, Pär (författare)
Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Umea Univ, Sweden
Ohene-Yeboah, Michael (författare)
Univ Ghana, Ghana,Department of Surgery, University of Ghana Medical School, Korle Bu, Accra, Ghana
Rukas, Rimantas (författare)
Trondheim Reg & Univ Hosp, Norway,Department of Surgery, St Olav’s Hospital, Trondheim University Hospital, Trondheim, Orkdal, Norway
Lipnickas, Vytautas (författare)
Vilnius Univ Hosp Santaros Klin, Lithuania,Department of Abdominal and Oncological Surgery, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
Smalle, Isaac O. (författare)
Connaught Hosp, Sierra Leone,Department of Surgery, Connaught Hospital, Freetown, Sierra Leone
Holm, Kristina (författare)
Department of Anaesthesia and Intensive Care, Mälarsjukhuset, Eskilstuna, Sweden
Kalsi, Herta (författare)
Capio St Gorans Hosp, Sweden,Department of Surgery, Capio St Görans Hospital, Stockholm, Sweden
Palmu, Juuli (författare)
Orebro Univ Hosp, Sweden,Department of Anaesthesiology and Intensive Care, Örebro University Hospital, Örebro, Sweden
Sahr, Foday (författare)
Coll Med & Allied Hlth Sci COMAHS, Sierra Leone; Republ Sierra Leone Armed Forces RSLAF, Sierra Leone,College of Medicine and Allied Health Sciences (COMAHS), Freetown, Sierra Leone; Joint Medical Unit (JMU), Republic of Sierra Leone Armed Forces (RSLAF), Freetown, Sierra Leone
Beard, Jessica H. (författare)
Temple Univ, PA USA,Department of Surgery, Lewis Katz School of Medicine at Temple University, PA, Philadelphia, United States
Loefgren, Jenny (författare)
Karolinska Institutet,Karolinska Inst, Sweden
Bolkan, Hakon A. (författare)
Trondheim Reg & Univ Hosp, Norway; Norwegian Univ Sci & Technol NTNU, Norway,Department of Surgery, St Olav’s Hospital, Trondheim University Hospital, Trondheim, Orkdal, Norway; Institute of Nursing and Public Health, Norwegian University of Science and Technology (NTNU), Postboks 8905, Trondheim, Norway
van Duinen, Alex J. (författare)
Trondheim Reg & Univ Hosp, Norway; Norwegian Univ Sci & Technol NTNU, Norway,Department of Surgery, St Olav’s Hospital, Trondheim University Hospital, Trondheim, Orkdal, Norway; Institute of Nursing and Public Health, Norwegian University of Science and Technology (NTNU), Postboks 8905, Trondheim, Norway
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 (creator_code:org_t)
SPRINGER, 2023
2023
Engelska.
Ingår i: World Journal of Surgery. - : SPRINGER. - 0364-2313 .- 1432-2323. ; 47:10, s. 2330-2337
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https://doi.org/10.1...
https://umu.diva-por... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.1...
https://urn.kb.se/re...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • IntroductionIn low-income settings, there is a high unmet need for hernia surgery, and most procedures are performed with tissue repair techniques. In preparation for a randomized clinical trial, medical doctors and associate clinicians received a short-course competency-based training on inguinal hernia repair with mesh under local anaesthesia. The aim of this study was to evaluate feasibility, safety and effectiveness of the training.MethodsAll trainees received a one-day theoretical module on mesh hernia repair under local anaesthesia followed by hands-on training. Performance was assessed using the American College of Surgeons Groin Hernia Operative Performance Rating System. Patients were followed up two weeks and one year after surgery. Outcomes of the patients operated on during the training trial were compared to the 229 trial patients operated on after the training.ResultsDuring three surgical camps, seven medical doctors and six associate clinicians were trained. In total, 129 patients were operated on as part of the training. Of the 13 trainees, 11 reached proficiency. Patients in the training group had more wound infections after two weeks (8.5% versus 3.1%; p = 0.041). There was no difference in recurrence and mortality after one year, and none of the deaths were attributed to the surgery.Discussion and conclusionMesh repair is the international standard for inguinal hernia repair worldwide. Nevertheless, this is not widely accessible in low-income settings. This study has demonstrated that short-course intensive hands-on training of MDs and ACs in mesh hernia repair is effective and safe.Trial Registration: International Clinical Trial Registry ISRCTN63478884.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

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