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Successful adaptati...
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Corell, AlbaGothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Sahlgrens Univ Hosp, Dept Neurosurg, Bla Straket 5, S-41345 Gothenburg, Sweden.;Univ Gothenburg, Inst Neurosci & Physiol, Sahlgrenska Acad, Dept Clin Neurosci, Gothenburg, Sweden.
(author)
Successful adaptation of twinning concept for global neurosurgery collaborations-a validation study
- Article/chapterEnglish2024
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LIBRIS-ID:oai:gup.ub.gu.se/336879
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https://gup.ub.gu.se/publication/336879URI
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https://doi.org/10.1007/s00701-024-06060-8DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-527045URI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Introduction Globally, many regions have an urgent, unmet need of neurosurgical care. A multi-step neurosurgical twinning technique, International Neurosurgical Twinning Modeled for Africa (INTIMA), was proved to be successful during a previous mission to Neurosurgical Unit, Enugu, Nigeria. The Swedish African Neurosurgical Collaboration (SANC) performed a developmental mission together with the local neurosurgical unit in The Gambia, adopting the INTIMA model.Methods A multidisciplinary team visited for a 2-week collaborative mission at the Neurosurgical Department of the Edward Francis Small Teaching Hospital in Banjul, The Gambia. The mission followed the data of neurosurgical operations during and after the mission as well as about the operations 3 months prior to and after the mission was collected.Results During the mission, a total of 22 operations was carried out, the most common being degenerative spinal conditions (n = 9). In the 3 months following the mission, 43 operations were performed compared to 24 during the 3 months leading up to the mission. The complexity of the performed procedures increased after the mission. An operating microscope (Moller-Wedel) was donated and installed and the neurosurgeons on site underwent training in microneurosurgery. The surgical nurses, nurses at the postoperative ward, and the physiotherapists underwent training. A biomedical engineer serviced multiple appliances and devices improving the patient care on site while training local technicians.Conclusion This study validated the use of the INTIMA model previously described in a mission by Swedish African Neurosurgical Collaboration (SANC). The model is sustainable and produces notable results. The core strength of the model is in the multidisciplinary team securing all the aspects and steps of the neurosurgical care. Installation of an operating microscope opened for further microsurgical possibilities, improving the neurosurgical care in The Gambia.
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Jabang, John N.EFSTH Teaching Hosp, Dept Surg, Neurosurg Unit, Banjul, Gambia.
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Manneh, JobEFSTH Teaching Hosp, Dept Surg, Neurosurg Unit, Banjul, Gambia.
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Manneh, Ebrima K.EFSTH Teaching Hosp, Dept Surg, Neurosurg Unit, Banjul, Gambia.
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Tisell, Magnus,1964Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Sahlgrens Univ Hosp, Dept Neurosurg, Bla Straket 5, S-41345 Gothenburg, Sweden.;Univ Gothenburg, Inst Neurosci & Physiol, Sahlgrenska Acad, Dept Clin Neurosci, Gothenburg, Sweden.(Swepub:gu)xtisma
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Brandt, ChristianLund Univ Hosp, Neurosurg Dept, Lund, Sweden.
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Majing, TomasKarolinska Univ Hosp, Dept Perioperat Med & Intens Care, Stockholm, Sweden.
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Smedberg, CamillaKarolinska Univ Hosp, Dept Perioperat Med & Intens Care, Stockholm, Sweden.
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Forars, CharlotteKarolinska Univ Hosp, Dept Perioperat Med & Intens Care, Stockholm, Sweden.
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Rebucas, SarinahKarolinska Univ Hosp, Dept Neurosurg, Stockholm, Sweden.
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Goswell, PascalKarolinska Univ Hosp, Dept Neurosurg, Stockholm, Sweden.
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Ronold, ToveUppsala Univ Hosp, Dept Neurosurg, Uppsala, Sweden.
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Landen, CarolineSahlgrens Univ Hosp, Dept Rehabil, Gothenburg, Sweden.
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Engstrom, AndersSahlgrens Univ Hosp, Dept Strateg Planning, Gothenburg, Sweden.
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Sorto, PiaUniv Helsinki, Dept Neurosurg, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.
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Uche, EnochUniv Nigeria, Teaching Hosp, Dept Neurosurg, Enugu, Nigeria.
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Wague, DaoudaFann Univ, Teaching Hosp, Dept Neurosurg, Dakar, Senegal.
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Sakho, YoussouphaGrand Yoff Gen Hosp, Dept Neurosurg, Dakar, Senegal.
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Sundblom, JimmyUppsala Univ Hosp, Dept Neurosurg, Uppsala, Sweden.
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Göteborgs universitetInstitutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap
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Corell, Alba
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Jabang, John N.
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Manneh, Job
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Manneh, Ebrima K ...
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Tisell, Magnus, ...
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Brandt, Christia ...
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Majing, Tomas
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Rebucas, Sarinah
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Goswell, Pascal
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Ronold, Tove
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Landen, Caroline
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Engstrom, Anders
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Sorto, Pia
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Uche, Enoch
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