Reconstructive Surgery Camp for Leprosy Deformities in a Tertiary Hospital: An Example of Service Delivery at Low Costs

Bhatt, Nikita; Kakked, Gaurav; Vyas, Kinnari A; Merchant, Rajiv

doi:10.7860/jcdr/2016/15082.8158

Cited by 4 publications

(9 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Treatment of leprosy patients is also always accompanied by a self-care mechanism taught by the officer to the patient, in order to prevent the disease from worsening [21]. There is also a mechanism of rehabilitation through reconstruction, physiotherapy and the provision of aids (prosthesis) for people with disabilities level 1 or 2 [22]. DM program is managed in conjunction with other non-infectious diseases program, so there is no specificity of the DM program.…”

Section: Discussionmentioning

confidence: 99%

Inclusive medical rehabilitation for persons with disability due to leprosy, lymphatic filariasis, and diabetes mellitus: Mapping the gap in three leprosy endemic districts in Indonesia

Denny

Dharmawan

Ginandjar

et al. 2019

Preprint

View full text Add to dashboard Cite

43Medical rehabilitation for person with disability in Indonesia is still an issue. This research aimed to 44 explore Inclusive medical rehabilitation for persons with disability due to leprosy, lymphatic 45 filariasis, and diabetes mellitus in three regions in Indonesia. The qualitative study was 46 employed to gather data from disability patients, health workers in PHCs, medical rehabilitation 47 services for leprosy, DM, and LF in hospitals. 48 The results indicated that the gap on medical rehabilitation for person with disability due to 49 leprosy, lymphatic filariasis and diabetes mellitus in three regions were due to some 50 differences in their geographical aspects, availability of referral hospital for treating leprosy 51 and filariasis, supervision, human resource competencies. 52 53 61 62 The right to receive health services contains the elements of availability, accessibility, 63 acceptability, and appropriateness (or quality) [2]. In Indonesia, people with leprosy often 64 experience barriers in obtaining rehabilitation services [4]. For example, a previous study 65 described barriers to medical rehabilitation services for persons with disability due to leprosy 3 66 [5]. There are seven leprosy hospitals available throughout Indonesia, but only one offers the 67 most relevant medical rehabilitation (e.g. surgery, prosthetics & orthotics, physiotherapy, 68 occupational therapy, including here also guidance to home-based self-care) [3]. Long 69 distance to reach the nearest leprosy hospital limits the access for most leprosy-affected 70 persons. Furthermore, access to general hospitals is often restricted by stigmatising and 71 discriminating attitudes of hospital staff [4]. Furthermore, information accessibility is 72 constrained for many people in remoter areas and with low level of education [6]. 73 74 Many persons affected by leprosy are not members of any insurance scheme as they do not 75 have valid identity cards [7]. Additionally, economical access or affordability is often not 76 ensured when people have to stay for prolonged times in leprosy hospitals waiting for 77 services, or have to bring family members to care for them, both reducing family income [8]. 78 Acceptability of medical services is low in some leprosy hospitals where facilities and 79 services hardly respect human dignity, as clearly evident when visiting these hospitals. 80 Appropriateness or quality for services differs and may only benefit those who have the 81 resources. 82 83 Other diseases such as lymphatic filariasis (LF) and diabetes mellitus (DM) can cause 84 disabilities similar to leprosy in several aspects [9-11]. All require care and self-care to deal 85 with chronic impairments especially to lower limbs [12-14]. Both in leprosy and DM, 86 peripheral neuropathy is common, which may lead to wounds when pain is not felt, and 87 ultimately to amputations [9,11]. Simple interventions such as wearing protective footwear 88 may prevent worsening of impairments for people with insensitive feet caused by neuropathy, 8...

show abstract

Section: Discussionmentioning

confidence: 99%

Inclusive medical rehabilitation for persons with disability due to leprosy, lymphatic filariasis, and diabetes mellitus: Mapping the gap in three leprosy endemic districts in Indonesia

Denny

Dharmawan

Ginandjar

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Plantar ulcer was the commonest deformity (51.5%), while lagopthalmos (9.2%) was the least common deformity in the patient group. Also, 30.7% claw hand deformities and 6.9% ulnar nerve abscesses were found [20]. Most of the cited articles showed that hands, feet and eyes are the 3 main body parts affected by leprosy.…”

Section: Discussionmentioning

confidence: 99%

“…Shadullapur(20), and Fulchori(7). Finally, the sample consisted of 92 affected people from two divisions irrespective of age, gender, and deformity.Semi-structured questionnaire was used at the field for data collection which was pretested in Khulna.…”

mentioning

confidence: 99%

Psychosocial consequences of leprosy and the related deformity in Bangladesh

2016

Asian Pac J Trop Dis

View full text Add to dashboard Cite

show abstract

“…36 Notably, the introduction of the reconstructive surgery camp for leprosy in Gujarat, India increased reconstructive surgery for leprosy in other parts of India. 36 Reconstructive surgery is an important part of recovery from leprosy and there is great potential for reconstructive surgery to decrease disabilities caused by leprosyassociated nerve damage. 40 All in all, more study on plastic surgery is needed to establish a standardized method of surgical treatment to reduce disabilities and deformities caused by leprosy, thus improving patients' function and reducing stigma.…”

Section: Leprosymentioning

confidence: 99%

“…3). 36 Leprosy often causes a permanent disability, with 3 million people currently living with a leprosy-associated deformity (Fig. 6).…”

Section: Leprosymentioning

confidence: 99%

Reconstructive Surgery for the Neglected Tropical Diseases: Global Gaps and Future Directions

Pham

Hotez

Hamilton³

2023

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: Several neglected tropical diseases (NTDs) are highly disfiguring, particularly those in resource-poor countries that lack access to basic surgery. There has been a push to integrate surgery into treatment programs for NTDs. In this article, we provide an overview of the major disfiguring NTDs and discuss the processes and barriers that impede access to reconstructive surgical treatments or their integration into health systems. Methods: A review of the literature was conducted using the online database PubMed, from 2008 to 2021 with the specific diseases listed as NTDs either on the World Health Organization or the PLoS Neglected Tropical Disease websites. Reference lists of identified articles and reviews were also searched, as were databases from the World Health Organization’s Weekly Epidemiological Record. Result: Success in the surgical treatment and postoperative care of disfiguring NTDs would benefit from standardization and harmonization of surgical approaches and procedures. In some settings, reconstructive surgery should be used cautiously, emphasizing appropriate use of antibiotics, partnerships with global and local surgical teams, and local capacity building. Preventative hygiene approaches remain paramount in resource-poor areas. Conclusions: Surgery is a promising treatment for NTDs that result in disfigurement and disability. The expansion of local capacity building, with medical trips and surgical training of local health workers, together with the development of universal surgical protocols remain essential cornerstones for NTD reconstructive surgery. Antibiotics and drug management should comprise key first steps before turning to surgery.

show abstract

Reconstructive Surgery Camp for Leprosy Deformities in a Tertiary Hospital: An Example of Service Delivery at Low Costs

Cited by 4 publications

References 5 publications

Inclusive medical rehabilitation for persons with disability due to leprosy, lymphatic filariasis, and diabetes mellitus: Mapping the gap in three leprosy endemic districts in Indonesia

Inclusive medical rehabilitation for persons with disability due to leprosy, lymphatic filariasis, and diabetes mellitus: Mapping the gap in three leprosy endemic districts in Indonesia

Psychosocial consequences of leprosy and the related deformity in Bangladesh

Reconstructive Surgery for the Neglected Tropical Diseases: Global Gaps and Future Directions

Contact Info

Product

Resources

About