Rural Medical and Surgical Outreach Mission: Experience of International College of Surgeons (The Nigerian National Section)

Anyaeze, Chineme Michael; Eke, N; Anyanwu, Kenneth Kelechi; Enendu, Stephen Ejike

doi:10.9738/intsurg-d-17-00131.1

International Surgery

2018

DOI: 10.9738/intsurg-d-17-00131.1

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Rural Medical and Surgical Outreach Mission: Experience of International College of Surgeons (The Nigerian National Section)

Chineme Michael Anyaeze

N Eke

Kenneth Kelechi Anyanwu

et al.

Abstract: Nigeria lacks an equitable healthcare system. Low earnings characterize the income in rural areas where 55% of Nigerians who cannot afford basic medical care live. An organized rural medical and surgical outreach program can augment the formal healthcare system. Objective: To key into the International College of Surgeons Humanitarian Surgery Program by providing surgical specialists through collaboration to a sustainable free medical and surgical program.

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2022

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Common Genitourinary Fistulas in Rural Practice: Treatment and Management

Anyaeze¹

2022

Rural Health

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Acquired genitourinary fistulas are common in rural practice. They are pathological communications between the urinary and genital tracts, or between either of the tracts and gastrointestinal tract or skin. Vesicovaginal fistula is the commonest and most devastating. They may result from prolonged and obstructed labor, injuries during obstetric, gynecologic, pelvic and urologic procedures, circumcision, fall from heights, road traffic accidents and female genital mutilation. They present as urinary leakage with characteristic odor. Diagnoses are mainly clinical and confirmed by dye tests, contrast radiography and endoscopy. Treatment is individualized according anatomic sites and etiology. Timing of repair is of essence; delayed repair for obstetric and early for focal injuries. Multidisciplinary team approach and cooperation is encouraged in the management of some of these cases. The sustenance of the 2 – way referral system is emphasized in cases beyond the scope of rural practice. Repairs when undertaken by skilled compassionate fistula surgeons with attention to principles of fistula management and surgical treatment, success rate can approach 90%. Interposition of vascularized grafts have improved success rate. The burden of this condition will be reduced through integration of rural practitioners in the preventive strategies of health education of the public and girlchild; improvement of healthcare, education and transportation infrastructures.

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Common Genitourinary Fistulas in Rural Practice: Treatment and Management

Anyaeze¹

2022

Rural Health

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Rural Medical and Surgical Outreach Mission: Experience of International College of Surgeons (The Nigerian National Section)

Cited by 1 publication

References 10 publications

Common Genitourinary Fistulas in Rural Practice: Treatment and Management

Common Genitourinary Fistulas in Rural Practice: Treatment and Management

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