Trends and Outcomes of Laparoscopic Surgery in Low-Resource Settings: Lessons From Two African Healthcare Systems-A Narrative Review

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dc.authoridAssker, Mohamad/0009-0000-9929-7059
dc.authoridWellington, Jack/0000-0002-5511-1491
dc.authoridFawaz, Violette/0009-0002-3152-0802
dc.authoridUWISHEMA, Olivier/0000-0002-0692-9027
dc.authoridElawad, Shaima/0000-0001-6157-3820
dc.authoridHamitoglu, Ali Emir/0000-0002-5945-300X
dc.contributor.authorHamitoglu, Ali Emir
dc.contributor.authorFawaz, Violette
dc.contributor.authorElawad, Shaima Omer Mohamed
dc.contributor.authorAssker, Mohamad Monif
dc.contributor.authorNader, Thea Maria
dc.contributor.authorWellington, Jack
dc.contributor.authorUwishema, Olivier
dc.date.accessioned2025-04-06T12:23:58Z
dc.date.available2025-04-06T12:23:58Z
dc.date.issued2024
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractIntroductionLaparoscopic surgery (LS) has been a promising development in surgical practice globally ever since its introduction. LS has exhibited many an advantage, including bettering patient outcomes, lowering the risk of postoperative infection, and displaying economical affluence. However, its implementation in the African continent still faces various challenges. In this review, we investigated the status of laparoscopic surgery integration in Africa.ObjectivesIn this review, we aimed to investigate the challenges posed by the implementation of LS in low resource countries as well as critically evaluating initiatives and their impact within said domiciles. We also provide recommendations that may assist in LS prosperity in these settings by focusing efforts on improving training and financial incentives.MethodsA comprehensive literature review was conducted to garner up-to-date evidence concerning the fate of LS adoption in low- to middle-income countries. This comprised the analysis of different case studies from countries including Nigeria and Botswana, and investigated relevant recommendations and policies provided by other African countries.ResultsVarious challenges face the implementation of LS in countries with low resources comprising poor infrastructure, scarce training programs, and expert training personnel alongside financial boundaries. The adoption of LS in Africa has proved its benefits in improving patient outcomes and reducing hospital admissions. From a perspective of policy, it is crucial to sustain strong ties amongst institutions, stressing the importance of dynamic collaboration and locally tailored policies.ConclusionIt has been demonstrated that LS implementations in African nations lower infection rates and expedite recovery. A strong collaboration between governments, stakeholders, and healthcare providers is fundamental for successful integration of LS. Such extension in low-resource environments may be achieved by providing proper training programs, funding infrastructure and equipment, and fostering effective financial initiatives.
dc.description.sponsorshipThe authors received no specific funding for this work.
dc.description.sponsorshipWe would like to thank Oli Health Magazine Organization (OHMO)'s members for their contributions and support for this manuscript.
dc.identifier.doi10.1002/hsr2.70304
dc.identifier.issn2398-8835
dc.identifier.issue12
dc.identifier.pmid39720243
dc.identifier.scopus2-s2.0-85212930515
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1002/hsr2.70304
dc.identifier.urihttps://hdl.handle.net/20.500.11776/17280
dc.identifier.volume7
dc.identifier.wosWOS:001382109600001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofHealth Science Reports
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250406
dc.subjectAfrica
dc.subjectlaparoscopic surgery
dc.subjectminimally invasive surgery
dc.subjectMIS
dc.titleTrends and Outcomes of Laparoscopic Surgery in Low-Resource Settings: Lessons From Two African Healthcare Systems-A Narrative Review
dc.typeArticle

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