Knowledge, attitude and practice of laparoscopic surgery among medical doctors in Port Harcourt, Nigeria
DOI:
https://doi.org/10.18203/2349-2902.isj20201374Keywords:
Attitude, Knowledge, Laparoscopic surgeries, Medical doctors, Nigeria, Practice, Port HarcourtAbstract
Background: The use of minimal access techniques to achieve similar objectives as in open surgical procedures has witnessed a steady progress in the last two decades. The efficacy and safety of this mode of surgery has long been established. Medical doctors are not only members of the society; with their level of knowledge, their opinion is a strong mirror image of the pulse of the patients they treat. Aim of the study was to ascertain the knowledge, attitude, extent of practice, and factors affecting laparoscopic surgery among medical doctors in Port Harcourt, Nigeria.
Methods: A cross sectional study of four hundred and fourteen (414) practicing medical doctors was conducted. Using stratified sampling method, self-administered semi-structured questionnaires was distributed to respondents in Port Harcourt in 2018. Data obtained was analysed using the Statistical Package for the Social Sciences (SPSS) version 20.0.
Results: Knowledge of laparoscopic surgery among respondents was 89.6% (371). Three hundred and twelve respondents (75.4%) were willing to pay if such surgery is necessary and offered in Port Harcourt. Only 2.4%. of respondents asserted that laparoscopic surgery services are offered regularly in their hospital. Only 1 respondent (0.2%) was willing to pay ₦151,000.00 - 200,000.00 ($430 - $570) for commonly performed laparoscopic abdominal surgical procedures.
Conclusions: Willingness to accept and knowledge of laparoscopic surgery was relatively high among medical doctors, hence a high prospect for laparoscopic surgery practice in Port Harcourt is therefore likely. The practice of laparoscopic surgery seems low and willingness to pay, even among doctors seem to be a challenge.
Metrics
References
Mishra RK. Landmark historic events, endovision system: Maintenance and trouble shooting. In Textbook of laparoscopy. (Recommended by IAGES and WALS). Unpublished.
Vecchio R, Macfayden BV, Palazzo F. History of laparoscopic surgery. Panminerva Med. 2000;42(1):87-90.
Soper NJ. Access to abdomen. In The sages manual fundamentals of laparoscopy, thoracoscopy, and gi endoscopy. Second Edition: Scott-Conner, CE. (Ed.). United States of America: Springer; 2006:
Lamptey JN, Ladipo JK. Minimal invasive surgery. In: Badoe EA, Achampong EQ, da Rocha JT (Editors.). 4th Edition. Principles and practice of surgery including pathology in tropics. Ghana: Ghana Publishing Corporation; 2009:
Chen I, Bajzak KI, Guo Y, Singh SS. A National survey of endoscopic practice among gynaecologists in Canada. J Obstet Gynaecol Can. 2012;34(3):257-63.
Schreinemache MH, Broek RP, Bakkum EA, Goor H, Bouvy ND. Adhesion awareness: a national survey of surgeons. World J Surg. 2010;34:2805-12.
Fanimo D. Reversing capital flight through health tourism. Available at: http:// www. ngrguardiannews. com/2015/05/reversing-capital-flight-through-health-tourism. Accessed on 11th January 2016.
Wapmuk S, Wapmuk AE, Gbajabiamila TA. Medical tourism and Nigeria-India relations. Available at http:// jotr.eu /index.php/ tourism-management/138-nigeria-india-relations. Accessed on 11 January 2016.
Ogunsina B, Opaluwa T. Nigeria loses N3bn to medical tourism annually. Available at: http:// leadership.ng/news/476614/nigeria-loses-n3bn-to-medical-tourism-annually. Accessed on 11 January 2016.
Apostolou C, Panieri E. National survey of surgeons’ attitudes to laparoscopic surgical training in South Africa. SAJS. 2007;45(3):44-9.
Weizman FN, Maurer R, Einarsson JI, Vitonis AF, Cohen SL. Survey on barriers to adoption of laparoscopic surgery. J Surg Educ. 2007;72(5):985-94.
Julianov A, Karashmalakov A, Stoyanov H, Georgiev Y. Laparoscopic surgery in general surgery clinic. Trakia J Sci, 2010;8(2):214-6.
Adisa OA, Lawal OO, Alatise OI, Adesunkanmi AR. An audit of laparoscopic surgeries in Ile-Ife, Nigeria. WAJM. 2011;30(4):273-6.
Asbun HJ, Berguer R, Altamirano R, Castellanos H. Successfully establishing laparoscopic surgery programs in developing countries: Clinical results and lessons learned. Surg Endosc. 1996;10:1000-3.
Akute OO. Laparoscopic surgery: anesoteric hitech procedure of little relevance to present day Nigeria? AIPM. 2003;1:27-30.
Weizman FN, Maurer R, Einarsson JI, Vitonis AF, Cohen SL. Survey on barriers to adoption of laparoscopic surgery. J Surg Educ. 2015;72(5):985-94.
Afuwape O, Ayandipo O, Abdurrrazzaaq A. Laparoscopic appendectomy in a developing African country: East Cent. Afr J Surg. 2014;19(1):20-3.
Khatoon A, Fahim M, Tehniyat W, Abbasi SI, Khan JS, Khan MM, et al. Laparoscopic versus open appendectomy: a randomized control trial. JRMC. 2015;19(1):44-7.
Minutolo V, Licciardello A, Stefano BG, Arena M, Arena G, Antonacci V. Outcomes and cost analysis of laparoscopic versus open appendectomy for treatment of acute appendicitis: 4-year experience in a district hospital. BMC Surg. 2014;14:18-21.
Allagoa DO, Kotingo EL, Uwaezueke SC. Knowledge, practices and challenges of laparoscopy amongst doctors in Bayelsa State of Nigeria. European J Res Med Sci. 2015;3(1):22-6.
Offor RE, Jebbin NJ. Appendicectomy for appendicitis and laparoscopy training. J Gastrointest Dig Syst. 2017;7:483.
Ternovits CA, Tichansky DS, Madan AK. Band versus bypass: randomization and patients' choices and perceptions. Surg Obes Relat Dis. 2006;2(1):6-10.
Autorino R, White WM, Gettman MT, Khalifeh A, Sio MD, Lima E, et al. Public perception of “scarless” surgery: a critical analysis of the literature. Urology. 2012;80:495-502.
Hernandez RA, Verteuil R, Fraser CM, Vale LD. Aberdeen health technology assessment group: Systematic review of economic evaluations of laparoscopic surgery for colorectal cancer. Colorec Dis. 2008;10(9):859-68.