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Palliative reconstructive surgery: contextualizing palliation in resource-poor settings.

Nthumba PM - Plast Surg Int (2014)

Bottom Line: Surgical training does not arm the surgeon with the skills needed to deal with the care of palliative patients.Resource constraints demand that the surgeon be multidiscipline trained so as to be able to adequately address the needs of a growing population of patients that could benefit from surgical palliation.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Plastic, Reconstructive and Hand Surgery Unit, AIC Kijabe Hospital, Kijabe 00220, Kenya.

ABSTRACT
Introduction. Palliative care in Kenya and the larger Sub-Saharan Africa is considered a preserve of hospices, where these exist. Surgical training does not arm the surgeon with the skills needed to deal with the care of palliative patients. Resource constraints demand that the surgeon be multidiscipline trained so as to be able to adequately address the needs of a growing population of patients that could benefit from surgical palliation. Patients and Methods. The author describes his experience in the management of a series of 31 palliative care patients, aged 8 to 82 years. There were a total of nine known or presumed mortalities in the first year following surgery; 17 patients experienced an improved quality of life for at least 6 months after surgery. Fourteen of these were disease-free at 6 months. Conclusion. Palliative reconstructive surgery is indicated in a select number of patients. Although cure is not the primary intent of palliative surgery, the potential benefits of an improved quality of life and the possibility of cure should encourage a more proactive role for the surgeon. The need for palliative care can be expected to increase significantly in Africa, with the estimated fourfold increase of cancer patients over the next 50 years.

No MeSH data available.


Related in: MedlinePlus

(a) Squamous cell carcinoma of the lower lip in a patient with AIDS on HAART. (b) Post-operative picture.
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Related In: Results  -  Collection


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fig1: (a) Squamous cell carcinoma of the lower lip in a patient with AIDS on HAART. (b) Post-operative picture.

Mentions: A total of 31 patients fulfilled the criteria for inclusion into the study. There were 14 females and 17 males, aged 8 to 82 years (Table 1). Representative cases are presented in Figures 1–6.


Palliative reconstructive surgery: contextualizing palliation in resource-poor settings.

Nthumba PM - Plast Surg Int (2014)

(a) Squamous cell carcinoma of the lower lip in a patient with AIDS on HAART. (b) Post-operative picture.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4230194&req=5

fig1: (a) Squamous cell carcinoma of the lower lip in a patient with AIDS on HAART. (b) Post-operative picture.
Mentions: A total of 31 patients fulfilled the criteria for inclusion into the study. There were 14 females and 17 males, aged 8 to 82 years (Table 1). Representative cases are presented in Figures 1–6.

Bottom Line: Surgical training does not arm the surgeon with the skills needed to deal with the care of palliative patients.Resource constraints demand that the surgeon be multidiscipline trained so as to be able to adequately address the needs of a growing population of patients that could benefit from surgical palliation.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Plastic, Reconstructive and Hand Surgery Unit, AIC Kijabe Hospital, Kijabe 00220, Kenya.

ABSTRACT
Introduction. Palliative care in Kenya and the larger Sub-Saharan Africa is considered a preserve of hospices, where these exist. Surgical training does not arm the surgeon with the skills needed to deal with the care of palliative patients. Resource constraints demand that the surgeon be multidiscipline trained so as to be able to adequately address the needs of a growing population of patients that could benefit from surgical palliation. Patients and Methods. The author describes his experience in the management of a series of 31 palliative care patients, aged 8 to 82 years. There were a total of nine known or presumed mortalities in the first year following surgery; 17 patients experienced an improved quality of life for at least 6 months after surgery. Fourteen of these were disease-free at 6 months. Conclusion. Palliative reconstructive surgery is indicated in a select number of patients. Although cure is not the primary intent of palliative surgery, the potential benefits of an improved quality of life and the possibility of cure should encourage a more proactive role for the surgeon. The need for palliative care can be expected to increase significantly in Africa, with the estimated fourfold increase of cancer patients over the next 50 years.

No MeSH data available.


Related in: MedlinePlus