RESUMO
We report our experience of leprosy surgery in terms of feasibility and efficacy in a small hospital of bush in Madagascar during the period of September 1989 to January 1993. Operations of neurolysis, corrections of claw hands by the techniques of Lasso-Zancolli or Van Droogenbroeck, arthrodesis, resections and amputations have been performed. Our results suggest that at least a part of these surgical procedures may be performed by a non specialized medical team, taught on the premises. Thus, the cost of treatment will be low and accessible to more leprosy patients.
Assuntos
Hospitais Rurais , Hanseníase/cirurgia , Área Carente de Assistência Médica , Amputação Cirúrgica/economia , Amputação Cirúrgica/métodos , Amputação Cirúrgica/estatística & dados numéricos , Artrodese/economia , Artrodese/métodos , Artrodese/estatística & dados numéricos , Competência Clínica/economia , Competência Clínica/estatística & dados numéricos , Denervação/economia , Denervação/métodos , Denervação/estatística & dados numéricos , Estudos de Viabilidade , Seguimentos , Acessibilidade aos Serviços de Saúde/economia , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Custos Hospitalares/estatística & dados numéricos , Hospitais Rurais/economia , Hospitais Rurais/estatística & dados numéricos , Humanos , Madagáscar , Equipe de Assistência ao Paciente/organização & administração , Fatores de Tempo , Resultado do TratamentoRESUMO
Leprosy is endemic in Madagascar and the diagnosis of leprosy is still done lately. Thus, many patients suffer from multiple and/or severe disabilities. Since a long time, many leprologists argue that surgery is necessary and useful in the treatment of these disabilities. We report the results of a retrospective study done in 25 patients reevaluated 2 to 7 years after surgery. Of these patients: 17 patients (68%) have success, 7 patients (28%) have a partial improvement and only 1 case (4%) had no benefit. These results are encouraging and suggest that surgery must be proposed more often to treat in leprosy disabilities.