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Djientcheu V, Nassourou Oumarou H, Thazo P, Djientcheu C, Fezeu F, Doukas A, et al . Report of the First Completed On-site Vascular
Neurosurgery Fellowship Program in Cameroon. Iran J Neurosurg 2024; 10 : 2
URL: http://irjns.org/article-1-385-en.html
URL: http://irjns.org/article-1-385-en.html
Vincent Djientcheu1 
, Haman Nassourou Oumarou1 , Potho Thazo1 , Carole Djientcheu1 , Francis Fezeu2 , Alexandros Doukas3 , Leonidas Trakolis * 4, Athanasios K. Petridis5
, Haman Nassourou Oumarou1 , Potho Thazo1 , Carole Djientcheu1 , Francis Fezeu2 , Alexandros Doukas3 , Leonidas Trakolis * 4, Athanasios K. Petridis5
1- Department of Neurosurgery, Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde, Yaounde, Cameroon.
2- Department of Neurosurgery, Medical School, Heinrich Heine University Duesseldorf, Düsseldorf, Germany.
3- Department of Neurology and Neurosurgery, Brain Global Non-profit Organization, Salisbury, United States.
4- Department of Neurosurgery, Christian Albrechts University Kiel, Kiel, Germany. ,leonidastra86@hotmail.com
5- Department of Neurosurgery, Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde, Yaounde, Cameroon AND Department of Neurology and Neurosurgery, Brain Global Non-profit Organization, Salisbury, United States AND Department of Neurosurgery, Christian Albrechts University Kiel, Kiel, Germany Department of Neurosurgery, St. Luke´s Hospital, Thessaloniki, Greece
2- Department of Neurosurgery, Medical School, Heinrich Heine University Duesseldorf, Düsseldorf, Germany.
3- Department of Neurology and Neurosurgery, Brain Global Non-profit Organization, Salisbury, United States.
4- Department of Neurosurgery, Christian Albrechts University Kiel, Kiel, Germany. ,
5- Department of Neurosurgery, Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde, Yaounde, Cameroon AND Department of Neurology and Neurosurgery, Brain Global Non-profit Organization, Salisbury, United States AND Department of Neurosurgery, Christian Albrechts University Kiel, Kiel, Germany Department of Neurosurgery, St. Luke´s Hospital, Thessaloniki, Greece
Abstract: (2950 Views)
Background and Aim: Vascular neurosurgical expertise is highly in demand in African countries.To create a sustainable environment for treating the patients, local neurosurgeons have tobe trained and be able to operate under the local circumstances, and equipment and on-sitefellowship programs are needed. We have reported the results of the first completed on-sitecerebrovascular fellowship in Cameroon and to our knowledge, in central Africa.
Methods and Materials/Patients: Forty-two cerebrovascular cases (38 aneurysms) wereoperated by the cerebrovascular expert and his fellows microsurgically from April 2021to November 2022. The expert traveled to Cameroon four times. Online conferences andtheoretical courses were organized.Results: The overall morbidity rate was 10.5% with a long-term functional morbidity rate of5.2%. The intraoperative mortality rate was 0 and the 30-day mortality rate was 2.7%. Aftercompletion of the program, the fellow’s surgical skills concerning operating time, intraoperativecomplications, and mortality improved significantly.
Conclusion: The on-site cerebrovascular fellowship program in sub-Saharan countries is feasibleand provides the patient with high-quality surgery with outcomes similar to Western countries.The caseload in two years is sufficient enough to provide excellent training to the local fellows.There is a high demand for further fellowships, like the one we described. It is important for thetrainer to stay dedicated to the program until the completion of it. To provide the fellows with ahigh caseload, only two fellows should be trained, which are participating in every case
Methods and Materials/Patients: Forty-two cerebrovascular cases (38 aneurysms) wereoperated by the cerebrovascular expert and his fellows microsurgically from April 2021to November 2022. The expert traveled to Cameroon four times. Online conferences andtheoretical courses were organized.Results: The overall morbidity rate was 10.5% with a long-term functional morbidity rate of5.2%. The intraoperative mortality rate was 0 and the 30-day mortality rate was 2.7%. Aftercompletion of the program, the fellow’s surgical skills concerning operating time, intraoperativecomplications, and mortality improved significantly.
Conclusion: The on-site cerebrovascular fellowship program in sub-Saharan countries is feasibleand provides the patient with high-quality surgery with outcomes similar to Western countries.The caseload in two years is sufficient enough to provide excellent training to the local fellows.There is a high demand for further fellowships, like the one we described. It is important for thetrainer to stay dedicated to the program until the completion of it. To provide the fellows with ahigh caseload, only two fellows should be trained, which are participating in every case
Article number: 2
Keywords: Vascular neurosurgery
fellowship, Sub-saharan
Africa, Brain aneurysm, Micro
neurosurgical clipping
Type of Study: Special Article |
Subject:
Vascular Neurosurgery
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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