Neurosurgery in Papua New Guinea

The Australian and New Zealand Journal of Surgery
J V RosenfeldO J Jacob

Abstract

An audit of neurosurgery in Papua New Guinea (PNG) based on the experience of a visiting neurosurgeon is presented. The objectives of the study were to determine the type and frequency of neurosurgical conditions in PNG, whether major neurosurgery can be performed successfully in PNG, and to develop a strategy for the development of neurosurgical services in PNG. The audit was carried out over two periods of 2 weeks duration in 1992 and 1993 in Port Moresby and Goroka. Instrumentation and equipment were limited and no additional equipment was used. Myelography and angiography were available in Port Moresby. There were 82 patients in total, 55 (67.1%) were consultations, 23 (28%) had elective surgery, four (4.8%) had emergency surgery and 16 (19.5%) await surgery. Cases were subdivided into nine major groupings: neurotrauma 18 (seven severe); spine 18; congenital 13; hydrancephaly four; scalp, skull and orbit six; vascular three; peripheral nerve three; and neurology five. Seventy-two (87.8%) patients required CT/MRI which were unavailable. Four ventriculograms were performed in lieu of CT/MRI. Fifteen (18.3%) cases could not be treated in PNG. Neurosurgical problems in PNG can often be adequately managed with limited resources....Continue Reading

References

Apr 1, 1991·Accident; Analysis and Prevention·D C Nelson, J V Strueber
Sep 26, 1987·British Medical Journal·D A Watters, A C Bayley
Jan 1, 1983·Neurosurgical Review·A P Karapurkar, S K Pandya
May 1, 1983·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·R G Lee, D N Gongal
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Aug 1, 1994·The Australian and New Zealand Journal of Surgery·R Visvanathan
Jan 1, 1994·The Australian and New Zealand Journal of Surgery·E D Smith
Oct 18, 1993·The Medical Journal of Australia·J K Clezy

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Citations

Sep 18, 1997·Surgical Neurology·J V Rosenfeld, N T Xuan
May 26, 2001·ANZ Journal of Surgery·D A WattersP Ponifasio
Oct 21, 2015·World Journal of Surgery·W Matui KaptigauDavid A Watters
Jul 11, 2009·Angewandte Chemie·Dongwan NohJaesook Yun
Jan 22, 2010·American Journal of Physical Anthropology·Rachel M Scott, Hallie R Buckley
Jul 31, 2001·Emergency Medicine·S J PriestleyP Francis

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