Surgery Management of Brain Tumor in Low Income City: Rural Experience and Socioeconomic Restraints
WAGUE Daouda1*, CISSE Mouhamet2, Carlos Nouatin2, Diop Sagar3, Sy ELHADJI Cheikh Ndiaye4, Barry LOUCENY Fatoumata2, CISSE Yakhiya5, MBAYE Maguette6 and THIOUB Mbaye6
1Neurosurgeon, CHM Touba, Diourbel, Senegal
2Neurosurgery resident, Centre Hospitalier National Universitaire de Fann, Senegal
3Neurosurgeon, Hopital Principal de Dakar, Senegal
4Neurosurgeon, Cheikh Anta Diop University, Senegal
5Neurosuregeon, CHRThies, Senegal
6Professor of Neurosurgery, Cheikh Anta Diop University, Senegal
*Corresponding Author: WAGUE Daouda, Neurosurgeon, CHM Touba, Diourbel, Senegal.
May 15,2022; Published: June 24, 2022
Background: Brain tumor surgery requires special equipment but also remains expensive around the world. The aim of this study is to share our experience in brain tumor surgery and the difficulties we encountered (socioeconomic restraints and lack of equipment) to perform brain tumor surgery in low-income country.
Methodology: we did retrospective study in one year, we included all patient who undergone craniotomy for tumor resection at Matlaboulfawzaini hospital. We compared costs of care from our hospital to costs of referral hospital in our capital City.
Results: The study is based on 11 patients.06 males and 05 females (sex-ratio:1,2). The average age was 47 years old. The average cost from diagnostic to discharge was $715 in our hospital and ranging from $400 to $1200 whereas in capital City referral Hospital, it was $1450 ranging from $850 to $2000.The most common tumor types were meningiomas and gliomas found in 36% each fellow by metastatic disease in 27%. Surgery was performed in all case. After 01 month of follow up the 04 patients diagnosed with meningioma had completely recovered. Between 03-06 months of follow up we noted tumor recurrence in 03/4 (75%) patients who had been diagnosed with a glial tumor
and 04 (36%) patients died in this study.
Conclusion: the management of brain tumor is still difficult in our region. It’s remain expensive for people despite efforts to reduce cost but also the lack of equipment. However, despite all these difficulties, the results are satisfactory.
Keywords: Tumor; Surgery; Socioeconomic; Equipment; Brain
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