Determinants of Acceptance of Laparoscopic Surgery Among Residents in Port Harcourt, Nigeria
DOI:
https://doi.org/10.60787/tnhj.v20i4.494Keywords:
Determinants, Acceptance, Laparoscopic Surgery, Port Harcourt, NigeriaAbstract
Background: Modern surgical practice in the last 15 to 20years has witnessed established efficacy and safety of laparoscopic surgery. Patients’ or public perception of laparoscopic surgical procedures do affect patronage, and goes a long way to determine success of the practice.
Aim: To ascertain the determinants of acceptance of laparoscopic surgeries among residents in Port Harcourt, Nigeria.
Materials and Methods: A cross sectional study of four hundred and ninety-three respondents was conducted. Self-administered semi-structured questionnaires were distributed over a period of three months in Port Harcourt in 2018, using stratified sampling method. Data obtained was analysed using the Statistical Package for the Social Sciences (SPSS) version 20.0.
Results: Sixty-six-point nine percent (66.9%) of respondents have not heard about laparoscopic surgery previously. Forty-four percent of respondents were willing to accept and pay for laparoscopic surgery in Port Harcourt. Only 1.2% were willing to pay more than ₦300,000.00 ($860) for most laparoscopic general surgery or gynaecologic procedures.
Conclusion: It seems that Port Harcourt is a fertile ground for laparoscopic surgical practice with a little less than half of respondents willing to embrace laparoscopic surgery. Younger respondents with more access to information dominated the pool of acceptors hence more need to be done using various methods of information dissemination to improve acceptance.
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References
Kilonzo A. The Role of laparoscopy in the management of gynecologic surgical emergencies. http://www.laparoscopyhospital.com/Role_of_Laparoscopy_Management_Gynaecologic_Surgical_
Emergencies.html. {Accessed on 3rd Nov. 2015}
Merlin TL, Hiller JE, Maddern GJ, Jamieson GG, Brown AR, Kolbe A. Systematic review of the safety and effectiveness of methods used to establish pneumoperitoneum in laparoscopic surgery. BJS. June 2003; Vol 90 (6): 668-679.
Cueto J, Diaz O, Garteiz D, et al. Surg Endosc. 1997; 11: 366. https://doi.org/10.1007/s004649900365
diZerega GS, Verco SJ, Young P, Kettel M, Kobak W, Martin D, et al. A randomized, controlled pilot study of the safety and efficacy of 4% icodextrin solution in the reduction of adhesions following laparoscopic gynaecological surgery. Human Reproduction. 2002; Vol.17 (4):1031–1038.
Naya Y, Ichikawa T, Suzuki H, Komiya A, Nagata M, Ueda T, et al. Efficacy and safety of laparoscopic surgery for pheochromocytoma. International Journal of Urology. 2005; 12:128 – 133.
Clegg-Lamptey JN, Ladipo JK. Minimal invasive surgery. In: Badoe EA, Achampong EQ, da Rocha JT (Editors.). Principles and Practice of Surgery including Pathology in Tropics. Ghana. Ghana Publishing Corporation. 4th Edition. 2009.
Sayad P, Abdo Z, Cacchione R, Ferzli G. Surg Endosc. 2000; 14: 543. https://doi.org/10.1007/s004640000101
Fanimo D. Reversing capital flight through health tourism. The Guardian. 2015. May 28; http://www.ngrguardiannews.com/2015/05/reversing-capital-flight-through-health-tourism/ {Accessed on 11th January 2016}
Wapmuk S, Wapmuk AE, Gbajabiamila TA. Medical Tourism And Nigeria-India Relations. 2015;12(1):46-66.
Ogunsina B, Opaluwa T. Nigeria loses N3bn to medical tourism annually. Leadership Newspaper. Nov 21; 2015. http://leadership.ng/news/476614/nigeria-loses-n3bn-to-medical-tourism-annually. {Accessed on 11th January, 2016}
Makinde OA, Brown B, Olaleye O. The impact of medical tourism and the code of medical ethics on advertisement in Nigeria. 2014;19.
Joshua S, Olanrewaju IP, Ebiri O. Leadership, Brain Drain and Human Capacity Building in Africa: The Nigerian Experience. Research Journal in Organizational Psychology & Educational Studies. 2014;3 (4). pp. 283-290.
Innocent EO, Uche OA, Uche IB. Building a Solid Health Care System in Nigeria: Challenges and Prospects. Academic Journal of Interdisciplinary Studies. November 2014; Vol 3 No 6. Doi:10.5901/ajis.2014.v3n6p501
Afuwape OO, Ayandipo OO. Knowledge and perception of laparoscopic surgery among surgical outpatients in a Nigerian Teaching Hospital. Medical Journal of Zambia. 2017; Vol. 44; 4: 276-281.
Lee DH, Nam SN, Song T, Kim WY, Lee KW, Kim KH. Public perception of “scarless” laparo-endoscopic singlesite surgery in gynecology. Obstet Gynecol Sci. 2015; 58(4):289-293 http://dx.doi.org/10.5468/ogs.2015.58.4.289 pISSN 2287-8572 • eISSN 2287-8580.
Fransen SA, Broeders EP, Stassen LP, Bouvy ND. The voice of Holland: Dutch public and patient's opinion favors single-port laparoscopy. J Minim Access Surg. 2014 Jul-Sep; 10(3): 119–125. Doi: 10.4103/0972-9941.134874.
Gyedu A, Fugar S, Raymond P, Bingener J. Patient perceptions about laparoscopy at Komfo Anokye Teaching Hospital, Ghana. The Pan African Medical Journal. 2015; 20: 422. doi:10.11604/pamj.2015.20.422.6218.
Adisa A, Lawal OO, Arowolo OA, Alatise OI. Local adaptations aid establishment of laparoscopic surgery in a semi-urban Nigerian hospital: Surgical Endoscopy. 2012; 27:2. DOI: 10.1007/s00464-012-2463-5.
Ternovits CA, Tichansky DS, Madan AK. Band versus bypass: randomization and patients' choices and perceptions. Surg Obes Relat Dis. 2006 Jan-Feb; 2(1):6-10.
Autorino R, White WM, Gettman MT, Khalifeh A, Sio MD, Lima E, et al. Public Perception of “Scarless” Surgery: A Critical Analysis of the Literature. UROLOGY. 2012; 80: 495–502.
Gan TJ, Sloan F, Dear GL, El-Moalem HE, Lubarsky DA. How Much Are Patients Willing to Pay to Avoid Postoperative Nausea and Vomiting? ANESTH ANALG. 2001; 92:393–400.
Hernandez RA, De Verteuil R, Fraser CM, Vale LD. Aberdeen health technology assessment group: Systematic review of economic evaluations of laparoscopic surgery for colorectal cancer. Colorectal Disease. 2008; 10(9), 859-868. DOI: 10.1111/j.1463-1318.2008.01609.x
Ovunda AS. Burning issues in the Nigeria tax system and tax reforms on revenue generation: Evidence from Rivers State. International Journal of Finance and Accounting. 2018; 7(2): 36-48 DOI: 10.5923/j.ijfa.20180702.03
Irani M, Prabakar C, Nematian S, Nitasha Julka N, Bhatt D, Bral P. Patient perceptions of open, laparoscopic, and robotic gynecological surgeries. BioMed Research International. 2016; Article ID 4284093, 6 pages http://dx.doi.org/10.1155/2016/4284093.
Ray-Offor E, Okoro PE, Gbobo I, Allison AB. Pilot study on laparoscopic surgery in Port-Harcourt, Nigeria. Niger J Surg. 2014; 20(1):23-25.
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