Barriers to training in laparoscopic surgery in low- and middle-income countries: A systematic review

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Barriers to training in laparoscopic surgery in low- and middle-income countries: A systematic review



JournalTropical Doctor
Article typeJournal research article – Systematic review
Publication date – Apr – 2021
Authors – Ellen Wilkinson, Noel Aruparayil, J Gnanaraj, Julia Brown, David Jayne
Keywordslaparoscopy, LMIC, training
Open access – Yes
SpecialityGeneral surgery
World region Global

Language – English
Submitted to the One Surgery Index on April 18, 2021 at 10:01 pm
Abstract:

Laparoscopic surgery has the potential to improve care in resource-deprived low- and-middle-income countries (LMICs). This study aims to analyse the barriers to training in laparoscopic surgery in LMICs. Medline, Embase, Global Health and Web of Science were searched using ‘LMIC’, ‘Laparoscopy’ and ‘Training’. Two researchers screened results with mutual agreement. Included papers were in English, focused on abdominal laparoscopy and training in LMICs. PRISMA guidelines were followed; 2992 records were screened, and 86 full-text articles reviewed to give 26 key papers. Thematic grouping identified seven key barriers: funding; availability and maintenance of equipment; local access to experienced laparoscopic trainers; stakeholder dynamics; lack of knowledge on effective training curricula; surgical departmental structure and practical opportunities for trainees. In low-resource settings, technological advances may offer low-cost solutions in the successful implementation of laparoscopic training and improve access to surgical care.

OSI Number – 21022

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