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Editorial | Open Access2023|Volume 4|Issue 3| https://doi.org/10.37191/Mapsci-JCCR-4(3)-085

The Need for Cardiac Surgery Missions in Gabon

Michael Mayombo I1,2*, JB Mipinda2,3 and F Ondo Ndong4

1Cardiovascular surgery department, University Hospital Center of Casablanca, Morocco

2Center of Cardiovascular Diseases of Owendo, Gabon

3Cardiology Department, University Hospital Center of Libreville, Gabon

4Department of surgery, Health Sciences University, Libreville, Gabon

*Corresponding Author: Michael Mayombo I, Cardiovascular surgery department, University Hospital Center of Casablanca, Morocco, Center of Cardiovascular Diseases of Owendo, Gabon.

ReceivedDec 11, 2023RevisedDec 18, 2023AcceptedDec 22, 2023PublishedDec 30, 2023
Keywords

Cardiac surgery; Challenges; Humanitarian missions

Editorial

Cardio-vascular diseases have a significant and increasing surgical burden, particularly rheumatic heart diseases and congenital heart diseases in Gabon [1,2].

Currently with about 20 cardiologists, cardiovascular surgeons in training, three thoracic surgeons, two cardiac anesthesiologists fully trained and two cardiac anesthesiologists still in training, the cardiothoracic and vascular surgery team is incomplete. Challenges are also related to lack of training staff such as perfusionists, technician anesthetists, physiotherapists and inalhotherapists and difficulties getting consumables.

The need for cardiac surgery is increasing. As well as countries like Senegal and Ghana where cardiac surgery started with cardiac surgery humanitarian missions, to conduct procedures ranging from moderate to big complexity, everyone must create a mission culture [3,4].

Without this support, most cardiac patients are left to fend for themselves and are treated medically; a smaller percentage still travel outside of Gabon for surgery [5].

Tough having a universal health care insurance for most of the population, Gabon remains a developing country. There is an ineffective healthcare system, and many people cannot afford even the most basic medical care [2,5,6].

Many people who require cardiac surgery are left in despair. Therefore, free and subsidized cardiac missions ought to be an essential component of the healthcare system, helping the less fortunate and giving people a second chance at life [5].

Once everyone has implemented the culture of open-heart surgery missions, doctors will be able to think about being independent with the collaboration of the government and other partners to supply with funding, human resources, consumables, drugs, equipment, infrastructures and training program.

Acknowledgments and Funding

None.

Conflicts of interest

The author has no conflict of interest declare.

References

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2. Gaouhama D, Koko J, Nzame-Vierin Y, Nekemeza M'Obiang L. The Heart Disorder of the Child Transferred Abroad: Result of 10 Years of Activities of the Medical Committee. Bul Med Owendo. 2007;11(30):33-36.

3. Sodzi-Tettey, S. Kwame Nkrumah’s Revolutionary Health Platform.

4. Edwin F, Tettey M, Aniteye E, Tamatey M, Sereboe L, Entsua-Mensah K, et al. The Development of Cardiac Surgery in West Africa-the Case of Ghana. Pan Afr Med J. 2011;9(1). PubMed | CrossRef

5. Emmanuel Agbozo. Cardiac Surgery Missions in Ghana: Why We Need Them. 2022.

6. Allognon MC, Ayo Bivigou E, Ecke Nzengue JE. Insuffisance Cardiaque au Centre Hospitalier Universitaire de Libreville: Aspects épidémiologiques, Cliniques et Apport du Bilan Complémentaire. Med Afr noire. 2018;65(07):397-404.

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