Review Article
Volume 5 Issue 5 - 2021
Decision to Incision for Surgical Emergencies: The Practice and Challenges in a Low-Income Setting
Olubusola T Alagbe-Briggs1 and Rex Friday Ogoronte A Ijah2*
1Department of Anesthesia, University of Port Harcourt Teaching Hospital and Senior Lecturer, University of Port Harcourt Port Harcourt, Nigeria
2Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
*Corresponding Author: Rex Friday Ogoronte A Ijah, Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Received: April 12, 2021; Published: April 30, 2021


Prompt attention to surgical emergencies has always been the standard of care intended to improve outcome and forestall negative consequences. Patients feel dissatisfied when delay is encountered in the care of their love ones. The objectives of this study were to investigate the awareness, practice and challenges associated with response to emergency surgical conditions at the University of Port Harcourt Teaching Hospital during the study period (April 2020 to January 2021). A mixed-method prospective/cross-sectional descriptive study was carried out between the months of April 2020 and January 2021 in a multispecialty tertiary healthcare facility using a proforma (for prospective data collection) and semi-structured questionnaires. A total of 105 respondents were recruited in the questionnaire survey, and 86 surgical procedures were recorded in the study proforma. All the respondents (100%) asserted positively to awareness of medico-legal issues in surgical practice and 96 (91.4%) were also aware of violence against health workers following perceived injustice to patients. There was significant prolongation of surgical intervention time was occasioned by occurrence of patient-related and hospital-related factors. The findings from the questionnaire-based survey was to a large extent corroborated by the data obtained from direct observation of practical experiences at the point of duty using study proforma. Emergency response practice was hindered by the challenges encountered at the point of duty, despite the high awareness of the caregivers. Insurance coverage for surgical patients and reduction in hospital-related sources of delay will improve emergency surgical services.


Keywords: Decision to Incision; Emergency Surgeries; Delays; Challenges; Port Harcourt


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Citation: Olubusola T Alagbe-Briggs and Rex Friday Ogoronte A Ijah. “Decision to Incision for Surgical Emergencies: The Practice and Challenges in a Low-Income Setting”. EC Emergency Medicine and Critical Care 5.5 (2021): 47-60.

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