Abstract：
BACKGROUND: In Africa, peripheral nerve pathologies are a major source of disability, and the results of surgical therapies differ greatly among countries. The goal of this narrative review is to compile the most recent data on peripheral nerve surgery results in Africa, pinpoint critical variables that affect surgical outcomes, and offer suggestions for enhancing patient care.
METHODS: A comprehensive literature review was conducted, focusing on studies published over the past four decades. The sources included peer-reviewed journals, hospital records, and reports from healthcare organizations. The review examined outcomes related to functional recovery, quality of life, and postoperative complications.
RESULTS: The outcomes of peripheral nerve surgeries in Africa are influenced by the availability of medical infrastructure, the level of surgeon expertise, and the timeliness of the intervention. Urban centers with better resources tend to report more favorable outcomes, whereas rural areas face significant challenges. Common barriers include limited access to advanced surgical tools, a shortage of specialized surgeons, and inadequate postoperative care and rehabilitation services. Despite these challenges, successful interventions have been reported, particularly in settings where targeted training programs and international collaborations are in place.
CONCLUSIONS: Enhancing surgeon training programs, building comprehensive postoperative care and rehabilitation facilities, and investing in healthcare infrastructure are critical to improving peripheral nerve surgery results in Africa. International and regional collaborations can be extremely helpful in advancing these initiatives by enabling the sharing of knowledge and granting access to cutting-edge methods. Patients with peripheral nerve injuries across the continent may experience improved functional recovery and overall quality of life if these criteria are met.
METHODS: A comprehensive literature review was conducted, focusing on studies published over the past four decades. The sources included peer-reviewed journals, hospital records, and reports from healthcare organizations. The review examined outcomes related to functional recovery, quality of life, and postoperative complications.
RESULTS: The outcomes of peripheral nerve surgeries in Africa are influenced by the availability of medical infrastructure, the level of surgeon expertise, and the timeliness of the intervention. Urban centers with better resources tend to report more favorable outcomes, whereas rural areas face significant challenges. Common barriers include limited access to advanced surgical tools, a shortage of specialized surgeons, and inadequate postoperative care and rehabilitation services. Despite these challenges, successful interventions have been reported, particularly in settings where targeted training programs and international collaborations are in place.
CONCLUSIONS: Enhancing surgeon training programs, building comprehensive postoperative care and rehabilitation facilities, and investing in healthcare infrastructure are critical to improving peripheral nerve surgery results in Africa. International and regional collaborations can be extremely helpful in advancing these initiatives by enabling the sharing of knowledge and granting access to cutting-edge methods. Patients with peripheral nerve injuries across the continent may experience improved functional recovery and overall quality of life if these criteria are met.
摘要：
背景：在非洲，周围神经病变是残疾的主要来源，手术治疗的结果在各国之间差异很大。这篇叙述性综述的目的是汇编非洲周围神经手术结果的最新数据，精确定位影响手术结果的关键变量，并为加强病人护理提供建议。
方法：进行了全面的文献综述，专注于过去四十年发表的研究。来源包括同行评审的期刊，医院记录,和医疗机构的报告。审查了与功能恢复相关的结果，生活质量,术后并发症。
结果：非洲周围神经手术的结果受到医疗基础设施可用性的影响，外科医生的专业知识水平，以及干预的及时性。拥有更好资源的城市中心往往会报告更有利的结果，而农村地区面临重大挑战。常见的障碍包括高级手术工具的使用有限，专业外科医生的短缺，术后护理和康复服务不足。尽管面临这些挑战,据报道，成功的干预措施，特别是在有针对性的培训计划和国际合作的地方。
结论：加强外科医生培训计划，建立全面的术后护理和康复设施，在非洲，投资医疗基础设施对改善周围神经手术效果至关重要。国际和区域合作通过分享知识和允许使用尖端方法，对推进这些举措非常有帮助。如果符合这些标准，整个大陆的周围神经损伤患者可能会经历改善的功能恢复和整体生活质量。
方法：进行了全面的文献综述，专注于过去四十年发表的研究。来源包括同行评审的期刊，医院记录,和医疗机构的报告。审查了与功能恢复相关的结果，生活质量,术后并发症。
结果：非洲周围神经手术的结果受到医疗基础设施可用性的影响，外科医生的专业知识水平，以及干预的及时性。拥有更好资源的城市中心往往会报告更有利的结果，而农村地区面临重大挑战。常见的障碍包括高级手术工具的使用有限，专业外科医生的短缺，术后护理和康复服务不足。尽管面临这些挑战,据报道，成功的干预措施，特别是在有针对性的培训计划和国际合作的地方。
结论：加强外科医生培训计划，建立全面的术后护理和康复设施，在非洲，投资医疗基础设施对改善周围神经手术效果至关重要。国际和区域合作通过分享知识和允许使用尖端方法，对推进这些举措非常有帮助。如果符合这些标准，整个大陆的周围神经损伤患者可能会经历改善的功能恢复和整体生活质量。
