title: [Leprosy surgery in a bush hospital in Africa: experience in Madagascar].
abstract: We report our experience of leprosy surgery in terms of feasibility and efficacy in a small hospital of bush in Madagascar during the period of September 1989 to January 1993. Operations of neurolysis, corrections of claw hands by the techniques of Lasso-Zancolli or Van Droogenbroeck, arthrodesis, resections and amputations have been performed. Our results suggest that at least a part of these surgical procedures may be performed by a non specialized medical team, taught on the premises. Thus, the cost of treatment will be low and accessible to more leprosy patients.
authors.affiliation: Hôpital Médico-Chirurgical de Sakalalina, Madagascar.
authors.forename: M
authors.initials: M
authors.lastname: Sanlorenzo
authors.forename: J
authors.initials: J
authors.lastname: Rakotondrajao
authors.forename: D
authors.initials: D
authors.lastname: Caldera
authors.forename: C
authors.initials: C
authors.lastname: Bellato
mesh_terms: D000671:Amputation, Surgical / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data; D001174:Arthrodesis / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data; D002983:Clinical Competence / Q000191:economics / Q000706:statistics & numerical data; D003714:Denervation / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data; D017721:Hospital Costs / Q000706:statistics & numerical data; D006780:Hospitals, Rural / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007918:Leprosy / Q000601:surgery*; D008270:Madagascar; D008507:Medically Underserved Area; D010348:Patient Care Team / Q000458:organization & administration; D013997:Time Factors; D016896:Treatment Outcome
vernacular_title: La chirurgie de la lèpre dans un hôpital de brousse en Afrique: expérience à Madagascar.