Report of the First Completed On-site Vascular Neurosurgery Fellowship Program in Cameroon

Background and Aim: Vascular neurosurgical expertise is highly in demand in African countries.To create a sustainable environment for treating the patients, local neurosurgeons have tobe trained and be able to operate under the local circumstances, and equipment and on-sitefellowship programs are ne...

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Main Authors: Vincent Djientcheu, Haman Nassourou Oumarou, Potho Thazo, Carole Djientcheu, Francis Fezeu, Alexandros Doukas, Leonidas Trakolis, Athanasios K. Petridis
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2024-01-01
Series:Iranian Journal of Neurosurgery
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Online Access:http://irjns.org/article-1-385-en.pdf
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author Vincent Djientcheu
Haman Nassourou Oumarou
Potho Thazo
Carole Djientcheu
Francis Fezeu
Alexandros Doukas
Leonidas Trakolis
Athanasios K. Petridis
author_facet Vincent Djientcheu
Haman Nassourou Oumarou
Potho Thazo
Carole Djientcheu
Francis Fezeu
Alexandros Doukas
Leonidas Trakolis
Athanasios K. Petridis
author_sort Vincent Djientcheu
collection DOAJ
description Background and Aim: Vascular neurosurgical expertise is highly in demand in African countries.To create a sustainable environment for treating the patients, local neurosurgeons have tobe trained and be able to operate under the local circumstances, and equipment and on-sitefellowship programs are needed. We have reported the results of the first completed on-sitecerebrovascular fellowship in Cameroon and to our knowledge, in central Africa. Methods and Materials/Patients: Forty-two cerebrovascular cases (38 aneurysms) wereoperated by the cerebrovascular expert and his fellows microsurgically from April 2021to November 2022. The expert traveled to Cameroon four times. Online conferences andtheoretical courses were organized.Results: The overall morbidity rate was 10.5% with a long-term functional morbidity rate of5.2%. The intraoperative mortality rate was 0 and the 30-day mortality rate was 2.7%. Aftercompletion of the program, the fellow’s surgical skills concerning operating time, intraoperativecomplications, and mortality improved significantly. Conclusion: The on-site cerebrovascular fellowship program in sub-Saharan countries is feasibleand provides the patient with high-quality surgery with outcomes similar to Western countries.The caseload in two years is sufficient enough to provide excellent training to the local fellows.There is a high demand for further fellowships, like the one we described. It is important for thetrainer to stay dedicated to the program until the completion of it. To provide the fellows with ahigh caseload, only two fellows should be trained, which are participating in every case
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publisher Guilan University of Medical Sciences
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spelling doaj-art-14d0b23de1a5415c971f1a044d6e68d02025-08-20T02:09:55ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-68292024-01-0110Continuous Publishing00Report of the First Completed On-site Vascular Neurosurgery Fellowship Program in CameroonVincent Djientcheu0Haman Nassourou Oumarou1Potho Thazo2Carole Djientcheu3Francis Fezeu4Alexandros Doukas5Leonidas Trakolis6Athanasios K. Petridis7 Department of Neurosurgery, Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde, Yaounde, Cameroon. Department of Neurosurgery, Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde, Yaounde, Cameroon. Department of Neurosurgery, Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde, Yaounde, Cameroon. Department of Neurosurgery, Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde, Yaounde, Cameroon. Department of Neurosurgery, Medical School, Heinrich Heine University Duesseldorf, Düsseldorf, Germany. Department of Neurology and Neurosurgery, Brain Global Non-profit Organization, Salisbury, United States. Department of Neurosurgery, Christian Albrechts University Kiel, Kiel, Germany. Department of Neurosurgery, Faculty of Medicine and Biomedical Sciences, Yaounde General Hospital, University of Yaounde, Yaounde, Cameroon AND Department of Neurology and Neurosurgery, Brain Global Non-profit Organization, Salisbury, United States AND Department of Neurosurgery, Christian Albrechts University Kiel, Kiel, Germany Department of Neurosurgery, St. Luke´s Hospital, Thessaloniki, Greece Background and Aim: Vascular neurosurgical expertise is highly in demand in African countries.To create a sustainable environment for treating the patients, local neurosurgeons have tobe trained and be able to operate under the local circumstances, and equipment and on-sitefellowship programs are needed. We have reported the results of the first completed on-sitecerebrovascular fellowship in Cameroon and to our knowledge, in central Africa. Methods and Materials/Patients: Forty-two cerebrovascular cases (38 aneurysms) wereoperated by the cerebrovascular expert and his fellows microsurgically from April 2021to November 2022. The expert traveled to Cameroon four times. Online conferences andtheoretical courses were organized.Results: The overall morbidity rate was 10.5% with a long-term functional morbidity rate of5.2%. The intraoperative mortality rate was 0 and the 30-day mortality rate was 2.7%. Aftercompletion of the program, the fellow’s surgical skills concerning operating time, intraoperativecomplications, and mortality improved significantly. Conclusion: The on-site cerebrovascular fellowship program in sub-Saharan countries is feasibleand provides the patient with high-quality surgery with outcomes similar to Western countries.The caseload in two years is sufficient enough to provide excellent training to the local fellows.There is a high demand for further fellowships, like the one we described. It is important for thetrainer to stay dedicated to the program until the completion of it. To provide the fellows with ahigh caseload, only two fellows should be trained, which are participating in every casehttp://irjns.org/article-1-385-en.pdfvascular neurosurgery fellowshipsub-saharan africabrain aneurysmmicro neurosurgical clipping
spellingShingle Vincent Djientcheu
Haman Nassourou Oumarou
Potho Thazo
Carole Djientcheu
Francis Fezeu
Alexandros Doukas
Leonidas Trakolis
Athanasios K. Petridis
Report of the First Completed On-site Vascular Neurosurgery Fellowship Program in Cameroon
Iranian Journal of Neurosurgery
vascular neurosurgery fellowship
sub-saharan africa
brain aneurysm
micro neurosurgical clipping
title Report of the First Completed On-site Vascular Neurosurgery Fellowship Program in Cameroon
title_full Report of the First Completed On-site Vascular Neurosurgery Fellowship Program in Cameroon
title_fullStr Report of the First Completed On-site Vascular Neurosurgery Fellowship Program in Cameroon
title_full_unstemmed Report of the First Completed On-site Vascular Neurosurgery Fellowship Program in Cameroon
title_short Report of the First Completed On-site Vascular Neurosurgery Fellowship Program in Cameroon
title_sort report of the first completed on site vascular neurosurgery fellowship program in cameroon
topic vascular neurosurgery fellowship
sub-saharan africa
brain aneurysm
micro neurosurgical clipping
url http://irjns.org/article-1-385-en.pdf
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