Traditional surgeons in sub-Saharan Africa: images from south Sudan

Itinerant traditional surgeons work throughout sub-Saharan Africa and perform many procedures including: tooth extraction, abortion, injections, incising and draining abscesses, uvulectomy, circumcision, inguinal hernia surgery, non-invasive cataract luxation, and surgery on closed and open fracture...

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Bibliographic Details
Published in:International Journal of STD & AIDS 2003-08, Vol.14 (8), p.505-508
Main Authors: MILES, Steven H, OLOLO, Henry
Format: Article
Language:English
Subjects:
AIDS/HIV
Biological and medical sciences
Female
General Surgery - instrumentation
General Surgery - methods
Humans
Male
Medical sciences
Medicine, African Traditional
Miscellaneous
Postoperative Complications
Sudan
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tropical medicine
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Summary:Itinerant traditional surgeons work throughout sub-Saharan Africa and perform many procedures including: tooth extraction, abortion, injections, incising and draining abscesses, uvulectomy, circumcision, inguinal hernia surgery, non-invasive cataract luxation, and surgery on closed and open fractures. Cutting and injection equipment are not cleaned and are used on a rapid succession of up to 10 patients in a single clinic session. These procedures cause haemorrhage, septicaemia, tetanus, gangrene, contractures, abscesses, airway obstruction, keloids, iatrogenic fistulae, lacerations of vital organs, loss of limbs, and death. Recent work suggesting that many cases of HIV infection may be caused by medical exposure lend a new urgency to researching the work of traditional surgeons. Collaborative programmes for re-training and re-shaping the work of these practitioners is more likely to be effective in reducing the morbidity than attempts to suppress their work.
ISSN:0956-4624
1758-1052
DOI:10.1258/095646203767869057