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DOI: 10.1055/s-0040-1713920
Historical High Complexity Neurosurgery Development of One of the Poorest Brazilian Regions
Desenvolvimento histórico de neurocirurgia de alta complexidade de uma das regiões mais pobres do BrasilAbstract
Human development rates in the Vale do Jequitinhonha, state of Minas Gerais, Brazil, called “Misery Valley,” are among the lowest in the country, not to mention the often precarious psychosocial realities that daily contact with these families reveals. The history of neurosurgery at the Neurosurgical Reference Center at the Vale do Jequitinhonha e Mucuri dates from 2004, when the first neurosurgical procedures were performed in the recently organized Section of Neurosurgery. The historical surgical series shows the positive impact of the service. In 2007, the average was 3 neurosurgeries/month. In the last year, 2018, service growth boosted the record to 34.83 neurosurgeries/month. In addition to performing elective surgery, the neurosurgery team supports the emergency team by performing some neurosurgical procedures. The service number of patients operated since the development of the service is nearly 3,000. Neurosurgery at the Santa Casa de Caridade from Diamantina has been made comparable to the best national neurosurgery services.
Resumo
As taxas de desenvolvimento humano no Vale do Jequitinhonha, Minas Gerais, Brasil, denominado “Vale da Miséria,” estão entre as mais baixas do país, sem mencionar as realidades psicossociais, muitas vezes precárias, que o contato diário com essas famílias revela. A história da neurocirurgia no Centro de Referência Neurocirúrgica do Vale do Jequitinhonha e Mucuri vem de 2004, quando os primeiros procedimentos neurocirúrgicos foram realizados na recém-organizada Seção de Neurocirurgia. A série histórica de cirurgias mostra o impacto positivo do serviço. Em 2007, a média foi de 3 neurocirurgias/mês. No último ano de 2018, o crescimento do serviço elevou o recorde para 34,83 neurocirurgias/mês. Além de realizar cirurgias eletivas, a equipe de neurocirurgia apoia a equipe de emergência executando alguns procedimentos neurocirúrgicos. O número de pacientes operados desde o desenvolvimento do serviço é de ∼ 3,000. A neurocirurgia na Santa Casa de Caridade de Diamantina foi comparada aos melhores serviços nacionais de neurocirurgia.
* These authors did the same work.
Publication History
Received: 21 December 2019
Accepted: 12 May 2020
Article published online:
31 July 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil
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