Abstract
The study is designed to evaluate the confidence, reliance and the degree of acceptance of laparoscopic surgical procedures among Mosul city population after 15 years of work in this field of surgery. This is a prospective data collection study. Participants were eight hundred persons, all of them from Mosul city with complete normal health at time of evaluation; all of them were above 18 years of age. The main outcome measures: The persons involved were divided into 4 groups according to their literate and educational level, each group composed of 200 persons, the first group (literate medical personnel) composed of medical doctors of various specialties, the second group (literate non medical personnel) composed of persons who were graduated from various colleges, apart from medical one. The third group (partially literate personnel) included those who did not complete the secondary school. the fourth group (low literate personnel) included those who did not completed the primary school. The questioners asked the following questions: 1- Did you know what laparoscopic surgery means? A special information score was used to evaluate the questioner knowledge. To those who answer yes for the first question and the information score was acceptable, the second question was: 2- Do you prefer this type of surgery to be used on you or on one of your first relative if feasible and needed? 3- If the answer for question 2 is yes, please tell us why. 4- If the answer for question 2 is no, please tell us why. The data were collected and comparison was done among the groups. All the medical persons were aware about laparoscopic surgery, 183 agreed to underwent such procedure if needed during the coming time, 160 of the second group knew what is laparoscopic surgery and 123 accepted to be used on them if needed, 118 of the third group knew what is laparoscopic surgery and 80 agreed to be used on them, while 85 of the fourth group had information about laparoscopic surgery but only 42 of them accepted it to be used on them if needed. Those who accepted laparoscopic surgery did so because they think that, it is more cosmetic, less painful and needs less hospitalization time, while those who refused it, did so because they afraid from dangerous instrument, the risk of complication and conversion. In conclusion, laparoscopic surgery is a well known surgical procedure among population in Mosul city, it gained acceptance and confidence especially in literate persons, but it needs more verification for low literate population. Cosmetic, less hospitalization and less post operative pain are the stocks for acceptance while complications, conversion and untrusting instrument and surgeon are the reasons for refusal of laparoscopic surgery.
Highlights
The revolution of laparoscopic surgery was introduced in Mosul city in 19951,2
It contains 3 centers for laparoscopic surgery belong to the government, were more than 30 laparoscopic surgical procedures done per a week, there are 2 private laparoscopic centers equipped with laparoscopic surgical facilities were more than 15 laparoscopic operations done per a week
In our society 88% of population of various educational levels knows the simplest needed information about laparoscopic surgery, it was in 100% of first group and this is expected because they are medical doctors and 42.5% in low literate population which indicate a wide deferance of knowledge about this type of surgery at the extremes of educational levels, some people specially with low education level have a strange information about laparoscopic surgery, some of them rise a doubt about complete removal of the gall bladder by laparoscopy or they think that the gall bladder removed from the mouth, or that the laparoscopic operation can be done without anesthesia, others cannot differentiate between laparoscopy and endoscopy
Summary
The revolution of laparoscopic surgery was introduced in Mosul city in 19951,2. Since that time, a project of training programs were activated and advanced properly. Mosul city is the second city in Iraq regarding the number of population[3]. It contains 3 centers for laparoscopic surgery belong to the government, were more than 30 laparoscopic surgical procedures done per a week, there are 2 private laparoscopic centers equipped with laparoscopic surgical facilities were more than 15 laparoscopic operations done per a week. The aim of our study is to focus a light on the acceptance, confidence and trust of such surgery among population in our city and to evaluate our hard work after 15 years (1995-2010) in such field, this will help us as a laparoscopic surgeons to insure adequate health services and to put further steps in programming and training
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