Abstract
Objectives: To evaluate the quality of the information provided to patients for their consent to be operated laparoscopically in the “A” surgery service of Point “G” University Hospital in Bamako (Mali). Methodology: The study was transversal, descriptive and prospective from November 1, 2016 to December 31, 2017 (14 months). It was performed at the general and laparoscopic surgery department of the Point “G” University Hospital in Bamako. Laparoscopically operated patients in scheduled or emergency programm whom consented the study and answered the questions before and after the surgical procedure were included. Results: One hundred patients were retained. The sex ratio was 4.2 for women. The surgery was scheduled in 93% (programmed surgery) of cases versus 7% (urgent surgery). Gynecological and obstetric surgery was performed in 54%, digestive surgery in 43% and laparoscopic exploration in 3%. The information was provided by surgeons, anesthetists, fellowship and students in respec-tively 63%, 6%, 11% and 9%. The reflection period before consenting to the act was greater or equal to 3 days in 90%. The media used were found to be suitable in 62%. The information was considered satisfactory preoperatively in 54% and postoperatively in 88%. Patients wanted additional information on post-surgery outcomes in 21%. Conclusion: The establishment of an information system and a free and informed consent form is a prerequisite for the quality of care in laparoscopic surgery.
Highlights
Laparoscopic surgery started in Mali in 2001
The purpose of this work is to evaluate the quality of the information provided to patients for their consent to be operated laparoscopically in the “A”
The consent was given by the patient himself in 94% and in 6% by a legal representative
Summary
Laparoscopic surgery started in Mali in 2001. It became in the surgical context of surgery “A” service an alternative to the classic laparotomy for the management of many surgical diseases [1]. The doctor must give loyal, clear and appropriate information to the person whom he examines, treats or advises about his state, the investigations and the care that he proposes to him. Throughout the illness, he must considerer the patient’s personality in his explanations and ensures their understanding [2]
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