P052. Aortic Surgery in Developing Countries: The Role of Private Hospitals

Maulidya Ayudika Dandanah Poster Presenter
Kabupaten tangerang, banten
Indonesia
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PAST AND CURRENT POSITION

  1. 2016 - 2022 Cardiothoracic and Vascular surgeon in Universitas Sumatera Utara Hospital and Adam Malik National Hospital in Medan, North of Sumatera
  2. 2016 - 2022 Medical Staff and Lecture in Cardiothoracic and Vascular division at Department of Surgery – Medical Faculty of North Sumatera University
  3. 2016 - now Advanced Traumatic Life Support (ATLS) instructor
  4. November 2022 - now Cardiothoracic and Vascular surgeon in SIloam Lippo Village

TRAINING AND WORKSHOP

February 2015 : Basic Cardiac Surgical Skill Workshop in Jakarta

July 2016         : Basic Endovascular Surgery Workshop in Palembang

July  2016        : Video Assisted Thoracoscopic Surgery Workshop in Palembang

August 2017    : Basic Endovascular Surgery Workshop, Batu, East Java

January 2017   : Profesional practice about varicose vein, doppler for the varicose vein and all about sclerotherapy in France

Oktober 2019  : Vascular surgery workshop; Endovascular Surgery

March 2019     : Intensive Course in Aortic Surgery: Aortic Valve & Root Replacement Surgery

November 2023: Aortic Surgery Course Series

Thursday, April 25, 2024: 5:38 PM - 7:00 PM
Sheraton Times Square 
Room: Central Park 

Description

Objective
Aortic surgery is a complex and critical procedure that requires specialized skills, advanced technology, and a well-equipped healthcare system. While developed countries have established centers of excellence for aortic surgery, the situation is different in developing countries. Limited resources, inadequate infrastructure, and a lack of trained professionals pose significant challenges in providing high-quality aortic surgery. However, private hospitals in developing countries can play a crucial role in bridging this gap and improving access to aortic surgery for patients in need.

Case Video Summary
In almost 2 years, we have dealt with a total of 15 cases of aortic disease, undergoing aortic surgery and endovascular procedures. We collaborate with our cardiologist and emergency department to diagnose the aortic disease. With the support of our radiologists and their imaging technology, we can identify cases like aortic aneurysms, aortic dissection type A and B, penetrating aortic ulcer, intramural hematoma, and pericardial effusion with acute aortic dissection. Our team tried to give the best they could to perform aortic surgery even though they lacked knowledge at the beginning but after a lot of discussion and learning together we became a solid team. We have performed 12 cases of aortic surgery, including Bentall procedure, total arch replacement, hemiarch replacement, root sparing, and ascending replacement. The remaining 3 cases undergoing endovascular procedure was aortic aneurysm and aortic dissection type B with symptom.


Conclusion
Aortic surgery in developing countries faces significant challenges, but private hospitals can play a crucial role in overcoming these obstacles. By investing in infrastructure, attracting skilled professionals, forming collaborations, and improving access and affordability, private hospitals can contribute to the development of aortic surgery services. Through these efforts, patients in developing countries can receive timely and high-quality care, reducing morbidity and mortality rates associated with aortic conditions. It is imperative that governments, healthcare organizations, and international stakeholders recognize the potential of private hospitals and work together to strengthen aortic surgery services in developing countries.

Authors
Maulidya Ayudika Dandanah (1), Dicky Aligheri Wartono (2), Budhi Adhiwidjaja (3)
Institutions
(1) Siloam Lippo Village, UPN Medical Faculty, Jakarta, Indonesia, (2) Siloam Lippo Village, Harapan Kita National Cardiovascular Center, Jakarta, Indonesia, (3) Siloam Lippo Village, Jakarta, Indonesia

Presentation Duration

PODS will be on display in the exhibit hall for the duration of the meeting during exhibit hall hours. PODS will also be available for viewing on the meeting website. There is no formal presentation associated with your POD, but we encourage you to visit the PODS area during breaks to connect with those viewing. 

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