• World Neurosurg · Mar 2024

    Setting up a Department of Neurosurgery in a Government Hospital in an LMIC: Jodhpur, India.

    • Mohit Agrawal, Jigish Ruparelia, Mayank Garg, Jaskaran Gosal, Raghavendra Sharma, Vikas Janu, Suryanarayanan Bhaskar, Sanjeev Misra, and Deepak K Jha.
    • Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
    • World Neurosurg. 2024 Mar 1; 183: 869286-92.

    BackgroundThe number of government institutes offering affordable super specialty and tertiary healthcare in India has traditionally not been able to keep pace with the growth in population, most of whom are too poor to be able to afford private healthcare services. To meet this mandate, 6 new institutes built on the template of the premier institute of the country-the All India Institute of Medical Sciences, New Delhi-were founded and began operations in 2012. Using the progress of our department as an example, the aim of this report is to outline the principles that were followed to set up the department of neurosurgery.MethodsThe Department of Neurosurgery at All India Institute of Medical Sciences, Jodhpur, began providing services in August 2017. Data related to the inception and development of the department were collected.ResultsThe department has grown during the past 5 years from 400 outpatients and 79 inpatients in 2017 to 11,144 outpatients and 1624 inpatients in 2022. Only 59 surgeries were performed in 2017 compared with 597 routine and 311 emergency procedures performed in 2022. Currently, the department has 7 faculty members performing all forms of complex skull base, craniovertebral junction, vascular, endovascular, epilepsy, and functional surgeries. A total of 134 studies have been reported in national and international journals, and 8 patents have been granted.ConclusionsWe report the unique experiences of one department that could be useful as a template and as guidelines for the establishment process of a new department.Copyright © 2023 Elsevier Inc. All rights reserved.

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