Needs analysis for maxillofacial surgery‑specific operating rooms at the University of Port Harcourt Teaching Hospital, Nigeria
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Abstract
Background: Acquiring experience and surgical skills in maxillofacial surgery and anaesthesia depend on an optimal case volume and case mix. The more opportunities available for hands-on participation in various surgical operations, the better for the maxillofacial surgical team. Building and equipping operating rooms (ORs) are high-cost intensive projects. The aim of this study was to find if the current operative case mix and volume justifies capital investment in maxillofacial surgery-specific ORs.
Methods: This is a descriptive, nonexperimental quantitative research. We reviewed the maxillofacial OR records from November 2008 to December 2013. Data collected from the maxillofacial theatre records were incorporated into an SPSS v 22 spreadsheet and analysed. The OR utilisation time was computed. The analysis was performed to guide managerial and investment decisions.
Results: A total of 175 maxillofacial operative cases reviewed from a period of 62 months gave a rate of 2.8 cases per month. More males 90 (51.4%) than females 85 (48.6%) were operated on. Of the 236 operating days, 129 days(54.7%) were utilised. Major and major/smile-train operations formed 73.7% of all operations performed. All operations started after 10 am.
Conclusion: The maxillofacial case volume and output do not justify the need for capital investment into building surgery-specific ORs. However, there is a need to improve OR management and put in place strategies that will optimise the present facility.
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