01498nas a2200361   4500000000100000008004100001260001400042653001500056653001600071653002400087653001600111653002400127653002200151653003400173653001900207653002100226653001100247653001200258653001500270653003100285653002200316653001700338653002200355100001700377700002000394700001400414700001400428245007800442300001000520490000700530520058500537022001401122       2000                            d  c2000-200110aAmputation10aArthrodesis10aClinical Competence10aDenervation10aFeasibility Studies10aFollow-Up Studies10aHealth Services Accessibility10aHospital Costs10aHospitals, Rural10aHumans10aleprosy10aMadagascar10aMedically Underserved Area10aPatient Care Team10aTime Factors10aTreatment Outcome1 aSanlorenzo M1 aRakotondrajao J1 aCaldera D1 aBellato C00a[Leprosy surgery in a bush hospital in Africa: experience in Madagascar].  a19-240 v123 a<p>We report our experience of leprosy surgery in terms of feasibility and efficacy in a small hospital of bush in Madagascar during the period of September 1989 to January 1993. Operations of neurolysis, corrections of claw hands by the techniques of Lasso-Zancolli or Van Droogenbroeck, arthrodesis, resections and amputations have been performed. Our results suggest that at least a part of these surgical procedures may be performed by a non specialized medical team, taught on the premises. Thus, the cost of treatment will be low and accessible to more leprosy patients.</p>  a0001-5938