BACKGROUND: Vascular diseases are evolving fast in sub-
Saharan Africa, but its management is challenged by lack of
expertise and infrastructure. In the light of the prevailing
challenge, this study was done to see the pattern of vascular
disease and its treatment in a tertiary referral hospital.
METHODS: A prospective cross-sectional study was done over a
period of one year (February 9, 2016 to February 8, 2017) at Tikur
Anbessa specialized hospital (TASH) at Addis Ababa, Ethiopia.
RESULTS: A total of 386 patients were seen at the surgical OPD.
Of these, 78(20.2%) were admitted and operate on. The male to
female ratio was 1.3:1. The mean age affected was 39 +/- 10
(Range 12-91 years). On the other hand, 132 (34.2%) patients
came with PAD. Of them, 46(34.8%) presented with either frank
Gangrene or pre-gangrene stage. The rest 86(65.1%) had
claudication pain. The other diseases seen are Varicose Vein,
100(25.9%), Carotid body tumors, 60(15.4%), Aneurysmal
diseases, 36(9.1%), Vascular malformations, 34(8.7%), and
Vascular injuries, 22(5.6%). During the study period, 28(35.9%)
PAD, 22(28.2%) trauma patients, 8(10.2%) Chemodectomas,
8(10.2%) aneurysms, 6(7.7%) hemangiomas, 4(5.1%) varicose vein
and 2(2.6%) AV fistula patients were operated.
CONCLUSION: The pattern of vascular disease in Ethiopia is
becoming a challenge. The gap created due to limited vascular
surgeons, poor infrastructure and absent supply chain system has
significantly compromised the number and type of operated-on
patients. These challenges result in preventable morbidity and
mortality.

Published: 2019-05-28