Surgathon: a new model for creating a surgical innovation ecosystem in low-resource settings

Ashby, Joanna; Muhumuza, Arsen; Ndayishimiye, Isaac; Wasserman, Isaac; Santhirapala, Vatshalan; Peters, Alexander W.; Vervoort, Dominique; Jacob, Oshin R.; Gnanaraj, J; Ganesh, P. Sankar; Afshar, Salim

doi:10.1136/bmjgh-2019-002162

Cited by 11 publications

(11 citation statements)

References 20 publications

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“…This leads to local surgical innovation, providing an ecosystem that is both ethical and sustainable. This is not only beneficial from a medical perspective but allows local financial investment and feeds back into local economies [22]. Locally sourced and manufactured surgical supplies, prosthetics and drugs are key to alleviating the environmental burden of global surgery.…”

Section: Rethinkmentioning

confidence: 99%

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The Role and Duty of Global Surgery in Increasing Sustainability and Improving Patient Care in Low and Middle-Income Countries

Banhidy¹,

Banhidy²

2022

Cureus

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Global health is one of the most pressing issues facing the 21st century. Surgery is a resource and energyintensive healthcare activity which produces overwhelming quantities of waste. Using the 5Rs (Reduce, Reuse, Recycle, Rethink, and Research) provides the global surgical community with the pillars of sustainability to develop strategies that are scalable and transferable in both low and middle-income countries and their high-income counterparts.Reducing energy consumption is necessary to achieving net zero emissions in the provision of essential healthcare. Simple, easily transferrable, high-income country (HIC) technologies can greatly reduce energy demands in low-income countries. Reusing appropriately sterilized equipment and reprocessing surgical devices leads to a reduction of costs and a significant reduction of unnecessary potentially hazardous waste. Recycling through official government-facilitated means reduces 'informal recycling' schemes, and the spread of communicable diseases whilst expectantly reducing the release of carcinogens and atmospheric greenhouse gases. Rethinking local surgical innovation and providing an ecosystem that is both ethical and sustainable, is not only beneficial from a medical perspective but allows local financial investment and feeds back into local economies. Finally, research output from low-income countries is minimal compared to the global academic output. Research from low and middle-income countries must equal research from highincome countries, thereby producing fruitful partnerships. With adequate international collaboration and awareness of the lack of necessary surgical interventions in low and middle-income countries (LMICs), global surgery has the potential to reduce the impact of surgical practice on the environment, without compromising patient safety or quality of care.

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Section: Rethinkmentioning

confidence: 99%

“…Locally sourced and manufactured surgical supplies, prosthetics and drugs are key to alleviating the environmental burden of global surgery. Local manufacturing not only reduces cost but also carbon footprint [22]. One well-documented example is the use of sterilized mosquito nets for hernia mesh repair.…”

Section: Rethinkmentioning

confidence: 99%

The Role and Duty of Global Surgery in Increasing Sustainability and Improving Patient Care in Low and Middle-Income Countries

Banhidy¹,

Banhidy²

2022

Cureus

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“…Researchers have identified 3 key pillars in the surgathon model: global surgery, innovation, and ethics [23] Such a model has been credited with creating strong innovative ecosystems with exposure to multidisciplinary working. However, researchers noted that the solutions themselves should not be a metric for the performance of the surgathon.…”

Section: Case Study 10: Developing Novel Ways To Foster Innovative Multidisciplinary Environmentsmentioning

confidence: 99%

“…The Sources of funding for different stages of development Feasibility, seed and scale-up funding E.g. Innovative funding instruments [23] Institutional validation and support to facilitate successful development…”

Section: How Does Developmentmentioning

confidence: 99%

The Role of Technology and Innovation

Walker

Veerappan

Nehme³

2021

Sustainable Development Goals Series

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Technology holds a significant role in the past, present, and future of cardiac surgical care capacity in low-to-middle income countries (LMICs): a role that holds positive value overall in opportunity and outcome, despite recurrent and emerging practical and ethical challenges to different stakeholder groups. Aided by case studies, this chapter discusses the value of both creating technologies to benefit cardiac surgical care directly, and creating environments for technological innovation. This is addressed by examining the value of technology for, and within, human and physical resource development. Human resource development, consisting of cognitive, technical, and reflective components, is developed through two complementary approaches: increasing the minimum quality standard achieved by healthcare professionals, and increasing the maximum quality standard achievable. Both of these strategies are hugely helped by the implementation of technology to facilitate new training methods, relationships, and career opportunities. The discussion of physical resource development is guided by the journey of development and implementation taken by individual technologies, identifying key forms of support required to combat potential issues and increase the chance of success. Technology requires significant resource investment by a varied portfolio of stakeholder groups to deliver on its current achievable, and future potential promise to contribute significantly towards cardiac surgical capacity development in LMICs.

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“…Adoption of healthcare innovations is dependent on the effectiveness of local innovation ecosystems (Mitra et al, 2020). In 2015/16, around 75% of medical devices and diagnostics were imported into India (Chaturvedi et al, 2015;Dixit et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Identifying research and development priorities for an in-hospital 3D design engineering facility in India

Eggbeer

Mehrotra

Beverley

et al. 2020

Journal of Design, Business &Amp; Society

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Advanced three-dimensional (3D) design and engineering technologies have revolutionized patient-specific implants, prostheses and medical devices, particularly in the cranio-maxillofacial and oral medical fields. Lately, decreasing costs, coupled with the reported benefits of bringing design and production technology closer to the point of healthcare delivery, have encouraged hospitals to implement their own 3D design and engineering services. Most academic literature reports on the factors that influence the sustainable development of such services in high-income countries. But what of low- and middle-income countries where demand for custom craniofacial devices is high? What are the unique challenges to implement in-hospital services in resource-constrained environments? This article reports the findings of a collaborative project, Co-MeDDI (Collaborative Medical Device Design Initiative), that brought together a UK-based team with the experience of setting up and running a hospital-based 3D service in the United Kingdom with the Maxillofacial Department of a public hospital in the Uttar Pradesh region of India, which had recently received funding to establish a similar capability. We describe a structured design research approach consisting of a series of exchange activities taking place during the lifetime of the project that compared different aspects of the healthcare innovation ecosystem for 3D services in India and the United Kingdom. Based on the findings of the different activities, we identify key factors that influence the adoption of such services in India. The findings are of relevance to healthcare policy-makers and public hospital managers in resource-constrained environments, and to academics and practitioners engaging in collaborative export of healthcare initiatives.

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Surgathon: a new model for creating a surgical innovation ecosystem in low-resource settings

Cited by 11 publications

References 20 publications

The Role and Duty of Global Surgery in Increasing Sustainability and Improving Patient Care in Low and Middle-Income Countries

The Role and Duty of Global Surgery in Increasing Sustainability and Improving Patient Care in Low and Middle-Income Countries

The Role of Technology and Innovation

Identifying research and development priorities for an in-hospital 3D design engineering facility in India

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