Surgical Techniques and Priorities

Barker, Edward

doi:10.1177/00494755950250s111

Cited by 2 publications

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“…The spectrum of surgical diseases in a typical rural community as illustrated in Table 1 includes the unsolved problem of infections and infestations and the unmet challenges that Anthony Barker aptly described as the surgery of infection and neglect. 6…”

Section: Basic Skillsmentioning

confidence: 99%

Training To Serve Unmet Surgical Needs Worldwide

Blanchard

Merrell

Geelhoed

et al. 2001

Journal of the American College of Surgeons

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In 1999, our world's population passed the six billion mark. An estimated one-third to one-half of our world's population-2 to 3 billion people-still lack basic surgical care! In this paper we attempt to address the question, "How best can surgical needs be met in a sustainable manner within resources available for training in less-developed populations?" Our goal is to raise awareness of the enormous unmet needs for surgical care in less-developed regions and to suggest ways in which Fellows of the American College of Surgeons may assist in helping meet the needs. In many developing countries, surgical training programs are patterned after North American or European programs. This tends to encour-age subspecialization and might not produce surgeons adequately trained to manage the broad spectrum of surgical needs for which people attend their local district hospitals. A complete roster of surgical specialists cannot be made available in most district hospitals throughout the world. So surgeons serving in these hospitals require training and experience that encompass a broader range of surgery than is provided by the usual programs for training general surgeons.We will describe the needs, define the spectrum of surgery in most district hospitals, and outline some affordable and innovative options for surgical care. Our emphasis is on training and sustainability.

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Section: Basic Skillsmentioning

confidence: 99%

Training To Serve Unmet Surgical Needs Worldwide

Blanchard

Merrell

Geelhoed

et al. 2001

Journal of the American College of Surgeons

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“…The surgery often done is the surgery of trauma, infections, and neglect. 15 The largest group of surgical cases is found at the secondary level of health care. In a 14-year review of a secondary level surgical practice, external hernia repair constituted 56.1% of the procedures undertaken, excision of superficial lumps about 11.5%, and abdominal emergencies, such as intestinal obstruction, peritonitis, and ruptured spleen, about 7.7% ( Table 2).…”

Section: The Spectrummentioning

confidence: 99%

Surgery in Nigeria

Ajayi

Adebamowo²

1999

Arch Surg

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N igeria, like most other developing countries, is today experiencing an increasing incidence of noncommunicable diseases and the unsolved problem of infectious diseases. The role of surgery in the management of these diseases has continued to increase. Surgical training has traditionally been of a high standard, and this has made it possible for surgeons trained in Nigeria to cope with this change in the spectrum of diseases. A low success rate at the diploma examinations and an increasing loss of local talent to foreign countries has increased calls for a modification of the training programs. There is a need to improve the working conditions and environment of surgeons to stem the attrition. Surgery in a poor resource environment demands more, rather than less, skill from the surgeon, and the training programs must ensure that the specialist is adequately equipped to deal with conditions that may not be considered general surgery. While the unavailability of modern technology has limited the scope of research, it is still possible to conduct appropriate, "low-tech," and relevant research that is subject to excellent study design, proper controls, and scientifically valid interpretations.

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Surgical Techniques and Priorities

Cited by 2 publications

References 0 publications

Training To Serve Unmet Surgical Needs Worldwide

Training To Serve Unmet Surgical Needs Worldwide

Surgery in Nigeria

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