Few books have been published to assist local and visiting clinicians in addressing opportunities to expand surgical care in low- and middle-income countries. With contributions from international experts and surgical leaders, this book serves as a valuable resource for local and visiting faculty, trainees, and students in their endeavors to deliver surgical services in existing facilities as well as to develop new infrastructures for specialized surgical care. This book presents an anthology of important lessons gleaned from the experiences of participants in selected academic global surgery centers and existing partnerships all over the world. Contributing authors summarize methods to build partnerships and expand capacity with a focus not only on how to, but also on what worked, what didnt work, and what could be done differently. They discuss specific examples ranging from implementing colon cancer screening to building a transplant program. In addition, several chapters describe approaches to diagnosis and management of specific surgical pathologies in limited resource environments as a complement to standard surgical texts in general surgery, thoracic surgery, neurosurgery, urology, obstetrics and gynecology, orthopedics, and surgery for contractures and burns.
Practical and user-friendly, Global Surgery encapsulates the increasing enthusiasm of young faculty, trainees and medical students to improve access to surgical care in the worlds low- and middle-income countries.
Introduction.- How to prepare for short- or long-term surgical practice
in underserved countries.- How to maintain ethical standards of global
surgery practice and partnerships.- How to develop bidirectional
partnerships.- How to develop bidirectional partnerships.- How to develop
bidirectional partnerships.- How to build pediatric neurosurgical capacity
and how to focus on treatment of a neurosurgical disease.- How to train
surgical subspecialists in sub-Saharan Africa.- How to develop a sustainable
program for volunteer medical care in low- and middle-income countries.- How
to organize a colon cancer screening program in an underserved country.- How
to establish and expand an intensive care unit in an underserved countryHow
to establish and expand an intensive care unit in an underserved
country.- How to create a post anesthesia care unit for recovery after
surgery and anesthesia.- How to create a post anesthesia care unit for
recovery after surgery and anesthesia.- How to establish a trauma and
disaster response service in underserved countries, including staff,
transportation, testing, triage, resuscitation training, and facilities.- How
to select a database software for surgical data.- How to establish surgical
teaching, guidance, and simulation practices in LMICs.- How to teach
technical and judgment skills effectively from outside the operating room
(including virtually).- How to teach teamwork and leadership skills
effectively from outside the operating room (including virtually).- How to
organize and provide ICU care in low resource countries.- How to Use Surgical
Ultrasound in Resource-Limited Settings.- How to build an academic global
surgery center: the UCSF CHESA experience.- How to build research in
LMICs.- How to manage urgent neurosurgical problems.- How to manage urgent
problems in the neck: foreign bodies in the trachea and in the esophagus in
children andadults, and other surgical problems.- How to manage thoracic
surgical problems in LMICs.- How to manage conditions of the stomach.- HHow
to manage conditions of the stomach.- How to Diagnose and Manage Anorectal
Problems in LMICs.- How to Diagnose and Manage Anorectal Problems in
LMICs.- How to diagnose and treat benign and malignant diseases of the
breast.- How to provide acute burn care in an underserved country.- How to
surgically reconstruct acute and chronic burn wounds in LMICs.- How to manage
soft tissue infections and injuries in low resource countries.- How to
approach NOMA & facial infections, trauma, and tumours through charity
missions: the origins of Facing Africa and lessons learned.- How to approach
NOMA & facial infections, trauma, and tumours through charity missions:
Facing Africa non-operating mission.- How to approach NOMA & facial
infections, trauma, and tumours through charity missions: ethics of surgical
charity for complex patients.- How to approach NOMA & facial infections,
trauma, and tumours through charity missions: noma a neglected
disease.- How to approach NOMA & facial infections, trauma, and tumours
through charity missions: the management of trismus and ankylosis in
noma.- How to approach NOMA & facial infections, trauma, and tumours through
charity missions: noma a neglected disease anaesthesia.- How to approach
NOMA & facial infections, trauma, and tumours through charity missions: noma
a neglected disease anaesthesia.- How to manage vascular trauma and
emergencies in LMICs.- How to Manage Common Pediatric Surgical Conditions -
Infant Emergencies, Hernias, Congenital Malformations.- How to manage common
orthopedic injuries.- How to care for womens health a quick overview and
procedural guide for the surgeon.- How to manage urologic problems in low-
and middle-income countries.
Mark A. Hardy, MD, PhD (Hon), FACS, Auchincloss Professor of Surgery, Director Emeritus and Founder, Transplantation Program, Columbia University Medical Center, New York, NY, USA Beth Hochman, MD, FACS, Associate Professor of Surgery, Associate Program Director of General Surgery Residency Program, Co-Director of Surgical Intensive Care Unit, Divisions of General Surgery and Critical Care Medicine, Columbia University Medical Center, New York, NY, USA