Just saying hello. The Dr, Brender American Surgical Clinic is up and running at the Khmer Soviet Friendship Hospital (KSFH) in Phnom Penh, Cambodia. We have 3 surgeons, a full time senior supervisor, a rotating senior surgeon, and R5, R4, & R3 surgical residents from UCI, UCLA, USC, & Cedars Sinai. We do not charge for our services. We have provided the hospital 2 laparoscopic towers & laparoscopic instruments. We pioneered laparoscopic surgery at KSFH.Reply
I came across a great article and resources by Harvard Medical School published 10/31/2018 titled "Help Wanted". Click here to read the article. Would love to hear from more members about your surgical work i.e., where you are working, types of surgeries, greatest challenges etc.Reply
Just returned from my 11th trip to Cambodia. We have a clinic at the Khmer Soviet Friendship Hospital. We put on a presentation of what we have done over over the past 11 years. We are responsible for bringing the hospital into the 21st century by supplying 2 laparoscopic towers & enough equipment to perform laparoscopic surgery. Did a live laparoscopic cholecystectomy that was transmitted into the classroom for everyone to watch. I had our local surgeons select the case. Would up doing a very difficult acute cholecystitis, lots of inflammation, successfully. Our clinic will be expanding from one to two days a week now. Invited the American Embassy personnel, the Phnom Penh Rotary club & other sponsors to watch & see how we have been spending their money. They were very pleased. I have an ongoing crew of one permanent supervisor, one rotating supervisor, & one surgical resident. We have 4 schools providing residents, UCI, UCLA, USC, & Cedars Sinai. What are our most difficult issues - a lack of infrastructure, broken & worn out equipment. We make do - this is the interesting part. I just bought them a neurosurgical operating microscope. The neurosurgeon then did a difficult brain stem tumor successfully with no neurologic damage and a full recovery.Reply
Great resource excerpted from Global Health NOW published February 15th:
Setting the Standard for Surgery
Safe surgery and anesthesia are increasingly recognized as a crucial element of universal health care in low- and middle-income countries.
Improving surgical care for children, in particular, is a clear asset toward achieving the SDGs. To that end, the Global Initiative for Children’s Surgery—a consortium spanning 13 pediatric specialties—has drawn up adaptable guidelines for essential surgical care for children in LMICs.
The guidelines—reflecting the needs as determined by LMIC surgeons themselves—aim to help LMICs advocate for more resources, offer a template to support surgery at all levels of the health system and establish a minimum standard of care.
Please see attachment for guidelines. Would love to hear your feedback regarding these minimum standards in relation to the country where you work. Are these standards currently implemented? If so, how? If not, are they feasible? Biggest challenge(s)?Reply
World Tuberculosis Day March 24, 2019
Any providers addressing TB in LMICs? Would love to hear more about your work.
Article published March 25, 2019 by John Hopkins Bloomberg School of Public Health Global Health NOW: How Surgery Could Help End Tuberculosis (Click title to read.)
In summary, the author discusses how surgery "might be the only alternative for a group of patients who can no longer be helped by medical management", and the great challenges it presents in LMICs.Reply
For the forum members who do surgical outreach missions, could you let us know your process for patient access (how do they know about your services, know to access them, etc) and pre-screening/patient selection process? This question has come up among forum members who are hoping to set up or streamline their surgical outreach abroad and I have found few useful open-access resources to share.
I do want to share the WHO Surgical Safety Checklist, which is available in a number of different languages and can be a simple intervention to implement at your sites to improve surgical safety. It is available at: https://www.who.int/patientsafety/safesurgery/checklist/en/
I have also attached an informative article from Lancet: "Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development." There are a few key images from the article posted here.Reply
The Medical Outreach Program offers pulse oximeters through our Safe Surgery Initiative. For teams performing surgeries, I encourage you to partner with us in Safe Surgery! We will provide the pulse oximeters, you take the units to your in-country partner facility, train the local staff on its use and leave the devices behind. Let's chip away at that staggering statistic stating that there are more than 5 billion people around the world who lack access to safe surgical and anesthesia care! BTW...,.if you state via your application (when applying for a donation of free medicines and supplies to support your important work) we will offer you Surgical Safety checklists in English, French and Spanish. Based on partner feedback, teams seem to like that we laminated them, added velcro for easy mounting in the operating and recovery rooms and even provide a white board marker so that you can customize the checklist for each patient. To find out more about our Safe Surgery Initiative, visit our site. https://medicaloutreach.americares.org/en/initiatives/safe-surgery-initiative/Reply