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Surgical mission planning in the developing world
F McClenaghan1, M Fell, D Martin
1The Royal London Hospital, London, UK.
International Journal of Oral and Maxillofacial Surgery
|September 11, 2013
Summary
Surgical missions require outcome analysis to assess their true impact. This study implemented a new pathway, showing a 23% complication rate, highlighting the need for better surgical mission evaluation.
Area of Science:
- Global Surgery
- Medical Missions
- Surgical Outcomes
Background:
- Surgical missions in developing nations often lack rigorous outcome analysis.
- Previous studies report high rates of postoperative complications in these missions.
Purpose of the Study:
- To present an integrated pathway for surgical missions.
- To report the performance and outcomes of this pathway in practice.
Main Methods:
- Preoperative optimization of patients by a UK medical team for at least 14 days.
- Surgical procedures performed at a local hospital with patient return post-stabilization.
- Postoperative follow-up by a dedicated junior doctor for 3 weeks after mission completion.
Main Results:
- Thirty patients were treated over a 2-week period.
- The overall postoperative complication rate at 3 weeks was 7/30 (23.3%).
- Simple operations (n=8) had a 25% complication rate (2/8 patients).
Conclusions:
- An integrated pathway can provide valuable outcome data for surgical missions.
- Outcome analysis is crucial for accurately evaluating the effectiveness of surgical missions.
- Standardized pathways are essential for improving the impact and accountability of global surgical efforts.
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