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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Global surgery: current evidence for improving surgical care.

Jennifer C Fuller1, David A Shaye

  • 1aDepartment of Otolaryngology, Harvard Medical School bDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary cDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School dDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA eDepartment of Otolaryngology, Centre Hospitalier Universitaire Kigali, University of Rwanda, College of Medicine and Health Sciences, Kigali, Rwanda.

Current Opinion in Otolaryngology & Head and Neck Surgery
|May 25, 2017
PubMed
Summary

Global surgery is advancing through innovative training, technology, and partnerships to reduce disease burden. Further country-specific data and research on policies like task-sharing are needed for universal access to safe surgical care.

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Area of Science:

  • Global health
  • Surgical sciences
  • Health policy

Background:

  • Global surgery is recognized as a cost-effective strategy for reducing the worldwide burden of disease.
  • Recent reports highlight the transformative potential of global surgery.

Purpose of the Study:

  • To review recent advances in the field of global surgery.
  • To examine innovative approaches to enhance global surgical capacity and access to care.

Main Methods:

  • Review of recent literature and prominent reports in global surgery.
  • Analysis of innovative methods for workforce development, including training, collaboration, and technology.
  • Examination of tools and checklists for data collection and rigorous publication.

Main Results:

  • Innovative methods are being employed to expand the global surgical workforce and procedural capacity.
  • Computer modeling is emerging as a tool for policy development to optimize access to care and health protection.
  • New tools and checklists enhance data collection, rigorous publication, and system benchmarking.
  • Institutional partnerships and trainee exchanges foster training, humanitarian commitment, and knowledge exchange.

Conclusions:

  • Current work provides a foundation for achieving universal access to safe, affordable surgical care.
  • Further collection and analysis of country-specific data are essential for accurate modeling.
  • Outcomes research is needed to evaluate the efficacy of policies such as task-sharing.