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Microvascular Decompression: Salient Surgical Principles and Technical Nuances
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Surgical outreach and microvascular surgery in developing countries.

Chad A Zender1, Kate Clancy1, Jason E Thuener1

  • 1University Hospitals Cleveland Medical Center, Department of Otolaryngology - Head and Neck Surgery, 11100 Euclid Ave., Cleveland, OH 44106, United States.

Oral Oncology
|June 10, 2018
PubMed
Summary

Surgical outreach programs (SOP) can overcome resource limitations in low- and middle-income countries (LMIC) by carefully planning complex procedures like microvascular reconstruction. These programs offer feasible patient care and aid in developing healthcare infrastructure.

Keywords:
Global healthHead and neck surgeryMicrovascular reconstructionSurgical outreach

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Area of Science:

  • Global Surgery
  • Head and Neck Surgery
  • Microsurgery

Background:

  • Low- and middle-income countries (LMIC) face significant disparities between surgical needs and available resources.
  • Basic head and neck procedures are challenging in resource-constrained settings, with microvascular reconstruction presenting additional complexities.

Purpose of the Study:

  • To discuss the challenges and feasibility of establishing surgical outreach programs (SOP) abroad, focusing on microvascular reconstruction.
  • To highlight the potential benefits of SOPs in developing healthcare infrastructure in low-resource regions.

Main Methods:

  • Discussion of challenges including patient selection, cost, infrastructure, equipment, and follow-up for microvascular reconstruction in SOPs.
  • Presentation of a phased model of care, prioritizing patient safety and progressing towards sustainability and education.

Main Results:

  • Surgical outreach programs are feasible and beneficial for patient care in LMIC.
  • Microvascular reconstruction, despite challenges, can enhance healthcare system development in low-resource settings.

Conclusions:

  • Well-defined goals are crucial for successful SOPs.
  • Incorporating microvascular surgery into SOPs can serve as an adjunct to strengthen LMIC healthcare systems.
  • A phased approach focusing initially on safe complex procedures, followed by sustainability and education, is recommended.