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The Co-Pilot Project in wartime: lessons from Lviv, Ukraine
Christopher Markosian1, Oleksandr Strelko2, Jeff F Zhang3
11Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey.
Neurosurgical Focus
|March 1, 2025
Summary
The Co-Pilot Project enhances neurosurgical care in Ukraine through longitudinal collaborations and surgical mentorship, despite wartime challenges. These efforts aim to improve operative capabilities and outcomes for Ukrainian neurosurgeons.
Area of Science:
- Neurosurgery
- Global Health
- Conflict Medicine
Background:
- The ongoing war in Ukraine has severely strained its medical system, particularly in neurosurgical care.
- Resource limitations and logistical challenges are significant barriers to providing advanced medical treatment.
Purpose of the Study:
- To describe the Co-Pilot Project's efforts to support and improve neurosurgical care in Ukraine during wartime.
- To highlight the importance of international collaboration and mentorship in extreme medical settings.
Main Methods:
- The Co-Pilot Project organized a mission trip to Ukraine in April-May 2023, involving US-based medical professionals.
- A multidisciplinary team provided instruction and assistance with complex neurosurgical and neurovascular procedures at Lviv hospitals.
- Longitudinal collaborations, including in-person and virtual outreach, were employed.
Main Results:
- Complex neurosurgical and neurovascular procedures were performed and instructed by a team of anesthesiologists, neurosurgeons, and a neurointerventional radiologist.
- The efforts addressed a rise in neurosurgical volume due to internally displaced persons.
- An illustrative case of foramen magnum meningioma resection is detailed.
Conclusions:
- Despite wartime challenges, the Co-Pilot Project demonstrates the value of a long-term approach to enhancing Ukrainian neurosurgeons' operative capabilities.
- Lessons learned can inform and inspire future global neurosurgery initiatives in conflict zones.
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