Botswana is a small, landlocked country in Southern Africa that is widely considered a development success story. Although the country is hailed for its impressive Read More
Access to surgery remains inequitable worldwide, with 5 billion people lacking safe and affordable surgical and anaesthesia care when needed.1 The Lancet Commission on Global Surgery was convened in 2013 to assess the state of surgery around the world, provide recommendations for improving access, and propose indicators for assessing national surgical systems. A key safety indicator is the perioperative mortality rate (POMR). This is defined by the Commission as the number of all-cause deaths before discharge in patients who have undergone a procedure in an operating theatre, divided by the total number of procedures, and presented as a percentage.
In their study in The Lancet Global Health, Tarsicio Uribe-Leitz and colleagues1 find great discrepancies in surgical outcomes across the regions of the world.1 The authors examined three procedures that are fairly standardised in their operative indications and techniques (caesarean delivery, appendectomy, and groin hernia repair), and thus for which reporting should be nearly uniform. By undertaking a robust systematic review, Uribe-Leitz and colleagues have shown that quality surgical outcome data are a relatively void zone in low-income and middle-income countries (LMICs).
Emergency medicine is one of the youngest recognized specialties in Nepal, and its growth in clinical practice and academic development has been challenging.
Photos by Aliesha J. Porcena / Partners In HealthManoucheca Ketan (center) says “it’s magical” watching her triplet daughters, Marian, Michelle, and Tamar. The thing about triplet toddlers is that they never sit still. Twenty-month-old Tamar, Michelle, and Marian Bernard walk, run, squirm in their seats, dance, and generally create chaos for their parents, Manoucheca Ketan and David Bernard. But instead of being a headache, their movement is a source of constant relief and joy
Despite a high burden of surgical disease, access to surgical services in low- and middle-income countries is often limited.
Adequate pain control through sedation and anesthesia for emergency procedures is a crucial aspect of pediatric emergency care.
(no abstract available)(Published: 3 June 2016)Citation: Glob Health Action 2016, 9: 32016 – http://dx.doi.org/10.3402/gha.v9.32016
The Guardian: Why do a million women still suffer the treatable condition of fistula? Kate Grant, CEO of the Fistula Foundation “…The most crucial variable in the outcomes for women is the competency of the surgeon developed over years of experience. Yet the biggest challenge to treating more women [with fistula] goes beyond money, it…More
Topical fluorouracil after surgery substantially reduced recurrence of OSSN, was well-tolerated, and its use recommended.
by Anna J. Dare, Katherine C. Lee, Josh Bleicher, Alex E. Elobu, Thaim B.
Objective To estimate a safe minimum hospital volume for hospitals performing coronary artery bypass graft (CABG) surgery.
Reuters Health: Death after surgery three times more likely in lower-income countries “How many people survive after emergency surgery is one measure of the quality of care they have access to, and post-surgery death rates in low- and middle-income countries suggest quality needs to be better, researchers say. Using mortality rates within 24 hours and…More