Lara Harvey1, Howard Curlin2, Barry Grimm3, Barbie Lovett4, Jean-Claude Ulysse5, Christopher Sizemore3. 1. Division of Minimally Invasive Gynecology, Department of Obstetrics & Gynecology, Vanderbilt University Medical Center, 1161 21st Ave South, B-1100 Medical Center North, Nashville, TN, 37232-2521, USA. lara.harvey@vumc.org. 2. Division of Minimally Invasive Gynecology, Department of Obstetrics & Gynecology, Vanderbilt University Medical Center, 1161 21st Ave South, B-1100 Medical Center North, Nashville, TN, 37232-2521, USA. 3. Global Health Section, Department of Obstetrics & Gynecology, Vanderbilt University Medical Center, Nashville, USA. 4. Perioperative Services, Vanderbilt University Medical Center, Nashville, TN, USA. 5. Department of Obstetrics & Gynecology, Hôpital Universitaire de Mirebalais, Mirebalais, Haiti.
Abstract
BACKGROUND: An estimated one-third of the world's burden of disease requires surgical treatment. In many high-income nations, a large proportion of critical surgical procedures are performed laparoscopically due to a number of advantages the technique offers. There is forward progress in the global surgery field to increase access to laparoscopic techniques in low and middle-income settings (LMIC), with potential benefits to both patients and surgeons. METHODS: A week long laparoscopic surgery curriculum for surgeons and hospital staff was designed and implemented in a low-resource setting. An iterative design was used to adapt the curriculum on the ground. RESULTS: The local laparoscopic team was able to independently perform two laparoscopic procedures since the course was administered. CONCLUSIONS: Implementing laparoscopic surgery programs may be feasible in many LMIC settings. Access to this care may benefit patients. Lessons learned for the global laparoscopist are described.
BACKGROUND: An estimated one-third of the world's burden of disease requires surgical treatment. In many high-income nations, a large proportion of critical surgical procedures are performed laparoscopically due to a number of advantages the technique offers. There is forward progress in the global surgery field to increase access to laparoscopic techniques in low and middle-income settings (LMIC), with potential benefits to both patients and surgeons. METHODS: A week long laparoscopic surgery curriculum for surgeons and hospital staff was designed and implemented in a low-resource setting. An iterative design was used to adapt the curriculum on the ground. RESULTS: The local laparoscopic team was able to independently perform two laparoscopic procedures since the course was administered. CONCLUSIONS: Implementing laparoscopic surgery programs may be feasible in many LMIC settings. Access to this care may benefit patients. Lessons learned for the global laparoscopist are described.
Entities:
Keywords:
Curriculum; Global; Gynecology; Implementation; Laparoscopy; Surgery
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