AI Article Synopsis
- Humanitarianism in surgery focuses on delivering high-quality care in underserved areas, with an emphasis on training local surgeons to achieve outcomes comparable to those in high-income countries.
- HRFU, a non-profit, is working on an initiative to improve hernia surgery in the Western Hemisphere by establishing an outpatient surgery site in the Dominican Republic and expanding its model to other countries.
- The success of HRFU is demonstrated through low morbidity and mortality rates, matching those typically seen in high-income contexts, which supports the sustainability and effectiveness of their public health approach.
Article Abstract
Purpose: Humanitarianism is by definition a moral of kindness, benevolence and sympathy extended to all human beings. In our view as surgeons working in underserved countries, humanitarianism means performing the best operation in the best possible circumstances with high income country (HIC) results and training in-country surgeons to do the same. Hernia Repair for the Underserved (HRFU), a not for profit organization, is developing a long term public health initiative for hernia surgery in Western Hemisphere countries. We report the progress of HRFUs methods to render humanitarian care.
Methods: In a collaborative effort, Creighton University and the Institute for Latin American Concern developed an outpatient surgery site for hernia surgery in Santiago, Dominican Republic. Based on this experience, we developed a sustainable care model by recruiting American and European Hernia Society expert surgeons, staff members they recommended, building relationships with local and industry partners, and selecting local surgeons to be trained in mesh hernioplasty. HRFU then extended the care model to other Western Hemisphere countries.
Results: Between 2004 and 2015, the HRFU elective hernia morbidity and mortality rates for 2052 hernia operations were 0.7 and 0%, respectively. This is consistent with outcomes from HICs and confirms the feasibility of a public health initiative based on the principles of the Preferential Option for the Poor.
Conclusions: HRFU has recorded HIC morbidity and mortality rates for hernia surgery in low and middle income countries and has initiated a new surgical training model for sustainability of effect.
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| http://dx.doi.org/10.1007/s10029-017-1665-0 | DOI Listing |
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