Establishing a Contextually Appropriate Laparoscopic Program in Resource-restricted Environments

Abstract

A contextually appropriate long-term partnership may assist with laparoscopic upskilling of colleagues in low- and middle-income countries. This type of collaboration promotes local ownership and may translate into better patient outcomes associated with laparoscopic surgery. In resource-restricted environments, the factors threatening sustainability may differ from those in high-income countries and should be identified and addressed.

The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections

“…In these countries, the challenges posed by the burden of primary healthcare concerns have limited government support for development of modern tertiary healthcare facilities, and laparoscopic surgery is practiced in only a few tertiary hospitals. Innovative programs to train surgeons and develop low-cost equipment in these countries are encouraging [63]. Some studies in the literature have focused on the feasibility of implementing laparoscopic procedures in resource-poor countries, and how to overcome the challenges involved [64–66].…”

Effective Strategies for Global Health Training Programs A Systematic Review of Training Outcomes in Low and Middle Income Countries

“…Sample sizes ranged from 12 to 12795. Samples included physicians/healthcare workers being trained and clusters of regions where trainings were conducted (Ajuwon et al, 2008;Arreola-Risa et al, 2007;Autry et al, 2013;Baig et al, 2008;Bedada et al, 2015;Brown et al, 2000;Dizon et al, 2014;Dodani et al, 2008;Goodwin et al, 2011;Goudar et al, 2011;Hashmi et al, 2013;Hoban et al, 2013;Husum et al, 2003a;Husum et al, 2003b;Kauye et al, 2014;Kebede et al, 2012;Kulier et al, 2012;Levine et al, 2011;Lewin et al, 2005;Makanjuola et al, 2012;Tomatis et al, 2011;van Heng et al, 2008;Wang et al, 2014;Wee etal., 2011). Intervention duration ranged from one day to three years.…”

“…Intervention duration ranged from one day to three years. Twelve of the studies were pre-post-test design (Ajuwon et al, 2008;Brown et al, 2000;Dizon et al, 2014;Hashmi et al 2013;Hoban et al, 2013;Husum et al, 2003a;Husum et al, 2003b;Kebede et al, 2012;Levine et al, 2005;Makanjuola et al, 2012;Tomatis et al, 2011;vanHeng et al, 2008), 5 were quasi-experimental design (Arreola-Risa et al, 2007;Baig et al, 2008;Bedada et al, 2015;Dodani et al, 2008;Wang et al, 2014), three were Cluster randomized control trials (Goudar et al, 2011;Kulier et al, 2012;Lewin et al, 2011). 2 were cross-sectional design (Kauye et al, 2014;Wee et al, 2011), 1 randomized control trial (Autry et al, 2013), and 1 prospective comparison study (Goodwin et al, 2011).…”

Models of Neurosurgery International Aid and their Potential Ethical Pitfalls

“…The second, classic model of neurosurgery-related international aid is one in which surgeons or surgical teams make short trips to perform surgery and teach techniques to local surgeons [11][12][13]. In some cases, participants visit the same location multiple times, which has the added advantage of longitudinal follow-up and monitoring of the initiative's impact.…”