Hayden Melanie G, Hughes Samuel, Hahn Edward J, Aryan Henry E, Levy Michael L, Jandial Rahul
Department of Neurosurgery, Stanford University Medical Center, 300 Pasteur Road, Stanford, CA 94305-5327, USA.
Childs Nerv Syst. 2011 Jan;27(1):145-8. doi: 10.1007/s00381-010-1170-6. Epub 2010 May 19.
A myriad of geopolitical and financial obstacles have kept modern neurosurgery from effectively reaching the citizens of the developing world. Targeted neurosurgical outreach by academic neurosurgeons to equip neurosurgical operating theaters and train local neurosurgeons is one method to efficiently and cost effectively improve sustainable care provided by international charity hospitals. The International Neurosurgical Children's Association (INCA) effectively improved the available neurosurgical care in the Maria Auxiliadora Hospital of Lima, Peru through the advancement of local specialist education and training.
Neurosurgical equipment and training were provided for the local neurosurgeons by a mission team from the University of California at San Diego.
At the end of 3 years, with one intensive week trip per year, the host neurosurgeons were proficiently and independently applying microsurgical techniques to previously performed operations, and performing newly learned operations such as neuroendoscopy and minimally invasive neurosurgery.
Our experiences may serve as a successful template for the execution of other small scale, sustainable neurosurgery missions worldwide.
众多地缘政治和金融障碍使得现代神经外科手术无法有效地惠及发展中国家的民众。学术神经外科医生开展有针对性的神经外科外展活动,以装备神经外科手术室并培训当地神经外科医生,是一种高效且经济有效地改善国际慈善医院可持续医疗服务的方法。国际神经外科儿童协会(INCA)通过推进当地专科教育和培训,有效地改善了秘鲁利马玛丽亚奥克西利亚多拉医院的神经外科医疗服务。
来自加利福尼亚大学圣地亚哥分校的一个任务小组为当地神经外科医生提供了神经外科设备和培训。
在3年结束时,每年进行为期一周的密集访问,当地神经外科医生能够熟练且独立地将显微外科技术应用于之前开展的手术,并开展新学到的手术,如神经内镜检查和微创神经外科手术。
我们的经验可为全球其他小规模、可持续的神经外科任务的执行提供成功范例。