Galukande M, Kituuka O, Elobu E, Jombwe J, Sekabira J, Butler Elissa, Faulal J
Department of Surgery, College of Health Sciences, Makerere University, Kampala, Uganda.
Department of Surgery, Mulago National Referral Hospital, Kampala, Uganda.
Surg Res Pract. 2016;2016:9021945. doi: 10.1155/2016/9021945. Epub 2016 Jun 16.
Introduction. Surgical camps are preplanned activities where volunteer surgical teams congregate at specified place(s) and perform a wide range of mostly elective procedures for a limited period of time. This is usually at no cost to the patients, who belong to vulnerable (poor and hard to reach) communities. We describe a surgical camp model and its challenges as a means of improving access to surgical services. Methods. A cross-sectional descriptive study. Data from a recent Association of Surgeons of Uganda surgical camp were collected and analyzed for demographics, costs, procedure types, and rates and, in addition, challenges encountered and solutions. Personnel that participated in this exercise included specialist surgeons, surgical residents, medical officers, clinical officers, anesthetists, and theater nurses (a total of 121 staff). Results. In total, 551 procedures were performed during a four-day-long camp. Mean age was 35 years (SD 23), M : F ratio was 2 : 1. Herniorrhaphy, skin lump excision, hydrocelectomy, and thyroidectomy formed 81% of all the procedures. Average cost per procedure was $73 USD. Conclusion. Surgical camps offer increased access to surgical services to vulnerable populations. Hernias and goiters were most common. Surgical camps should become an integral part of the Health Service delivery in low-resourced environments.
引言。外科手术营是预先规划好的活动，志愿外科团队在特定地点聚集，在有限时间内开展一系列大多为择期的手术。这通常对属于弱势群体（贫困且难以接触到医疗服务的群体）的患者免费。我们描述一种外科手术营模式及其面临的挑战，以此作为改善外科服务可及性的一种方式。方法。一项横断面描述性研究。收集并分析了乌干达外科医生协会近期一次外科手术营的数据，内容包括人口统计学、成本、手术类型、手术率，此外还包括遇到的挑战及解决办法。参与此次活动的人员包括专科外科医生、外科住院医师、医务人员、临床医生、麻醉师和手术室护士（共121名工作人员）。结果。在为期四天的手术营期间共进行了551例手术。平均年龄为35岁（标准差23），男女比例为2∶1。疝修补术、皮肤肿物切除术、鞘膜积液切除术和甲状腺切除术占所有手术的81%。每例手术的平均成本为73美元。结论。外科手术营为弱势群体提供了更多获得外科服务的机会。疝气和甲状腺肿最为常见。在资源匮乏的环境中，外科手术营应成为卫生服务提供体系的一个组成部分。
