Sales de Gauzy J, Trinchero J-F, Jouve J-L
Hôpital des Enfants, 330, avenue de Grande-Bretagne, 31026 Toulouse cedex, France.
Hôpital des Enfants, 330, avenue de Grande-Bretagne, 31026 Toulouse cedex, France.
Orthop Traumatol Surg Res. 2017 Feb;103(1S):S113-S123. doi: 10.1016/j.otsr.2016.03.022. Epub 2016 Nov 17.
Pediatric orthopedic surgery in humanitarian aid is conducted mainly in cooperation with emerging countries. Each mission is different, and depends on numerous parameters such as the country, the frequency of such missions, the pathologies encountered, the local structure and team, and the non-governmental organization (NGO) involved. Pathologies vary in etiology (tuberculosis, poliomyelitis) and severity. Each mission requires the presence of an experienced surgeon. Working conditions are often rudimentary. Surgical indications should be restricted to procedures that are going to be effective, with minimal postoperative complications, without any surgical "acrobatics". Teaching should be in association with the local university, and adapted to local needs. Mission objectives need to be realistic. Surgical indications should be adapted to local conditions, and the surgeon needs to be able to say "no" to procedures involving undue risk. The surgeon on mission should cooperate with local teams and be able to adapt to unusual situations. Assessment of results is essential to improving efficacy and evaluating the success of the mission.
人道主义援助中的小儿骨科手术主要是与新兴国家合作开展的。每次任务都有所不同，并且取决于众多因素，如国家、此类任务的频率、所遇到的病症、当地的机构和团队以及所涉及的非政府组织（NGO）。病症在病因（结核病、小儿麻痹症）和严重程度方面各不相同。每次任务都需要有经验的外科医生在场。工作条件往往很简陋。手术适应症应限于那些将有效、术后并发症最少且无需任何外科“绝技”的手术。教学应与当地大学合作，并适应当地需求。任务目标需要切实可行。手术适应症应适应当地情况，外科医生需要能够对涉及不当风险的手术说“不”。执行任务的外科医生应与当地团队合作，并能够适应异常情况。对结果进行评估对于提高疗效和评估任务的成功至关重要。
