Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD 20889, USA.
Department of Surgery, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.
Mil Med. 2023 Jul 22;188(7-8):e1802-e1807. doi: 10.1093/milmed/usac278.
The U.S. Naval Ship COMFORT has performed six humanitarian assistance and disaster relief mission since 2007. This paper describes the surgical volume per surgical specialty for five missions spanning 19 countries.
Raw surgical case logs were analyzed for total case volume, total operating days, unanticipated return to operating room, and percentage of pediatric cases (<18 years old) for each country visited.
Total surgical volume for the five missions was 5,142. The countries most frequently visited were Columbia and Haiti with seven and five visits, respectively. General surgery, ophthalmology, and plastic surgery have had consistent volume over time. Orthopedic surgery volume has steadily decreased with the exception of the 2018 mission.
As volume in military treatment facilities declines, alternative sources of surgical volume for military surgeons are being examined. This paper highlights the historical volume which can inform future personnel planning requirements of U.S. Naval Ship COMFORT missions. With the exception of orthopedic surgery, surgical volume has remained consistent over the last decade. For future best practice, historical case data should be used to determine staffing needs on hospital ships and case logs and operating procedures and follow-up protocols should be standardized.
自 2007 年以来，美国海军舒适号已执行了六次人道主义援助和救灾任务。本文描述了五次跨越 19 个国家的任务中每个外科专业的手术量。
对原始手术病例记录进行分析，以了解每个访问国家的总手术量、总手术天数、意外返回手术室的次数以及儿科病例（<18 岁）的百分比。
五次任务的总手术量为 5142 例。访问最多的国家是哥伦比亚和海地，分别为 7 次和 5 次。普外科、眼科和整形外科的手术量一直保持稳定。除了 2018 年的任务外，骨科手术量稳步下降。
随着军事治疗设施的手术量下降，正在寻找军事外科医生的其他手术来源。本文重点介绍了历史手术量，这可以为未来美国海军舒适号任务的人员规划要求提供信息。除了骨科手术外，过去十年手术量一直保持稳定。为了未来的最佳实践，应使用历史病例数据来确定医院船的人员配置需求，并应标准化病例记录和手术程序以及随访协议。
