Targeted neurosurgical outreach: 5-year follow-up of operative skill transfer and sustainable care in Lima, Peru.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Vincent J DuenasRahul Jandial

Abstract

This study evaluates the efficacy of operative skill transfer in the context of targeted pediatric outreach missions. In addition, the ability to implement surgical care improvements that are sustainable is investigated. Three 1-week targeted neurosurgical missions were performed (2004-2006) to teach neuroendoscopy, which included donation of the necessary equipment so newly acquired surgical skills could be performed by local neurosurgeons in between and after the departure of the mission team. After the targeted missions were completed, 5 years of neuroendoscopy case follow-up data were obtained. After performing pediatric neurosurgery missions in 2004-2006, with a focus on teaching neuroendoscopy, the host team demonstrated the sustainability of our didactic efforts in the subsequent 5 years by performing cases independently for their citizens. To date, a total of 196 operations have been performed in the past 5 years independent of any visiting team. Effective operative skill transfer to host neurosurgeons can be accomplished with limited international team visits utilizing a targeted approach that minimizes expenditures on personnel and capital. With the priority being teaching of an operative technique, as opposed to pere...Continue Reading

References

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Citations

Jun 19, 2013·Surgical Neurology International·Amanda HambrechtRahul Jandial
May 17, 2014·American Journal of Public Health·Kevin J Sykes
Sep 13, 2014·International Surgery·Sebastian O EkenzeOkechukwu E Nwankwo
Oct 21, 2015·World Journal of Surgery·W Matui KaptigauDavid A Watters
Oct 26, 2014·World Journal of Surgery·Marilyn W ButlerJohn Sekabira
Nov 13, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Sok-Sithikun BunNadir Saoudi
Mar 4, 2017·World Neurosurgery·Neil HaranhalliReza Yassari
May 20, 2017·Journal of Neurosurgery. Pediatrics·Matthew C DavisJames M Johnston
Jun 17, 2015·The Journal of Craniofacial Surgery·Alexander G WeilJohn Ragheb

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