Outcomes of 1,327 patients operated on through twelve multispecialty surgical volunteerism missions: A retrospective cohort study

Rifat - Latifi, Renato Rivera, Mahir Gachabayov, Maria Melinda Borja Chiong, R. Dirk Noyes, Michael Kleinmann, Fancy S. Baluyot, Elizabeth Tilley, David Samson, Ayman El-Menyar

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Surgical volunteer missions (SVMs) have become a popular approach for reducing the burden of surgical disease worldwide. The aim of this study was to evaluate the outcomes of 12 surgical missions between 2006 and 2018 from the mission entitled “Operation Giving Back Bohol” Tagbilaran, Philippines and discuss the lessons learned during these missions in particular seven challenges that every volunteer surgeon should be familiar with. Methods: This was a retrospective descriptive study of prospectively collected data on all patients treated during one SVM. The data collected included gender, age, diagnosis, types of surgeries performed, and perioperative adverse events. Results: During the study period 1327 operations were performed (842 females (63.4%) and 485 males (36.6%); (male-to-female ratio 0.59); mean age 37 ± 18 years. The majority of operations were for thyroid disease (31.6%), followed by hernia (17.3%), hysterectomies/salpingo-oophorectomies (12.2%), soft tissue tumors (9.9%), cleft lip/palate repairs (7.2%), breast (6.4%), gallbladder disease (4.7%), cataract (2.9%), parotid masses (1.4%) and others (6.4%). For each mission, there were an average 5.5 days of operating, performing a median of 105.5 (80–148) cases per mission. There were 27 complications (2%), of which, 22 were postoperative bleeding and two temporary tracheostomies. The mortality rate was 0.15% (2/1327). In one patient, the family withdrew care following compassionate last ditch effort thyroidectomy for advanced cancer and one patient died as a result of intracranial bleeding from a brain tumor, which was unrecognized before mastectomy. Conclusions: Surgical volunteerism missions are safe and valuable in lessening the burden of surgical disease globally when performed in an organized fashion and with continuity of care. However, there is need for standardization of surgical care provided during SVMs and creation of a world-wide database of all SVMs, and each surgeon and others who participate in these mission should be familiar with critical elements and challenges for the successful mission.

Original languageEnglish (US)
Pages (from-to)15-21
Number of pages7
JournalInternational Journal of Surgery
Volume60
DOIs
StatePublished - Dec 1 2018

Fingerprint

Volunteers
Cohort Studies
Retrospective Studies
Hemorrhage
Gallbladder Diseases
Continuity of Patient Care
Philippines
Tracheostomy
Cleft Lip
Mastectomy
Thyroid Diseases
Thyroidectomy
Cleft Palate
Ovariectomy
Hernia
Hysterectomy
Brain Neoplasms
Cataract
Neoplasms
Breast

Keywords

  • Developing countries
  • General surgery
  • Global health
  • Gynecology
  • Medical geography
  • Operation giving back
  • Organizational challenges
  • Surgical volunteerism missions
  • Telemedicine
  • Third world countries

ASJC Scopus subject areas

  • Surgery

Cite this

Outcomes of 1,327 patients operated on through twelve multispecialty surgical volunteerism missions : A retrospective cohort study. / Latifi, Rifat -; Rivera, Renato; Gachabayov, Mahir; Borja Chiong, Maria Melinda; Noyes, R. Dirk; Kleinmann, Michael; Baluyot, Fancy S.; Tilley, Elizabeth; Samson, David; El-Menyar, Ayman.

In: International Journal of Surgery, Vol. 60, 01.12.2018, p. 15-21.

Research output: Contribution to journalArticle

Latifi, R, Rivera, R, Gachabayov, M, Borja Chiong, MM, Noyes, RD, Kleinmann, M, Baluyot, FS, Tilley, E, Samson, D & El-Menyar, A 2018, 'Outcomes of 1,327 patients operated on through twelve multispecialty surgical volunteerism missions: A retrospective cohort study', International Journal of Surgery, vol. 60, pp. 15-21. https://doi.org/10.1016/j.ijsu.2018.10.033
Latifi, Rifat - ; Rivera, Renato ; Gachabayov, Mahir ; Borja Chiong, Maria Melinda ; Noyes, R. Dirk ; Kleinmann, Michael ; Baluyot, Fancy S. ; Tilley, Elizabeth ; Samson, David ; El-Menyar, Ayman. / Outcomes of 1,327 patients operated on through twelve multispecialty surgical volunteerism missions : A retrospective cohort study. In: International Journal of Surgery. 2018 ; Vol. 60. pp. 15-21.
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abstract = "Background: Surgical volunteer missions (SVMs) have become a popular approach for reducing the burden of surgical disease worldwide. The aim of this study was to evaluate the outcomes of 12 surgical missions between 2006 and 2018 from the mission entitled “Operation Giving Back Bohol” Tagbilaran, Philippines and discuss the lessons learned during these missions in particular seven challenges that every volunteer surgeon should be familiar with. Methods: This was a retrospective descriptive study of prospectively collected data on all patients treated during one SVM. The data collected included gender, age, diagnosis, types of surgeries performed, and perioperative adverse events. Results: During the study period 1327 operations were performed (842 females (63.4{\%}) and 485 males (36.6{\%}); (male-to-female ratio 0.59); mean age 37 ± 18 years. The majority of operations were for thyroid disease (31.6{\%}), followed by hernia (17.3{\%}), hysterectomies/salpingo-oophorectomies (12.2{\%}), soft tissue tumors (9.9{\%}), cleft lip/palate repairs (7.2{\%}), breast (6.4{\%}), gallbladder disease (4.7{\%}), cataract (2.9{\%}), parotid masses (1.4{\%}) and others (6.4{\%}). For each mission, there were an average 5.5 days of operating, performing a median of 105.5 (80–148) cases per mission. There were 27 complications (2{\%}), of which, 22 were postoperative bleeding and two temporary tracheostomies. The mortality rate was 0.15{\%} (2/1327). In one patient, the family withdrew care following compassionate last ditch effort thyroidectomy for advanced cancer and one patient died as a result of intracranial bleeding from a brain tumor, which was unrecognized before mastectomy. Conclusions: Surgical volunteerism missions are safe and valuable in lessening the burden of surgical disease globally when performed in an organized fashion and with continuity of care. However, there is need for standardization of surgical care provided during SVMs and creation of a world-wide database of all SVMs, and each surgeon and others who participate in these mission should be familiar with critical elements and challenges for the successful mission.",
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T2 - A retrospective cohort study

AU - Latifi, Rifat -

AU - Rivera, Renato

AU - Gachabayov, Mahir

AU - Borja Chiong, Maria Melinda

AU - Noyes, R. Dirk

AU - Kleinmann, Michael

AU - Baluyot, Fancy S.

AU - Tilley, Elizabeth

AU - Samson, David

AU - El-Menyar, Ayman

PY - 2018/12/1

Y1 - 2018/12/1

N2 - Background: Surgical volunteer missions (SVMs) have become a popular approach for reducing the burden of surgical disease worldwide. The aim of this study was to evaluate the outcomes of 12 surgical missions between 2006 and 2018 from the mission entitled “Operation Giving Back Bohol” Tagbilaran, Philippines and discuss the lessons learned during these missions in particular seven challenges that every volunteer surgeon should be familiar with. Methods: This was a retrospective descriptive study of prospectively collected data on all patients treated during one SVM. The data collected included gender, age, diagnosis, types of surgeries performed, and perioperative adverse events. Results: During the study period 1327 operations were performed (842 females (63.4%) and 485 males (36.6%); (male-to-female ratio 0.59); mean age 37 ± 18 years. The majority of operations were for thyroid disease (31.6%), followed by hernia (17.3%), hysterectomies/salpingo-oophorectomies (12.2%), soft tissue tumors (9.9%), cleft lip/palate repairs (7.2%), breast (6.4%), gallbladder disease (4.7%), cataract (2.9%), parotid masses (1.4%) and others (6.4%). For each mission, there were an average 5.5 days of operating, performing a median of 105.5 (80–148) cases per mission. There were 27 complications (2%), of which, 22 were postoperative bleeding and two temporary tracheostomies. The mortality rate was 0.15% (2/1327). In one patient, the family withdrew care following compassionate last ditch effort thyroidectomy for advanced cancer and one patient died as a result of intracranial bleeding from a brain tumor, which was unrecognized before mastectomy. Conclusions: Surgical volunteerism missions are safe and valuable in lessening the burden of surgical disease globally when performed in an organized fashion and with continuity of care. However, there is need for standardization of surgical care provided during SVMs and creation of a world-wide database of all SVMs, and each surgeon and others who participate in these mission should be familiar with critical elements and challenges for the successful mission.

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KW - Global health

KW - Gynecology

KW - Medical geography

KW - Operation giving back

KW - Organizational challenges

KW - Surgical volunteerism missions

KW - Telemedicine

KW - Third world countries

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