Virginia Global Surgery Symposium

International Abstracts

We are excited to share the full accepted abstracts from several international teams who were unable to attend the symposium. Congrats to these amazing students, trainees, and faculty around the world who are doing incredible work!

Regional distribution of surgical services in Colombia

Angelica Clavijo, Daniel Mendoza, Estefanía Martínez, Juan Beltran, Juliana Rodriguez, Karen Lopez, Laura Fernández, Sara Rincon, Andres M. Rubiano

El Bosque University, InciSioN Colombia

Colombia

Implementation of surgery as treatment for multiple diseases increase quality of life for patients worldwide. Strengthening surgical services has been considered complex and expensive, leading to a deficit in access to these services especially in LMIC’s. The objective of this study was to show the distribution and availability of surgical services in the different regions of Colombia.

 

We analyze the database of the Colombia Ministry of Health for medical services called REPS (Special Registry of Health Service Providers). The surgical services evaluated include neurosurgery, general surgery, gynecology, orthopedics, thorax surgery, plastic surgery, urology, and anesthesiology. The data obtained were adjusted to rates per 100,000 inhabitants in order to analyze each region individually and collectively with other regions.

 

This study shows differences between regions regarding the availability of surgical services. The lowest rate of surgical services availability predominates in the poorest regions of Colombia specially in the states of Amazonian region were 2% of the country population lives. Most services are concentrated in the country capital were 15% of the population live, which marks the gap existing in less favored regions. Anesthesiology is the most available service and thoracic surgery is the less available one.  Neurosurgery is available only in 2/3rds of the regions.

 

In Colombia, the availability of surgical services according to the population regionally shows an important problem of access to surgical procedures, especially in poorest areas. This study shows the importance of improving access to surgical care in Colombia.

Inclusion of Surgical Procedures in the Universal Health Coverage

Yves Jacket Nsavyimana

National University of Burundi

Burundi

1/25 people is operated each year worldwide. In developing countries, the mortality rate due to surgeries is high. Burundian patients are victims of a labor shortage and a shortage of specialist doctors. Surgery is very important because it remains the only treatment available for cancer in Burundi.

Methods century: Literature review on surgical interventions:  A report from the WHO based on data collected between 2004 and 2012 shows that surgical procedures have increased by 38% worldwide. Africa is two times more exposed to post-operative mortality compared to the rest of the world (Prof. Bruce Biccard et al. 2018). According to a 2008 Teaching Hospital of Kamenge (CHUK) study of the University of Burundi, the mortality rate post-operative is 10.73%. The males dominate; the age at risk is between 16-50 years (46.23%), the dominant city is BUJUMBURA (51.71 %), trauma due to road accidents dominates compared to other types of interventions pathologies like hernias, occlusions and appendicitis. As complications, infections are the most formidable (15.03%). According to the Burundi Association of Surgery (ABUC) 8682 people in Burundi are suffering from cancer in 2018 and the only treatment available is surgery. It shows that in 2016, only 1 surgeon is available for 650000 inhabitants in Burundi.

Conclusion: Currently, surgery is an important tool in various means of treatment of non-communicable chronic diseases and others, and there is a lack of updated data on surgery intervention in Burundi. The inadequate surgical staff and different access to care are to blame.

Presented Abstracts

Below are the titles & authors for the abstracts that were presented at the Virginia Global Surgery Symposium on March 2, 2019.
*Indicates a project awarded distinction by our review committee

A Geospatial Model of Timely Access, Population Density and surgical capacity of public hospitals in Ecuador*

Noah Hillerbrand, Nilan Vaghjiani, Rhea Singh

Virginia Commonwealth University School of Medicine; Richmond, Virginia

Identifying Ethnicity Documentation Inaccuracies in a Trauma Registry:
A Global Surgery Perspective

Ankita Gore, Paul Truche MD, Gerardo Lopez, Akshara Kartik, Tim Murphy MSN RN CEN TCRN FAEN, Anton Iskerskiy, Joseph Hanna MD PhD FACS, Gregory Peck DO FACS

Rutgers Robert Wood Johnson Medical School; New Brunswick, New Jersey

Epidemiology of Pediatric Traumatic Injury in the Kingdom of Bahrain:
A national pediatric trauma registry pilot study

Jay C. Liu Jr. MPH

Royal College of Surgeons in Ireland; Dublin, Ireland

Quality Improvement Intervention to improve surgical care at large public hospitals in Peru*

Sebastian Shu MD, Lina Roa MD, Katie Iverson MD MPH, Milagros Wong, Paloma Zavala, Luke Caddell, Laura Phung, Leonid Lecca MD, Jorge Colina MD, Gita Mody MD MPH

Harvard Program in Global Surgery and Social Change; Boston, Massachusetts

Developing a modified Enhanced Recovery After Surgery protocol in an LMIC

Oreoluwa Bajomo MBBS

Darent Valley Hospital; Dartford, United Kingdom

Achieving Universal Health Coverage in Colombia: Financial Risk Protection from Impoverishing and Catastrophic Expenditure due to Surgical Care

Mónica Pinilla-Roncancio MA MSc PhD, Gabriel Herrera-Almario MD, Ardi Mendoza MHS, Charles Hamilton MPhil, Shahyan Rehman, Rachel E. NeMoyer MD MPH, Gerardo Lopez, Maria Clara Mendoza Arango MD MSc, Vicente H. Gracias, MD, Carlos Hernando Morales Uribe MD, Joseph S. Hanna MD PhD, Gregory L. Peck DO FACS

Rutgers Robert Wood Johnson Medical School; New Brunswick, New Jersey

Utilizing Core Surgical World Development Indicators to Assess Surgical System Preparedness: A Step Toward National Surgical, Obstetrics, and Anaesthesia Planning in Colombia*

Joseph S. Hanna MD PhD, Gabriel E. Herrera-Almario MD, David Tulloch PhD, Sergio Valencia MD MA, Charles Hamilton MPhil, Shahyan Rehman, Ardi Knobel Mendoza, Cindy Lorena Chamorro Velasquez, Liliana Carolina Gomez Bernal, Maria Alejandra Peña Navarro, Maria Fernanda Moreno Salas, Cristian Camilo Paez Cancelado MD, Vicente H. Gracias MD, Oscar Alberto Bernal Acevedo MD PhD MPH MA, Dario Londoño MD PhD MA, Gregory L. Peck DO FACS

Rutgers Robert Wood Johnson Medical School; New Brunswick, New Jersey

Utilizing Core Surgical World Development Indicators to Assess Surgical System Service Delivery: A Step Toward National Surgical, Obstetrics, and Anesthesia Planning in Colombia

Joseph S. Hanna MD PhD, Gabriel E. Herrera-Almario MD, David Tulloch PhD, Sergio Valencia MD MA, Charles Hamilton MPhil (represented by Marlena Sabatino), Shahyan Rehman, Ardi Knobel Mendoza, Cindy Lorena Chamorro Velasquez, Liliana Carolina Gomez Bernal, Maria Alejandra Peña Navarro, Maria Fernanda Moreno Salas, Cristian Camilo Paez Cancelado MD, Vicente H. Gracias MD, Oscar Alberto Bernal Acevedo MD PhD MPH MA, Dario Londoño MD PhD MA, Gregory L. Peck DO FACS

Rutgers Robert Wood Johnson Medical School; New Brunswick, New Jersey

Adopting a formal agreement document between visiting global surgeons and host institutions

Oreoluwa Bajomo MBBS

Darent Valley Hospital; Dartford, United Kingdom

Prehospital Training on Obstetric and Neonatal Issues for Prehospital Education in Rwanda - A Collaboration Between SAMU, MOH of Rwanda and VCU*

Kenneth Williams, Ashley Rosenberg MD, Luke Wolfe, Jean Marie Uwitonze MIPH MHM, Ignace Kabagema, Theophile Dushime MD MSC, Sudha Jayaraman MD MSC

Virginia Commonwealth University Center for Trauma and Critical Care Education; Richmond, Virginia

Prehospital Training on Pediatric Care for Prehospital Education in Rwanda - A Collaboration between SAMU, Ministry of Health of Rwanda and Virginia Commonwealth University

Kenneth Williams, Ashley Rosenberg MD, Luke Wolfe, Jean Marie Uwitonze MIPH MHM, Ignace Kabagema, Theophile Dushime MD MSC, Aline Baghdassarian MD MPH, Sudha Jayaraman MD MSC

Virginia Commonwealth University Center for Trauma and Critical Care Education; Richmond, Virginia

An Innovative Operational Research Training Collaboration: Surgeon Training in Applied Research and Science (STARS) Program in Bangalore, India

Jordan Pyda MD, Aref Ebrahimi, Alben Sigamani MD, Alexander W. Peters MD, John G. Meara MD DMD MBA, Salim Afshar MD DMD

Harvard Medical School Program in Global Surgery and Social Change; Boston, Massachusetts

Examining the Importance of Integrating Global Health Engagement (GHE) in Military Residency Training

CPT Jeanette E. Polcz MD, LT Michael S. Wilinski DO MS, COL Debra L. Malone MD, COL Kyle N. Remick MD, CDR Tamara J. Worlton MD

Walter Reed National Military Medical Center; Bethesda, Maryland

Moto Taxi Crashes in and around Kigali, Rwanda as treated by SAMU, Rwanda's prehospital ambulance service

Ashley Rosenberg MD, Fraterne Uwinshuti, Vizir Nsengimana MD, Myles Dworkin, Jean Marie Uwitonze MIPH MHM, Ignace Kabagema, Theophile Dushime MD MSc, Sudha Jayaraman MD MSc, Elizabeth Krebs MD MPH

Virginia Commonwealth University Health System Department of Surgery; Richmond, Virginia

Providing Care to Children from Low and Middle-Income Countries with Complex Surgical Problems: An 18 Year Review

Jonathan DeAntonio MD, Hae Sung Kang MD, Emily Robertson, Patricia Lange MD, Claudio Oiticica MD, David Lanning MD PhD

Children's Hospital of Richmond (CHoR) at Virginia Commonwealth University Department of Surgery; Richmond, Virginia

VCU, Global Surgery and Research Capacity Building in Kigali, Rwanda

Ashley Rosenberg MD, Jean Marie Uwitonze MIPH MHM, Ignace Kabagema, Jeanne d’Arc Nyinawankusi MBA, Myles Dworkin, Theophile Dushime MD MSc, Sudha Jayaraman MD MSc

Virginia Commonwealth University Center for Trauma and Critical Care Education; Richmond, Virginia

Plastic and Reconstructive Surgery Exposure and Training in a General Surgery Residency in Cameroon: Initial Survey and Two-Year Follow Up Data

Jeremy Powers MD, Jennifer Rhodes MD, James Brown MD, Andrea Pozez MD

Virginia Commonwealth University School of Medicine; Richmond, Virginia

Reducing the Burden of Access to Surgical Care with Global Mobile Surgery Units

Karishma Popli MBE, Jenny Liu, Amira Dalmazio

Virginia Commonwealth University School of Medicine; Richmond, Virginia

Hernia Repair in a Mobile Surgery Unit

Merve Gurakar MPH, Eustina Kwon MPH, Anita Vicuna MD, Blasco Guzunhay MD,  Henry Perry MD, Edgar B Rodas MD

Virginia Commonwealth University Program for Global Surgery; Richmond, Virginia

The Burden of Back Pain in Rural Uganda

Connor J. Peck, Alexandra Bourdillon, Dan Kisitu Kyengera MBBs MMed, Adrienne Socci MD

Yale School of Medicine; New Haven, Connecticut

Chronic Osteomyelitis in Western Uganda*

Tayebwa Edson MBChB, Connor J. Peck, Alexandra Bourdillon BS, Adrienne Socci MD, Joel Bazira MBBs MMed, Daniel Kisitu Kyengera MBBS MMed

Yale School of Medicine; New Haven, Connecticut

Checklist for Global Surgeons: Evaluating and Improving Global Surgery Experience*

CPT Elena Shahbazi MD, Rahul M Jindal MD PhD

Uniformed Services University Walter Reed Department of Surgery; Bethesda, Maryland

Diverse Strategies for Addressing Global Surgical Need: A Characterization of Mobile Surgery Units

Kyle Alexander, Namita Patel, Laurne Terasaki

Virginia Commonwealth University School of Medicine; Richmond, Virginia

The Role of Global Health Engagement in Military Surgical Residency

CDR Tamara Worlton MD, CPT Elena Shahbazi MD

Uniformed Services University Walter Reed Department of Surgery; Bethesda, Maryland

The Impact of Data Feedback on Continuous Quality Improvement Projects in Rwanda: A Mixed Method Analysis

Helen Noble, John Scott MD MPH, Jeanne D'Arc Nyinawankusi, Jean Marie Uwitonze MSc, Ignace Kabagema, Rebecca Maine MD MPH, Robert Riviello MD MPH, Theophile Dushime, Samuel Enumah MD, Yiyuan David Hu MD MPH, Zeta Mutabazi MD, Jean Claude Byiringiro MD, Sudha Jayaraman MD MSc

Virginia Commonwealth University School of Medicine; Richmond, Virginia

Developing Sustainable Prehospital Trauma Care in Rwanda - A Collaboration between SAMU, Ministry of Health of Rwanda and Virginia Commonwealth University

Ignace Kabagema , Basil Asay, JM Uwitonze MIPH MHM , Stephanie Louka MD, Catherine Valukas, Luke Wolfe, Ashley Rosenberg MD, Theophile Dushime MD MSc , Sudha Jayaraman MD MSc

Virginia Commonwealth University School of Medicine; Richmond, Virginia

Neurosurgical Care in Low-Income Countries: Who Receives the Limited Resource?

Hannah K. Weiss, Roxanna M. Garcia MD

Northwestern University Feinberg School of Medicine; Chicago, Illinois

Access to Surgical Care and Late-Presenting Disease in Rural Haiti

Mallory K. Wilson MPHTM, Jacques P. Thosiac MD, Rolvix H. Patterson MPH, Alexis N. Bowder MD, Jordan Pyda MD, Christopher M. Dodgion MD, Luther E. Ward MPHTM MD, Michelson M. Padovany MD

St. Boniface Hospital Foundation

Does Virginia Make the Grade? Surgical Access Beyond Global Lancet Commission Standards

Olivia Lee, James M. Dittman, Andrew Alberter, Taylor Jacobs, Edgar Rodas MD FACS

Virginia Commonwealth University School of Medicine; Richmond, Virginia

Where Are Vascular Surgeons Needed Most: Estimates of Peripheral Artery Disease in Central and South America

James M. Dittman, Michael F. Amendola MD FACS

Virginia Commonwealth University School of Medicine; Richmond, Virginia

Sex-Based Differences in Patients Receiving Orthopedic Surgery at a Charitable Ambulatory Surgery Center in Honduras

Monica Meeks, Darren Eblovi MD MPH, David West, Kate Clitheroe MPH, Merlin Antunez MD, John Sampson MD

Johns Hopkins School of Medicine; Baltimore, Maryland

Gender-based analysis of factors affecting junior medical students’ career selection: addressing the shortage of surgical workforce in Rwanda

Grace Kansayisa MD, Sojung Yi, Yihan Lin MD, Ainhoa Costas-Chavarri MD

Centre Hospitalier Universitaire de Kigali Department of Surgery; Kigali, Rwanda

EMS Data Collection and Management in Low-and-Middle-Income Countries: Ambulance Run Sheets in Kigali, Rwanda

Cody McHargue, Stephanie Teeple, Ashley Rosenberg MD, Ignace Kabagema, Jean Marie Uwitonze MIPH MHM, Theophile Dushime MD MSc, Sudha Jayaraman MD MSc

Virginia Commonwealth University School of Medicine; Richmond, Virginia

An Evaluation of Prehospital care in Rwanda: Extremity Injury Management

Cody McHargue, Ashley Rosenberg MD, Sudha Jayaraman MD MSc

Virginia Commonwealth University School of Medicine; Richmond, Virginia

Standardization of Prehospital Care in Kigali, Rwanda

Megan Wojick, Ashley Rosenberg MD, Jean Marie Uwitonze MIPH MHM, Ignace Kabagema, Theophile Dushime MD MSc, Sudha Jayaraman MD MSc

Virginia Commonwealth University School of Medicine; Richmond, Virginia

Strengthening Mobile Surgery Safety Standards: an Analysis of Cinterandes’ Safe Surgery Strategies and Proposal of International Mobile Surgery Safety Standards*

Cybil Sierra Stingl, Joanna Choi, Megan Wojick, Edgar B Rodas MD

Virginia Commonwealth University School of Medicine; Richmond, Virginia

  • White Instagram Icon

Contact Us

© Copyright 2016.

Acknowledgements

The website was developed by Parisa Fallah, Roya Edalatpour, Andrew Giles, and Prachi Patel, with help from Gavin Ovsak. Many sincere thanks to Ryoko Hamaguchi for creating our GSSA logo.