Abstract
Shortage of plastic surgeons is well known in the developing countries, and this leads to denial of plastic surgery facilities to a very large population especially in the rural area. We report a retrospective review of our experience with 60 rural plastic surgery camps in Central India over 16 years. A total of 4317 patients were operated, and majority (~ 65%) of patients had cleft lip/palate and post-burn contractures. Results were satisfactory, and there were no major complications. Usefulness of such camps is obvious, and we wish to share lessons learnt during these camps.
Similar content being viewed by others
Data Availability
NA
References
Ozgediz D, Hsia R, Weiser T, Gosselin R, Spiegel D, Bickler S, Dunbar P, McQueen K (2009) Population health metrics for surgery: effective coverage of surgical services in low-income and middle-income countries. World J Surg 33(1):1–5. https://doi.org/10.1007/s00268-008-9799-y
Mock CN, Donkor P, Gawande A, Jamison DT, Kruk ME, Debas HT, DCP3 (2015) Essential surgery author group. Essential surgery: key messages from Disease Control Priorities, 3rd edition. Lancet 30 385(9983):2209–2219. https://doi.org/10.1016/S0140-6736(15)60091-5
Freshwater MF (2016) Giving thanks - addressing the worldwide plastic surgeon shortage. J Plast Reconstr Aesthet Surg 69(4):443–445. https://doi.org/10.1016/j.bjps.2015.12.002
Davis RW, Johnson WD, Hollier LH Jr (2019) Addressing the surgical deficit: a global imperative for plastic and reconstructive surgeons. Plast Reconstr Surg Glob Open 16 7(10):e2454. https://doi.org/10.1097/GOX.0000000000002454
Corlew DS (2009) Perspectives on plastic surgery and global health. Ann Plast Surg 62(5):473–477. https://doi.org/10.1097/SAP.0b013e31818c4b58
Semer NB, Sullivan SR, Meara JG (2010) Plastic surgery and global health: how plastic surgery impacts the global burden of surgical disease. J Plast Reconstr Aesthet Surg 63(8):1244–1248. https://doi.org/10.1016/j.bjps.2009.07.028
Borrelli MR (2018) What is the role of plastic surgery in global health? A Review. World J Plast Surg 7(3):275–282. https://doi.org/10.29252/wjps.7.3.275
Bauder AR, Sarik JR, Butler PD, Noone RB, Fischer JP, Serletti JM, Kanchwala SK, Kovach SJ, Fox JP (2016) Geographic variation in access to plastic surgeons. Ann Plast Surg 76(2):238–243. https://doi.org/10.1097/SAP.0000000000000651
Patel PS, Chung KY, Kasrai L (2018) Innovate global plastic and reconstructive surgery: Cleft Lip and Palate Charity Database. J Craniofac Surg 29(4):937–942. https://doi.org/10.1097/SCS.0000000000004374
Sykes KJ (2014) Short-term medical service trips: a systematic review of the evidence. Am J Public Health 104(7):e38–e48. https://doi.org/10.2105/AJPH.2014.301983
Shrime MG, Sleemi A, Ravilla TD (2015) Charitable platforms in global surgery: a systematic review of their effectiveness, cost-effectiveness, sustainability, and role training. World J Surg 39(1):10–20
Hendriks TCC, Botman M, Rahmee CNS, Ket JCF, Mullender MG, Gerretsen B, Nuwass EQ, Marck KW, Winters HAH (2019) Impact of short-term reconstructive surgical missions: a systematic review. BMJ Glob Health 3 4(2):e001176. https://doi.org/10.1136/bmjgh-2018-001176
Caldron PH, Impens A, Pavlova M, Groot W (2015) A systematic review of social, economic and diplomatic aspects of short-term medical missions. BMC Health Serv Res15 15:380. https://doi.org/10.1186/s12913-015-0980-3
Schneider WJ, Politis GD, Gosain AK, Migliori MR, Cullington JR, Peterson EL, Corlew DS, Wexler AM, Flick R, Van Beek AL (2011) Volunteers in plastic surgery guidelines for providing surgical care for children in the less developed world. Plast Reconstr Surg 127(6):2477–2486. https://doi.org/10.1097/PRS.0b013e3182131d2a
Meier DE, Fitzgerald TN, Axt JR (2016) A practical guide for short-term pediatric surgery global volunteers. J Pediatr Surg 51(8):1380–1384. https://doi.org/10.1016/j.jpedsurg.2016.05.016
Roche SD, Ketheeswaran P, Wirtz VJ (2017) International short-term medical missions: a systematic review of recommended practices. Int J Public Health 62(1):31–42. https://doi.org/10.1007/s00038-016-0889-6
Lasker JN, Aldrink M, Balasubramaniam R, Caldron P, Compton B, Evert J, Loh LC, Prasad S, Siegel S (2018) Guidelines for responsible short-term global health activities: developing common principles. Global Health 7 14(1):18. https://doi.org/10.1186/s12992-018-0330-4
Butler M, Drum E, Evans FM, Fitzgerald T, Fraser J, Holterman AX, Jen H, Kynes M, Kreiss J, McClain CD, Newton M, Nwomeh B, O'Neill J, Ozgediz D, Politis G, Rice H, Rothstein D, Sanchez J, Singleton M, Yudkowitz FS (2018) Guidelines and checklists for short-term missions in global pediatric surgery: recommendations from the American Academy of Pediatrics Delivery of Surgical Care Global Health Subcommittee, American Pediatric Surgical Association Global Pediatric Surgery Committee, Society for Pediatric Anesthesia Committee on International Education and Service, and American Pediatric Surgical Nurses Association, Inc. Global Health Special Interest Group. Paediatr Anaesth 28(5):392–410. https://doi.org/10.1111/pan.13378
Grant CL, Robinson T, Al Hinai A, Mack C, Guilfoyle R, Saleh A (2020) Ethical considerations in global surgery: a scoping review. BMJ Glob Health 21 5(4):e002319. https://doi.org/10.1136/bmjgh-2020-002319
Mohan HM, Fitzgerald E, Gokani V, Sutton P, Harries R, Bethune R, McDermott FD, ASiT Global Surgery Group Association of Surgeons in Training (2018) Engagement and role of surgical trainees in global surgery: consensus statement and recommendations from the Association of Surgeons in Training. Int J Surg 52:366–370. https://doi.org/10.1016/j.ijsu.2017.10.033
Patel A, Sawh-Martinez RF, Sinha I, Watkins JF, Magee WP, Persing JA (2013) Establishing sustainable international burn missions: lessons from India. Ann Plast Surg 71(1):31–33. https://doi.org/10.1097/SAP.0b013e3182898cd5
Sinha I, Zhu D, Ojomo K, Gfrerer L, Sawh-Martinez R, Patel A, Chan RK, Watkins JF (2016) Functional and subjective assessment of burn contracture release in a mission setting. Burns 42(2):466–470. https://doi.org/10.1016/j.burns.2015.07.009
Volk AS, Davis MJ, Desai P, Hollier LH Jr (2020) The history and mission of smile train, a global cleft charity. Oral Maxillofac Surg Clin North Am 32(3):481–488. https://doi.org/10.1016/j.coms.2020.04.010
Agarwal P, Kain R, Raina VK (2005) Plastic surgery in rural area: a report. Indian J Plast Surg 38:30–33
https://timesofindia.indiatimes.com/city/raipur/Botched-cataract-surgery-Trust-that-held-eye-camp-to-be-banned/articleshow/46128277.cms. Accessed on 10th October 2020.
https://www.business-standard.com/article/news-ians/eye-camp-tragedy-doctor-ngo-activist-held-as-punjab-orders-probe-114120501343_1.html. Accessed on 10th October 2020.
Acknowledgements
The authors wish to thank all the general surgery residents who accompanied the team to these camps and all the team members of local organisers (District administration, NGOs, Health care workers) whose help was invaluable.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Code Availability
NA
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Agarwal, P., Yadav, P., Sharma, D. et al. Plastic Surgery in Camps in Rural India. Indian J Surg 83, 1394–1400 (2021). https://doi.org/10.1007/s12262-020-02681-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-020-02681-2