CHANGES TO SURGICAL CARE IN LOW MIDDLE INCOME COUNTTRIES

  Among the entire healthcare system, a considerable amount of resources needs to be assigned to surgery, and due to the articulated structure of surgical care it will require a lot. Trelles et al (2019), in fact, say “surgical care is an integral part of any health care system and yet in LMICs access to such care is often limited” (Trelles et al., 2015). Furthermore, Timmers et al (2016) state that “In Africa, surgery may be thought of as the neglected stepchild of global public health” (Timmers et al., 2016). Even Non-governmental organizations (NGO) and charity company have widely documented the importance of surgery for those countries at war or with lack of resources through reports and experiences.

This essay will review experiences and problems encountered by those NGO in delivering surgical care in those countries classified as LMIC or at War.

Discussion

When a country is in war the surgery needed aimed to stabilize patients and reduce the damage, operating room staff needs to deal with traumatic injuries life-threatening, this is a Damage Control Surgery (DCS) aimed to optimize care of wounded warriors; it must be adaptive to the challenges of high injury acuity, overwhelming casualty, environmental extremes and logistical austerity(Borden, 2013). Military the DCS is structured in 4 roles of care: role 1 is the point of