Surgery and Healing in the Developing World
Glenn Geelhoed
George Washington University
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Pub Date: August 15, 2005
Pages: 485
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About this Book
There is a lot of very diverse world out there that needs healing, surgical and otherwise. Medicine in general and surgery in particular are getting more standardized in principle and practiced by technologic advances in the hyper-developed and over-serviced, advanced First World nations. There are increasingly numerous and more impoverished people in the majority part of the world’s “south” euphemistically referred to in the hopeful economic term “developing.” These people suffer lack of almost everything which is found in such redundancy in the neighboring “north.” Most of the globe’s citizens live and die without benefit of a physician’s attention. More than 90% of the world’s surgical needs exist outside Europe and North America. Yet all our training and technology are geared to service a minority representation of the world’s needs, while the vast majority of these needs are comfortably outside our view. This book assists in narrowing the divide between the labor and equipment intensive practice of medicine and surgery in Europe and North America (First World) and the Third World of constrained resources where ingenuity is not only rewarded, but is a requirement in medical/surgical care. It reviews tricks of ancillary trades which add to the resourcefulness that can be brought to the field in laboratory, anesthesia, nursing services, and even such taken-for-granted supply of one’s own utility services such as water, electricity and basic materials like IV fluids and suture. Specific surgical treatments can be adapted to resource constraints by applied ingenuity in a section on the tools and techniques that can be improvised to accommodate fundamental surgical principles. And an important component of the medical mission is the sustainability of it through the training and continuing encouragement and assistance to those who will carry on at the field site, passing on and indigenizing hope. In addition, the author believes that the improvisations and techniques reviewed in this text can be carried back as skills learned—a gift from the Third to the First World—and adapted to the care of increasingly diverse populations of patients closer to home. The intention is that lives should be enhanced on either side of the exchange. These goals are outlined in the intent and contents of this book.
Table of Contents
1. Preparation Time
Harvey Bratt
2. Surgery in Developing Countries
John E. Woods
3. A Commitment to Voluntary Health Care Service
Donald C. Mullen
4. International Surgical Education: The Perspective from Several Continents
Glenn W. Geelhoed
5. Medicine Writ Large in the Raw, without Power or Plumbing
Glenn W. Geelhoed
6. To My Son, the Urologist
Douglas Walter Soderdahl and Douglas Wayne Soderdahl
7. Medicine and Surgery in the Third World
Lawrence Levy
8. Lab in a Suitcase
Christine A. King and James Kerr
9. Lab-in-a-Suitcase: Saving Lives in Remote Corners of the Globe
Hollee D. Vander Veen and Milton B. Amanyun
10. Establishing Electrical Power in Remote Facilities for Health Care
Jeffrey A. Mazer
11. Tropical Nursing
Diana Downing
12. Communication in the Third World: A One-Way Street
Jim Bascom
13. Anesthesia in the Third World
John F. Williams
14. Outpatient Assessment of the Pregnant Patient: Dilatation and Curettage
Kedrick D. Pickering
15. Basic Obstetrics and Obstetric Surgery in a Mission Setting
F. L. Dutton and Glenn W. Geelhoed
16. Pointers for American Surgeons Going to the Developing World
Donald E. Meier and John L. Tarpley
17. Training to Serve the Unmet Surgical Needs Worldwide
Robert J. W. Blanchard, Ronald C. Merrell, Glenn W. Geelhoed, Olajide
O. Ajayi,
Donald R. Laub and Edgar Rodas
18. Guide to the Operating Theater on $25 a Patient
Glenn P. Verbrugge
19. Orthopedic Surgery
Richard C. Fisher
20. Chronic Pyogenic Osteomyelitis in a Rural Area: The Aggravating Factor
of Underdevelopment
Ahuka Ona Longombe
21. Study of the Epidemiology and Treatment of Fractures in Rural
North-East of Democratic Republic of Congo
Ahuka Ona Longombe, M. Mbusa, K. Diyo, M. Kakule, K. Kasindi and M. Duani
22. The Prevention and Treatment of Landmine Injuries
in the Developing World
James C. Cobey
23. Cleft Lip and Palate Surgery in Developing Countries
William P. Magee
24. Outreach Dentistry: A World of Wonder Awaits in the Golden
Anniversary of General Dentistry
Glenn W. Geelhoed
25. Dentistry
David Foskett and Anthony M. Vandersteen
26. Reconstructive Surgery in the Tropics
Harold P. Adolph
27. Factors Influencing Geographic Distribution and Incidence
of Tropical Surgical Diseases
Ricardo Cohen, Frederico Aun and Glenn W. Geelhoed
28. Population Dynamics of Surgical Tropical Diseases
Ricardo Cohen, Frederico Aun, Glenn W. Geelhoed and Eric L. Sarin
29. Metabolic Maladaptation
Glenn W. Geelhoed
30. Nutrition and Development in Africa Risk: Factors on Either Side
of the Fulcrum Balance
Glenn W. Geelhoed
31. Uterine Ruptures in Rural Zaire
Ahuka Ona Longombe, K.M. Lusi and P. Nickson
32. Vesicovaginal Fistula of Obstetrical Origin in Northeast Democratic
Republic of Congo: The Experience of the CME Nyankunde
Ahuka Ona Longombe
33. Ophthalmology
James Kerr and Christine A. King
34. Accommodating Deficits in Material and Assistance
William L. Barrett, Laji Varghese and Malini Anand
35. Abscesses and Other Infections Treated by Surgery
Robert J. W. Blanchard
36. Surgical Training of Nurses for Rural Areas: Necessity or Aberration?
Ahuka Ona Longombe
37. Training of Medical Assitants in Mozambique for Surgery
in a Rural Setting
Ivo Paulo Garrido
38. Training Surgeons in the Developing World
David C. Thompson
39. Mobile Surgery
Edgar Rodas and Edgar B. Rodas
40. Public Health Problems on Burma Frontiers: A Window into a Nation
in Crisis
Myaing Nyunt
41. Medical Adventures in the Nigerian Bush
Glenn W. Geelhoed and Sally E. Geelhoed
42. Wanted
Glenn W. Geelhoed
43. World Health
Glenn W. Geelhoed
44. Treating Others: Human Sciences in Theory and Practice
Glenn W. Geelhoed
