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Cover image of Operation Health
Cover image of Operation Health
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Operation Health

Surgical Care in the Developing World

edited by Adam L. Kushner, MD, MPH, FACS

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Basic surgery is a crucial part of public health prevention.

A teenage mother arrives by donkey cart to a hospital after attempting to deliver her baby in the bush. A young father faces the loss of a leg after receiving a gunshot wound that will not heal. A man walks miles to a hospital for a pain in his side caused by an appendix that burst five days earlier. Without access to surgical resources, millions of people with conditions like these become disabled or die.

In Operation Health, Adam L. Kushner argues that not only are severe medical conditions— like a strangulated hernia or obstetric...

Basic surgery is a crucial part of public health prevention.

A teenage mother arrives by donkey cart to a hospital after attempting to deliver her baby in the bush. A young father faces the loss of a leg after receiving a gunshot wound that will not heal. A man walks miles to a hospital for a pain in his side caused by an appendix that burst five days earlier. Without access to surgical resources, millions of people with conditions like these become disabled or die.

In Operation Health, Adam L. Kushner argues that not only are severe medical conditions— like a strangulated hernia or obstetric fistula—treatable by surgical means in low-income countries; they are, in fact, surgically preventable. Although the World Bank estimates that 11 percent of the global disease burden is treatable by surgery, more than a quarter of the world's population lacks access to straightforward and life-saving surgical procedures.

Operation Health makes a strong and compelling justification for adding surgical care to the global health agenda by providing an overview of dangerous but repairable medical conditions common in developing countries. Every chapter opens with a vignette by Kushner which tells the remarkable story of the patients and situations he encountered in the field. Carefully crafted case studies demonstrate the power of surgery to heal people suffering from potentially debilitating conditions, including clubfoot, obstructed labor, and broken bones.

The chapters—written by world-renowned surgical experts—cover related medical topics such as epidemiology, women's health, cancer, and trauma in locations from Sierra Leone to Nepal, Ghana, Mongolia, and elsewhere. This detailed and compassionate book will be of great interest to medical professionals, students, public health policy makers, philanthropic donors, and those with a general interest in global health.

Reviews

Reviews

Makes a passionate plea for greater access to surgery and describes populations with potentially debilitating yet readily treatable conditions... Chapters are effectively written to combine human interest with essential technical detail.

[Kushner] has weaved science, evidence, global surgery, and public health in a journalistic, readable style. In this 100 page account of the importance of surgery for global health, Kushner's editing was as sharp as his scalpel, but with the hope of good surgical outcomes for all.

For [those] who work in surgical areas in UK healthcare this book is a must read.

Operation Health—the first book of its kind on global surgery—will advance the field substantially. An excellent piece of scholarship, this book will appeal to surgeons and non-surgeons, policy makers and funders, and public health, medical, and nursing students.

About

Book Details

Publication Date
Status
Available
Trim Size
6
x
9
Pages
128
ISBN
9781421416694
Illustration Description
14 halftones, 3 line drawings, 1 map
Table of Contents

Contributors
Preface
Acknowledgments
Chapter 1. Quantifying the Need for Surgical Care: A Case Study from Sierra Leone
Chapter 2. Children's Health: Clubfoot Repair in Nepal
Chapter 3. Women's Health

Contributors
Preface
Acknowledgments
Chapter 1. Quantifying the Need for Surgical Care: A Case Study from Sierra Leone
Chapter 2. Children's Health: Clubfoot Repair in Nepal
Chapter 3. Women's Health: Access to Cesarean Sections in Ethiopia
Chapter 4. HIV and Surgical Care: Improving Outcomes in Malawi
Chapter 5. Cancer: Treatment in Low- and Middle-Income Countries
Chapter 6. Anesthesia: Educating Providers in Ghana
Chapter 7. Trauma: Implementing Trauma Registries in Tanzania
Chapter 8. Orthopaedics: The Institute for Global Orthopaedics and Traumatology
Chapter 9. Minimally Invasive Surgery: Challenges in Rural Mongolia
Chatper 10. Surgical Process Improvement: Strategies to Combat Limitations in Ghana
Chapter 11. Medical Student Education in Sub-Saharan Africa
Conclusion

Author Bio
Featured Contributor

Adam L. Kushner, MD, MPH, FACS

Adam L. Kushner, MD, MPH, FACS, is an associate in the Department of International Health and a faculty member in the Center for Refugee and Disaster Response at the Johns Hopkins Bloomberg School of Public Health. The founding director of Surgeons OverSeas, he has provided surgical care to patients in conflict, post-conflict, and disaster settings around the world. He is the editor of Operation...
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