Plastic surgery in Ladakh: a novel initiative in trans Himalaya of India
DOI:
https://doi.org/10.18203/2349-2902.isj20200293Keywords:
Camps, District hospital, Rural India, Plastic surgeryAbstract
Background: The super speciality care is not available in remote places in India. But the service of the plastic surgery can be taken to the remote district hospital by arranging plastic surgery camps thereby resulting in service to the poor, capacity building of the local doctors and infrastructure development of the remote hospital.
Methods: It is a retrospective study, in which the author analysed the feasibility, management, difficulties and achievement of week long, annual plastic surgery camp in remote set up of a district hospital of Ladakh over three year from 2017 to 2019.
Results: A total of 341 patients were included in this study of which 108 underwent various surgical interventions. The youngest operated was 5 months old and oldest was 86 years. Wide spectrum of deformity were seen and operated upon. Complication developed in only six patients (5.5%) which were managed successfully at Leh only. The immediate and long term follow-up result show no difference in surgical result as compared to those compared operated outside with negligible financial burden.
Conclusions: Keeping in view the positive outcome, it is argued through this paper that such camps should be replicated in other remote locations all over India.
References
Mather CD, Loncar D. Projection of global mortality and burden of disease from 2002-2030. PLOS Med. 2006;3(11):2011-30.
Rose J, Weiser T, Hider P, Wilson L, Greun R. Estimated need for surgery worldwide based on prevalence of disease: A modelling strategy for the WHO Global Health Estimate. Lancet. 2015;3(52).
Ozgediz D, Jamison D, Cherian M, Mc Queen K. The burden of surgical condition and access to surgical care in low amid middle income countries. Bull World Health Org. 2008;86:646-7.
Meara JG, Greenberg SL. Global surgery as an equal partner in health, no longer the neglected stepchild. Lancet Global Health. 2015;3:1-2.
Garret L. The challenge of global health. Foreign Affairs. NY; 2007;86:14.
Semer NB, Sullivan SR, Meara JG. Plastic surgery and global health:how plastic surgery impact the global burden of surgical disease. J Plast Reconstr Aesthet Surg. 2010;63:1244-8.
Chung K. Plastic and reconstructive surgery in global health; let Reconstruct Global Surgery. Plast Reconstructive Surg Glob Open. 2017;5(4);1273.
Fadeyibi IO, Coker OA, Zacchariah MP, Fasawe A, Ademiluyi SA. Psychosocial effect of cleft lip and palate on Nigerians: the Ikejs Lagos experience. J Plast Surg Hand Surg. 2012;46:13-8.
Paul E Farmer, Jim Y Kim. Surgery and global health. A view from beyond the OR. World J Surg. 2008;32(4):533-6.
Debas HT, Gosselin R, Mc Cord CE. Surgery In Disease control priorities in developing countries, 2nd edition. oxford university press: New York; 2006: 1245-1260.
Meera J, Leather A, Hagander L, Alkire B, Alonso N. Global Surgery 2030; Evidence and Solution for achieving Health welfare and economic development. Lancet. 2015;8,386(9993):569-624.
Wood B, Chilgar RM, Chen HC, Nicoli F. GIVE Me 5 Foundation: A Plastic Surgery Charity Mission Helping to Enhance the Surgical Management of Limb Deformities in Rural India. Inter J Orthoplastic Surg. 2018;1(3):94-100.
J-Pa NN, Grieb L, Gruhi K, Preisser SP. Interplast: five years of Cochin Project. Eur J Plast Surg. 1998;21:71-81.
Agarwal P, Kain R, Raina VK. Plastic Surgery in rural area: A report. Indian J Plastic Surg. 2005;38(1):30-3.
Zbar RI, Rai SM, Dingman DL. Establishing cleft malformation surgery in developing nations: A model for the new millennium. Plast Reconstr Surg. 2000;106;886-9.
