Michael J. Langworthy, Kreszentia Hankins, Travis Storey
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引用次数: 0
摘要
发展中国家的外科手术在许多层面上都具有挑战性。美国组织每年赞助约20万例国外手术(Miclau et al. 2021a)。这些无私的外科医生和内科医生——尽管他们的初衷是好的——可能不具备在严峻的环境下成功进行手术所必需的具体手术和沟通技巧。手术技能、营养、设施和社会学都在手术成功的结果中发挥作用。对于在发展中国家提供护理的内科医生和外科医生来说,全面了解恶劣环境下伤口的基础科学和临床科学是必不可少的。基础科学研究,关于营养学,寄生虫;皮肤、真皮和骨骼生理学;以及微生物组与这些结构的相互作用,可以帮助优化手术效果,减少不良事件,如感染。临床科学研究和严苛环境下手术算法的发展也有助于改善手术结果并减轻这些不良事件。
The Basic and Clinical Science of Wounds in the Austere Environment
Surgery in developing countries is challenging on many levels. U.S. organizations sponsor approximately 200,000 surgeries performed abroad every year (Miclau et al. 2021a). These altruistic surgeons and physicians– despite their good intentions—may not be equipped with the specific surgical and communication skills necessary for a successful surgery in an austere environment. Surgical skill set, nutrition, facilities, and sociology all play a role in successful surgical outcomes. A thorough understanding of the basic science and clinical science of wounds in the austere environment is imperative for physicians and surgeons providing care in developing nations. Basic science research, in regards to nutrition, parasites; skin, dermal, and bone physiology; as well as microbiome interaction with these structures, can help optimize surgical outcome and reduce adverse events such as infection. Clinical science research and the development of algorithms for surgery in the austere environment can also help improve surgical outcomes and mitigate these adverse events.