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Introduction of microsurgery in Vietnam by a charitable organization: a 15-year experience.

Abstract：

BACKGROUND:Microsurgical procedures, although equipment- and labor-intensive, allow efficient treatment of selected soft-tissue, bone, and peripheral nerve defects. The precise surgical skills required and the high equipment and institutional costs have been deterrents to initiating programs in developing countries. The authors report their 15-year international effort in facilitating the development of microsurgical techniques in Vietnam. METHODS:The authors reviewed their educational, logistical, and operative experience from 11 Operation Smile International missions to Vietnam and the microsurgical procedures performed independently by Vietnamese surgeons at the Central Military Hospital 108 in Hanoi. RESULTS:Over 15 years, Operation Smile International missions to Vietnam performed 108 free tissue transfer operations with 15 peripheral nerve transfer procedures and 143 nonmicrosurgical reconstructive operations. Visiting surgeons with specialized expertise taught facial reanimation, flap prefabrication, and perforator flaps. During this same period, Vietnamese surgeons became facile with microsurgical techniques and independently performed a wide array of these procedures in the institutions visited. Vietnamese surgeons have organized microsurgery divisions within some hospital departments and now teach microsurgical techniques. Repeated missions allowed for patient follow-up, staged procedures, educational exchange, and quality control. Several Vietnamese surgeons have traveled abroad to obtain additional training and have set up training programs in other areas of Vietnam. CONCLUSIONS:Charitable organizations can help surgeons in developing countries master complex microsurgical techniques through short-term medical missions, donation of equipment and supplies, and the encouragement of institutional support. A continuing education program, including local conferences, microsurgical laboratory training facilities, and study abroad, can aid this introduction.

journal_name

Plast Reconstr Surg

journal_title

Plastic and reconstructive surgery

authors

Merrell JC,Tien NV,Son NT,An LN,Sellers D,Russell R,Manktelow R,Wei FC,Orgill DP

doi

10.1097/01.prs.0000254544.65054.95

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

1267-1273

issue

eissn

0032-1052

issn

1529-4242

pii

00006534-200704010-00017

journal_volume

119

pub_type

杂志文章

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Introduction of microsurgery in Vietnam by a charitable organization: a 15-year experience.