1 / 17

Conducting Emergency War Surgery: the case-study of Syria

Conducting Emergency War Surgery: the case-study of Syria. Miguel Trelles, Lynette Dominguez, Katrin Kisswani, Marie-Christine Ferir, Rosa Crestani, Alberto Zerboni, Thierry Vandenborre, Aloa Rahmein, Tom Decroo, Rony Zachariah. Objectives:. In the conflict setting of Syria, to report on:

Télécharger la présentation

Conducting Emergency War Surgery: the case-study of Syria

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Conducting Emergency War Surgery: the case-study of Syria Miguel Trelles, Lynette Dominguez, Katrin Kisswani, Marie-Christine Ferir, Rosa Crestani, Alberto Zerboni, Thierry Vandenborre, Aloa Rahmein, Tom Decroo, Rony Zachariah

  2. Objectives: In the conflict setting of Syria, to report on: • Preconditions to establish surgical activities within field hospital • Types of surgical morbidity, surgical procedures performed and outcomes

  3. Syria: 3 years of civil war • Of 23 million Syrians • 7 million internally displaced • 2.7 million refugees • Deaths – > 150.000 (vast majority civilians) • 10 million in urgent need • 250.000 under siege

  4. Contextual challenges • Clandestine activities; • Not authorized by government • No registration in Turkey • Cross border activity • Rapidly changing context • Radicalization of the North • Phases with HR difficulties • Supply • Distance support to unaccessible areas SECURITY

  5. MSF activities

  6. MSF OCB Jabal al-Akrad • Close to Turkey • Mountainous North • Population: 150.000 • Internally displaced • Frequent bombing • OCB: Field hospital with surgical center

  7. Infrastructure & Electricity Emergency surgeryessential requirements Human resources Water & Sanitation Supply Infection control Blood transfusion Waste management Sterilisation

  8. ….to chicken farm Movie

  9. RESULTS(Period: 5/09/12 – 1/1/2014) Total patients 578 • Female 248 (43%) • Civilians 381 (66%) • Age in years, median (range) 25 (1-90) Total Procedures 712 • Operating theater occupancy 120 (16-790) in minutes per day, median (range)

  10. Violent trauma cases (by week) Evacuation

  11. Indications for surgery

  12. Type of surgery

  13. Operation Theatre Mortality Remark: patients with a very bad prognosis didn’t pass triage, and didn’t make it to the operating theater, or were referred to Turkey

  14. Conclusions • In a conflict affected and dangerous context, MSF adapted its modus-operandi and managed to offer emergency surgery • A standardized approach, adapting to local realities, and using experienced expatriates and Syrian staff were key factors • Despite difficult conditions, low intra-operative mortality could be achieved.

  15. Compressed Humanitarian space • Clandestine • Cave  Chicken farm • Several evacuations • Kidnapping • Project closure

  16. Thank you

More Related