The role of plastic surgery in global health: A narrative review

M. Borrelli
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Abstract

Background: There is growing awareness of the substantial global burden of surgical disease. Conditions treated effectively by plastic and reconstructive procedures make a large proportion of the global surgical diseases, and disproportionately affect individuals at the lower end of the economic spectrum. Methods: This article reviews the role of plastic surgery in global health, highlights the ongoing need for plastic and reconstructive surgery globally, and increasing efforts that have been made to meet these needs. Results: There global shortage of plastic surgeons in low and middle income countries, but plastic surgery has a long tradition of humanitarian aid, has been a leader in global surgery development. Plastic and reconstructive surgical care has increasingly been shown to be cost effective and to have an immense impact on the economy of a region, delivering a substantial return on investment. More sustainable global surgical care is essential in future, requiring ongoing efforts from the plastic surgery community, greater recognition of the problems that can be addressed at policy level, and research to help guide policy-makers when facing the decision of allocating scarce resources. Conclusion: There is a fundamental role of plastic surgery in global health.
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整形手术在全球健康中的作用:述评
背景:人们越来越意识到外科疾病的巨大全球负担。通过整形和重建手术有效治疗的病症在全球外科疾病中占很大比例,并且不成比例地影响到经济范围较低端的个人。方法:本文回顾了整形外科在全球健康中的作用,强调了全球对整形和重建手术的持续需求,以及为满足这些需求而做出的越来越多的努力。结果:全球中低收入国家整形外科医生短缺,但整形外科具有悠久的人道主义援助传统,一直引领全球外科发展。整形和重建外科护理越来越被证明具有成本效益,并对一个地区的经济产生巨大影响,提供可观的投资回报。在未来,更可持续的全球外科护理是必不可少的,这需要整形外科界不断努力,更多地认识到可以在政策层面解决的问题,并在面临分配稀缺资源的决策时帮助指导决策者进行研究。结论:整形手术在全球健康中具有基础性作用。
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