{"title":"Controversies and conundrums in global surgery.","authors":"Rachel Hargest,Rocco Friebel","doi":"10.1093/bjs/znaf206","DOIUrl":"https://doi.org/10.1093/bjs/znaf206","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"20 1","pages":"xv1-xv2"},"PeriodicalIF":9.6,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isobel H Marks,Lucy Kanya,Darshita Singh,Raoof Saleh,Rocco Friebel,Rachel Hargest
BACKGROUNDThe international community has, for many years, offered support and medical services at times of conflict, crisis, or disaster, but their ability to do so effectively has come under increasing scrutiny in recent years. The aim of this study was to examine the perceptions of local surgeons to incoming medical teams and international non-governmental organizations (iNGOs) during times of conflict. Non-resident diaspora surgeons who returned during conflict were analysed as a subgroup.METHODSA cross-sectional study using qualitative methods was performed. Study participants were in-country-based medically qualified personnel performing surgery during conflicts in the Middle East and North Africa, who had worked in these settings before the onset or escalation of conflict. Participants were identified through a pre-interview questionnaire distributed via the Royal College of Surgeons of England and other targeted networks. A structured guide was used to conduct in-depth interviews with 21 surgeons from eight countries and a thematic analysis was undertaken.RESULTSLocal surgeons generally had positive working relationships with incoming medical teams, but not universally. Some experienced frustration with inexperienced incoming surgeons and others were limited in interaction due to the nature of the conflict. A need for coordination, timely intervention, and less 'playing the hero' was noted in relation to iNGOs. Diaspora surgeons often played a significant role in supporting local surgeons clinically and via equipment procurement and training.CONCLUSIONIncoming medical teams travelling to conflict areas should be experts in their field and work collaboratively with local surgeons. Increased communication and collaboration between iNGOs and local surgeons is necessary to reduce duplication of effort and improve services.
{"title":"Qualitative perspectives (on incoming medical teams during conflict) from surgeons in the Middle East and North Africa.","authors":"Isobel H Marks,Lucy Kanya,Darshita Singh,Raoof Saleh,Rocco Friebel,Rachel Hargest","doi":"10.1093/bjs/znaf209","DOIUrl":"https://doi.org/10.1093/bjs/znaf209","url":null,"abstract":"BACKGROUNDThe international community has, for many years, offered support and medical services at times of conflict, crisis, or disaster, but their ability to do so effectively has come under increasing scrutiny in recent years. The aim of this study was to examine the perceptions of local surgeons to incoming medical teams and international non-governmental organizations (iNGOs) during times of conflict. Non-resident diaspora surgeons who returned during conflict were analysed as a subgroup.METHODSA cross-sectional study using qualitative methods was performed. Study participants were in-country-based medically qualified personnel performing surgery during conflicts in the Middle East and North Africa, who had worked in these settings before the onset or escalation of conflict. Participants were identified through a pre-interview questionnaire distributed via the Royal College of Surgeons of England and other targeted networks. A structured guide was used to conduct in-depth interviews with 21 surgeons from eight countries and a thematic analysis was undertaken.RESULTSLocal surgeons generally had positive working relationships with incoming medical teams, but not universally. Some experienced frustration with inexperienced incoming surgeons and others were limited in interaction due to the nature of the conflict. A need for coordination, timely intervention, and less 'playing the hero' was noted in relation to iNGOs. Diaspora surgeons often played a significant role in supporting local surgeons clinically and via equipment procurement and training.CONCLUSIONIncoming medical teams travelling to conflict areas should be experts in their field and work collaboratively with local surgeons. Increased communication and collaboration between iNGOs and local surgeons is necessary to reduce duplication of effort and improve services.","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"29 1","pages":"xv35-xv40"},"PeriodicalIF":9.6,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145711107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah B H Wild,Amila Ratnayake,S Yves G Sanou,Yves Aziz R Nacanabo,Akeza A Asgedom,Khalifa Lawan,Aparna Cheran,Selwyn O Rogers,Albert I Ko,Nicolas Meda,Sherry M Wren
{"title":"Barriers perpetuating the lack of casualty data from neglected conflict settings.","authors":"Hannah B H Wild,Amila Ratnayake,S Yves G Sanou,Yves Aziz R Nacanabo,Akeza A Asgedom,Khalifa Lawan,Aparna Cheran,Selwyn O Rogers,Albert I Ko,Nicolas Meda,Sherry M Wren","doi":"10.1093/bjs/znaf223","DOIUrl":"https://doi.org/10.1093/bjs/znaf223","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"28 1","pages":"xv58-xv59"},"PeriodicalIF":9.6,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Lucia Charlaix,Charles De Ponthaud,Carmen Capito,Lisa Viallon,Delphine Prieur,Roman Khonsari,Sébastien Gaujoux
{"title":"How are stomas managed in low- and lower-middle income countries?","authors":"Ana Lucia Charlaix,Charles De Ponthaud,Carmen Capito,Lisa Viallon,Delphine Prieur,Roman Khonsari,Sébastien Gaujoux","doi":"10.1093/bjs/znaf218","DOIUrl":"https://doi.org/10.1093/bjs/znaf218","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"239 1","pages":"xv62-xv64"},"PeriodicalIF":9.6,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global surgery research: defend or denounce? Focus on the ethics of research in low- and middle-income countries.","authors":"Jenny Edge,Ines Buccimazza","doi":"10.1093/bjs/znaf204","DOIUrl":"https://doi.org/10.1093/bjs/znaf204","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"4 1","pages":"xv10-xv14"},"PeriodicalIF":9.6,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intestinal obstruction in the East Gojjam Zone, Ethiopia.","authors":"Abebe Dilie Afenigus,Berhanu Kassahun,Addisu Mulusew","doi":"10.1093/bjs/znaf208","DOIUrl":"https://doi.org/10.1093/bjs/znaf208","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"1 1","pages":"xv60-xv61"},"PeriodicalIF":9.6,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145711065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrea Scardino,Gaia Colletti,Giovanni Taffurelli,Isacco Montroni
{"title":"Beyond chronological age: perioperative care in the geriatric surgical patient.","authors":"Andrea Scardino,Gaia Colletti,Giovanni Taffurelli,Isacco Montroni","doi":"10.1093/bjs/znaf239","DOIUrl":"https://doi.org/10.1093/bjs/znaf239","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"26 1","pages":""},"PeriodicalIF":9.6,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145718274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A retrospective cohort study on short-term outcomes after oesophagectomy for cancer in Japan.","authors":"Tomoki Makino,Hideki Endo,Hiroyuki Yamamoto,Hiroshi Hasegawa,Makoto Yamasaki,Takushi Yasuda,Hideki Ueno,Ken Shirabe,Yasue Kimura,Hiroya Takeuchi,Hidetoshi Eguchi,Yuichiro Doki","doi":"10.1093/bjs/znaf276","DOIUrl":"https://doi.org/10.1093/bjs/znaf276","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"1 1","pages":""},"PeriodicalIF":9.6,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145759994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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