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Semin Plast Surg
DOI: 10.1055/s-0044-1785217
Review Article

Global Surgery: Burn Outreach by Shriners Children's Texas

Ramon L. Zapata-Sirvent
1   Division of Plastic Surgery, Department of Surgery, Shriners Children's Texas, University of Texas Medical Branch, Galveston, Texas
,
Ludwik K. Branski
1   Division of Plastic Surgery, Department of Surgery, Shriners Children's Texas, University of Texas Medical Branch, Galveston, Texas
,
Jong O. LEE
1   Division of Plastic Surgery, Department of Surgery, Shriners Children's Texas, University of Texas Medical Branch, Galveston, Texas
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Abstract

Global surgery describes a rapidly developing field that seeks to improve surgical treatment internationally, specifically in those specialized treatments that are not readily accessible, considered complex and expensive. Burns cause 300,000 deaths annually, 90% of which occur in low- and middle-income countries (LMICs).

Burns are a public health problem since they can cause disability and death. Shriners Children's Texas is a unique model of global surgery for an important number of countries in Central and South Americas and Mexico, providing specialized acute burn care with low mortality for burned children.

Survivors of severe burns may face devastating sequelae due to burn scar contractures and hypertrophic burn scars that may limit the social reintegration. Burn reconstruction is not easily accessible to patients in LMICs. After discharge from acute burn treatment at our hospital, patients may return every 6 months for in-person follow-up to assess any surgical, psychological, or rehabilitative needs. Telemedicine allows for monitoring of postoperative results and evaluation for new surgical procedures. Follow-up clinic visits called outreach clinics held in international hospitals or international Shriners Temples allow for evaluation of follow-up patients and new patients with reconstructive needs that may benefit from a treatment in Shriners Children's Texas in Galveston, Texas.

Keywords

global surgery - Burn outreach - burn disaster - pediatric


Publication History

Article published online:
04 April 2024

© 2024. Thieme. All rights reserved.

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  • References

  • 1 Bath M, Bashford T, Fitzgerald JE. What is 'global surgery'? Defining the multidisciplinary interface between surgery, anaesthesia and public health. BMJ Glob Health 2019; 4 (05) e001808
    CrossrefPubMedGoogle Scholar
  • 2 Peck MD. Epidemiology of burns throughout the world. Part I: distribution and risk factors. Burns 2011; 37 (07) 1087-1100
    CrossrefPubMedGoogle Scholar
  • 3 Peck MD. Epidemiology of burns throughout the World. Part II: intentional burns in adults. Burns 2012; 38 (05) 630-637
    CrossrefPubMedGoogle Scholar
  • 4 Patel DD, Rosenberg M, Rosenberg L. et al. Poverty, population density, and the epidemiology of burns in young children from Mexico treated at a U.S. pediatric burn facility. Burns 2018; 44 (05) 1269-1278
    CrossrefPubMedGoogle Scholar
  • 5 Santiso L, Tapking C, Lee JO, Zapata-Sirvent R, Pittelli CA, Suman OE. The epidemiology of burns in children in Guatemala: a single center report. J Burn Care Res 2020; 41 (02) 248-253
    PubMedGoogle Scholar
  • 6 Peck M, Molnar J, Swart D. A global plan for burn prevention and care. Bull World Health Organ 2009; 87 (10) 802-803
    CrossrefPubMedGoogle Scholar
  • 7 Mock C, Peck M, Krug E, Haberal M. Confronting the global burden of burns: a WHO plan and a challenge. Burns 2009; 35 (05) 615-617
    CrossrefPubMedGoogle Scholar
  • 8 Jordan KC, Di Gennaro JL, von Saint André-von Arnim A, Stewart BT. Global trends in pediatric burn injuries and care capacity from the World Health Organization Global Burn Registry. Front Pediatr 2022; 10: 954995
    CrossrefPubMedGoogle Scholar
  • 9 Botman M, Hendriks TCC, de Haas LEM. et al. The effectiveness of burn scar contracture release surgery in low-and middle income countries. Plast Reconstr Surg Glob Open 2020; 8 (07) e2907
    CrossrefPubMedGoogle Scholar
  • 10 Armstrong PF, Tompson GH. Shriners hospital for children. Past, present and future. JPOSNA 2021;3(01):
    PubMedGoogle Scholar
  • 11 Mueller MR, Suresh M, Rizzo JA, Cancio LC, VanFosson CA. Transporting children to safety after volcanic eruption. Am J Nurs 2020; 120 (02) 61-67
    CrossrefPubMedGoogle Scholar
  • 12 King B, Cancio LC, Jeng JC. Military burn care and burn disasters. Surg Clin North Am 2023; 103 (03) 529-538
    CrossrefPubMedGoogle Scholar
  • 13 ¿Quienes somos? Fundación Michou y Mau. 2018. Accessed May 8, 2023 at: https//fundacionmichoumau.org/nosotros/quienes-somos
    PubMed
  • 14 Blears EE, Foncerrada G, Rivas PJ. et al. Shriners Hospital: making the dream of global surgery a reality for pediatric burn patients. Bull Am Coll Surg 2018; 103 (Sep): 19-23
    PubMedGoogle Scholar
  • 15 Capek KD, Culnan DM, Desai MH. et al. 50 years of burn care at Shriners Hospital for Children, Galveston. Ann Plast Surg 2018; 80: S90-S94
    CrossrefPubMedGoogle Scholar
  • 16 Herndon DN. Total Burn Care. 5th ed.. Edinburgh: Elsevier; 2018
    Google Scholar
  • 17 Capek K, Zapata-Sirvent R, Huang T. Management of contractural deformities involving the shoulder (axilla), elbow, hip, and knee joints in burned patients. In: Herndon ON. ed. Total Burn Care. 5th ed.. Edinburgh: Elsevier; 2018: 573-588
    Google Scholar
  • 18 Hundeshagen G, Zapata-Sirvent R, Goverman J, Branski LK. Tissue rearrangements: the power of the Z-Plasty. Clin Plast Surg 2017; 44 (04) 805-812
    CrossrefPubMedGoogle Scholar
  • 19 McLaughlin J, Branski L, Norbury W. et al. Laser for burn scar treatment. In: Herndon DN. ed. Total Burn Care. 5th ed.. Edinburgh: Elsevier; 2018: 573-588
    Google Scholar