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      Creating an Outpatient, Local Anesthetic Hand Operating Room in a Resource-Constrained Ghanaian Hospital Builds Surgical Capacity and Financial Stability.

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          Abstract

          Expanding surgical capacity is very difficult in resource-constrained countries. Financial input and additional physical operating room space are needed. The surgical patient volume exists, but the lack of operating room time causes postponement of cases. Hand surgery is particularly important as it improves patient function and allows for a timely return to the workforce after injury. Some hand surgery cases may be performed under local anesthesia with a very basic instrument set in a procedure room. This arrangement eliminates the need and financial burden of an equipped operating room and the need for an anesthesiologist. We hypothesized that performing hand surgery in a simple procedure room by a surgeon with knowledge of adequate local anesthesia could increase hand surgery capacity significantly in a low-income country.

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          Author and article information

          Journal
          Ann Plast Surg
          Annals of plastic surgery
          Ovid Technologies (Wolters Kluwer Health)
          1536-3708
          0148-7043
          April 2020
          : 84
          : 4
          Affiliations
          [1 ] From the Division of Plastic Surgery, University of Utah, Salt Lake City, UT.
          [2 ] Division of Plastic Surgery, Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
          [3 ] Division of Plastic Surgery, Dalhousie University, Saint John, New Brunswick, Canada.
          Article
          00000637-202004000-00011
          10.1097/SAP.0000000000002196
          32118629
          ae92dfc1-562f-462d-829c-0036c6503306

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