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. 2019 Nov;35(4):429-434.
doi: 10.1016/j.hcl.2019.07.009.

Collaboration in Outreach: The Kumasi, Ghana, Model

Brittany J Behar  1 , Oheneba Owusu Danso  2 , Boutros Farhat  2 , Vincent Ativor  2 , Joshua Abzug  3 , Donald H Lalonde  4
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Collaboration in Outreach: The Kumasi, Ghana, Model

Brittany J Behar et al. Hand Clin. 2019 Nov.

Abstract

Hand surgery does not have to be expensive. Substituting evidence-based field sterility for main operating room sterility and using wide-awake, local anesthesia, no tourniquet (WALANT) surgery instead of sedation makes hand surgery much more affordable worldwide. This article explains how North Americans collaborated with Ghanaian hand surgeons and therapists to establish more affordable hand care in Kumasi. It describes how multiple nonprofit organizations collaborate to create trans-Atlantic Webinars and a reverse fellowship program to share hand surgery and therapy knowledge between North American and Ghanaian hand care providers.

Keywords: Cultural competency; Field sterility; Global surgery; Surgery mission; Surgical outreach; WALANT; Wide-awake hand surgery.

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