Global Surgery & Anesthesia
MINOR GYNECOLOGIC SURGERY SKILLS: THE TRAINING EXPERIENCE AND CHALLENGES FOR PROVIDERS IN LOW AND MIDDLE INCOME COUNTRIES
Cervical cancer, the leading cause of cancer death in low income countries, has led to great efforts to develop low cost cervical cancer screening programs. The see-and-treat approach with cryotherapy is useful for small cervical lesions. Larger lesions require minor surgical procedures such as LEEP (loop electrosurgical excision procedure), cone biopsy, and even trachelectomy for fertility preservation. As the majority of women present with late stage cervical cancer, training in minor surgery is minimal in these countries. We hope to learn about the amount of training and exposure to minor surgery for cervical dysplasia in low resource settings among providers of gynecological care trained in a low income country. Specifically how many LEEPs, cone biopsies, trachelectomies, dilation and curettage, and cyrotherapies did you perform during medical school and/or post graduate training (housemanship, residency, etc).
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