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MÉDECINS DU MONDE

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Chirurgie<br />

Technical<br />

skills and<br />

effectiveness<br />

Humanitarian surgery has to<br />

adapt itself continually to<br />

take account of shortages<br />

of local equipment and of<br />

political situations that are<br />

often changing. Although<br />

emergency surgery, such as<br />

we practise in the north of<br />

Ivory Coast to save people’s<br />

lives in conflict situations, is<br />

our first calling, these days it<br />

tends to be more diversified.<br />

Therefore, more and more<br />

programmes are aimed at<br />

training staff in remote<br />

hospitals in basic surgical<br />

techniques, as is the case in<br />

Ethiopia. “These projects<br />

allow both theoretical and<br />

practical knowledge to be<br />

passed on, while addressing<br />

the need to be suited to the<br />

situation, the available<br />

means and the local<br />

culture,” says Françoise<br />

Tandonnet, an anaesthetist<br />

on the Northern Ethiopian<br />

project. In fact, for 15 years<br />

Opération Sourire has been<br />

working with those<br />

disfigured by war, disease or<br />

malnutrition and has been<br />

addressing the threefold<br />

objective laid down by the<br />

association: operating, of<br />

course, but also ensuring<br />

patient follow-up after the<br />

operation, and training local<br />

staff. Today, 70% of<br />

problems are dealt with by<br />

local practitioners.<br />

MDM STÉPHANE LEHR<br />

LAHCÈNE ABIB

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