Georgi Boichev
University of Regina, Canada
Title: Lump-Sum Finanancial Incentives Work In Attracting Primary Care Physicians To Rural Areas: Evidence From Bulgaria
Biography
Biography: Georgi Boichev
Abstract
Minimally invasive surgery not only improves cosmetic outcome, it has the potential to restrict the magnitude of the surgical injury, which in turn can attenuate the inflammatory and neuroendocrine response resulting in less postoperative pain and quicker recovery. In recent years, innovations in minimally invasive surgery go hand in hand with technological innovations. As these technological innovations are often industry driven, they are geared for a first world market. Frugal innovation involves designing solutions specifically for low-income settings. We will present frugally innovative measures that can make new surgical techniques also available in a low resource setting, so that more patients can benefit from the advantages of these new techniques. Natural Orifice Transluminal Endoscopic Surgery (NOTES) enables surgeons to operate in the abdominal cavity by scar free means. The Poor Man’s NOTES technique for the treatment of ectopic pregnancy, ovarian pathology, adhaesiolysis and hysterectomy, will be presented. We will present the Poor Man’s SILS technique that enables a surgeon to perform a hysterectomy through one small umbilical incision. We will demonstrate how innovations in smartphone development can replace expensive laparascopic cameras, light sources, screens and recording devices, and can reduce the investment needed to start performing minimally invasive surgery by more than 90%. We will also present a frugal morcellation technique to reduce the risk of tumor spread when retrieving a specimen from the abdominal cavity during laparoscopic surgery.
