Research For Greener Surgery Conference
Research For Greener Surgery Conference 2023
The NIHR Global Health Research Unit on Global Surgery
Improving surgical outcomes through collaborative research
Research For Greener Surgery Conference 2023
This one-day conference aims to engage clinical and non-clinical staff, members of the industry and a wide range of other stakeholders. Ideas, research and innovation in sustainable surgery will be discussed, with emphasis on ongoing research projects and training opportunities.By attending the conference, you will benefit from:
receiving an update on current and future research projects in the field accreditation for training on behavioural change and carbon literacy certificate of attendance.
Register here!
Abstract submissions will be considered for POSTER presentations.
Accepted abstracts will be presented as a poster at a national conference and presenters will be required to register for the conference.
Deadline for abstract submission – This has now closed

Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.
Green Surgery
Green Surgery
Delivering environmentally sustainable surgery
The NIHR Global Health Research Unit on Global Surgery
Improving surgical outcomes through collaborative research
Green Surgery
The importance of tackling climate change has been recognised globally, with countries aiming to achieve net-zero emissions by 2050. This cannot be achieved without limiting carbon emissions in healthcare, which represent 25% of public sector emissions in the UK. Theatre is one of the most energy-intensive areas in the hospital and must be addressed when talking about net-zero healthcare.
The Green Surgery team aims to deliver high impact, pragmatic research in environmentally sustainable surgery, and to raise awareness on the urgent need for sustainability in healthcare with dissemination events and training courses.
Green Surgery Research

DRAGON TRIAL
Multicentre non-inferiority cluster randomised trial testing Disposable versus Reusable drApes and Gowns for green OperatiNg theatres
The World Health Organisation makes no recommendation for the use of disposable or reusable surgical drapes and gowns due to a lack of effectiveness evidence. Since disposable versions are likely to have higher financial and carbon costs, they are only justifiable if they can be proven to significantly reduce surgical site infections (SSIs).
This randomised controlled trial will assess whether reusable surgical drapes and gowns are non-inferior in reducing SSI compared to disposable drapes and gowns in patients undergoing surgery.

Research For Greener Surgery Conference 2023
This one-day conference aims to engage clinical and non-clinical staff, members of the industry and a wide range of other stakeholders. Ideas, research and innovation in sustainable surgery will be discussed, with emphasis on ongoing research projects and training opportunities.
Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.
Global Surgery Education & Training - Faculty
The NIHR Global Health Research Unit on Global Surgery
Building Surgical Research Capacity
Capacity Building Faculty
Our Goal Is To Build Sustainable Surgical Research Capacity Through Education & Training
The GSU Faculty consists of topic-specific Working Groups that have been established to prioritise, plan and develop the training relevant to surgical researchers. As our programme expands, additional working groups will be established in response to the training needs our of network of researchers.
Health Economics
Health Economics deals with the cost effectiveness of healthcare treatments and the distribution of healthcare resources.Our Health Economics group is are developing training materials to help surgeons understand the health economic implications of the research we conduct.
Meet The Health Economics Working Group
Professor Risikat Dauda
Chair, Health Economics Group
Risikat is a Professor of Economics at University of Lagos. She holds a M.Sc. degree in Economics from Kharkov Institute of Engineering and Economics (now known as Simon Kuznets Kharkiv National University of Economics), Kharkov, Ukraine in 1993 and a Ph.D. degree in Economics from Kharkov State University (now known as V.N. Karazin Kharkiv National University), Kharkov, Ukraine in 1996 She has served as the Deputy Director, Media Services and Course Materials Development at the Distance Learning Institute of University of Lagos (2014-2016). She was the Head, Department of Economics, University of Lagos (2017-2020). She is a development economist with more than 20 years of experience in research, teaching and consultancy on issues of African development. Risikat’s research interests cut across economics and social development with emphasis on themes relating to Education, Health and Human Capital, Poverty and Inequality, Income Distribution, Human Development, Gender and Development Finance. She is currently serving as a Senior Faculty Member, Nigerian Economic Summit Group (NESG) Non-Residential Fellowship Programmme and member, Economics and Statistics Committee of the Lagos Chamber of Commerce and Industry. She is actively involved in the supervision of postgraduate students and dissemination of research results via academic publications.
Group Members
Mr Mwayi Kachapila
University of Birmingham
UK

Professor Dhruva Ghosh
Christian Medical College, Ludhiana
India Hub

Dr Abidemi Adegboye
University of Lagos
Nigeria Hub

Dr Taiwo Lawal
University of Ibadan
Nigeria Hub

Dr Anthony Osobase
University of Lagos
Nigeria Hub
Statistics and Data Analysis
Statistics can be a challenging subject for surgical researchers but high quality data analysis is vital in order to generate robust, quantitate evidence.Our statistics training will help surgical researchers plan, execute and analyse their research projects from beginning to end.
Meet The Statistics and Data Analysis Working Group
Professor Deirdré Kruger
Chair, Statistics Group
Associate Professor Deirdré Kruger is a Specialist Scientist in Molecular Medicine and Translational Research within the University of the Witwatersrand (Wits)’s Department of Surgery in South Africa. She completed her PhD in Molecular Medicine from St. George’s, University of London (UK), in 2007. Prof Kruger joined the Wits Department of Surgery in June 2010 as a scientist and research coordinator and was appointed as the Head of Research and Laboratories in Surgery in August 2020. Working at the intersection of biochemistry, molecular medicine and translational research in surgery, in particular in patients with cancer and/or vascular disease, she applies integrative approaches to identify and investigate potential diagnostic, prognostic and predictive biomarkers of disease. Prof Kruger is a National Research Foundation (NRF)-rated scientist and has a very keen interest in biostatistics. In 2020, she received a grant (ongoing) from the NIHR Global Health Research Unit on Global Surgery to develop, initiate and manage a Surgical Statistics Hub where a team of biostatisticians, scientists and clinicians assist in the surgical data analysis of research projects from other Global Surgery Units based in low-to-middle income countries, as well as that of our own Wits training surgeons and consultants. In June 2022 she was invited to Chair the Working Group on Statistics Training for the Global Surgery Unit Education and Training (E&T) Committee.
Group Members
Dr Omar Omar
University of Birmingham
UK
Dr Laura Magill
University of Birmingham
UK
Dr Napoleon Bellua Sam
University for Development Studies,Tamale
Ghana Hub

Dr Richard Crawford
University of the Witwatersrand
South Africa Hub
Research Management
Research Management covers every aspect of delivering international research studies. Drawing on the expertise of our hub managers from across the GSU network, this working groups covers aspects such as financial planning and managing the grant lifestyle.
Meet The Research Management Working Group
Dr Laura Martinez
Chair, Research Management Group
Laura Martínez is the Hub Manager for Mexico Hub and Co-Chair of the Research Management Working Group. She’s been part of the Global Health Research Unit on Global Surgery Mexico Hub since it started operating in late 2018. She is also Deputy Director of Hospital Español located in the Port and City of Veracruz, Mexico. She has held this position since 2019 and is in charge of the technical-administrative management that consists on planning, organizing, supervising and evaluating activities carried out by the healthcare personnel, always trying to guarantee security and quality of care with the help of the most updated guidelines and cutting-edge technology, directed towards the institutional objectives and goals. Before being Deputy Director, she was the Clinical Services Coordinator from 2014 to 2019, where she was in charge of maintaining and monitoring the quality of medical care in hospitalized patients, ensuring that the care they received during their stay was the best. Laura studied and obtained her Bachelor degree as a General Physician from the Tecnológico de Monterrey in 2013. In 2015 she obtained a Master’s Degree in Dietetics and Nutrition and in 2022 she finished a Master´s Degree in Management of Health Institutions.
Group Members
Dr Audrey Nganwa
University of Birmingham
UK
Mr Atul Suroy
Punjab University
India Hub

Mr Covalic Melic K. Bokossa
University of Abomey Calavi
Benin Hub
Mr Emmanuel Williams
University of Lagos
Nigeria Hub

Ms Adda Guzmán Durán
Mexico Hub
Community Engagement & Involvement
Improving surgical care for patients is the fundamental aim of all of our research. Our Community Engagement and Involvement (CEI) group ensure patient are at the heart of our projects, from planning to disseminating results. The CEI working group teach researchers how to engage patients in every aspect of their research projects.
Meet The Community Engagement & Involvement Working Group
Professor Ismail Lawani
Chair, Community Engagement & Involvement Group
Ismail is Professor of Surgery at the University of Abomey-Calavi and Director of the NIHR GSU Benin Hub. He is a specialist in laparoscopic surgery and a key opinion leader in surgery, particularly in French-speaking West African countries. His research focuses on the delivery of multicenter clinical trials, and his clinical practice is strongly orientated towards improving the effectiveness of surgical teaching and training.
Group Members
Mr Michael Bahrami-Hessari
University of Birmingham
UK
Mr Emmy Runigamugabo
Rwanda Hub

Dr Ebenezer Kwame Amofa
University for Development Studies
Ghana Hub

Dr Ritu Jain
Christian Dental College, Ludhiana
India Hub

Dr Deepak Samson Singh
Emmanuel Hospital Association
India Hub
Dr Nallely Ortiz
Mexico Hub

Ms Améyo Josette Bonita Gnele
University of Abomey-Calavi
Benin Hub

Mr Vivien Tenonto
Université d’Abomey-Calavi
Benin Hub

Mr Emmanuel Munyaneza
University of Rwanda
Rwanda Hub

Mrs Moyosoluwa Badedale
College of Medicine, University of Lagos
Nigeria Hub
Dr Anna John
India Hub

Dr Omolara Williams
Lagos State University College of Medicine
Nigeria Hub

Mr Covalic Melic K. Bokossa
University of Abomey Calavi
Benin Hub
Qualitative Research
Qualitative Research involves the studied use and collection of a variety of empirical materials such as case studies and personal stories that describe meanings in individuals' lives. It allows us to better understand the results behind the numbers generated in quantitive research. Our Qualitative Research group work to ensure surgeons understand the importance of investigating patients' views on our research studies.
Meet The Qualitative Research Working Group
Professor Gagandeep Kwatra
Chair, Qualitative Research Group
Professor Gagandeep Kwatra is an Additional Professor of Pharmacology at All India Institute of Medical Sciences, Bathinda, India. She holds an MD in Pharmacology from Christian Medical College, Ludhiana and Masters in Health Professions Education (MHPE) from Keele University, United Kingdom. As a trained medical educator, she conducts faculty development programmes on varied topics. Her interests include student mentoring, innovations in teaching strategies and student engagement. She leads the Global Surgery Data and Training Centre at CMC, Ludhiana. She is also a member of the Education Committee of American College of Clinical Pharmacology.
Group Members

Dr Lovenish Bains
India Hub

Mrs Sangeetha Samuel
Christian Medical College & Hospital, Ludhiana
India Hub

Ms Améyo Josette Bonita Gnele
University of Abomey-Calavi
Benin Hub

Dr Maria Thomas
Baba Farid University of Health Sciences
India Hub

Professor Maria Lorena Aguilera Arévalo
Guatemala

Dr Agnieszka Ignatowicz
University of Birmingham

Mr Vivien Tenonto
Université d’Abomey-Calavi
Benin Hub

Dr Pariza Gupta
Christian Medical Hospital, Ludhiana
India Hub

Mr Michael Bahrami-Hessari
University of Birmingham
UK

Professor Dhruva Ghosh
Christian Medical College, Ludhiana
India Hub

Dr Anita Essenam Agbeko
Komfo Anokye Teaching Hospital
Ghana Hub

Dr Vinitha Ravindran
The Tamil Nadhu Dr. MGR University
India Hub
Data Management
High quality data collection, curation and management is central to all our research projects. The Data Management working group create teaching materials for all aspects of data management.
Meet The Data Management Working Group
Dr Napoleon Bellua Sam
Chair, Data Management Group
Napoleon holds a PhD in Epidemiology and Biostatistics and is a Senior Lecturer as well as head of Department at the Department of Medical Research and Innovation, School of Medicine, University for Development Studies (UDS), Ghana. He used to be the former head of Students Information System Unit, UDS. He is a professional Statistician, Biostatistician, Epidemiologist, and a Scholar at Leaders of Africa Institute. Napoleon is the manager of Ghana Data Centre and also the Deputy Director for Ghana Hub, NIHR-Global Surgery Unit and a member of the Education Committee of NIHR Global Health Research Unit on Global Surgery. He is a member of AMPATH Ghana and also part of the research committee. Napoleon has a vast background in Epidemiology and Biostatistics with specific training and expertise in Data analysis, Data analytics, Data Management and Machine learning in Data Science. He can also introduce a variety of statistical techniques to real and complex datasets. He is a multidisciplinary researcher, whose research interests cover mental health, climate change, maternal health, adolescent health and Surgical Site Infection, with special emphasis on evidence-based medicine, efficiency measurement in health care, effect of meteorological factors on diseases, and statistical and mathematical modeling. Napoleon is a member of Ghana Science Association, Ghana Statistical Association and International Biometric Society, Ghana Region.
Group Members

Mrs Divya Kapoor
University of Birmingham
UK

Mr Atul Suroy
Christian Medical College, Ludhiana
India Hub

Dr Riinu Pius
University of Edinburgh
UK

Professor Gagandeep Kwatra
All India Institute of Medical Sciences, Bathinda
India Hub

The NIHR Global Surgery Unit works with Surgigogy Ltd as our commercial partner in the provision of consultancy on surgical education and training, instructional design, e-learning development.
Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.
Covid Surg - CovidSurg
The NIHR Global Health Research Unit on Global Surgery
Improving surgical outcomes through collaborative research
GLOBALSURG
COLLABORATIVE:Patient Documents
You or a loved one may be planning or waiting for an operation. This page provides information about surgery during the COVID-19 pandemic. The CovidSurg group will strive to deliver resources to help every patient make the right decision when they need to.

About Surgery During COVID-19
Some operations must go ahead during the pandemic and its recovery period. The CovidSurg group is a team of surgeons and researchers working together to understand how we can protect surgical patients from infection with COVID-19 and keep surgery as safe as possible.
The CovidSurg data has shown that extra breathing complications occur in patients who are infected with COVID-19 around the time of their operation and for these patients there is an increased risk of dying.
The risk of dying is associated with patient characteristics and different types of surgery. This includes a higher risk of dying for male patients, those age over 70 years and those with existing medical problems. Surgery for cancer and major surgery or emergency operations also carry higher risks. The CovidSurg team are still working to understand more about predicting risk so that surgeons and patients can make the best choices together for every patient.
If you are preparing to undergo surgery during the pandemic, the hospital team and surgeon will have considered the risks and will adjust care to keep you safe.
The resources on this page provide information about:
- The effects of COVID-19 on surgical patients.
- What the hospital is doing to keep you safe.
- What you can do to stay safe.

Patient Resources
The CovidSurg Patient Information Booklets have been created to help patients and their families understand the risks of having an operation during the COVID-19 pandemic. We explain how surgical services will care for you during the pandemic and how we can work together to keep you safe.
Our research team have created these resources with the help of a Patient Advisory Group convened through Bowel Research UK‘s People and Research Together network. This work has attracted the attention of the BMJ and won an award for its patient Engagement and Impact.
Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.
Covid Surg - CovidSurg
The NIHR Global Health Research Unit on Global Surgery
Improving surgical outcomes through collaborative research
GLOBALSURG
COLLABORATIVE
CovidSurg is a platform of studies aiming to explore the impact of COVID-19 in surgical patients and services. Our studies are designed and delivered by an international collaborating group of surgeons and anaesthetists which reached more than 80 countries.

COVIDSURG
Improving surgical outcomes through collaborative research
Patients diagnosed with COVID-19 who need surgery are a challenging group. Capturing real-world data and sharing international experience will inform the management of this complex group of patients who undergo surgery throughout the COVID-19 pandemic, improving their clinical care.
Primary aim
- To determine 30-day mortality in patients with COVID-19 infection who undergo surgery. This will inform future risk stratification, decision making, and patient consent.

COVIDSURG - CANCER
Improving surgical outcomes through collaborative research
Any centre performing elective cancer surgery affected by COVID-19 could participate in this study. Investigators could choose one or more cancer types from their centre from which to upload data. This study could be performed prospectively, retrospectively or using a mixed model, dependent on the phase of COVID-19 infection in that team’s hospital.
Primary aim
- To evaluate the 30-day postoperative pulmonary complication rate following elective cancer surgery during the COVID-19 pandemic.

COVIDSURG WEEK
Improving surgical outcomes through collaborative research
CovidSurg Week is an international multi-centre prospective cohort study in which patients from all specialities undergoing a surgical procedure done in an operating theatre could be included (any SARS-CoV 2 status).
Primary aim
- To determine the optimal timing for surgery following SARS-CoV-2 infection.

COVIDSURG 3 - OMICRON
Improving surgical outcomes through collaborative research
With the emergence of the Omicron SARS-CoV-2 variant of concern, there is currently little evidence regarding disease severity in both vaccinated and unvaccinated patients (including in surgical patients), nor is there data to guide patient risk stratification during Omicron COVID-19 waves.
This new study aims to provide renewed rapid data to guide global practice during Omicron COVID-19 waves.
CovidSurg-3 has two separate components:
- Patient-level component: Collection of outcome data for patients with peri-operative SARS-CoV-2.
- Hospital-level component: Collection of aggregated case-mix data. Hospitals in countries with low community SARS-CoV-2 infection rates can contribute towards this component.
Primary aim
- To determine 30-day mortality in patients with peri-operative SARS-CoV-2 infection. This will inform future risk stratification, decision making, and patient consent.
" Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research. "
John Smith, Head of Research
NIHR Global Health Research Unit on Global Surgery
Publications & Papers - The List
Publications
Improving surgical outcomes through collaborative research
Below you will find publications from the NIHR Global Health Unit on Global Surgery and from the GlobalSurg Collaborative. We will endeavour to make as many of our publications as possible open access or free to view,
You may also like to view the GlobalSurg Google Scholar page here
Article: A Prospective, Observational Cost Comparison of Laparoscopic and Open Appendicectomy in Three Tertiary Hospitals in Nigeria
Adewale Adisa, Mwayi Kachapila, Christopher Ekwunife, Felix Alakaloko, Balogun Olanrewaju, Bryar Kadir, Dmitri Nepogodiev, Adewale Aderounmu, Innocent Igwilo, Omar Omar, Raymond Oppong, Joana Simoes, Aneel Bhangu, Adesoji Ademuyiwa on behalf of the NIHR Global Health Research Unit on Global Surgery
World Journal of Surgery 2023 October
Click here to read full manuscript
Article: Exploring the cost-effectiveness of high versus low perioperative fraction of inspired oxygen in the prevention of surgical site infections among abdominal surgery patients in three low- and middle-income countries
NIHR Global Health Research Unit on Global Surgery, GlobalSurg Collaborative, NIHR Global, Health Research Unit on Global Surgery Writing committee, GlobalSurg Collaborative writing group, GlobalSurg Collaborative patient representatives, Protocol development, GlobalSurg, Collaborative national leads, GlobalSurg Collaborative protocol translators
BJA Open 2023 June http://bitly.ws/Lzvm
Click here to read full manuscript
Article: Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritisation with healthcare workers in 132 countries – Authors’ reply
Virginia Ledda, Aneel Bhangu, Dmitri Nepogodiev
BJS Society 2023 June https://bit.ly/3ORxMrs
Click here to read full manuscript
Article: Surgical research – comic opera no more
Jessamy Bagenal, Naomi Lee, Adesoji O Ademuyiwa, Dmitri Nepogodiev, Antonio Ramos-De la Medina, Bruce Biccard et al.
The Lancet 2023 May https://bit.ly/3ORxMrs
Click here to read full manuscript
Article: The costs of surgical site infection after abdominal surgery in middle-income countries: Key resource use In Wound Infection (KIWI) study
M. Monahan, J. Glasbey, T.E. Roberts, S. Jowett, T. Pinkney, A. Bhangu, D.G. Morton, A.R. de la Medina, D. Ghosh, A.O. Ademuyiwa, F. Nitreranganya, S. Tabiri
Healthcare Infection Society 2023 May https://bit.ly/3obSyH8
Click here to read full manuscript
Article: Feasibility of the International Wealth Index and the Gapminder tool as instruments to assess household income and estimate catastrophic expenditure: A prospective patient-level cohort study in India
CROCODILE study group
Plos One 2023 May https://bit.ly/3nWIimg
Click here to read full manuscript
Article: Surgical site infections: does one glove fit all? – Authors’ reply
Dhruva Ghosh, James Glasbey, Lawani Ismail, Antonio Ramos de la Medina, Aneel Bhangu
The Lancet 2023 May https://bit.ly/44ETMv1
Click here to read full manuscript
Article: Optimal usage of antibacterial sutures for wound closure in clinical trials addressing SSI – Authors’ response
Adesoji Ademuyiwa, Dmitri Nepogodiev, Stephen Tabiri, Aneel Bhangu
The Lancet 2023 May https://bit.ly/3HTS8Ma
Click here to read full manuscript
Article: Adaptation of the Wound Healing Questionnaire universal – reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis
James Glasbey, NIHR Global Health Research Unit on Global Surgery
BJS Society 2023 April http://bitly.ws/JoNF
Click here to read full manuscript
Article: Strategies to minimise and monitor biases and imbalances by arm in surgical cluster randomized trials: evidence from ChEETAh, a trial in seven low- and middle-income countries
NIHR Global Research Health Unit on Global Surgery & The Hospital Principle Investigator
BioMed Central 2023 April https://bit.ly/419Uq1k
Click here to read the full manuscript
Article: A comparative study of outcomes of burns across multiple levels of care
Chikwendu J. Ede, Deirdre Kruger, Elena Libhaber, Maeyane Moeng, Richard Crawford, Laterina Achilleos, Chris Kodisang, Remy Pabu, Christopher Stavrou, Godson Uzonwa, Busanga Njiba, Eunice Iwuji, Hlengiwe Nxumalo, Rachel Moore
Journal of the International Society for Burn Injuries 2023 March https://bit.ly/41N1YYh
Click here to read the full manuscript
Article: Impact of malnutrition on early outcomes after cancer surgery: an international, multicentre, prospective cohort study
GlobalSurg Collaborative and NIHR Global Health Research Unit on Global Surgery
The Lancet Global Health 2023 March https://bit.ly/3EevfkK
Click here to read the full manuscript
Article: Is Perioperative COVID-19 Really Associated with Worse Surgical Outcomes? A Nationwide COVIDSurg Propensity-Matched Analysis
COVIDSurg Collaborative
The Lancet 2022 October https://bit.ly/3kXBCTa
Click here to access the full manuscript
Article: Concerns on the evidence used to challenge established guidelines – Authors’ reply
Elizabeth Li, Sivesh K Kamarajah, Dmitri Nepogodiev, Joana F F Simoes, James C Glasbey, Aneel A Bhangu
The Lancet Infectious Diseases 2022 October https://bit.ly/3AhorAU
Click here to access the full manuscript
Article: Routine sterile glove and instrument change at the time of abdominal wound closure to prevent surgical site infection (ChEETAh): a pragmatic, cluster-randomised trial in seven low-income and middle-income countries
NIHR Global Research Health Unit on Global Surgery
The Lancet 2022 October https://bit.ly/3E6uslb
Click here to access the full manuscript
Article: Elective surgery system strengthening: development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries
NIHR Global Research Health Unit on Global Surgery
The Lancet 2022 October https://bit.ly/3TBlHFp
Click here to access the full manuscript
Article: Catastrophic expenditure and treatment attrition in patients seeking comprehensive colorectal cancer treatment in India: A prospective multicentre study.
CROCODILE Study Group
The Lancet Regional Health (Southeast Asia) 2022 September https://bit.ly/3TChDF2
Click here to access the full manuscript
Article: Global economic burden of unmet surgical need for appendicitis
NIHR Global Surgery Collaboration
British Journal of Surgery, 2022 July https://doi.org/10.1093/bjs/znac195
Click here to access the full manuscript
Article: Outcomes of gynecologic cancer surgery during the COVID-19 pandemic: an international, multicenter, prospective CovidSurg-Gynecologic Oncology Cancer study
Christina Fotopoulou, MD, Tabassum Khan, MD, Juraj Bracinik, PhD, James Glasbey, MD, Nadeem Abu-Rustum, MD, Luis Chiva, MD, Anna Fagotti, MD, PhD, Keiichi Fujiwara, MD, PhD, Rahel Ghebre, MD, MPH, Murat Gutelkin, MD, Thomas O. Konney, MD, Joseph Ng, MD, Rene Pareja, MD, Rajkumar Kottayasamy Seenivasagam, MD,n Jalid Sehouli, MD, PhD, Shylasree T.S. Surappa, MD, Aneel Bhangu, MD, PhD, Elaine Leung, MD, PhD, Sudha Sundar, MD, PhD,∗ and CovidSurg Gynecological Cancer Collaborators
Science Direct, 2022 June https://bit.ly/3Tg7GN6
Click here to access the full manuscript
Article: Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study
GlobalSurg Collaborative and NIHR Global Health Research Unit on Global Surgery
The Lancet Global Health 2022 May https://bit.ly/3t07dVk
Click here to access the full manuscript
Article: Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials
National Institute of Health Research Unit on Global Surgery
The Lancet 2022 May https://bit.ly/3GtGq9o
Click her to access the full manuscript
Article: Outcomes of patients undergoing elective liver and pancreas cancer during the SARS-CoV-2 pandemic: an international, multicentre, prospective cohort study
Siobhan C McKay, COVIDSurg Collaborative
HPB 2022 March https://bit.ly/3aaBpXa
Click here to access the full manuscript
Article: The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study
COVIDSurg Collaborative
Colorectal Disease March 2022 https://bit.ly/3t4pFMp
Click here to access the full manuscript
Article: Study protocol for a cluster randomised trial of sterile glove and instrument change at the time of wound closure to reduce surgical site infection in low- and middle-income countries (ChEETAh)
NIHR Global Health Research Unit on Global Surgery
BMC 2022 March https://bit.ly/37584vZ
Click here to access the full manuscript
Article: Global guidelines for emergency general surgery: systematic review and Delphi prioritisation process
NIHR Global Health Research Unit on Global Surgery
BJS Open 2022 February https://bit.ly/35Dskno
Click here to access the full manuscript
Article: Outcomes and their State-level Variation in Patients Undergoing Surgery with Perioperative SARS-CoV-2 Infection in the USA: A Prospective Muticenter Study
COVIDSurg Collaborative
Annals of Surgery 2022 February https://bit.ly/3wYEp1O
Click here to access the full manuscript
Article: Impact of Bacillus Calmette-GuéGuérin (BCG) vaccination on postoperative mortality in patients with perioperative SARS-CoV-2 infection
COVIDSurg GlobalSurg Collaborative
BJS Open 2022 January https://bit.ly/3t79LQP
Click here to access the full manuscript
Article: Timing of surgery following SARS-CoV-2 infection: country income analysis
D. Nepododiev COVIDSurg and GlobalSurg Collaboratives
Anaesthesia 2022 January https://bit.ly/3lVOkyL
Click here to access the full manuscript
Article: Projecting COVID-19 disruption to elective surgery
COVIDSurg Collaborative
The Lancet 2021 December https://bit.ly/3E7r9YK
Click here to access the full manuscript
Article: Head and neck cancer surgery during the COVID-19 pandemic: An international, multicenter, observational cohort study
COVIDSurg Collaborative
Cancer 2021 December https://bit.ly/3PPN91y
Click here to access the full manuscript
Article: Impact of COVID-19 on vascular patients worldwide: analysis of the COVIDSurg data
Louise Hitchman, Matthew Machin, COVIDSurg Collaborative and Vascular and Endovascular Research Network
Cardiovac Surg 2021 December https://bit.ly/3z7eTsz
Click here to access the full manuscript
Article: Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic
COVIDSurg Collaborative
Colorectal Disease 2021 November https://bit.ly/3wZxFAC
Click here to access the full manuscript
Article: Death following pulmonary complications of surgery before and during the SARS-CoV-2 pandemic
STARSurg Collaborative and COVIDSurg Collaborative
BJS 2021 November https://bit.ly/3p1cKt0
Article: Resilience of elective cancer surgery systems during COVID-19 lockdowns: an international, multicentre, prospective cohort study
COVIDSurg Collaborative
The Lancet 2021 November https://bit.ly/3Uw4Jcs
Click here to read full manuscript
Article: Global wealth disparities drive adherence to COVID-safe pathways in head and neck cancer surgery
COVIDSurg Collaborative
BJS Open 2021 November https://bit.ly/3tVBqoN
Click here to read full manuscript
Article: Informed decision-making on pre-operative isolation: a reply
J F F Simoes, COVIDSurg GlobalSurg Collaboratives
Anaesthesia 2021 November https://bit.ly/3tSoAb4
Article: Machine learning risk prediction of mortality for patients undergoing surgery with perioperative SARS-CoV-2 infection: the COVIDSurg mortality score
COVIDSurg Collaborative
BJS 2021 November https://bit.ly/38SgwzN
Click here to access the full manuscript
Article: Elective Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study
COVIDSurg Collaborative
Journal of Clinical Oncology 2021 Oct https://bit.ly/3bxRbIO
Article: Effect of COVID-19 pandemic lockdowns on planned cancer surgery for 15 tumour types in 61 countries: an international, prospective, cohort study
COVIDSurg Collaborative
The Lancet Oncology 2021 Oct https://bit.ly/3bxRbIO
Click here to access the full manuscript
Article: Challenges and solutions: surveying researchers on what type of community engagement and involvement activities are feasible in low and middle income countries during the COVID-19 pandemic
Kroese K, Porter K, Surridge H, Tembo D
BMJ Open 2021 Oct https://bit.ly/3vQKkUq
Article: Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial
FALCON Collaborative and NIHR Global Research Health Unit on Global Surgery
The Lancet 2021 Oct https://bit.ly/3GkxBOy
Article: SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study
COVIDSurg Collaborative, GlobalSurg Collaborative
British Journal of Surgery 2021 September https://bit.ly/3NMDmHU
Click here to access the full manuscript
Article: Early outcomes and complications following cardiac surgery in patients testing positive for coronavirus disease 2019: An international cohort study
COVIDSurg Collaborative
BMJ Open 2021 August https://bit.ly/3lSk3Rv
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Article: Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
COVIDSurg Collaborative
BMJ Open 2021 August https://bit.ly/3lZrExD
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Article: SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study
COVIDSurg Collaborative
Anaesthesia 2021 August https://bit.ly/3N6qBb1
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Article: Preliminary model assessing the cost-effectiveness of preoperative chlorhexidine mouthwash in reducing postoperative pneumonia among abdominal surgery patients in South Africa.
GlobalSurg Collaborative
Plos One 2021 Aug https://bit.ly/3G8sYX3
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Article: Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study.
COVIDSurg Collaborative and GlobalSurg Collaborative
Anaesthesia 2021 Aug https://bit.ly/32PKuAZ
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Article: Feasibility and diagnostic accuracy of Telephone Administration of an adapted wound healing QuestiONaire for assessment of surgical site infection following abdominal surgery in low and middle – income countries (TALON): protocol for a study within a trial (SWAT)
NIHR Global Health Research Unit on Global Surgery
Published July 2021 NIH National Library of Medicine https://pubmed.ncbi.nlm.nih.gov/34289893/
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Article: Community engagement and involvement in Ghana: Conversations with community stakeholders to inform surgical research
Kroese K, Ofori Appiah B, Ramatu Abdulai D, Monahan M, Prah A, Tabiri S
Published July 2021 BMC Research Involvement and Engagement https://bit.ly/3roR4IK
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Article: Stoma care research in Low and Middle-income Countries: An update from the NIHR Global Health Research Unit on Global Surgery
Ademuyiwa A, Adisa A, Bhangu AA, Glasbey JC, Lapitan MC*, Msosa V, Sacdalan MDP, Simoes J.
BJS Open 2021 May https://bit.ly/3Icmb0k
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Article: CROCODILE study group. CatastROphiC expenditure rates and barriers fOr treatment aDherence In patients with colorectaL cancEr in India: CROCODILE study protocol
CROCODILE Collaborative
Colorectal Disease 2021 Apr https://bit.ly/3d8nHCj
Article: UK Head and neck cancer surgical capacity during the second wave of the COVID-19 pandemic: Have we learned the lessons?
Richard Shaw, COVIDSurg Collaborative
Clin Otolaryngol 2021 March https://bit.ly/3bprnCc
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Article: Methodological issues in economic evaluations of emergency transport systems in low-income and middle-income countries
Lilford R, Nepogodiev D, Chilton PJ, Watson SI, Erlangga D, Diggle P, Girling AJ, Sculpher M
BMJ Global Health 2021 Mar 10.1136/bmjgh-2020-004723
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Article: SARS-CoV-2 vaccination to support safe surgery during the pandemic: a modeling study using data from an international prospective cohort study
Covidsurg Collaborative, GlobalSurg Collaborative
BJS Society 2021 Mar 10.1093/bjs/znab101/6182412
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Article: Timing of surgery following SARS‐CoV‐2 infection: an international prospective cohort study.
Covidsurg Collaborative
Association of Anesthetists 2021 Mar 10.1111/anae.15458
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Article: Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries
GlobalSurg & the NIHR Global Health Research Unit on Global Surgery
The Lancet 2021 Jan; doi: 10.1016/S0140-6736(21)00001-5 (2021)
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Article: Head and neck cancer surgery during the COVID-19 pandemic: An international, multicenter, observational cohort study
Covidsurg Collaborative
Cancer 2020 Dec; doi 10.1016/j.accpm.2019.11.005
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Article: COVID-19 related absence among surgeons: development of an international surgical workforce prediction model
GlobalSurg Collaborative
BMJ Open Dec 2020 doi 10.1093/bjsopen/zraa021
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Article: Surgical Site Infection in Children after Surgery: A global prospective cohort study
GlobalSurg Collaborative
BMJ Global Health 2020 Dec; doi: 10.1136/bmjgh-2020-003429
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Article: Identifying a Basket of Surgical Procedures to Standardize Global Surgical Metrics: An International Delphi Study.
Odland ML, Nepogodiev D, Morton D, Martin J, Bekele A, Ghosh D, Ademuyiwa AO, Davies JI, Weiser TG.
Ann Surg. 2020 Nov; doi: 10.1097/SLA.0000000000004611
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Article: Preoperative mortality as a meaningful indicator: Challenges and solutions for measurement, interpretation, and health system improvement.
Ng-Kamstra JS, Nepogodiev D, Lawani I, Bhangu A.
Anaesth Crit Care Pain Med. 2020 Oct; 39(5):673-681 10.1016/j.accpm.2019.11.005
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Article: Favourable perioperative outcomes for children with SARS-CoV-2
COVIDSurg Collaborative, Nepogodiev D
BJS Society Oct 2020 https://doi.org/10.1002/bjs.12038
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Article: Pragmatic multicentre factorial randomised controlled trial testing measures to reduce surgical site infection in low- and middle-income countries: study protocol of the FALCON trial
FALCON Collaborative and NIHR Global Research Health Unit on Global Surgery
BJS 2020 Sept ; doi/10.1111/codi.15354
Article: Delaying surgery for patients with a previous SARS CoV-2 infection
COVIDSurg Collaborative
BJS Society Sept 2020 https://doi.org/10.1002/bjs.12050
Article: Surgical site infection and costs in low- and middle-income countries: A systematic review of the economic burden
Monahan M, Jowett S, Pinkney T, Brocklehurst P, Morton DG, Abdali Z, Roberts TE
PLoS One June 2020 https://bit.ly/3ndqRtm
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Article: Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study
COVIDSurg Collaborative
Journal of Clinical Oncology; https://doi. org/10.1200/JCO.20.01933
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Article: Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study
COVIDSURG Collaborative
The Lancet; https://doi.org/10.1016/S0140-6736(20)31182-X (2020)
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Article: Global guidance for surgical care during the COVID-19 pandemic
COVIDSURG Collaborative
BJS; https://doi.org/10.1002/bjs.11646(2020)
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Article: Delphi prioritization and development of global surgery guidelines for the prevention of surgical‐site infection
National Institute for Health Research Global Health Research Unit on Global Surgery
BJS; https://doi.org/10.1002/bjs.11530 (2020)
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Article: Surgical Outcomes Study Groups and GlobalSurg Collaborative. Variation in global uptake of the Surgical Safety Checklist.
Delisle M, Pradarelli JC, Panda N, Koritsanszky L, Sonnay Y, Lipsitz S, Pearse R, Harrison EM, Biccard B, Weiser TG, Haynes AB; Surgical Outcomes Study Groups and GlobalSurg Collaborative.
Article: Making all deaths after surgery count – Authors’ reply
Nepogodiev D, Martin J, Biccard B, Ademuyiwa A, Bhangu A
The Lancet; Lancet. 2019;393(10191):2588-9
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Article: Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic
COVIDSURG Collaborative
BJS; https://academic.oup.com/bjs/advance-article/doi/10.1093/bjs/znaa051/5974404)
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Article: Should we be re‐starting elective surgery?
COVIDSURG Collaborative
Association of Anaesthetists ; https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.15296)
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Article: Mesh versus suture repair of primary inguinal hernia in Ghana: Prospective, outcome assessor blinded, before and after study.
Tabiri S, Owusu F, Abantanga FA, Moten A, Nepogodiev D, Omar O, Bhangu A.
BJS Open; 2019 25;3(5):629-633
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Article: ‘Reducing postoperative mortality rates in England’
Nepogodiev D, Omar O, Bhangu A.
BJS Open; 2019 10.1002
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Adenekan AT, Aderounmu AA, Wuraola FO, Owojuyigbe AM, Adetoye AO, Nepogodiev D, Magill L, Bhangu A, Adisa AO
BJS Open; 2019;3(4):453-460
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COVIDSURG Collaborative
BJS ; https://bjssjournals.onlinelibrary.wiley.com/doi/10.1002/bjs.12038
Article: Variation in global uptake of the Surgical Safety Checklist.
Delisle M, Pradarelli JC, Panda N, Koritsanszky L, Sonnay Y, Lipsitz S, Pearse R, Harrison EM, Biccard B, Weiser TG, Haynes AB; Surgical Outcomes Study Groups and GlobalSurg Collaborative.
Article: Quality and outcomes in global cancer surgery: protocol for a multicentre, international, prospective cohort study (GlobalSurg 3)
NIHR Global Health Research Unit on Global Surgery
BMJ Open; doi: 10.1136/bmjopen-2018-026646 (2019)
Article: Global variation in anastomosis and end colostomy formation following left‐sided colorectal resection
GlobalSurg Collaborative
BJS Open; doi: https://doi.org/10.1002/bjs5.50138 (2019)
Article: Global burden of postoperative death
Dmitri Nepogodiev, Janet Martin, Bruce Biccard, Alex Makupe, Aneel Bhangu, on behalf of the National Institute for Health Research Global Health Research Unit on Global Surgery
The Lancet; doi: 10.1016/S0140-6736(18)33139-8 (2019)
Article: Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy.
GlobalSurg Collaborative
British Journal of Surgery; doi: 10.1002/bjs.11051 (2019)
Article: Management and Outcomes Following Surgery for Gastrointestinal Typhoid: An International, Prospective, Multicentre Cohort Study
GlobalSurg Collaborative
World Journal of Surgery; https://doi.org/10.1007/s00268-018-4624-8 (2018)
Article: Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study
GlobalSurg Collaborative
Surgical Endoscopy; https://doi.org/10.1007/s00464-018-6064-9 (2018)
Article: Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study
GlobalSurg Collaborative
Lancet Infectious Diseases; DOI 10.1016/S1473-3099(18)30101-4 (2018)
Article: Determining the worldwide epidemiology of surgical site infections after gastrointestinal resection surgery: protocol for a multicentre, international, prospective cohort study (GlobalSurg 2)
BMJ Open. 2017 Jul 21;7(7):e012150. http://dx.doi.org/10.1136/bmjopen-2016-012150
Article: Mortality of emergency abdominal surgery in high-, middle- and low-income countries
GlobalSurg Collaborative
British Journal of Surgery; 103(8): 911-988, 2016
Article: Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
GlobalSurg Collaborative
BMJ Global Health; DOI: 10.1136/bmjgh-2016-000091 Published 12 December 2016
Article: A multicentre evaluation of emergency abdominal surgery in South Africa: Results from the GlobalSurg-1 South Africa study.
Spence RT, Panieri E, Rayne SL
S Afr Med J. 2016 Jan 11;106(2):163-8. doi: 10.7196/SAMJ.2016.v106i2.10183
Article: Prioritizing research for patients requiring surgery in low and middle income countries.
National Institue for Health Research Global Health Unit on Global Surgery
British Journal of Surgery; doi: 10.1002/bjs.11037 (2019)
Click here to access the full manuscript
Article: Determining universal processes related to best outcome in emergency abdominal surgery: a multicentre, international, prospective cohort study
Aneel Bhangu, J Edward Fitzgerald, Stuart Fergusson, Chetan Khatri, Hampus Holmer, Kjetil Søreide, Ewen M Harrison
BMJ Open2014;4:e006239 doi:10.1136/bmjopen-2014-006239
Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.
Global Surg
The NIHR Global Health Research Unit on Global Surgery
Improving surgical outcomes through collaborative research
GLOBALSURG
COLLABORATIVE
The GlobalSurg Collaborative was established to represent practicing surgeons from all around the world. We conduct collaborative international research into surgical outcomes by fostering local, national and international research networks.
The GlobalSurg network now includes over 5000 clinicians in more than 100 countries. The ethos is inclusive and collaborative: our international cohort studies are open to all collaborators, including medical students, clinical officers, doctors, nurses and researchers. Any hospital, anywhere in the world, treating patients that meet study inclusion criteria are eligible to take part.
Our international cohort studies are relevant, prospectively-run, and high quality. We aim to give grass-root surgeons the opportunity to participate in major research projects. Each study is designed to ensure easy delivery by local surgeons and researchers, and will not require any additional resources or funding.
Working in teams of up to 3, collaborators collect data on their own patients for a defined period of time, usually 2 or 4 weeks within the study timeframe, and submit to our secure, online database. Every researcher who contributes data into a cohort study will be a Pubmed-citable collaborator on all publications arising from each study; which will be published under one main name – GlobalSurg – to represent our group effort. See our publications page for more information.
Through three international cohort studies, GlobalSurg collaborators have collected data on >40,000 patients in more than 80 countries examining outcomes after emergency abdominal surgery (GlobalSurg 1), surgical site infection rates (GlobalSurg 2) and outcomes after surgery for breast, gastric and colon cancer patients (GlobalSurg 3).

Watch a short video about the work of GlobalSurg
Improving surgical outcomes through collaborative research
NURSING NETWORK
Outcome of surgery is not dependent solely on surgeons skills but on the completeness of the Surgical Nursing competence & compassionate care.
The global nursing workforce is made up of approximately 27.9 million men and women, accounting for almost 50% of the global health workforce.
VISIT THE GLOBALSEARCH RESEARCH PAGES:

GlobalSurg I aimed to identify variation in outcome of emergency intra-abdominal surgery across international settings in order to determine whether globally relevant quality improvement strategies are needed within acute surgical units.

GlobalSurg 2 aimed to determine worldwide surgical site infection (SSI) rates following gastrointestinal surgery. The primary outcome measure for the study was 30 day surgical site infection rate.

Quality and outcomes after global cancer surgery: a prospective, international cohort study. The aim is to determine variation in quality of cancer surgery worldwide. Any hospital, any where, performing surgery for breast, gastric or colon cancer can participate.
Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.
Benin Hub
Benin Hub
Improving surgical outcomes through collaborative research
NIHR Global Health Research Unit on Global Surgery @Benin Hub
GLOBALSURG BENIN is the NIHR Global Health Research Unit on Global Surgery Hub in Bénin Republic.
Our aim is to improve healthcare practice in our hospitals by involving health workers in collaborative research. This will make surgery safer for our patients.
Clinical trials help to improve daily practice across our network. Our Hub has trained more than 200 local clinicians in clinical trial good practice, helping to build national research capacity. Over 150 clinicians have obtained Good Clinical Practice certification and been involved in clinical trials.
The hub is seeking to involve more rural hospitals in our clinical trials for the benefit of patients with limited access to healthcare.
The NIHR GSU Hub in Bénin is based at Cotonou city, in the School of health sciences, under the University of Abomey Calavi.

Dr Ismail Lawani
Hub Director

Professor Jean-Leon Olory-Togbe
Chair Deputy Hub Director

Professor Nazaire Padonou
Chair Deputy Hub Director

Professor Eugène Zoumenou
Chair Deputy Hub Director

Mr Covalic Bokossa
Hub Administrative Manager

Dr Souliath Lawani
Hub Research Assistant

Ms Marina Ehoumi
Data Manager

Mr Vivien Tenonto
Bilingual Secretary Translator Interpreter/ Communication Lead

Ms Ahouéfa Toï
Research Nurse (GECKO Study)

Dr Sandrine Zola
Research Assistant (LEAP Perioperative Care)

Mr Oscar Toudonou
Finance Officer

Ms Josette Gnele
Project Manager/ CEI Lead
NIHR Global Surgery Unit International Hubs & Centres
Spoke Hospitals In Benin
- Centre Hospitalier Universitaire et Départemental Ouémé-Plateau
- Centre Hospitalier Universitaire de Zone de Suru-Lére
- Centre Nationale Hospitalier et Universitaire Hubert Koutoukou Maga
- Hôpital de Zone de Mènontin
- Centre Hospitalier Départemental de l’Atacora
- Hôpital de zone de Ouidah
- Hopital de Zone de Klouékanme
- Hôpital de Zone de Dassa-Zoumè
- Centre Hospitalier Universitaire et Départemental du Borgou-Alibori
- Hôpital d’Instruction des Armées de Parakou
- Hôpital BETHESDA
- Hôpital de Zone de Kandi
- Centre Hospitalier Universitaire de la Mère et de l’Enfant
Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.
South Africa Hub
South Africa Hub
Improving surgical outcomes through collaborative research
NIHR Global Health Research Unit on Global Surgery @South Africa Hub
The South Africa Hub is based in Gauteng province, Johannesburg City.
The Johannesburg Hub is responsible for executing clinical trials – in collaboration with the sponsors we ensure systems are in place for a successful trial.
The South Africa Hub is based in Gauteng province, Johannesburg City, in a suburb called Parktown. The Hub office is based at the University of Witwatersrand, Medical School Campus and is operating from the Chris Hani Baragwanath Hospital (the 3rd largest hospital in the world) for the FALCON trial.
The Hub’s main activities are:
- Centrally co-ordinating country specific activities
- Management and training of the Spoke hospitals
- Providing administrative services for the country network
- Maintaining regular communication with the University of Birmingham

Dr Richard Crawford
Hub Director

Professor Bruce Biccard
Professor and Consultant Anaesthetist (Cape Town)

Professor Deirdré Kruger
Statistical Hub Lead

Professor Martin Smith
Chairman & Academic Head
of the Department of Surgery
NIHR Global Surgery Unit International Hubs & Centres
Spoke Hospitals In South Africa
- Edenvale Hospital
- Sebokeng Hospital
- Helen Joseph Hospital
- Groote Schuur Hospital
Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.
Rwanda Hub
Rwanda Hub
Improving surgical outcomes through collaborative research
NIHR Global Health Research Unit on Global Surgery @Rwanda Hub
The Global Surgery Unit began its relationship with Rwanda through the creation on the National Hub at the University of Rwanda, Kigali. The development of the national programme has resulted in the orchestration of several surgical trials carried out between 12 spokes across Rwanda, in addition to the primary Hub location in Kigali.
The Rwanda Hub resides over the recruiting, training, and management of the spoke hospitals. Furthermore, the Hub encourages and involves local surgeons, medical students, public bodies and community, in the promotion of quality surgical care and access in Rwanda.

Professor Faustin Ntirenganya
Hub Director

Dr. Allen J.C Ingabire
Deputy Hub Director

Dr Isaie Ncogoza
Deputy Hub Director

Mr Jean Pierre Nganabashaka
Hub Manager

Mr Emmanuel Munyaneza
National CEI lead

Mr Jean de Dieu Haragirimana
Logistics and Finance Co-ordinator

Mr Espoir Mwungura Ngabo
Data Manager

Mrs Alphonsine Imanishimwe
Research Nurse

Mr Joel Nshumuyiki
Research Nurse
Spoke Teams in Rwanda

Kibogora Spoke Team (Left to Right): Dr Ronald Tubasiime (Spoke Lead), Mrs. Deborah Mukantibaziyaremye, Mrs. A. Imanishimwe and Mr. Jean Aphrodis Munyaneza

Ruhengeri Spoke Team: Dr Aime Dieudonné Hirwa (Spoke Lead), Mr. Elysee Kabanda, Mrs. Christine Mukakomite, Mrs. Marie Salome Mbonimpaye, Mrs. Piolette Muroruhirwe and Mrs. A. Imanishimwe

Kibungo Spoke Team: Dr Christophe Mpirimbanyi (Spoke Lead), Mrs. Josiane Mutuyimana, Mrs. L.H. Maniraguha, Dr S. Habumuremyi & Mrs. A. Imanishimwe.
NIHR Global Surgery Unit International Hubs & Centres
Spoke Hospitals In Rwanda

- University Teaching Hospital of Kigali (CHUK)
- University Teaching Hospital of Butare (CHUB)
- Kibungo Hospital
- Kibogora Hospital
- Ruhengeri Hospital
- Kibagabaga Hospital
- Kibogora Hospital
- King Faisal Hospital
- Rwamagana Hospital
- Bushenge Hospital
- Butaro Hospital
- Byumba Hospital
- Kabgayi Hospital
Bringing together surgeons, researchers and policy makers to set the local research agenda according to patient need in LMIC and ensuring all patients have the opportunity to take part in our research.