One of the main barriers to surgical care in low-and-middle income countries (LMIC) is the lack of medical equipment. Together with the Female Cancer Foundation, the Leiden University Medical Centre and several partners in Africa and Indonesia we aim to contribute to the widespread implementation of safe surgery. 

Current state of safe surgery in low-and-middle income countries will be evaluated, with a main focus on the current application of electrical surgery in operating theatres in countries such as: Kenya and Rwanda. An electro surgical device that is more suitable for the context of surgery in low-and-middle income countries will be compared to state of the art devices that are used in many high income countries. Therefore, a set-up to measure the lateral thermal spread caused by the instrument tissue interaction of both types of electro surgical devices will be build. 

The entire ecosystem in which an medical equipment is functioning in low-and-middle income countries highly contributes to the succesfull implementation of the devices in the clinical practice. Research will therfore be conducted focussing on maintenance, sterilisation and training in this context.