The Operating Room Global Journal (TORGJ)

Advancing Safe, Ethical, and Sustainable Patient-Centred Care Across Surgical and Perioperative Systems

As we present Volume 1, Issue 2 of The Operating Room Global Journal, I invite our readers to pause and reflect on a simple yet profound truth: at the heart of every surgical intervention lies a human life shaped by trust, vulnerability, and hope. This issue is dedicated to advancing care that is not only clinically sound, but deeply ethical, patient-centred, and sustainably embedded within health systems worldwide.

Surgical and perioperative care across the globe is evolving rapidly. Innovation, data, and technology continue to transform how we diagnose, treat, and heal. Yet progress must be guided by purpose. Safety, ethical responsibility, equity, and sustainability must remain our compass, particularly as disparities in access, resources, and outcomes persist across regions and health systems. These priorities align closely with the United Nations Sustainable Development Goals (SDGs), especially SDG 3 (Good Health and Well-Being), SDG 9 (Industry, Innovation, and Infrastructure), SDG 10 (Reduced Inequalities), SDG 12 (Responsible Practices), and SDG 16 (Strong Institutions).

The scholarship featured in this issue reflects these realities with clarity and courage. From studies examining occupational exposure risks and antimicrobial resistance, to ethical perspectives on end-of-life decisions, patient-reported quality of life, and system audits addressing access, cost, and waiting times, the contributions collectively remind us that quality care is inseparable from the systems that sustain it. Several manuscripts emerge from resource-limited settings, offering grounded insights into resilience, innovation, and the pursuit of excellence despite constraint. These voices are essential in shaping a truly global and equitable conversation on surgical and perioperative care.

A recurring message throughout this issue is the need to strengthen cultures of safety, transparency, accountability, and learning. Improving incident reporting, reducing delays, addressing workforce and cost burdens, embedding ethical reflection into clinical practice, and promoting responsible use of resources are not merely administrative goals, they are moral and institutional imperatives that directly affect patient dignity, safety, and outcomes.

What gives me great optimism is the diversity and depth of perspectives represented here. Authors from different regions, disciplines, and clinical environments come together with a shared intention: to improve care for patients we may never meet, yet to whom we are collectively accountable. This spirit of shared responsibility across borders and systems defines both the vision of The Operating Room Global Journal and its contribution to sustainable global health development.

I extend my sincere gratitude to our authors, reviewers, and editorial team for their dedication and intellectual generosity. Their work strengthens not only this journal, but the broader global effort to deliver safer, fairer, ethically grounded, and more sustainable surgical care.

May the insights in this issue inspire reflection, dialogue, and action reminding us that progress in surgery is measured not only by technical success, but by the trust we earn, the systems we strengthen, and the lives we serve.

With warm regards,
Dr. Zakir Hussain Parray
Editor-in-Chief, The Operating Room Global Journal (TORGJ)