About Bioline  All Journals  Testimonials  Membership  News  Donations

East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X
EISSN: 2073-9990
Vol. 9, No. 1, 2004, pp. 94-96
Bioline Code: js04021
Full paper language: English
Document type: Research Article
Document available free of charge

East and Central African Journal of Surgery, Vol. 9, No. 1, 2004, pp. 94-96

 en Experience Of Thoracic Surgery Performed Under Difficult Conditions in Somalia.
M. Y. Hassan, A. M. Elmi, Marco Baldan


Objective: To review the outcome of thoracic surgery performed at Medina Hospital over last two years under situations of constraints and to assess its feasibility in such conditions.
Design And Settings: Case series study in Medina Hospital, Mogadishu - Somalia.
Subject and Methods. Thoracotomies were performed in thirty-two patients with traumatic and nontraumatic conditions. No proper pre-operative investigations were available such as spirometry, haemogasanalysis, bronchoscopy and CT scan.
We relied only on clinical evaluation and plain x-rays. Operations were performed under general anaesthesia with no inhalation substance; no anaesthetic machine was used. We simply used ketamine, Suxamethonium, Diazepam and Atropine. We did not use post-operative suction drainage but simple "under water seal" bottle drainage.
Results: Thoracic surgery was performed in 32 patients in Medina Hospital. Most of these cases underwent pleural decortications for chronic empyema (18 patients), 7 patients had removal of bronchial foreign bodies, 4 patients had resection of oesophageal cancer, 2 patients had pericardiectomy for constrictive pericarditis and 1 had lobectomy for lobar consolidation. We had two post-operative complications and 2 patients died after having surgery for carcinoma of the oesophagus.
Conclusion: Thoracic surgery can be performed under constrains with good results in skilled and experienced hands.

© Copyright 2004 - East and Central African Journal of Surgery

Home Faq Resources Email Bioline
© Bioline International, 1989 - 2022, Site last up-dated on 10-Dec-2021.
Site created and maintained by the Reference Center on Environmental Information, CRIA, Brazil
System hosted by the Internet Data Center of Rede Nacional de Ensino e Pesquisa, RNP, Brazil