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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

Abstract


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.

 
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