Welcome at the gates

Welcome at the gates

Welcome at the gates

Report by Francesc Marsal: St Vincent’s Hospital, Aliade. Nigeria. Spanish Team

Last 26th November 2011 we left from Barcelona airport to our destination in Nigeria.

The whole team met up at Heathrow Airport. We took 14 boxes each weighing 23 kilos. The boxes contained surgical material and presents for the local people. In Barcelona, British Airways helped us a lot with the customs issues and didn’t charge any extra weight.

We arrived at Abuja International Airport at 05:35 on the 27th where Dr Austin Ella was waiting for us. The procedure through customs was long but fairly agile. We then loaded the boxes and our luggage into a Toyota pick-up and a mini-bus and set off. After a 6-hour trip with many police controls, we arrived safety at St Vincent´s Hospital in Aliade.

Waiting

Waiting

2 tables operating

2 tables operating

We were received by the local team, headed by Peter. We met the Sisters of Nativity (Sister Helen and Sister Rose) and we were welcomed by the performance of a welcome tribal dance by the local residents. That afternoon the team set to work to prepare the theatres for the operations the next day.

We had brought new bulbs for the theatre lamps and two new boxes of surgical material for hernia repair. We had also brought a two new pulse oximeter which they didn’t have. We started to operate at 07:00 every morning after a good breakfast prepared by Sister Rose.

For 5 days the Spanish team of 5 surgeons and 2 nurses, together with the local team operated on 78 patients with 110 procedures.

Spanish Team and our hosts

Spanish Team and our hosts

The results were very satisfactory and for the first time ever we used “mosquito mesh” (59 cases). Friday was the hardest day when we operated on 24 patients. In all we experienced complex cases (14 bilateral hernia) and 9 large hydrocele. We used loco-regional anaesthesia in 57 cases, and the rest cases with local anaesthesia.

When we lefts Aliade on 3th December we felt very satisfied with our work and the friends we had made.

The team members were: Enrique Navarrete, Maria del Pilar Consejo, Juan Manuel Moreno, Francesc Marsal, Riverola Aso, Blanco Rodriguez, Arantave Caravaca, Candeal Haro.

In the operating theatre

Spanish, Puerto Rican and Andorran Team, Eruwa 18-27 MARCH 2010

It was incredible! is all we can say. We began our project when I first came to Eruwa, in June 2009, when we decided to undertake part of our work after talking with Dr. Awojobi. The Foundation Dr. Ramon Vilallonga has been involved in many projects, but since we met Dr. Awojobi, we cleary decided to continue this colaboration. On this ocasion, we met, a group of five people, from three different countries, Puerto Rico (Dr. Vangie Teixidor), Andorra (Mr. Josep Maria Puy) and Spain (Dr. Candy Semeraro, Miss Cristina Andreu and myself, Dr. Ramon Vilallonga), at the airpot of Lagos.

Spanish, Puerto Rican and Andorran team

Spanish, Puerto Rican and Andorran team

We arrived late in the evening and we were met at the airport by the team from the Clinic who took us in the clinic’s bus to Eruwa the next morning after spending the night in Lagos. The same day of our arrival, we began surgeries. Hernias of course. Baba, the person in charge of the theater and assistant for us, has been working a lot, and in a very efficient way. Accommodation was very changed since the last time. We did not stay at the town s hotel anymore, but at the clinic. Two houses were fixed for us. Perfect! We have repaired many hernias. Cristina, our scrub nurse, has taught Shakira, a local nurse who helps with the surgeries. Candy and I have taught some trainee residents and specially Daso, who is now perfectly able to perform a hernia repair with mesh. We were very pleased about that. The Awojobi familiy, as usual, has been very helpful and kind. No need to say that again. We have been treated like kings. Vangie even wanted to taste the local food we did.

Laying the foundation stone

Laying the foundation stone

 

“Sweets, pencils and a ball were offered to the kids. We can still hear the shouts of happiness.”

“Sweets, pencils and a ball were offered to the kids. We can still hear the shouts of happiness.”

As usual, we did a nice visit to the neighbourhood school. All the kids were so happy and excited. It was a great experience and we enjoyed it a lot. Sweets, pencils and a ball were offered to the kids. We can still hear the shouts of happiness.

We have continued treating Kundus, the little boy who got burnt almost one year ago. With material from our hospital, we changed the dressing every two days and he is improving but it is going to be very slow, as the burns are so extensive. Candy made a fantastic doll for him and Joe, an ambulance.

We also had the opportunity to assist Dr. Awojobi in his elective and emergency surgeries: testicular torsions, recurrent laparotomy hernia repairs, humerus realignment, thyroidectomies an experience.

Finally, we also laid the first stone of the future Ramon Vilallonga Puy Ibarapa Hernia Center. An incredible experience. We wish to continue in this way, trying to improve heath care in Nigeria. We hope to come back soon.

Dr. Ramon Vilallonga

In the operating theatre

In the operating theatre

Spanish Team, Takoradi, Ghana 16-23 MAY 2009

The Spanish mission 2009 is done!!!! Lots of satisfactions and lots of difficulties, but we feel again that our support to the people in Ghana is important and highly-valued by the Ghanaians.

Spanish Team 2009

Spanish Team 2009

Large hernias, hydroceles and different emergencies were treated by a very well-balanced team of nurses, anaesthesiologists, general surgeons and paediatric surgeons. Spain is excited about the Operation Hernia Project and about having the chance to help people in developing countries. In fact many professionals asked about the possibilities of going to Ghana and so we ended up by creating two teams, the first one being composed of 14 professionals, including 3 nurses, 4 anaesthesiologists, 1 paediatric surgeon, 5 general surgeons and 1 allergist who supported the local doctors and nurses as a general doctor.

First of all, we would like to thanks our institutions who supported the project with drugs and equipment and specially by letting 14 professionals leave for Ghana in the middle of the local situation in which we live nowadays in our hospitals, the University Hopsital Virgen del Rocío (Sevilla), USP-Clínica Sagrado Corazón (Sevilla), Hospital Rio Tinto (Huelva), Hospital Infanta Elena (Huelva) and Hospital del Mar (Barcelona). A total of 11 people from Sevilla, 2 from Huelva and 1 from Barcelona who were locally also supported with an investment of money for surgical equipment, air tickets, toys and cloth for the children by Diputación de Sevilla, Ludociencia, Viajes Atlanta, Sevilla FC, Ecija Balompié, Betis Moda, La Caixa, Fundación Roviralta and los amigos de Juan .

Secondly, we would especially like to thank the local people who looked after us, Dr Bernard Boateng-Duah for organizing everything in the three hospital were we worked, we are aware of the amount of extra work for him that means such a large group such as the Spanish one going to Takoradi: Michael Danso, by giving the support of the Takoradi hospital to the project and taking care of the luggage that did not arrive in Accra with us; the girls that looked after us at the house, the lovely Kate, Lilian and Barbara, who are inside everyone s hearts; and of course, to the local professionals of the health systems of Ghana, the nurses, who works together with us these days to perform 100 surgical procedures, always happy and making things easier for us, and to the two local doctors who were involves in the project, Ernest and our friend Dr Frank, who we are going to miss next year in case he move to other part of the country.

This year we had the chance to work in four operating rooms, at the two surgical theatre of Takoradi hospital, at GAPOA and at Nana´s hospital, a small rural hospital surrounded by the jungle with no running water in which doctors are able to help people with very low resources. One hundred surgical procedures in 83 patients were performed in 5 days by a team of Spanish professionals who are very involved in this project. We all are happy to hear that the number or giant hernias are decreasing in the area since the project starts in 2005, which means that things are working and that it is very important to keep supporting the project next years.

This is an analysis of what we did, what we saw and what we think about this year mission, but overall what it is in the deep of our hearts is two basic things: the face of the Ghanaians giving us thanks, with a smile in their face, after the surgery when they were still having pain; and the spirit of friendship of a group of 14 people who leave their family for 8 days and their hospitals and spend an important amount of money out of their own pocket to try to solve a situation to someone who s it. Ana, Fran, Miguel and Hilario, our 4 anaesthesiologists did an extra excellent work by handling very difficulties situations, especially with the little children since they did not have the anaesthetic drugs and only a oxygen needed for a general anaesthesia in these cases, it took more than five hours for a little child to wake up from a general anaesthesia, but they are top professionals and they know how to handle themselves in these situations. Paco, our paediatric surgeons, running from one hospital to another during these days, covering the cases scheduled in each operating theatres, performing the largest hernias he has ever seen, and showing the humanity with children of an experienced surgeon. Manolo, Rosa and Patricia, our 3 nurses, teaching the local nurses how to treat difficult wounds, assistant the surgeons in the OR, supporting the anaesthesiologists during the local, spinal and general anaesthesias and during the advanced cardiopulmonary resuscitation needed in some cases to solve very difficulties situations, especially with little children. Salva, Antonio, Juan, María, Marisol, the 5 surgeons, the ones always ready to operate any complex case, like the re-recurrent and giants Ghanaian hernias, and always ready to solve any surgical emergency during these days. And the lovely Virginia, who supported Dr Frank during these days by offering him different solutions to the different cases with the support of the drugs that we brought with us.

Everyone of them had an important mission, the only thing we missed was that it was an important group of professional that could support local nurses and doctors to teach them our knowledge to be adapted to what they have here, but we hope to do it next year, because our dream is to keep being involved in this project and continue our support for the people who need it.

Salvador Morales-Conde

17-27 MAY 2008
Our mission in Ghana was a success. It was over our expectation, especially due to the feeling that local people were really grateful for our presence in Ghana, trying to help them.

oh_image_16_m
All this started a year ago when we decided to create a group of Spanish surgeons to participate in this project. At the beginning it was not so easy, but finally 18 people decided to be part of the group: 8 general surgeons, 1 paediatric surgeons, 4 anaesthesiologist, 4 nurses and 1 general doctor. We were very impressed with how the group was motivated by the project, even when everyone paid the cost of their trips and of their accommodations from their own pockets and how those days were part of their official holidays in their hospitals. But everything was done generously in order to get one goal: to try to help people.

Out of the 18 persons, 16 were from Sevilla, 1 from Barcelona and 1 from Ourense. Most of us did not have experience in humanitarian missions, so we were a little afraid of how things were going to work out. Once we got all the official documents ready, thanks to our hospitals, the Spanish Association of Surgeons, C Oppong, A Kingsnorth and B Dixon, we started looking for some financial support to the mission: Atlanta-Unicongress supported us by reducing the prices of our flight tickets, and different companies (especially Dipro, Covidien, J and J) and our hospitals (University Hospital Virgen del Rocio, University Hospital Virgen Macarena, USP-Clínica Sagrado Corazón, Hospital de Río Tinto and Hospital Infanta Elena) supported us by supplying meshes and sutures: 15 boxes of 15 kg each with surgical equipments and anaesthetics drugs were taken to Ghana. On the other hand, our baggages were full of toys and school materials.

At arrival (Saturday 17th), everything was organized, a bus took us to Takoradi and next morning we went to Green Turtle beach, a paradise, a nice beach full of palm trees to relax the day before we started working. The local culture is so different, Barbara, one of the local girls who looked after us during the week, told me she did not understand why Europeans like the beach so much and to lie down under the sun. We were impressed by the local people, the way of thinking, the colours, the smile in the face of the children, the nature and the way of living. It is a poor country, but we did not see people starving, it seems they work very hard to guarantee their own meal, and none of them asked us for money. We have good feelings after the first day, the people were happy to have us there, we felt safe and the environment was very friendly.

The next 5 days, we worked very hard in 3 hospitals: Takoradi hospital, GPHA hospital, and the regional hospital at Cape Coast. We worked for almost 12 hours a day in each of the 5 operation theatres which we covered in the 3 hospitals. We have performed the largest hernias we have ever seen in adult people and in children; we have also performed cases after multiple surgeries in their groin, multirrecurrent hernias which were very difficult problems to be solve. Very difficult cases, being exhausted by the end of the day, but we were all very happy, very satisfied, since you can see in the face of all our patients they were very grateful to us. The environment in the operating theatres was very friendly with local nurses, they were very professional and they made things easier. By the end of the five days, 146 hernias in 130 patients were performed, including 6 children (the youngest was 4 months old). During our stay we also had the opportunity to teach the local surgeons, I would call them better the local heroes (Dr Frank was in charge with one colleague of Takoradi hospital with 40 beds, he had to visit the patients, to do ultrasounds, to perform caesareans, emergency surgery, I would say he has to cover all the specialties) how to perform a large umbilical hernia and a large incisional hernia. On the other hand, we were the first group with anaesthesiologists, which was very helpful for the local nurse, especially regarding spinal anaesthesia. One of the anaesthesiologists of our group had also the opportunity to give a lecture on local anaesthetics and spinal anaesthesia.

oh_image_21_m
The evenings were very interesting, getting to know downtown Takarodi and Cape Coast is a unique experience and, although we were exhausted, there was always sometimes to seat the group together around a table with the local beer and share our experience. Brian Dixon also took us to visit a little village, to get to know another aspect of the real Ghana. You can see how they live, how their houses are made, how the produce the palm oil, and how happy the people are with our presence. We also had the chance to go to visit the bishop of the western region of Ghana to give him all the toys and the school material we took with us, to guarantee that all was handed to the people who needed them most.

Being a large group is a real problem for the local organizers, but the effort of Brian Dixon (and the company he works for, CNR), Bernard Boateng-Duah and Michael was very important to organize everything. They took care of every single detail to make us feel comfortable, to advise us about the local cultural aspects. We want to thank all of them and especially the enormous effort of Brian Dixon for being present everyday to make sure that everything was well organized. The four girls who looked after us in the government villa were very important to us to make us feel like at home. They were always smiling and making are stay so easy. They prepared local food for the whole group every single day, they looked after us and they even prepared on the last day a cake with the flag of Sevilla, which they found it in internet. We all want to thanks to Grace, Kate, Barbara and Lillian.

The last day, on our way to the airport we had the chance to visit Kakum National Park and Elmina Castle. Impressive places you should not miss when you visit Ghana.

Long trip and back home, but you can see in the face of the people of the group how satisfied they were. We were a nice group of friends that we enjoyed very much trying to help people. It was worthy to be part of this project, especially if we solve a problem to 130 patients, and we made children happier for a moment with the toys and school material which the local people enjoyed with us,.
We are happy to have the chance to have this experience and we think next year the whole group will be back, and after sharing our experience with the people of our hospitals maybe we have to create more than one Spanish group.

Salvador Morales-Conde
Coordinator of the Spanish group