Waiting in line

UK team in St Vincents hospital, Aliade, Nigeria – February 2014

Operation Hernia – St Vincent’s Aliade, Nigeria

February 1st- February 10th 2014

The time was not long since I first visited St Vincent’s Hospital, Aliade in Nigeria, September 2013 with the team from Operation Hernia.

February 2014 I was the leader and founder of the next mission.

Waiting in line

Waiting in line

The need of help is ongoing as the nr of people in need is very high in the region.

I had short time to prepare my team but I had the trust on the people I left behind, the operating theatre staff, Peter, Benjamin, Lawrence, Francis and Simon to be part of the team.

The news to go back was very welcome by everyone at St Vincent, Sisters of Nativity, Sister Helen and Sister Rose as well as Dr Austin Ella, who organized the preparation, in Nigeria.

In the attempt to organize my team, with a surgeon with Pediatric surgery experience, I met Mr. Ogedegbe, Consultant General, Breast and Pediatric Surgeon in London, who he is Nigerian, one more reason to approach him and ask if he was willing to join the team. After few weeks he gave me a positive answer.

Preparing the theatre

Preparing the theatre

Pre-op inguino-scrotal hernia

Pre-op inguino-scrotal hernia

The team was made of two Consultants Surgeons, Mr. Ogedegbe and I.

We were planning to use the local anesthetic cover.

We arrived in Abuja Sunday morning 2nd Feb. Welcome by the Pharmacist Dada and our driver Simon, who they help us to take our staff and drove us all the way to St Vincent’s, Aliade.

We had a very warm welcome by Sister Rose, Sister Helen, all the local theatre staff and the locals, as they know how to welcome their visitors.

The work started Monday 3rd February, 08:00 am, a crowd of people was already waiting to see us.

We started seeing them, to create our day’s list. Most of the people did not know the exact date of birth, their age was guessed; the dry season easy left the white earthy dust on their body, easy to guess the distance and the way they had travelled to reach us.

Mr. Ogedegbe and I with the local theatre staff, Peter, Benjamin, Lawrence, Francis, Simon and Pharmacist Dada, coordinated our work and started operating by 10 am. The following days, to Saturday 8th/Feb. from 08:00 to 18:30.

Sister Rose and Sister Helen they were making our stay comfortable, as much as possible, with plenty of food and cool drinks to keep us going.

Spigelian hernia

Spigelian hernia

The six days of work we accomplished 75 operations, repairing hernias. 7 cases were bilateral, 15 were women and 8 children from age of 2+ to 15 year old. 8 cases were done under GA. One of the cases, a recurrent inguinal hernia on a yang man early thirties needed, team effort work and was converted form LA to GA, he was admitted to the word and discharged well two days latter.

All the rest of the patients were discharged on the same day.

To build this mission in a short time a number of people and companies supported me.

1)Ansell Healthcare Europe, for the Gammex surgical gloves. We thank Mr. Garry Brinn for his assistance.

2) Swan – Morton, for the supply of Disposable Surgical knifes. We thank Miss Tracy Liggins for her assistance.

3)Mr. Andrew Kingsnorth, Operation Hernia Charity, supplied us with the Mosquito Mesh.

4)NHS Trust.

5)Senior Theatre Nurse Margaret had gathered some of the essential materials, she sent to me, after she had to postpone her trip for family reasons. An extra luggage, I had to pay at BA of 117 pounds. The payment was raised from the financial support of my Greek friends from UK, who their help made this mission easier to be accomplished. Their names are following.

Father Andreas and Presvitera Alkmini, Father Damianos, Mr. and Mrs. Loizou,

Mrs. S Katsarou, Mrs. M Stelianou, Serafim and Andrie Kyriakides from St Panteleymon Greek School.

I am happy to know, Mr. Ogedegbe will continue his support to St Vincent’s Hospital.

Sister Rose, Sister Helen, the Operating theatre team with the Pharmacist, and all their people, all are congratulated on their efforts for improvements they achieve.

We hope, in future, Operation Hernia and Mr. Andrew Kingsnorth to support more Surgeons towards, this destination.

Zoe Vlamaki MD FRCS

Team leader and founder of the mission.

Welcome to the Team

Report from the local staff at St Vincent’s Hospital, Aliade November 2012

Welcome to the Team

Welcome to the Team

REPORT OF OPERATION HERNIA TEAM MISSIONED TO ALIADE;

28TH OCTOBER – 3RD NOVEMBER, 2012.

We would like to express our appreciation for the understanding, patients, generosity and good work you came and did for our people from 28th October – 3rd November, 2012. In fact your team came with their unique way which was nice. Dr. Andreas Osterwalder came with great sense of humor and creative magic power at the send-forth party.

Your team (Andreas, Giampiero Campanelli & Cristina, Shambhu Yadav, Paolo Sorelli) arrived at our hospital on a Sunday 28th October, 2012. As soon as the reception was over and the departure of the Okpoga team was complete, you rested for a few minutes and thereafter proceeded to the theatre for orientation.

Teaching

Teaching

A Tough Case

A Tough Case

We were meeting for the first time in life and our friendship started. It was as if both teams were working together for a long time.

The items brought for the hospital were handed over to the team leader Mr. Peter Azaagee and were fully introduced on how to use them without problems, following your demonstration were there was need.

Your generosity came out fully as the new and modern diathermy machine with all its components was coupled and tested in the presence of all members of the newly formed team.

The cordial working relationship gave you the highest scores among the previous teams that had ever visited us and that was the most reason why you were able to handle a123 patients in one week successfully.

A Little One

A Little One

In addition, your team is the very first that has recognized the hospital team following the gifts to our members. This serves as encouragement to us.

Finally, the people of this hospital will never forget your team for the good work, cordial working relationship and generosity we experienced from you within a short period of one week which we worked together. The community will ever remember the visit of 28th October – 3rd November, 2012, mostly the 123 patients you operated.

Thank you.

Sign: Mr Azaagee Peter and Theatre Team

Cc: Prof. Campanelli G.

:Shambhu Yadav

:Paolo Sorelli

:Christiana Spata

: Catholic Diocese of Makurdi

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.