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Burn injuries are among diseases associated with poverty [1]. Be-tween 2009––2019 there were 9 million global burn cases and 111,000 deaths; 90 % of deaths occur in low- and middle-income countries (LMICs), 7 % in middle income countries and 3 % in high income countries (HIC) [2,3]. The risk of death is particularly high in children in LMICs [1]. Similarly, non-fatal burn injuries are an important cause of morbidity and disabilities; the global burden of Disability Adjusted Life
Years (DALY) of 7.5 million DALY disproportionally affects LMICs in terms of welfare loss as share of Gross Domestic Product (GDP) [3]. In Africa, the cause of the poor outcome is multifactorial; burn in- juries are part of many health challenges such malaria, tuberculosis and HIV/AIDS and in some settings, political instability plays a role [4]. However, delayed presentation is one of the commonest reasons for poor outcome in burn injuries in addition to shortage of doctors and nurses, and lack of equipment. Although burn centres have been established at the central level, people from rural areas often do not have access,
because of cost and lack of transport. This causes delay in wound debridement and dressing which is paramount in burn care to relieve infection, which is essential for burn healing [4,5] (https://www.afro.who.int/health-topics/traditional-medicine). The ISBI Guidelines aimed to create Practice Guidelines for burn care to improve the care in both Low Resource Settings (LRS) and resource-abundant settings [6,7]. If in deep partial thickness and full thickness wounds early excision and skin grafting are not possible, the open technique (exposure) may be applied until eschar separation has begun [6,7]. This means that after 4–5 days the wound may be infected with active invasion of unburned surrounding tissues with risk of sepsis and death. Keeping the wound dry may help in controlling bacterial infection for wound closure and sep-aration of the eschar; the latter is essential as below the eschar infection continues and there is no exposure to immune responses. The closed technique includes application of topical antimicrobial agents such as silver sulphadiazine (SSD), silver nitrate solution or silver releasing dressings (relatively expensive); cerium nitrate (relatively inexpensive) and antiseptic solutions such as Dakin’s solution, acetic acid..

This article contains graphic images that may be shocking or disturbing to some viewers. Viewer discretion is advised.

read full article: Increasing experience in the use of papaya for burn injuries in an African context, potential and limitations

Nadat ik zelf als plastisch chirurg in opleiding al een tijdje betrokken was bij het bestuur van Stichting Interplast Holland, was het
eindelijk tijd om zelf af te reizen naar Oeganda om met eigen ogen te zien wat we met onze stichting allemaal bewerkstelligen. Met een superleuk team bestaande uit plastisch chirurg Margot Lemmen, anesthesist Muriel Siepel, anesthesiemedewerker Saskia Keijzer, operatieassistent Dorien van den Berg en anesthesist in opleiding Vincent van Cuilenborg, stonden we in alle vroegte op
Schiphol op zaterdag 16 november. In dit team zaten al wat ‘oud-Kumi-gangers’, maar voor mij en Vincent was het de eerste keer. Tegelijk met ons team gingen er nog twee (!) andere teams naar Oeganda, dus er moest snel nog een kiekje geschoten worden voor het jaarverslag. Toen waren we er klaar voor!

Lees verder via: Reisverslag Kumi, Oeganda 16 – 28 november 2024

Dit is een samenvatting van de uitzending van Interplast Holland en Global Surgery Amsterdam naar Kampala, Oeganda, van 16 november tot 30 november 2024. Ons bezoek aan Oeganda had 3 hoofddoelen, ingegeven door de uitnodiging van onze collega's dr. Kalanzi, een plastisch chirurg, en dr. Sekimpi, een orthopedisch chirurg. Allereerst wilden we de samenwerking tussen plastisch chirurgen en orthopedisch chirurgen versterken door samen te werken aan complexe open fractuurgevallen op locatie. Daarnaast wilden we hun kennis over het onderwerp verdiepen door een cursus basisbeginselen van open fracturen te geven. En tot slot, wilden we een nieuwe huidtransplantatiemethode (MEEK) introduceren voor brandwonden patiënten, met name met grote brandwonden. De eerste week werkten we in het Kiruddu Referral Hospital in Kampala, waar we ons concentreerden
op brandwond contracturen, de introductie van onze MEEK-huidtransplantatietechniek en ook wekedelen letsels van de onderste ledematen. Tijdens de tweede week werkten we in het Mulago ziekenhuis in Kampala, waar we drie dagen ‘on-site training’ organiseerden voor tien plastisch chirurgen en tien orthopedisch chirurgen in opleiding, gevolgd door twee dagen basiscursus over open onderbeenfracturen.

Team:
- Corstiaan Breugem, plastisch chirurg
- Matthijs Botman, plastisch chirurg
- Jos Bramer, orthopedisch chirurg
- Annebeth de Vries, kinder-en brandwondenchirurg
- Fatima Ben Bouazza, operatieassistent
- Michiel Selbeck, bestuurslid Interplast
- Laura Burlage, plastisch chirurg in opleiding
- (verslag)
- Myrthe Simon, PhD student

Lees meer via:Oeganda 2024

Unfortunately,  just a few days before our scheduled departure, Tallechien Tempelman, plastic surgeon from Groningen, sent us a message that she was not able to join our team this year due to personal circumstances. We hope she will be joining us again during our next trip to Zanzibar. Anyway, in our thoughts she was with us all the time and we kept in contact through WhatsApp...

The rest of the team already knew each well other from earlier missions. We met at Schiphol Airport on Sunday morning around eight. Liam and Elmarie joined us behind the customs. After an uneventful flight, we arrived at Kisauni International Airport in Zanzibar at 23:00 hours. Going through customs was quite a challenge, but again we managed to do so as the last passengers of the flight. Dr Rukia welcomed us very heartily at the airport and we were brought to our hotel for a good night's sleep.

read the full report here: Zanzibar 2024 report

There is a long-standing relationship with Dr Titus Opegu and his wife Maria who run the MIDAS Touch Medical Services. A centre where patients and families are cared for in the pre-and postoperative trajectory. Almost all the care Titus and Maria give these poor patients is for free. Kumi Hospital has a reach of approximately 4 million people. Kumi Hospital is a member of the Uganda Protestant Medical Bureau (UPMB); it is therefore a private non-profit (PNFP) institution.
Kumi Hospital has transformed from a centre for the disabled to a general hospital with 300 beds.

Read more: Full report Kumi June 2024

Afgelopen maart was het eindelijk zover! Met een koffer vol enthousiasme, ambitie en medisch instrumentarium (de laatste hebben we helaas bij de douane op het vliegveld achter moeten laten) reisden wij af naar Oeganda voor een werkbezoek aan het Kiruddu Ziekenhuis in Kampala.

Na een voorspoedige vlucht werden wij op

gehaald door Stephen Kato, onze steun en toeverlaat. Hij bracht ons naar Yellow Haven aan het Victoria meer. Een fijne plek om na de intensieve dagen in het ziekenhuis bij te komen, de vele indrukken te bespreken en met frisse energie de plannen voor de volgende dag te bespreken.

Lees volledig verhaal hier verder >

 

Inleiding

After two years of absence from the Interplast surgical camp at Mnazi Mmoja Hospital because of
the COVID pandemic in 2021 and 2022, we were really excited to go again.
The team was familiar with only a few changes. Unfortunately, Maura Neervoort could not join us
this year, and Dirk Jan Langeland came along in her place. From Birmingham, Liam, who has
joined us for quite some years now, brought a colleague of his, Elmarie van de Merwe.
The flight schedules had changed, and therefore we would go a day later, arriving on Sunday
evening instead of Saturday morning, which gave us 8 operation days instead of 9, as it was in
the former years.

Verder lezen: Interplast Holland report Zanzibar 2023

INLEIDING

After Titus and Joel's visit to the Netherlands, the next 3 weeks were devoted to organizing the very
first surgical camp at Titus' hometown Kumi which is the capital of Kumi district. Kumi is located in
the east of Uganda and is a 4-hour drive from Kampala on quiet days and about 8 hours on busy
days.

Lees verder: St Interplast Holland Uganda Kumi 2023

12 March – 24 March 2023

After two years of absence from the Interplast surgical camp at Mnazi Mmoja Hospital because of the COVID pandemic in 2021 and 2022, we were really excited to go again.
The team was familiar with only a few changes. Unfortunately, Maura Neervoort could not join us this year, and Dirk Jan Langeland came along in her place. From Birmingham, Liam, who has joined us for quite some years now, brought a colleague of his, Elmarie van de Merwe.

The flight schedules had changed, and therefore we would go a day later, arriving on Sunday evening instead of Saturday morning, which gave us 8 operation days instead of 9, as it was in the former years.

Link

verslag Burundi dec 2022 Interplast Holland

Nieuwsbrief


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