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06.04.2019 mission medical program fistula surgery Kisantu

Team: Prof De Ridder, Dr Siska Van Bruwaene, Piet Eelen, Gonda Martens:

Goal: Fistula-surgery in Hopital St Luc Kisantu / teaching urology.

At the start of the mission 21 patients were evaluated in the outpatient clinic bij Prof. De Ridder, Dr Siska Van Bruwaene, Dr Jean Ndundu and Ms Joyvette, maternity nurse. 16 of them were assessed suitable for reconstructive surgery. The surgery list for the next 4 days was finalised . Other patients recieved medication for overactive bladder or were advised physiotherapy for a stress incontinence training ( if possible) 

In the meantime the stock of surgical instruments and general equipment were evaluated by Gonda Martens ( surgical nurse) and Piet Eelen ( ward, postoperative nurse). They made  a list of necessary equipment for each patient and prepared, sterilised all the items ready to start surgery. 

Patients underwent surgery from 09/04 till 12/04: eleven patients were operated for the first time, four underwent  reintervention surgery of witch 2 suffered from a small persistent fistula that needed to be closed, 1 suffering from a biggger fistula and recieved an additional vaginal restorative operation. The fourth patient had already experienced three recurrences and was deemed unsuitable for further vaginal repair, so an uterosigmoidostomy was performed.

On Tuesday and Wednesday information sessions were organised for nurses and trainees at the maternity on the pathogenesis and postoperative care in vesico-vaginal surgery 

 

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