Report from Mission to Kenya, October 2024
2024 Reconstructive and Plastic Surgery Clinical, Surgical and Training Mission with Plasticos Foundation
Partnership Projects of Children’s Lifeline™
Kenya Mission Trip Highlights – October 2024
- 53 patients screened
- 72 procedures on 27 patients
- Live-stream lectures & surgeries – live-streamed to Nairobi, Uganda, Lebanon, and London. Also live-streamed lectures to Nairobi.
- 14 Residents Trained – Plastic Surgery Residents from U of Nairobi. Uganda, and General Surgery Residents from Nakuru Teaching Hospital
- Anesthesia Training – both anesthesia residents and anesthetists trained
- Donations – Much needed supplies and equipment donated to Nakuru Hospital, including Renuva and Lipografter (MTF Biologics)
- Didactic Lectures – given to plastic surgery residents, general surgery residents, surgical staff, anesthesia staff
- Medical supplies donated to Nakuru hospital and Nairobi hospital
- Surgical equipment donated to Nakuru hospital and Nairobi hospital
- Pneumatic tourniquet donated to the University of Nairobi
- First tourniquet donated last year to the Nakuru teaching hospital (only pneumatic tourniquet in the hospital)
- Donated to University of Nairobi’s teaching hospital (only pneumatic tourniquet in the hospital)
- High level meetings held with:
- Nakuru County Health Dept officials – in Nakuru
- Nakuru Level 5 Hospital Administration – in Nakuru
- University of Nairobi Dept. of Plastic Surgery – in Nairobi
- Mission Plasticos Revised EMR successfully tested/implemented
- New EMR system was successfully used for all surgical cases
- EMR developed by Mission Plasticos
- Free Google Sheets-based EMR that can be used by any non-profit volunteer medical mission organization
- Also can be used an an App on the phone, allowing for ”on-the-go” chart checking, seamless photo uploading, and better overall patient care
Mission Plasticos Resident Training
“Working to Train the Next Generation of Plastic Surgeons”
We worked with and trained ….
- Plastic Surgery Residents from the University of Nairobi
- General Surgery Residents from Kenya Medical College in Nakuru
- COSECSA Plastic Surgery residents (came from Ugandan Plastic Surgery Residency program)
- Anesthesia Residents and nurse
- Anesthetists from Kenya Medical College
What is COSECSA?
College Of Surgeons of East Central and South Africa
COSECSA – a multi-site, multi-country surgery training program (residents rotate through participating hospitals all across East, Central, and South Africa
- 14 countries participating
- Largest Surgical Training Institution in Sub-Saharan Africa
- Common Surgical Training program
- Common surgical examination
- Internationally recognized surgical qualification
COSECSA Collaboration
Nakuru Level 5 Hospital is a COSECSA site for Plastic Surgery Training
Dr Peter Odour is the COSECSA site program director for this Plastic Surgery Training
Anesthesia Training
Nakuru Anesthesia Training Programs:
Anesthesia residency program (MD)
Anesthetist training program (CRNA)
Both anesthesia residents and anesthetists trained with Drs. Sprengel and Ryll, via “one-on-one” hands on training in the OR at Nakuru Level 5 Hospital
OR and PACU RN Training
Mission Plasticos RN and PAs: worked “hand-in-hand” with Nakuru OR and PACU nurses
Mia Kilekas, PA – Mission Plasticos trip coordinator, Patient coordinator and OR coordinator at Nakuru Level 5 Hospital.
Jennifer Weissmann, RN – Mission Plasticos circulating nurse coordinator. Worked side-by-side with Nakuru Hospital OR nurses and scrub technicians.
Vivian Joslyn-Benincasa, RN – Mission Plasticos PACU nurse coordinator. Worked with PACU nurses.
University of Nairobi Collaboration
Multiple Plastic Surgery Residents joined Mission Plasticos from U of Nairobi
Residents drove 160 km to Nakuru to participate in Mission Plasticos trip – resident education & training
Didactic Teaching – formal lectures given to PS residents “in-person” in Nakuru and remotely via Zoom
Didactic Teaching
Lectures were given to residents present at Nakuru Level 5 hospital.
Lectures also live-streamed to the University of Nairobi residents & faculty
Remote Surgical Training via “Live Stream”
Surgical procedures were live-streamed to U of Nairobi so that all Plastic Surgery residents and faculty could participate.
Live-streamed procedures were taped and also watched by plastic surgeons in training and medical students in Nairobi, Kenya; Uganda.
“Hands On” Plastic Surgical Training
- Training in Clinical decision making
- PS residents from U of Nairobi participated in pre-op surgery decision making, surgical marking, informed consent, and “time out” training
- Surgery Technical training: intra-op training in fundamental PS surgical techniques, advanced surgical techniques specific surgical procedures
Procedures Performed During October Mission
- Burn contracture release – 20 (27.8%)
- Liposuction – 5 (6.9%)
- Shoulder/Axilla – 3 (4.2%)
- Canthoplasty/pexy – 2 (2.8%)
- Ectropion – 2 (2.8%)
- Debridement – 2 (2.8%)
- Antecubital fossa – 4 (5.6%)
- Fat transfer (to breasts) – 2 (2.8%)
- Canthus – 2 (2.8%)
- Flaps – 2 (2.8%)
- Fingers – 3 (4.2%)
- Perforator flap (peroneal) – 1 (1.4%)
- Neck – 1 (1.4%)
- Pedicled flap (reverse radial forearm) – 1 (1.4%)
- Ear – 1 (1.4%)
- Gynecomastia reduction – 2 (2.8%)
- Ala – 1 (1.4%)
- Manipulation under anesthesia (elbow, wrist) – 2 (2.8%)
- Lip – 1 (1.4%)
- Syndactyly release – 2 (2.8%)
- Ankle – 1 (1.4%)
- Acellular dermal matrix placement – 1 (1.4%)
- Wrist – 1 (1.4%)
- Cartilage graft (auricular) – 1 (1.4%)
- Skin graft – 15 (20.1%)
- Ear reconstruction (lobular advancement flap) – 1 (1.4%)
- FTSG (axillae, AC fossa, eyelids, hands, etc) – 14 (19.4%)
- Lip reconstruction (advancement flap)- 1 (1.4%)
- STSG (ankle) – 1 (1.4%)
- Mass excision (left small finger) – 1 (1.4%)
- Breast reduction – 5 (6.9%)
- Mastopexy (balancing) – 1 (1.4%)
- Hand reconstruction – 5 (6.9%)
- Melanoma excision – 1 (1.4%)
- Tenolysis – 1 (1.4%)
- Nasal reconstruction (nasolabial flap) – 1 (1.4%)
- Extensor tendon repair – 1 (1.4%)
- Polydactyly excision – 1 (1.4%)
- Collateral ligament reconstruction (radial, thumb) – 1 (1.4%)
- Renuva injection (forehead) – 1 (1.4%)
- Kirschner wire stabilization – 2 (2.8%)
- Scar release (forehead) – 1 (1.4%)
Preaxial Polydactyly Excision – 12 month old female
No access to hand surgery due to financial issues (elective surgeryrequires payment for hospitalization)
Treatment: excision of preaxial polydactyly, reconstruction of thumb MCP joint radial collateral ligament
Syndactyly Release – 6 month old male
No access to hand surgery due to financial issues (elective surgeryrequires payment for hospitalization)
Treatment: right ring and small finger syndactyly release, full thicknessskin graft
Nakuru County Dept. of Health Services Appreciation Dinner for Mission Plasticos Team
Why We Do This! : More Photos
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