After the first fruitful mission to Sitagu Ayudana Hospital in november 2014, The Cleft Surgery Organisation once more provided the hospital with a cleft lip and palate team in the period of November 18th until November 23rd. In four and a half days a total of 53 patients were operated on. Under the leadership of the medical superintendent, dr. Khin Maung Zaw, operating facilities had improved even further since the last time, providing the team with more than acceptable facilities to perform surgery.
Patients with cleft lip and palate arrived from all places in the wide region coming from urban backgrounds as Mandalay (population 927 thousand) or remote rural areas. Patients were recruited by local hospital staff and preoperatively assessed by our anaesthesiology team.
Most patients were in the age group of 6 months to one year. However, in selected cases almost exclusively coming from distant rural areas primary cleft surgery was performed on older children and even young adults. Surgical plans were determined taking into account patient age, growth, speech function and development, but also remoteness of residence and distance of travel to the Sitagu Ayudana Hospital.
All surgeries went uneventful. Fifty of them took place under general anaesthesia, two in local anaesthesia and one patient suffering from decubitus on the tailbone was operated on using spinal anaesthesia. Our Belgian/Dutch team was excellently assisted by local scrubnurses and anaesthesiology nurses.
Resuming, the 2015 mission to Sagaing has yet again been a success. A great number of patients and their families have been helped significantly and our team took great pleasure in working at the Sitagu Aydana Hospital, interacting with local staff and patients. The 2016 mission to Sagaing will be planned shortly and the entire team is very much looking forward to returning to Myanmar once again.
Arrival at the Sitagu Ayudana Hospital . Our team: First row from left to right: Dr Robert van Es, Dr Ellen Defrancq, Yvonne Geerlings, Dr Sien Van Roy, Prof Dr Ron Koole. Second row from left to right: Dr Nard Janssen, Dr Bart van de Ven, Dr Joel Defrancq, Viviane Van Braekel, Henk Geerlings and last but not least on the third row: Dr VÃ¶lker Gerling. All patients and our team on the last day.
Little baby with her big sister. Dr Bart van de Ven & Dr Nard Janssen Dr Joel Defrancq & Dr Sien Van Roy The operation theatre with 3 operation tables. Mother and child. Dr Bart van de Ven and prof Dr Ron Koole.
Mother and child after the operation. Dr Nard Janssen doing the administration and prof Dr Ron Koole assisting Nard. Dr Ellen Defrancq making pictures and Dr Robert van Es assisting. Child screening and investigation. Yvonne Geerlings screening a child. Dr VÃ¶lker Gerling putting an IV line. Dr VÃ¶lker Gerling intubating a child. Dr Robert van Es & prof. Dr Ron Koole operating Dr Bart van de Ven & Dr Nard Janssen operating. The children ward. Dr Robert van Es & prof. Dr Ron Koole
Child in the recovery room.