2015 Myanmar November 18-24

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 on 2015-11-15 at 04-21-48 Arrival in Mandalay airport Arrival on 2015-11-15 at 04-57-56 Arrival in Mandalay airport. Arrival on 2015-11-15 at 10-27-54 Arrival in Mandalay airport.

 

Sfeer on 2015-11-23 at 03-45-40 Arrival at the Sitagu Ayudana Hospital . Team on 2015-11-23 at 03-59-44 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 Völker Gerling. Team on 2015-11-23 at 04-02-43 All patients and our team on the last day.

 

Baby with big sister on 2015-11-20 at 02-45-37 Little baby with her big sister. Dr Bart van de Ven & Dr Nard Janssen on 2015-11-20 at 02-40-06 Dr Bart van de Ven & Dr Nard Janssen Dr Joel Defrancq and Dr Sien Van Roy on 2015-11-19 at 16-06-48 Dr Joel Defrancq & Dr Sien Van Roy DSC_9539 The operation theatre with 3 operation tables. Mother and Child on 2015-11-18 at 16-56-49 Mother and child. Operation room on 2015-11-19 at 10-01-05 Dr Bart van de Ven and prof Dr Ron Koole.

 

After the operation on 2015-11-20 at 02-43-30 Mother and child after the operation. Screening on 2015-11-18 at 13-47-52 Dr Nard Janssen doing the administration and prof Dr Ron Koole assisting Nard. Screening on 2015-11-18 at 13-48-12 Dr Ellen Defrancq making pictures and Dr Robert van Es assisting. Screening on 2015-11-18 at 14-25-59 Child screening and investigation. Screening on 2015-11-21 at 10-45-49 Yvonne Geerlings screening a child. Sfeer on 2015-11-21 at 08-42-59 Dr Völker Gerling putting an IV line. Sfeer on 2015-11-21 at 08-45-55 Dr Völker Gerling intubating a child. Sfeer on 2015-11-20 at 05-51-06 Dr Robert van Es & prof. Dr Ron Koole operating Sfeer on 2015-11-21 at 08-52-27 Dr Bart van de Ven & Dr Nard Janssen operating. Sfeer on 2015-11-23 at 02-35-18 The children ward. Sfeer on 2015-11-22 at 08-54-27 Dr Robert van Es & prof. Dr Ron Koole

Sfeer on 2015-11-21 at 12-03-33 Sfeer on 2015-11-21 at 12-03-44 Â Â Â Â Â Â Â Â team

Patient number 02 — Picture taken on 2015-11-18 at 09-04-03Patient number 02 — Picture taken on 2015-11-23 at 05-20-50   Patient number 02 — Picture taken on 2015-11-18 at 13-52-30 Patient number 02 — Picture taken on 2015-11-18 at 14-43-48Patient number 05 — Picture taken on 2015-11-18 at 09-13-26Patient number 05 — Picture taken on 2015-11-23 at 05-11-58

Patient number 05 — Picture taken on 2015-11-18 at 09-13-26 (1)Patient number 05 — Picture taken on 2015-11-19 at 08-22-21



Patient number 21 — Picture taken on 2015-11-23 at 04-58-44
Patient number 21 — Picture taken on 2015-11-18 at 09-46-10

Patient number 21 — Picture taken on 2015-11-20 at 08-56-41
Patient number 21 — Picture taken on 2015-11-20 at 11-51-32

Patient number 19 — Picture taken on 2015-11-18 at 09-42-54 (1)Patient number 19 — Picture taken on 2015-11-23 at 04-59-31 Patient number 19 — Picture taken on 2015-11-20 at 07-05-22 Patient number 19 — Picture taken on 2015-11-20 at 10-11-51

Patient number 42 Recovery — Picture taken on 2015-11-21 at 07-26-20 Child in the recovery room.

 

Patient number 47 — Picture taken on 2015-11-20 at 08-42-11Patient number 19 — Picture taken on 2015-11-23 at 04-59-31

 

Patient number 47 — Picture taken on 2015-11-21 at 06-45-21Patient number 47 — Picture taken on 2015-11-21 at 09-24-34