MTRH successfully Re-implants a Traumatically amputated limp!
-The hand is vitally and successfully re-established with good Doppler ultrasound findings-
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The Moi Teaching and Referral Hospital (MTRH) has successfully re-implanted a traumatically amputated hand of patient BK, a 35 year old male who had a Left Hand Traumatic Amputation through the carpus (wrist).
BK who is a casual laborer was on 8/08/2023 Tuesday 11:45 am chopped off his left hand by his relative following a domestic disagreement, After the incident well-wishers boarded a bodaboda that ferried him to Sigowet Sub-county Hospital, Kericho County where he received first aid treatment .
The patient was immediately referred to the Moi Teaching and Referral Hospital where he was received at the MTRH Emergency Department 4pm and within 15 minutes upon arrival was taken to Majaliwa Theater where a team of Specialized surgeons led by Dr Paul Mwangi-Team Leader MTRH Consultant Orthopedics & Trauma(Hand Surgeon) undertook the surgery for 11 hours.
In theatre, 2 teams were alternately repairing/re-attaching the limb and revascularization. The Re-implantation was successfully completed at 3am(a whopping 11 hours marathon surgery!).
The CEO Moi Teaching and Referral Hospital Dr Wilson K Aruasa has confirmed the patients left limb was reversed successfully, and the patient admitted to Post Anaesthesia Care Unit(PACU) overnight then Intensive Care Unit(ICU) for monitoring and IV Heparin infusion to ensure free flow of blood .
After completing the IV infusion, 48 hours later on Thursday 10/08/2023, the patient’s limb splinted and rehabilitation initiated.
The Doctors have confirmed the Patient is doing well post-operation, Today Sunday 13/08/2023 BK was moved from ICU to the General Orthopedics(Male) Ward where he will continue with daily reviews/initiation of Occupational Therapy rehabilitation.
The hand is vitally and successfully re-established with good Doppler ultrasound findings.
The MTRH Boss Dr Aruasa has commended the Sigowet Hospital for preserving the patients hand in a cooler box and immediately transferred the patient for specialized treatment at MTRH
“BK is a true hustler who engages in manual work , on the fateful day he was out in search of a job , we are pleased to have successfully re-implanted his hand, MTRH supported Dr. Paul to undertake his Hand Surgery training at University of The Witwatersrand, Johannesburg, South Africa in the year 2015/16.” Stated Dr Aruasa.
This successful highly specialized surgery is part of the fruits of MTRH Board & Management ( fully supported by Government of Kenya through Ministry of Health and The National Treasury & Economic Planning) long-range goal of developing multi-and sub-specialty surgical & medical skills, continual staff capacity development, huge investments in medical infrastructure and specialized equipment with a high work performance culture. He added
MTRH has facilitate the patients enrollment into National Health Insurance Fund(NHIF)
“This is true Universal Health Coverage(UHC) on every citizen’s access to healthcare and Universal Health Care(UHC) in terms of simultaneously accessing the highest level and quality specialized healthcare. It also underscores successful Strategic partnership with Indiana University(and other collaborating Institutions), USA over the years”
Kenya has only 3 Hand Specialist Surgeons, one in Nairobi, another one in Nakuru and the MTRH.
The Surgery one of the most rare in East Africa, was undertaken by a team of 13 highly specialized surgical team.
The participating Surgical team that has highly been commended by the Cabinet Secretary for health Susan Nakhumicha includes:
Francis Kosgei- Clinical Nurse Educator(CNE), Theatres
Sharon Cherotich- Perioperative Nursing Officer(NO)
Nehemiah Nyainda- Perioperative NO
Rose Keino NO, Post Anaesthesia Care Unit(PACU)
Caren Cherotich -Student Nurse
Oscar Ang’anda-Student Nurse
Michael Omondi- Clinical Officer(CO) Anaesthest
Ezra Samoita-CO Anesthetist
Dr Brian Christie- Plastic Surgeon , Indiana University (IU)
Dr Andrew Vernadi- Plastic Surgeon, IU
Dr Gregory Wekesa- MTRH COSECSA Orthopaedics & Trauma Resident
Dr Harsh Vadgama- MTRH Consultant Orthopedics & Trauma( Shoulder Surgeon)
Dr Paul Mwangi-Team Leader MTRH Consultant Orthopedics & Trauma(Hand Surgeon).
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