Dates of Mission: September 13th, 2018 – September 22nd, 2018
Location: Tetteh Quarshie Memorial Hospital; Mampong, Ghana
Mission Leader: Dr. Ziad Sifri Volunteers: 25
Length of Mission: 9 days (+6 days follow up for Global Surgery Fellow)
This was ISHI’s 6th mission to the Tetteh Quarshie Memorial Hospital (TQMH) in Mampong, Ghana, and ISHI’s 25th mission. ISHI was once again invited back to TQMH with the approval from the hospital leadership Drs. Albert Benneh and Mawuli Gyakobo, as well as the regional tribal leaders, to continue and expand upon the work done in previous years.
We anticipated providing both clinical care and the exchange of both technical as well as intellectual information. Surgeries we planned for included: inguinal and ventral hernia, hysterectomy, mass excision, and hydrocele. We additionally aimed to provide subspecialty urologic care to evaluate benign prostatic hypertrophy, including general urologic consultation, resection, suprapubic catheter placement, and exchange.
Patients from the rural Akuapem region were alerted weeks to months before the mission via recruitment from the local healthcare team. They were then phone-screened by the local healthcare workers to ensure efficient triage. We screened 170 patients; 59 patients were deemed suitable candidates for surgery and the remaining patients were provided consults and referrals.
We performed 69 operations, a new record for ISHI for the number of cases completed on a weeklong mission. In coordination with the emergency team, and 55 medical consultations and ultrasound consultations were completed.
Various members of the ISHI team facilitated teaching initiatives including Stop the Bleed Training to 181 medical and non-medical personnel. The educational efforts also included a bidirectional knowledge exchange with 20-30 hours of hands-on teaching, demonstrations, case-discussions between MDs and RNs. Birthing kits were donated in coordination with the Rutgers – NJMS Association of Women in Surgery in addition to numerous surgical and medical supplies in accordance with the WHO Guidelines for Safe Donation.
Drs. Akia Caine, Peter Johnston, Vennila Padmanaban and Abhinav Gupta, MS4 remained at TQMH after the mission to follow up and reported no major issues and high levels of satisfaction amongst the patients.
Special thanks to: