We were able to operatively reduce an intussusception in a nine month old child of a Nepali labourer family. You can read about it on our hospital website.
http://www.manalihospital.com/intussusception/
Working here in this remote area, one finds that one has to have broad based skills and knowledge to handle all types of emergencies. Specialisation and superspecialisation are all very good, but a distant dream and armchair imagining that a remote hospital could ever be adequately staffed by all the necessary superspecialists. Hence the role of the rural surgeon, who has to be competent enough to safely treat the wide variety of cases coming in. Referral from here for any patient would mean an eight hour journey, which could have meant gangrene and loss of viable bowel for this infant.
It is a fond hope that there will be a viable and vibrant rural surgery course that establishes itself in India. The National Board currently conducts the Diplomate course in Rural surgery, but this is not a very popular one as yet.
http://www.manalihospital.com/intussusception/
Working here in this remote area, one finds that one has to have broad based skills and knowledge to handle all types of emergencies. Specialisation and superspecialisation are all very good, but a distant dream and armchair imagining that a remote hospital could ever be adequately staffed by all the necessary superspecialists. Hence the role of the rural surgeon, who has to be competent enough to safely treat the wide variety of cases coming in. Referral from here for any patient would mean an eight hour journey, which could have meant gangrene and loss of viable bowel for this infant.
It is a fond hope that there will be a viable and vibrant rural surgery course that establishes itself in India. The National Board currently conducts the Diplomate course in Rural surgery, but this is not a very popular one as yet.
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