Case log Lilongwe Central Hospital Pediatrics:  (8) Pyloromyotomy Right hemicolectomy (ileal fistula) Rectal pull through (Duhamel), (imperf. anus) Resection of sacrocoxxygeal teratoma Cystgastrostomy Right hemicolectomy (colon mass) Small bowel resection (intestinal duplication) Meningocele repair Head and Neck:  (6) Tracheostomy Tracheostomy Thyroidectomy Thyroidectomy Mandibulectomy Mandibulectomy Urology:  (7) Prostatectomy Prostatectomy Prostatectomy Prostatectomy Prostatectomy Ex-lap for bladder tumor Cystectomy and hysterectomy for bladder tumor Abdominal:  (38) SB resection (incarcerated hernia) Appendectomy Lysis of adhesions (post surgical) Lysis of adhesions (post surgical) Graham patch Graham patch Lysis of adhesions (midgut volvulus) SB resection (incarcerated hernia) Lysis of adhesions (midgut volvulus) Right hemicolectomy, ileostomy (perf and necrotic appendix, cecum) SB resection (midgut volvulus) SB resection (ileal intussuception) Vagotomy and pyloroplasty Cholecystectomy Hartman’s procedure (sigmoid volvulus) J-tube (esophageal cancer) Resection of abdominal fibrosarcoma Right hemicolectomy (colon lesion) Appendectomy (perf. appendix) Right hemicolectomy (cecal volvulus) Drainage of infected urachal cyst Lysis of adhesions (pelvic peritonitis), BTL SB resection (incarcerated hernia) Cholecystectomy Lysis of adhesions (post surgical) Excision of abdominal wall mass Colostomy closure SB resection (incarcerated hernia) Mesosigmoidpexy (sigmoid volvulus) Inguinal hernia repair (incarcerated hernia) Hartman’s procedure (sigmoid volvulus) G-tube (esophageal cancer) Colostomy (rectal cancer) Ex-lap (cecal tumor, carcinomatosis) Lysis of adhesions (midgut volvulus, meckel’s remnant) Right hemicolectomy and ileal resection (sigmoid and ileal volvulus) Second look laparotomy, subtotal colectomy (sigmoid and ileal volvulus) SB resection, LOA (s/p ileal repair with fistula and intra-abdominal abscess) Thoracic and esophageal:  (3) Decortication Distal esophagectomy (thoracoabdominal) Esophageal exclusion, g-tube, j-tube (s/p GSW to left chest, esophageal injury) Trauma:  (12) Debridement of skull fracture Brachial artery repair (SW to LUE) Cystostomy (pelvic fracture with urethral disruption) Colon and SB repair (SW to abdomen) Exp. Thoractomy (GSW to left chest) Burr hole (epidural in 3 yr old) Panga wound to face and frontal sinus Stab wound to neck (laceration above larynx into pharynx) Pinning of 2nd and 3rd metacarpal dislocation Craniotomy (depressed skull fx, subdural) Non-therapeutic laparotomy (SW to flank) Repair gastric laceration (SW to abdomen) Skin and soft tissue: (8) Excision of right thigh mass Modified radical mastectomy Excision of large shoulder mass (dermatomyosarcoma protuberans) Breast biopsy Simple mastectomy I&D hand abscess STSG to lower extremity I&D abdominal wall abscess