title: Plastic and reconstructive surgery in Uganda--10 years experience.
abstract: We describe our experience of working in plastic and reconstructive surgery in Uganda over the last 10 years. There is a high burden of disease, a health system that is under resourced, and few qualified physicians to provide healthcare for a principally rural population. Training the physicians of the future is essential. Prevention and early wound management needs to be emphasized for traumatic injuries including burns. Subsidized up-country visits by trained specialists with the appropriate equipment are required to provide a service for the rural poor. There appears to be a high mortality rate in babies with unrepaired cleft palate, probably due to feeding difficulties in an environment where intercurrent illness is common. We now offer nutritional support with early combined cleft lip and palate repair in these babies, a practice that has a high success rate and may be suited to other specialist units in the developing world.
authors.affiliation: Mengo Hospital, Nakawa, Kampala. sarahhodges1911@gmail.com
authors.forename: Sarah
authors.initials: S
authors.lastname: Hodges
authors.forename: Joanna
authors.initials: J
authors.lastname: Wilson
authors.forename: Andrew
authors.initials: A
authors.lastname: Hodges
mesh_terms: D000293:Adolescent; D000328:Adult; D000776:Anesthesiology / Q000193:education / Q000639:trends*; D002056:Burns / Q000150:complications; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D003357:Cosmetic Techniques; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007391:International Cooperation; D008137:Longitudinal Studies; D008875:Middle Aged; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods* / Q000639:trends; D014454:Uganda; D055815:Young Adult