Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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Reconstructive Surgery in the Tropics Figure 8. Forehead flap. Five weeks after surgery. Figure 9. Forehead flap. Six and one half years later. 247 palpation. With an assistant supporting the thigh and assuring a maximal skin surface presentation to the skin grafting knife, the instrument is brought up the thigh from knee to groin with a smooth back and forth movement. The split thickness skin graft is covered with normal saline soaked sponges. Floating the grafts in normal saline is thought to remove some important components of the graft. When the area for grafting is ready, the skin grafts are laid out atraumatically. Circumferential sutures are placed for stabilization. Small openings in the split thickness graft are made prior to application. The skin graft is placed against a sterile wood block while multiple small incisions are made across its surface with a sharp knife. 5. A dressing is placed over the anterior thigh donor site. Use a nonstick vaseline gauze covered with dry sterile gauze and a wrap around bandage for the donor site. The outer nonvaseline dressing is removed at 5 days. 6. An incision is made over the iliac crest from the anterior superior iliac spine laterally for 8 cm. The periosteum is elevated on the superior and inferior surface of the iliac wing. Using a sharp chisel a 6 cm and 3 cm segment of bone is removed. 26
26 248 Surgery and Healing in the Developing World Figure 10. Loss of right mid face from “noma” as infant. Right eye has vision maintained. Figure 11. Forehead flap over iliac bone graft for one stage right face replacement. Figure 12. Loss of left side of face from “noma” as infant. Figure 13. Left side of center face replaced with forehead flap. View one year post operation.
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Surgery and Healing in the Developi
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Contents Foreword .................
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25. Dentistry .....................
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Editor Contributors Harold P. Adolp
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Foreword Surgery and Healing in the
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“poor, but modern”, as for exam
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There may be at least one considera
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It is that higher accountability th
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1 2 Surgery and Healing in the Deve
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CHAPTER 2 Surgery in Developing Cou
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2 10 Surgery and Healing in the Dev
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CHAPTER 4 International Surgical Ed
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CHAPTER 9 Lab-in-a-Suitcase: Saving
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10 72 Surgery and Healing in the De
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CHAPTER 12 Communication in the Thi
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CHAPTER 13 Anesthesia in the Third
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13 100 Surgery and Healing in the D
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CHAPTER 15 Basic Obstetrics and Obs
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CHAPTER 16 Pointers for American Su
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CHAPTER 20 Chronic Pyogenic Osteomy
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Page 302 and 303: Population Dynamics Of Surgical Tro
Page 304 and 305: Metabolic Maladaptation 289 Introdu
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Metabolic Maladaptation Table 4. Go
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Metabolic Maladaptation 299 the rev
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Metabolic Maladaptation Table 5. As
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Metabolic Maladaptation Table 6. Co
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Metabolic Maladaptation 305 the ris
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Metabolic Maladaptation Table 8. Go
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Metabolic Maladaptation Table 10. G
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Metabolic Maladaptation Table 12. C
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Metabolic Maladaptation 313 cell an
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Metabolic Maladaptation 315 Biologi
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Metabolic Maladaptation 317 from io
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Metabolic Maladaptation 319 25. Lon
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CHAPTER 1 CHAPTER 30 Nutrition and
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Nutrition and Development in Africa
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CHAPTER 1 CHAPTER 31 Uterine Ruptur
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Uterine Ruptures in Rural Zaire Tab
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Uterine Ruptures in Rural Zaire 329
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CHAPTER 1 CHAPTER 32 Vesicovaginal
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Vesicovaginal Fistula in Democratic
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CHAPTER 1 CHAPTER 33 Ophthalmology
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Ophthalmology Figure 2. Refractive
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Ophthalmology Figure 4. A tonometer
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Ophthalmology 341 ml of 40 mg/ml IV
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Ophthalmology Figure 6. Axis determ
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Ophthalmology 345 thalmic set prepa
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Ophthalmology 347 Procedures Region
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Accommodating Deficits in Material
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Abscesses and Other Infections Trea
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CHAPTER 1 CHAPTER 36 Surgical Train
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Surgical Training of Nurses for Rur
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Training of Medical Assitants in Mo
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CHAPTER 1 CHAPTER 38 Training Surge
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Training Surgeons in the Developing
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Mobile Surgery Figure 1. 405 of tec
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Mobile Surgery Figure 3. 407 Childr
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Mobile Surgery 409 We have realized
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CHAPTER 1 CHAPTER 40 Public Health
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Public Health Problems on Burma Fro
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Medical Adventures in the Nigerian
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CHAPTER 1 CHAPTER 42 Wanted Glenn G
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Wanted 431 Studies Center (//www.am
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Wanted 433 MacArthur (The John D. a
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Wanted 435 most pathologic presenta
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Wanted 437 “outliers” in the he
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World Health 439 challenge: name fo
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CHAPTER 1 CHAPTER 44 Treating Other
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Treating Others: Human Sciences in
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Treating Others: Human Sciences in
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CHAPTER 1 CHAPTER 45 The Impact of
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The Impact of a Volunteer Medical M
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CHAPTER 1 CHAPTER 46 Field Notes on
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Field Notes on a Typical Day in a H
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Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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