April 7

 Another good day of variety and interesting cases to learn and teach from. We did a variety of hernias, some adult and a couple of pediatric; the latter included a 10 month old baby who had had a colostomy for imperforate anus which was decommissioned later. She developed an incisional hernia at the colostomy site which was symptomatic, and thus the reason for repair now. She did fine! We also had a breast mass excision(benign), and some endoscopies. At the same time, Dr Ayun Cassell was performing urological procedures including a TURP. He was an excellent general surgery resident who worked with us in that capacity for several years before going to Dakar, Senegal to train in urology. He is now back in Liberia, and I believe he is the only trained urologist in the country. And Dr. Doe was in another room revising the cranial end of a VP shunt in a 2 yr old with hydrocephalus.