Dear Dr. Mondestin, Dr. Eustache, Msgrs. Chadic and Harris, Pere Roland,
March 16 – 28, 2018
Minimally Invasive Surgery Course
Hopital de Bienfaisance
Paul Severson, MD, FACS, Founder MIMIS
Andrew Loveitt, DO, Fellow MIMIS
Garald Jean-Louis, MD, GynEndo Haiti
Valerio Vital-Herne, MD, GynEndo Haiti
Sylvio Augustin, MD, HUEH
Mike Evans, Telecommunications Expert
Ron Vitales, Inanimate Skill Lab Director
Project Haiti Team:
Marlee Novak, Medical student, Team Coordinator, Skill Lab Assistant
Chad Riddle, Nurse Assistant
Joseph Vitales, Team Assistant
14 Surgeons, including 3 staff surgeons and 11 residents.
Seven were General surgeons and seven were OB/Gyn physicians
HUEH had 3 general residents and 2 OB/Gyn residents
Le Paix had 1 staff general surgeon, 2 general residents, and 2 OB/Gyn residents
Chancerelle had 2 OB/Gyn residents
Pignon had 1 staff general surgeon and 1 staff OB/Gyn
Course sponsor: Project Haiti, Inc. We acknowledge this course is made possible through the generous donations of Cuyuna Regional Medical Center, Crosby, MN and Riverwood Healthcare Center, Aitkin, MN.
The Laparoscopy Course included lectures, inanimate skills laboratory, and live surgery over 4 days.
Monday, March 19 through Thursday, March 22
Lecture content included the history of surgical innovation and teaching at Hopital de Bienfaisance, history of laparoscopic surgery globally, safe and effective use of laparoscopic instrumentation, a variety of general and gynecological surgical procedure lectures utilizing minimally invasive techniques delivered by all members of the Haitian and American faculty, and 2 new SAGES lectures on the Fundamentals Use of Surgical Energy (FUSE), given in both French and English. Flash drives containing all lecture materials were provided to each student.
New iPad-based trainers were implemented successfully in the Inanimate Skills Laboratory. The SAGES Fundamentals of Laparoscopic Surgery (FLS) program was utilized as the basis for the lab. An ultrasonic energy lab was also conducted, which provided hands-on experience for all students with this newer technology. The annual Endo Olympics competition was held with spirited camaraderie among the participants.
Surgeries included 7 lap choles, 2 laparoscopic Toupet fundoplications, and 4 diagnostic laps with surgical intervention for infertility. The last 2 lap choles were conducted with 100% Haitian staff, including Dr. Sylvio Augustin as the lead surgeon, 2 residents assisting, along with anesthesia and a surgical tech. The last procedure was completed utilizing the ultrasonic energy device exclusively, marking a new first for the Haitian staff.
At the end of the week a rooftop graduation celebration was held at the Minnesota Dorm with a traditional Haitian feast and recognition for all participants and the esteemed Endo Olympic medal winners. Dr. Guy Theodore was in attendance and provided closing remarks at the celebration.
Hopital Saint Francois de Sales – March 26 and 27, 2018
Dr. Paul Severson and Dr. Andrew Loveitt joined Dr. Sylvio Jr. Augustin and performed 3 laparoscopic cholecystectomies, utilizing the laparoscopic equipment donated to the hospital by Project Haiti in 2017. The cases were performed skillfully by Dr. Sylvio Augustin as the primary surgeon and we found the equipment well cared for and in excellent working condition. We were greeted by urologists Drs. Bernard Brutus and Youry Dreux, who were performing surgery for stone patients in the next room.
Hopital L’Universitaire La Paix – March 28, 2018
Dr. Paul Severson and Dr. Andrew Loveitt were invited to meet the residents and faculty at La Paix, and were picked up the Le Plaza and escorted by the Chief of Surgery Dr. Nesly Vastey to Hopital L’Universitaire La Paix. All the residents and some of the faculty gathered to meet us and after bilateral speeches, we evaluated the existing laparoscopic equipment and then toured the facility, including the operating rooms. There may be 2 surgeon champions at that residency program, one general surgeon that attended our course in Pignon, and also a pediatric surgeon with some prior laparoscopic experience in his fellowship. We made plans to invite both faculty and residents at our next course, and will consider developing another laparoscopic site there in the future.
They have seen patients in outpatient clinic on Saturday and during the week. From Monday to Wednesday, the group performed 18 surgeries (plastic surgeries).
They have 8 cases scheduled for today.
Tomorrow afternoon (Friday 16, 2018) there will be teaching (lectures) for the medical staff. (see attached subjects list).
The group (Interplast West Virginia) will leave Pignon on Saturday (March 17, 2018) at 6:00AM .
They plan to come back to Pignon next year (March 08 – 16-, 2019). They would like to see a lot of patients. We will made appropriate arrangement in order to have more many patients for them next time as we know a year in advance. Also we have been informed that some of the patients does not come because they do not have money to cover their travel fees (transportation, lodging, etc..) .
A million of thanks to the Interplast West Virginia team.
Lucy, the team coordinator, is copied in this email.
Noel Marie Adele
Dr. OSIRIS Marc Aurele Joseph.
Fellowship in Endourology
Place: Hôpital General de Grand Yoff (HOGGY) , Dakar, Senegal
Dakar Partner: Institut de Formation et de Recherche Universitaire (IFRU) and GRAND YOFF HOSPITAL.
Haitian Partner: Société Haïtienne d’Urologie (SHU) and Hôpital de l’Université d’Etat d’Haïti (HUEH).
Financial Partners: International Society of Urology (SIU) and Project Haiti
Duration of Training: 3 Months
Started: July 6, 2017
Ended: September 26, 2017
Outpatient Clinic _ international meeting and Workshop (URO-DAK) _ endosurgery_ open surgery.
- Monday :
Morning: exploration department (cystoscopy_ urethral dilatation_ prostate biopsy_ JJ Stent training)
Afternoon: Outpatient clinic
- Tuesday_Wednesday_Thursday_Friday: surgery/Operating Room.
SURGERY / WATCHING AND SCRUBBING
(1_ first surgeon, 2_first assistant, 3_second assistant, 0_watcher)
Endo- UROLOGY SURGERY
TOTAL | SCRUBBING (0 1 2 3)
TURP 10 | 4 (2-2-2-2)
TURV 7 | 3 (2-2-2)
URS+ LASER 8 | 6 (2-2-2-2-2-2)
URS+ SW+LASER 2 | 2 (2-2)
PCNL 2 | 1 (3)
EIU 1 | 0
POST.Ur. VALVE RESEC. 2 | 1 (2)
ENDO PYELOPLASTY 1 | 0
TOTAL: 33 | 17 (scrubbing)
TOTAL | SCRUBBING (0 1 2 3)
ADENOMECTOMY 6 | 3 (3-1-2)
NEPHRECTOMY 3 | 0
TOTAL PROSTATEC. 6 | 3 (2-2-3)
HERNIA 7 | 5 (2-2-1-1-1)
URETROPLASTY 5 | 2 (2-2)
HYPOSPADIAS 1 | 1 (2)
URETERAL REIMPL. 1 | 1 (2)
VARICOCELE 1 | 1 (1)
TOT/SLING 1 | 0
CRYPTORCHIDIA 2 | 2 (1-1)
CYSTOLITHOTOMY 2 | 1 (1)
URETHROCELE 1 | 1 (2)
VULVOPLASTY 1 | 1 (2)
TOTAL: 37 | 18 Scrubbing
INTERNATIONAL FORUM and WORKSHOP / URO-DAK (July 11, 12, 13)
- VESICO-VAGINAL FISTULAE REPAIR
- RECONSTRUCTIVE SURGERY OF VAGINA (EXCISION!!)
Mentor /Teacher: Dr. Mohamed JALLOH and the surgical STAFF.
CERTIFICATION: IFRU, HOGGY, Professor Serigne M. GUEYE.
I would like to think every personality and organization that contributed to the accomplishment of this program. This training had been very a successful experience, increasing my knowledge and my skill in the urology practice.
Endoscopic procedures are the future of the urology, and I am very determinate to help the Haitian Community by sharing my experience with the young residents.
I want to thank our partners in Dakar for all these human resources that they are providing for the International urology’s gold success.
Dr. Marc Aurèle Jph. OSIRIS