Leprosy Mailing List – November 26, 2016
Ref.: (LML) Nerve Decompression in Leprosy
From: Francisca Gayete, Philippines and Wim Theuvenet, the Netherlands
Dear Pieter,
There is an issue which concerns the National Leprosy Control Program partcularly,in addressing our goal towards Zero Disability.
Is there any Training Program offered/sponsored by GLP/WHO for Surgeons working in Sanitaria/Partner Hospital for Reconstructive Surgery/Neural surgery? Most General Surgeons including those at the Philippine Orthopedic Center are hesitant to perform the simplest epineural decompression.
Our warmest regards,
Francisca Gayete
Reaction by Wim Theuvenet:
Dear Cess,
Zero Disability is the second greatest ambition (after the eradication of leprosy) of every committed leprologist and I am so happy that Dr Ben Naafs is putting it on the agenda again!
Personally I feel that apart from the earlier detection of leprosy, we can improve on;
1. The earliest recognition of (often silent) neuritis;
2. The more successful treatment of neuritis, and amongst this:
3. The surgical decompression of nerves, especially when the other treatments have failed and the risk of permanent nerve function loss becomes real.
Answering your question: I am not aware of any official GLP/WHO sponsored courses in Reconstructive Surgery in leprosy. However, there are quite a few very experienced surgeons (I know a number of excellent colleagues in India, Nepal and Brazil) working in this field and trust that they can provide adequate training either at their leprosy hospitals or possibly at your institute
Personally, I have been involved in conducting these Surgical Courses in Leprosy Surgery (incl. POID) for the last 20 years, in 14 countries around the globe; mostly coordinated through The Leprosy Mission International (TLMI) and the Netherlands Leprosy Relief (NLR). There is a 3-level training format for this.
When you, together with the colleagues at the Philippine Orthopedic Center, see a clear need for assistance by getting this training, you are welcome to “Ring the Bell”!
With best regards,
Wim
Willem Theuvenet, M.D., Ph.D
Plastic, Reconstructive and Hand surgeon (FESSH)
Consultant for TLMI and NLR
Mail: WimTheuvenet1@gmail.com
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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