Chaaria è un sogno da realizzare giorno per giorno.

Un luogo in cui vorrei che tutti i poveri e gli ammalati venissero accolti e curati.

Vorrei poter fare di più per questa gente, che non ha nulla e soffre per malattie facilmente curabili, se solo ci fossero i mezzi.

Vorrei smetterla di dire “vai altrove, perché non possiamo curarti”.

Anche perché andare altrove, qui, vuol dire aggiungere altra fatica, altro sudore, altro dolore, per uomini, donne e bambini che hanno già camminato per giorni interi.

E poi, andare dove?

Gli ospedali pubblici hanno poche medicine, quelli privati sono troppo costosi.

Ecco perché penso, ostinatamente, che il nostro ospedale sia un segno di speranza per questa gente. Non ci sarà tutto, ma facciamo il possibile. Anzi, l’impossibile.

Quello che mi muove, che ci muove, è la carità verso l’altro, verso tutti. Nessuno escluso.

Gesù ci ha detto di essere presenti nel più piccolo e nel più diseredato.

Questo è quello che facciamo, ogni giorno.


Fratel Beppe Gaido


sabato 19 maggio 2012

A very complicated herniorraphy


A mentally challenged patient has been admitted in our hospital for long lasting right inguino-scrotal hernia with associated hydrocoele. The ultrasound scan of the scrotum confirmed the diagnosis.
He was done herniorrhaphy on 2nd May 2012 but it was an extremely difficult and stressful operation. The hernia, probably congenital, had very stiff adhesions to the tunica vaginalis of the testis. We therefore started with the hydrocoelectomy with evagination of tunica vaginalis. Thereafter it was a very difficult job to detach the intestinal loops from the adhesions to the tunica itself and to the sac. Finally we succeeded, just to realize that we were in front of a very abnormal segment of intestine, probably ileum, coiled and adherent in many parts to an abnormal mesenter.
Nevertheless we have reduced the intestinal loops because they were viable. Reduction was not easy because the internal inguinal ostium was quite small compared to the coiled and malformed loops.
The day after the patient has developed signs of acute abdomen with board like rigidity of the abdomen, abdominal pains and biliary vomiting.
We have therefore decided on explorative laparatomy, during which we have found a big volvolus around the abnormal intestinal loops, which probably acted as a hub. We have patiently de-rotated the volvolus. The loops were still viable and therefore we have positioned the intestine in the correct position without doing intestinal resection. Neither Valentina nor I had enough experience for a wide ileal resection with ileo-colic anastomosis.
But God has been with us and the patient has thereafter improved slowly; today we have discharged him: he is passing stool normally, the wounds are completely closed and the stitches removed. It has been a scaring experience, but it ended up well.
The patient was also very tender (as all the mentally challenged people), and when we have greeted him it was like a small party.

Dr Br Giuseppe Gaido

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