1 / 42

Paediatric Surgery in Fiji - Pacific Paediatric Oncology Conference 2016

Paediatric Surgery in Fiji - Pacific Paediatric Oncology Conference 2016. Dr. Josese Turagava. Oncological Surgeons. Pediatricians Community Support groups. Nurses & oncologists Pharmacists. Radiologists Pathologists. Paediatric Surgical oncology. Layout. Case studies Strategy

dorothyburgess
Télécharger la présentation

Paediatric Surgery in Fiji - Pacific Paediatric Oncology Conference 2016

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Paediatric Surgery in Fiji-Pacific Paediatric Oncology Conference 2016 Dr. Josese Turagava

  2. Oncological Surgeons Pediatricians Community Support groups Nurses & oncologists Pharmacists Radiologists Pathologists Paediatric Surgical oncology

  3. Layout • Case studies • Strategy • How we do it • Strengths • Sustainability –workforce planning • Transformation at National level

  4. J. S - 2006 • 3 years old Indo-Fijian male from Ba • Presented to Lautoka Hospital in July for a right testicular swelling (orchidectomy – mature teratoma) and an abdominal mass • Mass was from the RUQ to umbilicus level • Non-tender and ballotable

  5. CT films:

  6. Pre – Chemo (Neoadjuvant )

  7. Post. op • Completed 6 cycles of chemo and has recovered very well

  8. J. T - 2007 • 1year 5/12 old Fijian girl • Mother noticed abdominal mass since 9/12 • Painless • Otherwise normal

  9. Examination: • Mass left side of upper abdomen to umbilical region • Non-tender • ballotable

  10. Abdominal X-Ray:

  11. CT with contrast:

  12. Lt. nephrectomy done • Child recovered well post op • completed Chemotherapy once /month x 6 cycles • Child is well

  13. K. T - 2007 • 5 years old Vanuatu girl • Right Abdominal mass x 3 years • Dysuria x 1 year • Haematuria x 1 year

  14. CT with contrast:

  15. Treatment: • Neo-adjuvant chemotherapy April 2006 • Radical nephrectomy June 2006 • Post chemotherapy x 6 /12 • Developed secondary metastasis in November & died

  16. CXR : on admission, 1/12 post Rx.

  17. 9/12 post admission & 11/12

  18. I. T -2007 • Born:8/10/07 • Abd. Swelling from birth • Referred to CWMH Wednesday with distended abdomen

  19. child

  20. CT films

  21. Retroperitoneal tumour 2008

  22. Retroperitoneal Teratoma

  23. Wilms 2015

  24. Hepatoblastoma 2015

  25. Post resection

  26. A.L -Non Hodgkins - 2016

  27. Burkitt’s Lymphoma –June 2016

  28. Bleeding ruptured ovaries

  29. Mesenteric component

  30. En bloc resection

  31. Ovarian tumour –Nov2016

  32. Thoracic tumour 2016

  33. Group of patients • Local capacity • Need to go overseas – beyond our local capacity • Work up the patient locally and await visiting team • Emergency – bleeding/ compartment syndrome

  34. Strength! • Team approach • Surgery – where? • Do we have the local capacity? • Beyond local capacity? • Local capacity building during visiting teams • Visiting team – 2 times per year ( includes radiologist/ pathologist) • Backup – Jitoko, Kiki, Phil, Vipul

  35. Workforce planning • Save – completing training in end of 2017 • (Annette/ Colin - still not sure?)

  36. Spin off • Forerunner for oncology services in Fiji • Model that adult oncology is trying to copy

  37. Pacific Paediatric Oncology Society 2007

More Related