Primary Renal Squamous Cell Carcinoma in Native Polycystic Kidney and Ureter 16 Years After Living Donor Kidney Transplant.

We describe a case of a 55-year-old woman with polycystic kidney disease who received a living donor kidney transplant 16 years earlier and was on immunosuppressive therapy with satisfactory renal function. The donor was her mother. The patient presented with flank pain on the right side and macrohematuria, and noncontrast computed tomography and magnetic resonance imaging led to the diagnosis of tumors in the remaining right native polycystic kidney and ureter, as well as secondary retroperitoneal dissemination.

Challenges in global reconstructive microsurgery: The sub-Saharan african surgeons' perspective.

Background: Microsurgery is an essential element of plastic surgery practice. However, it remains unavailable or rudimentary in several developing countries, especially in sub-Saharan Africa. This study presents the local plastic surgeons experience, while focusing on specific challenges encountered and methods to improve the sub-Saharan global microsurgery practice.

Common hydrotherapy practices and the prevalence of burn wound bacterial colonisation at the University Teaching Hospital in Lusaka, Zambia.

Background: In many parts of the world, hydrotherapy plays an important role in the management of patients with wounds including burns. Different centers practice hydrotherapy differently. At the University Teaching Hospital in Lusaka, Zambia, burn patients use a common bathtub for cleaning their wounds which theoretically increases the risk of cross-infection, an important source of morbidity and mortality.

Factors Affecting Burn Contracture Outcome in Developing Countries: A Review of 2506 Patients.

Introduction: Burn contractures hinder joint mobility, resulting in functional impairment and reduced quality of life. This is of greater significance in developing countries where there are fewer resources for assistance with such impairments. Contracture release reduces deformity, but multiple factors affect the extent of postsurgical improvements and outcomes.

Pediatric emergency and essential surgical care in Zambian hospitals: a nationwide study.

Purpose: Pediatric surgical care in developing countries is not well studied. We sought to identify the range of pediatric surgery available, the barriers to provision, and level of safety of surgery performed for the entire pediatric population in Zambia.

Methods: In cooperation with the Ministry of Health, we validated and adapted a World Health Organization instrument.

Plastic and reconstructive surgery in Zambia: epidemiology of 16 years of practice.

Background: The epidemiology of surgical conditions in developing countries is not well studied, but plastic and reconstructive surgery can play a significant role in meeting the need for surgical care. Knowledge of the conditions treated by a plastic surgeon in a low-income country would inform the development of surgical services.

Methods: The surgical log of the lead author from 1993 to 2008 was reviewed.

Burn injuries in eastern Zambia: impact of multidisciplinary teaching teams.

The American Burn Association/Children's Burn Foundation (ABA/CBF) sponsors teams who offer burn education to healthcare providers in Zambia, a sub-Saharan country. The goals of this study are 1) to acquire burn-patient demographics for the Eastern Province, Zambia and 2) to assess the early impact of the ABA/CBF-sponsored burn teams. This is a retrospective chart review of burn patients admitted in one mission hospital in Katete, Zambia, July 2002 to June 2009.

Seasonal variation and regional distribution of cleft lip and palate in Zambia.

Objective: To assess variations in seasonality and regional distribution of orofacial clefts in babies born in Zambia.

Design: A retrospective chart review was done using records of all cleft procedures performed by the only plastic surgeon in Zambia (G.J.