MNH-Mloganzila conducts successful neuron surgery

20Jun 2019
Crispin Gerald
Dar es Salaam
The Guardian
MNH-Mloganzila conducts successful neuron surgery

Muhimbili National Hospital-Mloganzila has succeeded to conduct neuron surgery to a patient who faced with cerebral aneurysms as part of the efforts to reduce referrals outside the country.

Muhimbili National Hospital-Mloganzila

The operation that took place for six hours has being performed by neurologists at Mloganzila in collaboration with Prof Huh Seong a specialist in neuron surgery and advisor for neuron surgery from Yonsei University Health System in Korea.

Speaking to reporters yesterday at the facility, neuron surgeon at Mloganzila Dr Raymond Makundi said the operation was conducted to Cosila Tambila (62) a resident of Kurasini in Dar es Salaam who suffered from cerebral aneurysms a problem that faces about three per cent of people worldwide.

He said the problem affects blood vessel walls by putting pressure on it causing vessels to burst or rupture and spills blood into the surrounding tissue which indeed threats the life of a person.

“A ruptured aneurysm can lead to a serious problem to a patient such as haemorrhagic stroke, brain damage, and even death,” he explained.

According to Dr Makundi, the aim of the operation was to remove cerebral aneurysms by using aneurysm clips in order to prevent aneurysm rupture in the brain.

The operation makes Mloganzila hospital a second public hospital to have successfully perform the surgery after Muhimbili Orthopaedic Institute (MOI) that has so far performed four to five same surgery.

“In average at Mloganzila, we receive four to six patients per month suffering from the problem. However, most people are not aware of the problem and they end up seriously ill and died,” he said.

Dr Makundi mentioned several symptoms that a patient will experience including long period headache, double vision, unconscious and body stroke.…adding that the problem occurs commonly to people aged 30-60 years.

“The disease is caused by inheriting from someone through birth, that weakens blood vessels which suddenly bust inside the head. But also smoking and alcoholism are the main cause for the problem to occur,” said Dr Makundi.

Dr Alvin Miranda a neuron surgeon for Mloganzila said that there is no means for preventing the disease, but what needs to be done is to reduce or to refrain from engaging in risk factors including smoking and alcoholism.

“Cerebral aneurysms can occur anywhere in the brain, but the most form in the major arteries along the base of the skull,” he said.

“Previously, due to lack of medical equipment and experts (surgeons), patients were referred outside the country for treatment which they get at a high cost of up to 20 or 21m/- per person,” Dr Miranda explained.

“If there is aneurysm rupture, a patient will end up with sub arachnoid haemorrhage, and he or she will be in the risk of losing life for 30 percent, but when the same patient will acquire aneurysm rupture for the second time, he or she will be in the risk of losing life for 70 to 80 percent,” he explained.

Dr Miranda detailed that an average of 3percent of people in the world face the problem every year, and it is half of them who get the chance to visit the hospital while already in serious condition.

For his part, Prof Huh Seong said Yonsei hospital in Korea will continue to collaborate with Muhimbili National Hospital of Tanzania in exchange of experts and to expand the scope of the public hospital in rendering quality health services to the people.

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