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PROFOH SURGERY B00K: VOLUME 2. A Humanitarian Organization With A Mission. Over 1.2 million patients seen and treated Some 50,000 Children immunized against polio Over 10,000 life–saving surgeries performed Over 2,000 households provided with water filters Some 120 local scholarships offered, writing desks and books provided Several international awards and honors Etc Headquarters: Worther -Weg 112D, 12502 Geesthact-Hamburg Germany. www.profohmed.org, info@profohmed.org.

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Our History. In 1998, Jesse fire disaster struck in Delta State, over 10,000 people were killed, Gbemuotor Kama, a Nigerian and with Cliff Jarrell an American missionary in West Africa mobilized public-spirited Nigerians and intervened, saved over two hundred lives..Thus Professionals For Humanity (PROFOH) was born... The official launch was held at the Hotel Presidential, Port Harcourt, Nigeria in May 2000.A few years later. They were joined by Markus von- Have, a German. The organization is now a global non-profit, medical and social humanitarian organization under the 501 status in the United States that is also incorporated in Germany, Ghana, Ireland, Nepal, Nigeria and South Africa. It has presence in Egypt, Brazil, Italy, Czech Republic, Honduras, Jamaica, Ireland, Benin, Liberia, Cameroon, etc. With support from partner organizations like Earthwide Surgical Foundation and Medical Mission International we have performed thousands of surgeries, thousands of children immunized against polio across West Africa, several local scholarships awarded, primary schools renovated, hundreds of writing desks and safe drinking water provided, more than a million patients have benefited from our clinical consultations and treatments .We are proud to say God has been conducting these surgeries for PROFOH, some of can be classified as surgical miracles while others are horrors..

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"When I tried to imagine being beautiful, I could only imagine living without the perpetual fear of being alone, without the great burden Of isolation, which is what feeling ugly felt like. — Lucy Grealy, Autobicuraphyofa Face Kingsley came to see us in September 2013. He had a slow growing parotid tumor that involved the whole left side of face. Like many Nigerians with limited resources and poor access to health care, he was resigned to his problem and accepted that the tumor would slowly grow. Fortunately, he heard about our arrival and came to see us. On examination, I found that the tumor had extended into his mouth. Resection would be difficult and reconstruction even more so. We did an extensive surgery that required removing skin, parotid gland, masseter muscle, buccal mucosa and surrounding structures. When we were done, the whole left side of Kingsley's oral cavity was gone, and we were looking at his tongue. We decided to pack the wound with gauze and give him a few days rest. Two days later, we took Kingsley back to surgery. His temporalis muscle was mobilized and used to reconstruct his mouth. Next, we raised a pectoralis myocutaneous flap to reconstruct his face. When we were done, we had put him back together with no extra pieces and no Pieces missing! Kingsley never complained or asked for pain medicine. He was tough! Kingsley came back for a checkup in January 2014. He looked great (at least from a surgical standpoint). The temporalis muscle had epithelialized in his mouth forming a new cheek and he was eating without difficulty. His pathology showed epithelial-myoepithelial carcinoma and, as a result, he will get radiation therapy.

But, many were amazed when they saw him. His face was so disfigured he seemed hardly human, and from his appearance, one would scarcely know he was a man. — Isaiah 52: 14 Daniel came to NCH in May 2014, on the last day of my trip. He had a large mass on his face that extended under his jaw and was having difficulty breathing. When I looked in his mouth, I saw that his tongue was pushed up to the roof of his mouth by a retropharyngeal mass. Despite the distorted anatomy, he could still eat without difficulty. We performed a tracheostomy and biopsy and decided to wait for the next trip to resect the mass since I did not want to do a big surgery and leave the next day. The biopsy showed a pleomorphic adenoma- a benign tumor! Pleomorphic adenoma is a common benign salivary gland neoplasm characterized by neoplastic proliferation of paren- chymatous glandular cells along with myoepithelial components. It is the most common type of salivary gland tumor. The following September, Daniel showed up again on the last day of my trip! He was having a small amount of difficulty eating but was otherwise healthy. We performed a feeding gastrostomy and decided to wait until the next trip to resect the mass We asked him to get a CT scan before my next trip so we could understand the anatomy better. In January 2015, Daniel finally showed up at the beginning of my trip, and we operated. The mass was huge. It appeared to originate from the submandibular gland and extended to the base of the skull. The larynx and pharynx were pushed all the way to the right and corn- pressed. With some difficulty, we removed the tumor and filled the hole with a pectoralis muscle flap. He developed a wound infection but, recovered without any further problem. After the surgery, the tracheostomy tube was removed, and he was eating and speaking normally when he was discharged. Needless to say, he was very happy..

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This 39 year old woman came in with a prolapsed uterine fibroid-a intrauterine fibroid that became so big that the body tries to eject it through the cervix like a baby. The fibroid in on a long stalk and usually is bleeding. In a pinch, you can clamp the stalk and stop the bleeding. We did a definitive procedure-a total abdominal hysterectomy. The woman did fine.

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