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Department of Surgery

The Department of Surgery is one among the six departments of the Directorate of Surgical Services comprises of five units. These units are divided according to their areas of specialization which are; Gastroenterology and General Surgery, Thoracic and General Surgery, Urology, Paediatric Surgery and Plastic and Reconstructive Surgery Unit. The overall responsibility of the department is to provide effective, efficiency and high quality tertiary specialist surgical services to patients.

Gastroenterology and General Surgery

This unit is responsible for all surgical diseases along the gastro-Intestinal tract including the liver. It also takes care of patients with general surgical conditions both elective and emergency cases. The most common elective surgeries performed under this firm includes biliary surgeries, surgeries for gastric and colon malignancies, mastectomies, thyroidectomies and many others. Where as the most common emergence cases include laparotomies for peritonitis, Intestinal obstruction, abdominal trauma and amputations for diabetic feet.

Thoracic and General Surgery.

This unit is responsible for all thoracic conditions which are surgical. It also takes care of patients with general surgical conditions: both elective and emergencies. The most common elective surgical conditions managed under this firm include surgeries for empyema thoracis, thoracotomy for achalasia of the oesophagus, lung resections, and myasthenia gravis. Others include surgeries for malignancies of the breast, stomach, colon and rectum, thyroid and others. The most common emergence cases operated include laparotomies for peritonitis, intestinal obstruction, abdominal trauma and amputations for diabetic feet.

Urology Unit.

The Urology Unit at Muhimbili National Hospital was established in 2008 under the department of surgery. It is a superspeciality which takes care of all urological surgical conditions. Both open and endoscopic surgeries are done under this unit. The top ten urological conditions which are managed by this firm includes Benign Prostatic hypertrophy (BPH), Urinary bladder cancer, Prostate cancer, Urethral stricture, Hydronephrosis, Hypospadia, undescended testis, renal tumour and PUV ( Posterior Urethral Valve). The most common emergency conditions include urinary retention, ureteric injuries, post traumatic kidneys and urinary bladder injuries.

Paediatric Surgery Unit.

The Unit is responsible with all the surgical cases of children under the age of eleven years. This excludes children with orthopaedic conditions, neurosurgical, plastic conditions and urological conditions because these are cared for in the respective units. The most common surgical conditions which are managed under this firm includes hernias, anorectal malformations, hirschsprungs disease and Paediatric tumours. The most common emergency conditions attended include laparotomies, for pentonitis intestinal obstruction. hernias, and Trauma.

Plastic and Reconstructive Surgery Unit.

The Plastic and Reconstructive Surgery and Burn Unit are under the department of surgery. In order to perform its clinical work efficiently, the firm works together with a multi disciplinary team of physiotherapists, occupational therapists, Nutritionist and Paediatricians. The top ten conditions which are managed in this unit include burn injuries, Post burn contractures, post traumatic contractures, neurofibromatosis keloids, lymph oedemas, chronic ulcers, benign breast hypertrophy and pressure sores. Procedures which are commonly done include; Skin grafting, contracture release, Excisional biopsies, keloid excision, cosmetic procedures like reduction mammoplasty and mastopexy.

New Services:

Laparoscopic Surgeries are currently performed at the MNH. Other than the endoscopic procedures performed by urology unit, the department is currently doing laparoscopic cholecystectomies, and laparoscopic herniorrhaphies.

Guiding Principles

Integrity

MNH has a social responsibility to improve the health of future generations. Guided by fundamental ethical principles of access and equity and in compliance with related laws and regulations, MNH will work with integrity in the pursuit of high quality clinical services. Respect Our patient and our workforce are our greatest resources. We are committed to a patient centred hospital environment and workforce built on respect for diversity, trust, communication, and institutional teamwork at all levels within the organization. .

Respect

Our patience and workforce are our greatest resources. We are committed to a patient centred hospital environment and workforce built on respect for diversity, trust, communication and institutional team work at all levels within the organization.

Quality

MNH will accomplish objectives by using all available resources to continually ensure best value for patients and stakeholders. This strategic planning process directs available resources to achieve strategic goals in the most cost effective manner. MNH shall collaborate with the Ministry of Health (Government), Muhimbili University College of Health Sciences (MUHAS), Muhimbili Orthopaedic Institute (MOI), Ocean Road Cancer Institute (ORCI), the Dar es Salaam Municipal and other referral hospitals to deliver the highest quality services within existing resources.

Security

MNH is committed to ensure the security of the Hospital. MNH will work proactively with patients, employees, and Hospital security officials to maintain a secure work environment for patients, staff, and Hospital assets.

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