Location: Louyang, China
Dates: 07/01/2016 - 07/09/2016
Surgeons: Dr. Philip Frykman
Training: Very High
Average Mended: 15
Where in the World
China is the world’s most populated country, with a population of over 1.35 billion. China houses people of 56 different ethnic groups. About 17% of the population are children under the age of 14 years.
Luoyang is located in Central China and is one of the four great ancient capitals of China. It has a population of about 6,500,000 people, most living in urban settings. The city is famous for the Longmen Grottos and its cultivation of peonies.
Healthcare in China
China’s rapid economic growth has pulled hundreds of millions of people out of poverty since 1978. Currently, 10% of the population lives below the poverty line. As of 2011, 95% of China’s population has basic health insurance coverage and there have been many improvements in health. However, due to the country’s high population density, public health problems such as respiratory illnesses and serious infectious disease outbreaks are an ongoing issue.
Every year about 900,000 children are born with congenital anomalies in China. According to the Ministry of Health, the birth defect rate has increased by 70% from 1996 to 2010. With this increase in children being born with birth defects, there has also been an increase in the abandonment of these children. Many who survive live in orphanages. Anorectal malformations (ARMs) are one of the most common congenital anomalies seen, yet research does not yet know why. ARMs occur when a newborn’s anus and rectum (the lower end of the digestive tract) has not developed properly or is sometimes completely absent. Children with such malformations are far less likely to find adoptive families in China than other orphans. A child born with an imperforated anus is considered the worst curse on a family, one that carries on for generations.
The Mending Kids mission to China is all about hope, love, and mending children’s lives under the leadership of Dr. Phil Frykman and Dr. Keith Kimble of Cedars-Sinai Medical Center in Los Angeles. This mission exemplifies our ongoing commitment to sustainability by partnering with local surgeons who are interested in learning both open and minimally invasive procedures to correct anorectal malformations (ARM).
Since 2011, Mending Kids has transformed the lives of 50 orphans in Luoyang, China who otherwise would have remained unadoptable because of their congenital birth defect. All of the ARM children on our mission are orphans living in the care of Maria’s Big House of Hope. They all are living with colostomies performed emergently in the first few days of life to relieve the obstructed colon. Unfortunately, all of these ARM children have little to no hope of being adopted without the corrective surgeries we provide. However, with the success of our sustainable colorectal surgical program over the last 4 years, 50 orphans have received surgeries and 12 of them have been adopted into loving families with a chance at a healthy life!
From training one surgeon in a private operating room to now performing surgeries out of Luoyang First People's Hospital, we are giving half a dozen local pediatric surgeons the opportunity to participate and lead laparoscopic procedures to correct ARMs.
This past year we worked alongside the Luoyang Women's and Children's Hospital in partnership with Dr. Zhai, Dr. Yang, and their pediatric surgical colleagues. Through an exchange of knowledge and experience, Mending Kids participated in a Regional Pediatric Teaching Conference, utilizing the latest telemedical and live-surgery support, broadcasting several surgeries to young and mid-career pediatric surgeons throughout the region.
The conference drew a large audience, raised awareness, continued building trust and culminated in a new declaration by the Chief of Pediatric Surgery. Dr. Yang announced, "We will no longer council parents of newborns with complex ARMs to take their babies home to die, because we have nothing to offer them. We now know how to repair these conditions and can offer infants not only life-saving procedures, but a good quality of life, thanks to the training your team has provided for us."
The Pena stimulator and the new, lower-cost Frykman/Kimble stimulator were both developed as a result of past missions. These tools are muscle stimulators for the anal sphincter (also known as an anal “wink”), necessary to find the exact point to correct an imperforated anus. The Frykman/Kimble stimulator, developed by the Global Pediatric Surgical Technology & Education Project (GP STEP), proved its value in making ARM surgeries more affordable in China. This inexpensive, simple tool could be made available to local surgeons in China and aid thousands of children in giving them a chance at a healthier, more active life.
Of equal importance, post-operative bowel management care, which is critical to the recovery of these young patients, was also taught and emphasized at the conference, with the participation of Janet Kimble, RN, an expert in the field and a veteran of dozens of missions with Mending Kids. Her instruction manual was also translated into Mandarin.
Non-surgical team volunteers are limited as this is a Micro-Team Mission and there is currently a waiting list. If you are interested in volunteering, review our FAQ section (click the Get Involved tab, then Mission Volunteer button) and then contact firstname.lastname@example.org. The team fee for this mission is $4000 and will require a deposit of $500 to hold your spot.
From the Surgeon
Not only were we advancing sustainable pediatric surgical care through the training 18 surgeons from nine African countries, but in addition we were also providing novel, affordable muscle stimulators thereby providing an essential tool to perform precise and high quality surgery for children in their own country! Thus advancing the overlapping missions of Mending Kids and GP STEP to facilitate local sustainable surgical care for children worldwide. It simply does not get better than this! I certainly hope that together, we can create many more opportunities such as this in the near future!
Simply put, this is the most rewarding and gratifying response our team could have ever received! I myself was both deeply humbled, yet exceedingly proud of the 'change in thinking' in which our entire team played a role.