Children’s Surgical Centre (CSC)          Jim Gollogly

Children’s Surgical Centre (CSC) is based in Phnom Penh. The founder and CEO, Dr. Jim Gollogly, a British-American surgeon, first came to Cambodia in the early 1990s for a six-month assignment with the American Red Cross. After thirty years of war and genocide by the Pol Pot regime, in which the country's educated were targeted for execution, the medical system suffered tremendously. 

Upon arriving to Cambodia, Dr Jim found that various disabilities and landmine injuries were rampant. Having made a few contacts during his assignment, he returned to Cambodia in 1998, following the UN-backed elections. CSC started as a small project to help victims of landmine injuries, many of whom were children, and CSC has grown into what it is today.

Out Patients Department

CSC is well equipped as compared to other hospitals with a well-organised Out-Patient and patient database. As CSC had prior knowledge of our visit, some complex cases pertaining to our sub-specialty were asked to attend clinic. After consultation a management plan discussed with all documented into the patients e-file. This was a very efficient use of our time at CSC.

Barn Theatre with Four Operating Tables

The theatres were arranged in a ‘barn’ concept with 5 operating tables working simultaneously. The theatres were rudimentary with only one radiolucent table, and an Image Intensifier that had seen better days. The Anaesthetics equipment and Department were made of more sturdy stuff. The doctors were courteous and masters at local blocking techniques, as well as general anaesthesia for children undergoing cleft palate surgery.

    Singapore MiST visit in 2014              Dr Jaunius Kurtinaitis

The Foundation has been sending Limb Reconstruction Teams (LRT) on a regular basis since May 2013. The remit of the Teams is to treat patients needing Limb Reconstruction and educate and train the Cambodian Surgeons in the use of Ilizarov surgery and ring fixators.
In February 2015, Lithuanian MiST led by Dr Jaunius Kurtinaitis visited CSC, and followed in March 2015 by another team from Lithuainia led by Dr Saulius.

                                 Xray Tutorial at CSC                         Singapore Orthopaedic Residents

Following a daily 8am morning Xray meeting, the cases for the days operating were discussed and equipment made available.
Out-patient clinics would run simultaneously as operating theatres, and any spare time is spent in teaching and training the local surgeons and nurses.
The Orthopaedic residents that had joined in the mission would act as database in-putters and assistants in theatre cases.

A number of patients have been treated at CSC by the Foundation whilst teaching the junior CSC surgeon. Most of the cases are mal-unions, non-unions of previously treated fractures or infections following operative intervention (See gallery for more cases).
The patients are followed-up by CSC who are in constant communication with the Foundation in case any complications arise requiring prompt management.
From 2013 to date, the Foundation has been involved in 76 cases at CSC of varying aetiology and complexity.