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Day 1 Highlights of the RSS 7th Annual Scientific Conference.

1. E. Rwamasirabo, President of the Rwanda Surgical Society :Surgical pediatric diseases burden is a significant contributor to child mortality ; we should therefore stride to improve access to surgical pediatric care as a way to achieving the MDG goal 4.
2. Dr. S. Hakiba, PS Ministry of Health, Rwanda :The Rwanda Surgical Society is a sure partner in the provision of surgical pediatric care in Rwanda and I congratulate you for bringing together surgeons, anesthesiologists and nurses together to share your experience
3. Dr. E. Nsengiyumva : The gold standard treatment of a congenital clubfoot is”Ponseti method that treatment is simple and should be applicable in every health settings”.
4. Prof. Alex Butera : Pediatric Surgery looks at Surgery of Children. Addresses the problem of today and ensures a better tomorrow.
5. Dr. R. Dusingizimana : Slipped upper capital femoral epiphysis : early detection and management is key to good surgical outcome
6. Dr. R. Mukezamfura : The management of bilateral proximal femoral focal deficiency is conservative (non operative).
7. Dr. JC. Byiringiro : Road traffic accidents are still causing a significant number of pedestrian childhood injuries. Prevention strategies should be reviewed and reinforced with regard to children.
8. Dr. A. Hirwa : Chronic osteomyelits is a burden and can cause disability but cervical sequestrectomy and bones cement have good outcome especially in children.
9. Dr. George Ntakiyiruta : Bilateral pheochromocytoma in 16 years old : a case report of two stage adrenalectomy. Pheochromocytoma is a rare condition in both adult and pediatric population. Multidisciplinary approach of surgeon, endocrinologist and anesthesiologist is key to successful outcome.
10. Dr. J. RICKARD : Burns account for 4% of all operations at CHUK and half of these are in pediatric patient, most notably in patient age less than 5years. The mortality in the patient population is relatively high (40%) and efforts should be focused on burn prevention. Care at CHUK can be strengthened through interdisciplinary teamwork.
11. Dr. J. Bikoroti : Parasitic twins is a rare surgical condition that is managed by surgery and good outcome have been is expected.
12. Dr. Allen JC. INGABIRE : Septic arthritis in children is an orthopedic emergency, earlier diagnosis using Kocher or modified Kocher criteria is mandatory. Staphylococcus Aureus is the most pathogen found in bacteriology. Surgical intervention and appropriate antibiotics are crucial in the management of septic arthritis in children.
13. Dr. P. Munyemana : Myelomeningocele is the most prevalent Neural Tube Defect (NTD) referred at Rwanda neurosurgical center. Most patients are getting complications related to late presentation for consultation. We are looking forward to do a country based study to have a long spectrum of SB in Rwanda.
14. Dr. Steve Nshuti : Management guidelines for craniopharyngioma in Rwanda : early presentation and recognition of paramount importance ; anticipation and management of complications include endocrinopathies. Multidisciplinary approach is key to management.
15. Dr. Mpatswenumugabo : A Tillaux and triplane fracture is transitional fracture in older adolescents and early management is crucial.
16. Dr. D. Hakizimana : Early recognition of intracranial pediatric pus collection, through education and early referral for surgical management.
17. Dr. JP. Nsengimana : Pediatric injuries represent approximately 8% of all injured patients seen and managed by SAMU in Kigali ; this is a huge public health issue.
18. Dr. Albert Nzayisenga :Supracondylar fractures (SCF) of humerus in children. Literature review SCF of humerus are frequent in School age children and affect the distal portion of humerus. For displaced fractures, early reduction, fixation and immobilization are paramount for better outcomes, both cosmetic and functional.

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