
20/06/2025
…Doing the right things to save lives (limbs) and taking the right steps to alleviate pain and human suffering—
…The purpose of presenting my case here is to demonstrate our commitment to using the best evidence-based approach available in current surgical protocols. In other words, it is about preventing the loss of life or limb, often achieved through timely and appropriate medical care, high-level surgical interventions… Furthermore, it involves addressing both the physical pain and emotional distress associated with illness or injury. Our perioperative team which I had led as Chief Surgeon and Medical Coordinator at Keysaney Field Hospital, Mogadishu City, Somalia meticulously achieved pain relief through medications, physiotherapy and psychological support, following the surgical principles established by the International Committee of the Red Cross for War Surgery… During the “period” of high and low intensity of the Somali civil war, which unfortunately and sadly lasted for many years – almost a generational era in my country with unnecessary, unthinkable and premature loss of life, killed or maimed and costly destruction – physical destruction, for example of buildings or infrastructure; destruction and loss of historical sites… MJ
…On my return to Somalia 7 years ago, I have run into an elderly Somali patient whose life and right leg I had saved in 1992. The patient had a severe gunshot wound to the right thigh. A high velocity bullet had severed his right femoral artery, and had subsequently lost a lot of blood. I had corrected his hemorrhagic shock and successfully repaired his right femoral artery with the interposition of a saphenous vein graft. The femoral artery is still functioning and patent...after 26 years. MJ