Outpatient Surgeries: 

487 cases (excision of skin lesions/lipomas) were done by both volunteers from Hawaii, Washington State, and Sweden.

Inpatient Surgeries: 139 patients (vs. 100 in 2018) underwent a total of 154 major procedures. 109 adults and 30 children

GYNECOLOGY: 30 patients with 36 procedures (vs. 27 patients with 42 procedures in 2018). 90% of patients were treated for prolapse:

• 5 Trans-abdominal hysterectomies (vs. 3 in 2018)

• 13 Trans-vaginal hysterectomies (vs.15 in 2018)

• 4 Uterosacral ligament suspension

• 10 Colpoclesis (vaginal closure)

• 6 Anterior/Posterior vaginal repair

• 1 Labia Mass

• 1 Ovarian/Dermoid cyst removal
  

  GENERAL SURGERY / HEAD & NECK: 96 patients with 103 procedures

• 23 Pediatric inguinal hernia repairs (vs. 20 in 2018)

• 13 Adult inguinal hernia repairs (vs. 24 in 2018), all with mesh repairs

• 13 Cholecystectomy, (vs. 30 in 2018)

• 14 Adult hydrocelectomies

• 26 Various: 4 umbilical hernia, 5 epigastric hernias, 3 lipoma mass, 2 orchiopexy, 10 circumcisions, 1 ependymal cyst, 1 smegma

• 2 Hemithyroidectomies (vs. 0 2018)

• 1 Tonsillectomy (vs. 0 2018)

• 3 Parotidectomies (vs. 0 in 2018)

• 2 Sistrunk Procedure (vs. 0 in 2018)

• 1 Excision of left periorbital vascular malformation

• 1 Lip lesion excision

• 1 Submandibular gland removal (tumor)

• 1 Dermoid cyst

• 1 Auricular skin tags

Total income = $18,708         

Total expenses = $11,712.71             

Total cost to AMM for mission = $-6,995.29

Estimated in-kind contributions by the mission team:

1. 18 physicians (CRNA’s and APPs included as physicians) x (est) $200/hr x 9 hrs/day x 7 days = $226,800 in physician services

1. 9 nurses x (est) $100/hr x 9 hrs/day x 6 days = $48,600 in nursing services

1. 4 dentists x (est) $125/hr x 9 hrs/day x 6 days = $27,000 in dental services

1. Equivalent value of operative services provided in US dollars:  86 major surgery cases x $15,000 ($1,290,000) + 3407 dental cases x $750 ($2,555,250) + 237 minor cases x $500 ($118,500) = $3,963,750 equivalent surgical / dental cases in US dollars

1. Total Estimated in-kind contributions: $226,800 in physician services + $48,600 in nursing services + $27,000 in dental services + $3,963,750 equivalent surgical / dental cases = $4,266,150.
   Actual treatment cost per patient:  $122,000 (travel costs 46 US volunteers x $2500 + 7 Filipino volunteers x $1000) + $11,712.71 (AMM expense) + $25,000 (Scholastica contribution) = $158,712.71  / 2293 pts served = $69.22 / patient-actual cost.
   

The St. Scholastica's Bacolod Alumnae Foundation, Inc. spent much of their own funds to support patient transport, lab/study costs, and screening costs. Their estimated total contribution to this mission totaled at least $25,000 US

The success of this mission is directly related to the herculean efforts of Gina Regalado, Jean Trebol, and all of the SSBAFI volunteers who provided the coordination and on-site support of the mission. As always, their performance was superb

The Chief of Hospital, Dra. Josephine A. Pahamtang, and all of the Dhankuta District Hospital staff were exceedingly gracious and helpful. Thank you to the many local health volunteers from the town who helped us care for patients in the operating suite, recovery room, postoperative ward, and dental clinic areas.
Thanks to those who contributed directly to offset mission expenses: Russ Martin, Lisa Cohen, and 69 generous donors who donated funds through the FlipCause Donation page!

Because of the continued success of this mission, AMM is invited to return to DHANKUTA, NEPALin 2025.

Thank you to all of the amazing AMM volunteers who contributed to the successful outcome of this mission. It was an honor and a pleasure to have worked with each and every one of you.