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Elinor Catherine Hamlin, AC, FRCS, FRANZCOG, FRCOG (née Nicholson; 24 January 1924 – 18 March 2020) was an Australian obstetrician and gynaecologist who, with her husband, New Zealander Reginald Hamlin, co-founded the Addis Ababa Fistula Hospital, the world's only medical centre dedicated exclusively to providing free obstetric fistula repair surgery to poor women with childbirth injuries. [1]
Fistula Foundation is a nonprofit 501(c)(3) organization focused on treatment of obstetric fistula, funding more repair surgeries than any other organization, public or private. [ 1 ] [ 2 ] As of December 2024, Fistula Foundation supports hospital and doctors in more than 30 countries across Africa and Asia. [ 3 ]
Hamlin trained her in how to repair fistulas, and she is now regarded as one of the institution's leading fistula surgeons, often training new post-graduate doctors. [7] [8] [9] The work of Reginald and Catherine Hamlin, and Mamitu Gashe, was recognised by the Royal College of Surgeons of England (RCS) with the award of its Gold Medal. [10] The ...
In 2017, Hamlin-trained midwives delivered over 22,500 babies and no cases of fistula occurred in these births. [citation needed] The Addis Ababa hospital has trained 28 surgeons in fistula repair between 2015 and 2018. Hamlin says that they have "now treated 55,000 [women] and these are like ambassadors all over the countryside". [4]
The complications are fewer than with other access methods. If a fistula has a very high blood flow and the vasculature that supplies the rest of the limb is poor, a steal syndrome can occur, where blood entering the limb is drawn into the fistula and returned to the general circulation without entering the limb's capillaries. This results in ...
Vascular access steal syndrome is a syndrome caused by ischemia (not enough blood flow) resulting from a vascular access device (such as an arteriovenous fistula or synthetic vascular graft–AV fistula) that was installed to provide access for the inflow and outflow of blood during hemodialysis.
Doctors who spoke to media on Hamlin's condition said other pro sports franchises should study the care that the Buffalo player received so they’re just as prepared in case of a similar emergency.
A modification obturator may be used in the short term to block a palatal fistula, for augmentation of the seal and to separate the oral and nasal cavities. An interim palatal obturator is used post-palatal surgery. This obturator aids in closing the remaining fistula and is used when no further surgical procedures are planned.