Tuesday, March 29, 2005A team of Australian surgeons yesterday reattached both hands and one foot to 10-year-old Perth boy, Terry Vo, after a brick wall which collapsed during a game of basketball fell on him, severing the limbs. The wall gave way while Terry performed a slam-dunk, during a game at a friend’s birthday party.

The boy was today awake and smiling, still in some pain but in good spirits and expected to make a full recovery, according to plastic surgeon, Mr Robert Love.

“What we have is parts that are very much alive so the reattached limbs are certainly pink, well perfused and are indeed moving,” Mr Love told reporters today.

“The fact that he is moving his fingers, and of course when he wakes up he will move both fingers and toes, is not a surprise,” Mr Love had said yesterday.

“The question is more the sensory return that he will get in the hand itself and the fine movements he will have in the fingers and the toes, and that will come with time, hopefully. We will assess that over the next 18 months to two years.

“I’m sure that he’ll enjoy a game of basketball in the future.”

The weight and force of the collapse, and the sharp brick edges, resulted in the three limbs being cut through about 7cm above the wrists and ankle.

Terry’s father Tan said of his only child, the injuries were terrible, “I was scared to look at him, a horrible thing.”

The hands and foot were placed in an ice-filled Esky and rushed to hospital with the boy, where three teams of medical experts were assembled, and he was given a blood transfusion after experiencing massive blood loss. Eight hours of complex micro-surgery on Saturday night were followed by a further two hours of skin grafts yesterday.

“What he will lose because it was such a large zone of traumatised skin and muscle and so on, he will lose some of the skin so he’ll certainly require lots of further surgery regardless of whether the skin survives,” said Mr Love said today.

The boy was kept unconscious under anaesthetic between the two procedures. In an interview yesterday, Mr Love explained why:

“He could have actually been woken up the next day. Because we were intending to take him back to theatre for a second look, to look at the traumatised skin flaps, to close more of his wounds and to do split skin grafting, it was felt the best thing to do would be to keep him stable and to keep him anaesthetised.”

Professor Wayne Morrison, director of the respected Bernard O’Brien Institute of Microsurgery and head of plastic and hand surgery at Melbourne’s St Vincent’s Hospital, said he believed the operation to be a world first.

Wednesday, September 6, 2006

The President of Pakistan, Pervez Musharraf is in Kabul for a two-day visit during which he is scheduled to hold talks with his Afghan counterpart, Hamid Karzai. The talks are expected to focus on the continuing militant activity on both sides of the border, with Taliban forces allegedly infiltrating into Afghanistan from across the border in Pakistan.

Economic cooperation and reconstruction in Afghanistan are also on the agenda. President Musharraf is scheduled to meet cabinet ministers and address parliamentarians tomorrow. His delegation includes ministers for foreign and religious affairs and the petroleum sector, and the head of Pakistan’s intelligence agency.

“Frank discussions on the war on terror and expanding bilateral cooperation on regional issues,” read a statement by President Karzai’s office.

Pakistan foreign office spokeswoman Tasnim Aslam told AFP news agency that the Presidents “will exchange views on bilateral relations, economic cooperation, reconstruction activities in Afghanistan and cooperation in the fight against terrorism,”

“Afghanistan is expecting the Islamic Republic of Pakistan to take effective action against terrorism,” Afghan Foreign Ministry spokesman Sultan Ahmad Baheen said.

Pakistan signed a peace agreement with pro-Taliban militants in the North Waziristan region on the eve of the visit. The deal aims to end years of unrest in the border province. Under its terms the Pakistan military forces and militants will stop attacks on each other and the militants have agreed to disarm or expel foreign Al-Qaeda-linked fighters in the area. Pakistan has rejected criticism that the deal will allow pro-Taliban forces to operate freely in the area.

“Pakistan is committed to its policy on war on terror, and Osama caught anywhere in Pakistan would be brought to justice,” army spokesman Maj. Gen. Shaukat Sultan told the Associated Press.

On Wednesday, President Karzai met the NATO General Secretary Jaap de Hoop Scheffer in Kabul and signed an accord aimed at boosting security and development in the country. The NATO chief warned that “some of the terrorists, the spoilers, think they can win in the south,”, adding “They are wrong. Because they cannot win, they will not win, […] That is why we are engaged in combat as well at this very moment.”

The visit comes amidst an upsurge in violence in Afghanistan, with US forces saying that 60 militants were killed by artillery and air-strikes on Tuesday. Some 700 more are believed to be surrounded by soldiers in an operation in Khandahar province.

NATO and Afghan forces launched an operation in Khandahar’s Panjwayi district last weekend, and NATO reports 250 militants as killed in the operations, though a Taliban commander has disputed the figure and there is no independent confirmation of the toll. Hundreds have been killed in continuing fighting between government and international security forces and insurgents in the last four months.

An estimated 1500 families have been displaced by the fighting in Khandahar.

Suspected Taliban militants shot dead two muslim clerics in Lashkar Gah, capital of the Helmand province in the last two days and raided a district headquarters in the town of Arghandad in Zabul province.

Musharraf last visited Afghanistan in 2002. Afghanistan has previously complained that Pakistan is not doing enough to combat Taliban insurgency in its side of the 2,250km (1,400-mile) mountainous border between the two countries. Earlier in the year, allegations by Afghanistan that Taliban and Al-Qaeda leaders were living in Pakistan were dismissed by Musharraf as “nonsense”. In February, Afghanistan issued a list of 150 Taliban suspects it said were living in Pakistan. President Musharraf dismissed the information as “old and outdated”, but President Karzai reiterated that the list was up-to-date.

Some Al-Qaeda and Taliban leaders have been arrested in Pakistan, which has also stationed close to 80,000 troops along the Afghan borders. There is international pressure on Musharraf to deal with Islamist groups in Pakistan who are believed to assist Taliban forces.

“Pakistan has the potential to be the solution to the problems of Afghanistan,” Afghan foreign ministry advisor Ali Muradian said.”We hope that President Musharraf will open a new chapter in relations between Afghanistan and Pakistan.”

Pakistan was closely associated with the Taliban’s rise to power in the 90s one of only three nations that recognised the then Taliban government.

While state run dailies Kabul Times and Hewad expressed hope that two leaders will work together to improve security, The daily Cheragh said that while statements about restoring security can be expected from the meeting, “as experience has shown”, previous pledges by Pakistan “have not been fulfilled”.

Kabul Times also said Afghanistan was grateful for Pakistan’s help to thousands of Afghan refugees.

“The key concern is whether the agreement is going to lead to more insurgents going to and fro across the border or less,” A diplomat told AFP, while another questioned Pakistan’s peace deal with the militants.