In Summary
  • The KMPDB found that Dr Martin Ajujo, who led the procedure, was still a trainee and was not licensed to conduct surgery without the supervision.
  • Also, investigations show that the clinic had operated without a licence for some months before Ms Mulupi walked in for the second of a three-part surgery.
  • Prof Khainga, Dr Charana and Dr Ajujo sued to stop KMPDB from probing them, claiming patient records showed that she had arrived at Nairobi Hospital while stable.

On June 5 last year, June Wanza Mulupi walked into Surgeoderm Healthcare Limited, a private clinic in Nairobi, to have her breasts enlarged and firmed up.

She was 35 years old and a mother of three, considerably healthy, and looking forward to leaving the clinic within hours.

But that was not to be as, a few hours later, and despite assurances by the surgeons that she would be fine, she developed complications that killed her two days later, leaving behind a distraught husband and their three children.

Eight months after Ms Mulupi’s shocking death, investigators have pointed accusing fingers at the three doctors who operated on her, as well as the management of Surgeoderm Healthcare Limited.

The Kenya Medical Practitioners and Dentists Board (KMPDB) found that Dr Martin Ajujo, who led the procedure, was still a trainee and was not licensed to conduct surgery without the supervision of a practising plastic surgeon.

LICENCE

A shareholder in the clinic, Dr Ajujo was supposed to work under the supervision of another shareholder, Prof Stanley Ominde Khainga, who is also the head of the plastic and reconstructive surgery department at the University of Nairobi.

Investigations into the matter also revealed that, although already graduated, the anaesthetist, Dr Evans Charana, did not have a private practice or locum licence from KMPDB. He also had no professional indemnity insurance as required by law.

At the time of the operation, Dr Ajujo was a plastic surgery and reconstructive registrar at Kenyatta National Hospital.

This means he was receiving training under a supervisor on his journey to becoming a plastic surgeon.

He was also a Nairobi County employee seconded to Mama Lucy Kibaki Hospital, but was on study leave.

TRAINEE

The crux of the investigation revolved around how, despite not being allowed to conduct any surgery unsupervised, Dr Ajujo went ahead and listed himself as the operating surgeon on Ms Mulupi’s admission papers at Surgeoderm.

Owing to the low number of plastic surgery patients at Kenyatta National Hospital, Prof Khainga had allowed Dr Ajujo to train in other facilities under his supervision, and that might explain how he ended up at Surgeoderm.

Dr Ajujo confessed to the KMPDB team that he took the notes in Ms Mulupi’s file, and that there were no notes by Prof Khainga. Any error in Ms Mulupi’s patient file was his, not Prof Khainga’s, he added.

To make matters worse, the KMPDB’s preliminary investigations show that the clinic had operated without a licence for some months before Ms Mulupi walked in for the second of a three-part surgery.

MALPRACTICE

The KMPDB had granted Surgeoderm a licence on April 5 last year, yet Ms Mulupi’s first procedure had been conducted two weeks earlier, on March 24, by Prof Khainga.

Investigators thus believe several illegal surgeries were performed at Surgeoderm since Ms Mulupi was not the only patient to have a breast augmentation procedure at the facility before April.

On June 5, when Ms Mulupi walked in for her appointment, Prof Khainga was running late and Dr Ojijo proceeded to perform a quarter of the procedure before his supervisor arrived.

He had already harvested fat from Ms Mulupi’s abdomen through liposuction and was preparing to inject it into her breasts when Prof Khainga arrived.

A day after the surgery, on the morning of June 6, Mr Joseph Mulupi walked into Surgeoderm to take his wife home, but found her asleep.

He returned at noon and found his wife complaining of excruciating pain. She said she was feeling cold and he covered her with an extra blanket, then tried to feed her.

REFERRAL

He was told he would take his wife home later that evening, but late in the afternoon he received a call from the clinic and was told that his wife was not eating.

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