There were several of these cases at the outreach camp in Bharatpur - it's called polydactyly and seems to be quite common over here. It's a pretty simple surgery to correct and just depends on whether the joint is involved. In one of the cases I saw, abductor policis brevis (thumb muscle) was attached to the extra thumb and so it was functional. Useful for playing the piano perhaps?
So in total we operated on 10 cases (mixture of post burn contractures, clefts, polydactyly and moles) on Saturday and another 4 on Sunday before coming back to Kathmandu. The surgeon then arrived back in Kathmandu to operate on Monday before heading off to Nepalgunj on Tuesday. This is another camp in the far west Terai region of Nepal, deep in the malaria zone and with average temperatures of 44 degrees C at this time of year. Best to give that one a miss for now...
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