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The Hamlins developed techniques not generally
used in Europe and the USA. Dr Catherine Hamlin is a world leader in this work.
The operations are a low-tech affair, usually done with
a local spinal anaesthetic - with occasional use of a locum anaesthetist for
a general anaesthetic.
Absolute cleanliness and good hygiene are
prerequisites. Nothing that can be re-used is thrown away. Needles which in the West would be discarded are sterilised in the autoclave and
used again.
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