Dr Nangandu Malungo
Dr Nangandu Malungo from Kenya has completed her BFIRST fellowship at East Grinstead focusing on breast, burns and skin cancer.

Dr Malungo outside Queen Victoria Hospital, East Grinstead
I would like to express my sincere gratitude for the opportunity and support given to me, to enable me travel for the BFIRST fellowship in the United Kingdom. The Clinical attachment was at Queen Victoria Hospital (QVH), In West Sussex, England. The period was 6 weeks from 23th July 2025 to 3rd of September 2025.

Dr Malungo outside Queen Victoria Hospital, East Grinstead
Highlights
I was able to observe many reconstruction surgeries:
- Immediate DIEP flap for breast reconstruction (Unilateral/Bilateral breast reconstruction)
- Delayed DIEP for Breast reconstruction
- Immediate Bilateral TUG, VUG flaps for breast reconstruction
- Complications- Hematoma evacuation post DIEP, Contractures
- Nipple reconstruction
- Implant to flap breast reconstruction
- Removal of implants
- Breast Implant Capsular Contracture – Implant removal
- Hand Trauma – digital nerve repair, Tendon repair, Hand Traumas
- Scar treatment – Keloid excision, Rhinophyma
- Skin Cancers- excision and local flaps, SLNB for Malignant Melanoma
- Burns – Split thickness skin grafts, wound debridement, acute management in burn unit

Dr Malungo with Mr Nav Cavale, BFIRST President, at St Thomas Hospital.
Other experiences:
- Clinics - General plastics, Burns, Scars, Facial palsy – synkinesis and symmetry with Botulinum toxin
- Visit to St Andrews Burn Centre at Broomfield Hospital in Chelmsford
- Visit at St Thomas’ Hospital – Plastic surgery unit (Courtesy visit with Mr Cavale)

Dr Malungo practicing microsurgical skills.
Appreciation:
To the host team at QVH lead by Dr Hazari for Breast reconstruction and Mr Dheansa for Burns. The team at St Andrews Burn centre. The housing unit near the hospital made it very easy to access the hospital. I am grateful for the set of Surgical Loupes that I received from BFIRST. They will go a long way in helping with reconstructive surgeries in my setting. This was a beneficial experience, and I hope to apply some techniques in our practice at Moi Teaching and Referral Hospital