- A recent issue of the East African Medical Journal shows that the primitive Kisii practice of trephination of the skull is being closely watched by the medical profession in Kenya.
- The operation is performed without an anaesthetic, with the patient either lying down or sitting on a stool.
- Close relatives are used as an assistant, both hold the patient and to retract the skin to give good access to the bone.
- The patients do not cry out but if they do, they are not allowed to stop the operation once it has commenced.
- But the patient may be given a rest and the operation resumed later.
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