Doctor jailed over botched circumcision


A Zimbabwean medical doctor, Dr Charles Madamombe, has been jailed for 10 years after a three-year-old boy he circumcised died following complications related to the surgery.

Madamombe, who tried to flee after the operation, was found guilty of culpable homicide in the death of Chinonso Onyenekwu at the Lister Poly Clinic in Johannesburg in January 2009.

The boy did not wake up after the surgery and
Madamombe failed to examine him despite repeated attempts by a nurse to alert the doctor to the boy’s deteriorating condition.

Madamombe also failed to ensure the child had not eaten for six hours prior to a general anaesthetic being administered, and this resulted in him choking to death as the contents of his stomach pushed up into his lungs.

Anaesthetist Professor Christina Lundgren told the Johannesburg Magistrates’ Court an anaesthetist, not the operating surgeon, should administer a general anaesthetic.

Lundgren also said the recovery room “must be a dedicated area with monitoring devices where a (trained) nurse . . . must be in charge of managing recovery”.

Nurse Vuyelwa Botya testified Madamombe failed to respond to calls to examine the boy when she became concerned about his condition.

Botya said another nurse had told her the child had stopped breathing. She reported this to Madamombe who opted to finish his lunch before responding. He thereafter told her the child was “fine”.

The nurse called him a further four times before he arrived and attempted to resuscitate the boy.

Madamombe then tried to run away, but the child’s father, Douglas Onyenekwu, managed to nab him with the help of security guards. Police were called and he was arrested.

The 41-year-old was also convicted of practising without being registered with the Health Professions Council of South Africa.

Magistrate Lucas van der Schyff said Madamombe’s degree of negligence was “gross”.

The court found he had not taken the necessary care required of a medical professional and that “lack of care was the reason for the death of the child”.

Van der Schyff said: “If the child was properly monitored, the accused would have immediately realised that something was amiss . . . and the child would have accordingly survived.”

More than 40 000 Zimbabwean men have been circumcised so far since the programme began in 2010, in a bid to reduce the risk of HIV.