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“Image: slashphone.com
A British doctor volunteering in DR Congo used text message instructions from a colleague to perform a life-saving amputation on a boy.

Vascular surgeon David Nott helped the 16-year-old while working 24-hour shifts with medical charity Medecins Sans Frontieres (MSF) in Rutshuru.

The boy's left arm had been ripped off and was badly infected and gangrenous.

Mr Nott, 52, from London, had never performed the operation but followed instructions from a colleague who had.

The surgeon, who is based at Charing Cross Hospital in west London, said: "He was dying. He had about two or three days to live when I saw him."

Mr Nott knew he needed to perform a forequarter amputation, requiring removal of the collar bone and shoulder blade.

He contacted Professor Meirion Thomas, from London's Royal Marsden Hospital, who had performed the operation before.

"I texted him and he texted back step by step instructions on how to do it," he said.

"Even then I had to think long and hard about whether it was right to leave a young boy with only one arm in the middle of this fighting.

"But in the end he would have died without it so I took a deep breath and followed the instructions to the letter."
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