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This image displays an active surgical procedure occurring within an operating room in Nairobi, Kenya. The location is identified by "KEMSA" branding on the white rubber boots worn by one of the medical personnel, referring to the Kenya Medical Supplies Authority. Four medical professionals are present: two individuals in green surgical gowns, masks, and caps are actively positioned over a patient lying supine on an operating table, covered by green drapes. A third individual, partially obscured, wears a green cap and mask, observing the procedure. A fourth individual, dressed in black scrubs, a black surgical cap, and a mask, stands further back on the right, near a wall-mounted whiteboard displaying handwritten notes. Above the operating table, a multi-lamp surgical light fixture illuminates the scene. To the left, a white medical suction machine, connected by tubing to the patient area, features a clear collection jar containing red fluid, indicative of blood. The base of this machine exhibits signs of rust and wear. Various tubes and intravenous lines are visible, connecting to the patient and medical equipment. On the light-colored floor in the foreground, a metallic surgical clamp or instrument lies detached. The floor appears to be a light-colored, possibly linoleum, surface.
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