Publications by authors named "Martin Nyundo"
Article Synopsis
- Enhanced recovery after surgery (ERAS) programs improve patient care and outcomes but are not widely studied in resource-limited settings.
- A study at a university hospital in Rwanda evaluated the impact of ERAS on 100 patients undergoing laparoscopic cholecystectomy, demonstrating its feasibility and safety.
- Results showed significant reductions in hospital stays and costs without increasing complications, indicating strong compliance with ERAS principles among patients and healthcare providers.
Background: Laparoscopic surgery is the gold standard for many abdominal surgeries. Laparoscopic programs in low- and middle-income countries (LMICs) and in sub-Saharan Africa face many constraints, although its use is safe, feasible, and clinically beneficial. The authors assessed patient-reported outcomes and the experience of patients operated on at the University Teaching Hospital of Kigali (CHUK).
View Article and Find Full Text PDFObjective: The resource-limited environment in Sub-Saharan countries, with a lack of expert trainers, impedes the progress of laparoscopic training. This study aimed to identify the opportunities and limitations of laparoscopic surgery training in the College of Surgeons of East, Central, and Southern Africa (COSECSA) countries.
Design And Setting: A multicountry online survey was conducted from January 2021 to October 2021 in COSECSA-accredited training hospitals within 16 countries.
Background: The adoption and accessibility of laparoscopy have been serious issues in countries with limited resources, and for varied reasons. This study assessed resource capacity and barriers to the effective practice of laparoscopic surgery in training hospitals affiliated with the College of Surgeons of East, Central and Southern Africa (COSECSA).
Methods: A multi-country survey was conducted from January 2021 to October 2021 using a questionnaire distributed to surgeons in COSECSA hospitals located in 16 different countries.
Introduction: The knowledge of anatomy is essential for surgical safety and impacts positively on patients' outcomes. Surgeons operating on the liver and bile ducts should keep in mind the normal anatomy and its variations as the latter are common.
Case Presentation: We conducted a structured surgical dissection course of the supra-colic compartment of the abdominal cavity on 2nd and 3rd October 2020.
Background: Intestinal obstruction is a common presentation in pediatric surgical emergencies and presents with different etiologies depending on country or region. Its morbidity and mortality are high in low-income and middle-income countries, with variable influencing factors. The aims of this study were to determine the etiologies, morbidity and mortality of pediatric intestinal obstruction and to assess the factors associated with the outcomes of these conditions in Rwanda.
View Article and Find Full Text PDFIntroduction And Importance: Textilloma or Gossypiboma refers as surgical sponges left behind in the surgical field during surgery. Although rare, occur commonly in practice and such cases are rarely encountered in the literature due to their under-reporting. A retained surgical sponge is an avoidable surgical complication that can lead to patient morbidity, mortality and profound medico-legal implications.
View Article and Find Full Text PDFPurpose: In most low- and lower middle-income countries (LMICs), minimally invasive tissue sampling (MITS) is a relatively new procedure for identifying the cause of death (CoD). This study aimed to explore perceptions and acceptance of bereaved families and health-care professionals regarding MITS in the context of MITS initiation in Rwanda as an alternative to clinical autopsy.
Methods: This was a qualitative phenomenological study with thematic analysis.
Article Synopsis
- Injuries contribute significantly to disability and death in low- and middle-income countries, where timely access to care is often hindered by various barriers throughout the recovery process.* ! -
- A workshop in Kigali, Rwanda, identified 42 barriers to injury care access, with the top four being the need for specialist staff training, greater health education on injury severity, improved geographical reach of trauma centers, and established referral protocols.* ! -
- Addressing these barriers requires a comprehensive strategy that covers the entire patient journey from injury to rehabilitation, providing valuable insights for researchers and policymakers in planning effective interventions.* !
Objective: We evaluated post-vaccination immunity status and describe potential risk factors associated with the lack of response among healthcare workers (HCWs) at a tertiary care hospital in Kigali, Rwanda.
Results: Of 373 HCWs, 291 (78.2%) were female and 81 (21.