Publications by authors named "Stephen Mbae Kithinji"

Article Synopsis
  • A study was conducted in Uganda comparing the costs and efficiency of open hemorrhoidectomy (OH) procedures using local anesthesia (LA) versus saddle block (SB) for patients with severe hemorrhoids (3rd or 4th degree).
  • The trial involved 58 patients and found that surgery using LA resulted in a significantly shorter operating time (15.5 minutes) and was less expensive ($57.42) compared to SB (33.7 minutes and $63.38).
  • The researchers concluded that using LA is more cost-effective and can help increase patient turnover in low-income countries, suggesting that policymakers should prioritize this method to meet global surgery goals by 2030.
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Introduction: Surgical site infection (SSI) is the commonest form of hospital acquired infection in sub-Saharan Africa, associated with increased morbidity and mortality. This study was aimed at determining the incidence and outcomes of surgical site infection following emergency laparotomy during the COVID -19 pandemic in a low resource setting.

Methods: This was a retrospective single Centre cohort of patients that had emergency laparotomy between July 2021-June 2022 (COVID period) and July 2018-June 2019 (pre-COVID period).

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Background: Prolonged post-operative ileus is associated with increased risk of other complications, length of hospital stays and health care related costs. Chewing gum has been shown to reduce duration of ileus in many elective surgeries, but there is a paucity of randomised controlled trials (RCTs) on its effect on duration of ileus among patients undergoing emergency surgery, specifically patients with peritonitis. The aim of this study is to determine the effect of chewing gum on duration of postoperative ileus following laparotomy for gastroduodenal perforations.

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Introduction: Chest trauma is one of the most important and commonest injuries that require timely diagnosis, accounting for 25-50% of trauma related deaths globally. Although CT scan is the gold standard for detection of haemothorax, it is only useful in stable patients, and remains unavailable in most hospitals in low income countries. Where available, it is very expensive.

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