Publications by authors named "Xaviour Francis Okedi"
Article Synopsis
- Secondary peritonitis is a significant cause of sepsis globally, particularly in resource-limited areas like Uganda, prompting a study to assess bacterial infections and susceptibility among surgical patients.
- Conducted at Hoima Regional Referral Hospital, the study involved 126 patients, identifying that 45.2% had secondary peritonitis, with Escherichia coli and Klebsiella spp being the most common bacteria isolated.
- Results indicated that certain antibiotics, like Imipenem and Amikacin, were effective against these infections, and males or those presenting late after symptom onset were more likely to have secondary peritonitis, emphasizing the need for early medical attention.
Psychosocial impact of surgical complications and the coping mechanisms among surgeons in Uganda and Eastern Democratic Republic of the Congo.
PLOS Glob Public Health
April 2024
We aimed to assess the psychosocial impact from postoperative complications on the surgical workforce and the coping mechanisms they use following these complications in Uganda and Eastern Democratic Republic of the Congo (DRC). This was a cross-sectional multi-center study conducted from first February 2022 to 31st March 2022 in the preselected main teaching hospitals of Uganda and Eastern DRC. We surveyed the surgical workforce (practicing surgeons, Obstetrician-Gynecologists, and residents in surgery/ Obstetrics-Gynecology) who had experienced postoperative complications in their career.
View Article and Find Full Text PDFArticle 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.
Background: There is disparity in evidence on pain assessment post open hemorrhoidectomy (OH) using local anesthesia and its use in developing countries compared to developed countries. Therefore, we conducted this study to assess the occurrence of postoperative pain following open hemorrhoidectomy under local anesthesia versus saddle block for uncomplicated 3 or 4 degree hemorrhoids.
Methods: This was a prospective equivalence randomized, double blind controlled trial conducted from December 2021 to May 2022 among patients with primary uncomplicated 3 or 4 degree hemorrhoids.
Introduction: The incidence of road traffic accidents (RTAs) is on the rise contributing to the global burden of mortality as a major global health threat. It has been estimated that 93% of RTAs and more than 90% of the resulting deaths occur in low and middle income countries. Though death due to RTAs has been occurring at an alarming rate, there is paucity of data relating to incidence and predictors of early mortality.
View Article and Find Full Text PDFBackground: While open hemorrhoidectomy under local anesthesia has been shown to be more cost-effective with shorter operation times and lower complication rates, local anesthesia is still not considered as a first-line technique in low-income countries like Uganda. The objective of this trial is to compare open hemorrhoidectomy using local anesthesia versus saddle block among patients with primary uncomplicated 3rd- or 4th-degree hemorrhoids in western Uganda.
Methods: The protocol for a prospective equivalence randomized, double-blind controlled trial was conducted among patients with primary uncomplicated 3rd- or 4th-degree hemorrhoids.
Introduction And Importance: Sigmoid volvulus is a rare cause of intestinal obstruction in children and adolescent population. It's considered a disease of the elderly with a widely varying incidence worldwide. It is more common in areas referred to as "volvulus belt" (Middle East, Africa, the Indian subcontinent, Turkey, and South America).
View Article and Find Full Text PDFPrevalence and factors associated with cancellation and deferment of elective surgical cases at a rural private tertiary hospital in Western Uganda: a cross-sectional study.
Pan Afr Med J
October 2021
Introduction: the cancellation of elective surgery is still a worldwide challenge and this is associated with emotional and economical trauma for the patients and their families as well as a decrease in the efficiency of the operating theatre. This study aimed at determining the prevalence and factors associated with cancellation and deferment of elective surgery in a rural private tertiary teaching hospital in Western Uganda.
Methods: a cross-sectional study design was conducted.
Objective: This study aimed to assess health facilities' readiness to provide safe surgical care during Ebola and COVID-19 era in Uganda and in the Eastern DR Congo.
Methods: A cross-sectional study was conducted in selected national, regional referral and general hospital facilities in Uganda and in the eastern part of DR Congo from 1st August 2020 to 30th October 2020. Data was analysed using Stata version 15.
Introduction And Importance: Cecal volvulus is uncommon cause of intestinal obstruction. It affects the ascending colon and the terminal part of the ileum which are twisted around the mesenteric pedicle.
Case Presentation: We report the case of 37-year-old male who underwent emergency laparotomy for intestinal obstruction and found a twisted cecum with ileal knotting and anterior part of cecum necrosed.