Degloving injuries are surgical conditions in which an extensive portion of skin and subcutaneous tissue is detached from the underlying fasciae, muscles, or bone surface. Frequently, there association fracture degloved area. We aimed to compare short-term outcomes degloving with without fracture. A prospective cohort study was conducted. recruited patients injuries, followed them up for 30 days assess outcomes. collected data on socio-demography, cause mechanism injury, presence fracture,...

Tuberculous (TB) oesophagitis is a rare manifestation of dysphagia occurring in 0.3% all gastro-intestinal tract TB infections as well 0.15% cases and often misdiagnosed. This report presents cause oesophageal stricture. We describe presentation patient with grade IV due to an Oesophagoscopy revealed pinhole stricture evidence high dysplasia on histology. Subsequently Ivor-Lewis oesophagectomy was performed histology active tuberculosis. The had uneventful recovery completed anti-TB...

Abstract Background: Blood transfusion may be required in the management of patients undergoing emergency non-trauma laparotomy. However, several retrospective cohort studies involving laparotomy for benign and malignant indications have identified blood as a significant predictor postoperative infections mortality. Still, no study has explored such an association our setting. We aimed to determine effect perioperative on 30-day risk surgical site mortality among large urban tertiary...

Surgical site infections (SSIs) remain a major cause of life-threatening morbidity following surgery for depressed skull fractures (DSFs) among patients with traumatic brain injury (TBI). The timing the DSF has been questioned as risk SSI without clear cutoff. We aimed to compare within 3 months between done before versus after 48 h and its preoperative predictors. conducted prospective cohort study at Mulago Hospital, Uganda. Patients mild-to-moderate TBI were followed up perioperatively...

Background Bowel obstruction is a common surgical emergency in newborns. One-fourth of neonates with suffer postoperative complications, high mortality, especially low-income countries. Factors attributed to mortality include prematurity, late presentation and associated multiple congenital anomalies. The prevalence the predictors our setting have not been well studied. We aimed describe early outcomes determine among bowel obstruction. Methods conducted prospective cohort study during 4...

Abstract Background and study aims Dyspepsia is the most common presenting symptom in gastrointestinal clinic of Mulago National Referral hospital. The etiology essentially not fully described our patient population. This was therefore conducted to establish causes dyspepsia based on endoscopic diagnosis among patients with seeking care at hospital Uganda. Patients methods retrospective endoscopy unit reviewed 356 reports spanning January 2018 July 2020 a focus those referral indication...

Point-of-care ultrasound (POCUS) in resource-limited areas has demonstrated utility the hands of physicians and may be useful for non-physician providers to learn as well.An 11 year old male presented with abdominal pain diffuse tenderness a remote Emergency Centre (EC). An Care Practitioner, emergency care provider limited training, used bedside ultrasonography alerted on-call surgeon complex intraperitoneal fluid representing perforated typhoid, which expedited patient's care.There is...

The majority of the prognostic scoring tools for peritonitis are impractical in low resource settings because they complex while others quite costly. quick Sepsis-related Organ Failure Assessment (qSOFA) score and Physiologic Indicators Prognosis Abdominal Sepsis (PIPAS) severity two strictly bedside but their predictive ability mortality is yet to be compared. We compared qSOFA criteria PIPAS in-hospital peritonitis.

Abstract Background Postoperative complications and mortality following laparotomy have remained high worldwide. Early postoperative risk stratification is essential to improve outcomes clinical care. The surgical Apgar score (SAS) a simple objective bedside prediction tool that can guide surgeon’s decision making. of this study was evaluate the performance SAS in predicting patients undergoing at Mulago hospital. Method A prospective observational conducted among eligible adult hospital...

Abstract Background: Blood transfusion may be required in the management of patients undergoing emergency non-trauma laparotomy. However, several retrospective cohort studies involving laparotomy for benign and malignant indications have identified blood as a significant predictor postoperative infections mortality. Still, no study has explored such an association our setting. We aimed to determine effect perioperative on 30-day risk surgical site mortality among large urban tertiary...

Abstract Background Blood transfusion may be required in the management of patients undergoing emergency non-trauma laparotomy. However, several retrospective cohort studies involving laparotomy for benign and malignant indications have identified blood as a significant predictor postoperative infections mortality. Still, no study has explored such an association our setting. We aimed to determine effect perioperative on 30-day risk surgical site mortality among large urban tertiary hospital...

Background Surgical site infections (SSI) are a significant concern following traumatic brain injury (TBI) surgery and often stem from the skin’s microbiota near surgical site, allowing bacteria to penetrate deeper layers potentially causing severe in cranial cavity. This study investigated relationship between scalp skin composition risk of SSI after TBI sub-Saharan Africa (SSA). Methods was prospective cohort study, enrolling patients scheduled for surgery. Sterile swabs were taken...

Background Although blood transfusion may be required during emergency non-trauma laparotomy, several retrospective cohort studies have identified as a significant predictor of postoperative infections and mortality. However, no study has explored such an association in resource-limited setting. This aims to determine the effect perioperative on 30-day risk surgical site (SSIs) mortality among patients undergoing laparotomy large urban tertiary hospital Methodology In this prospective,...

Introduction: Anastomotic leak is a dreaded complication following gastrointestinal (GI) anastomotic surgery. It increases the morbidity and mortality of patients undergoing GI However, there paucity data on incidence risk factors surgery in Uganda. The main objective this study was to determine Mulago Hospital, between April 2024 July 2024. Methods: We consecutively recruited adult admitted general wards 24 hours Patient-related including preoperative anemia, albumin level, ASA status were...

Hospitals have been identified as very high-risk places for COVID-19 transmission between health care workers and patients who do not COVID-19. Health are the most at-risk population to contract transmit infection, especially already vulnerable In low-income countries, routine testing is feasible due high cost of testing; therefore, presenting risk uncontrolled within non-COVID-19 treatment wards. This challenge necessitated development an affordable intermediary screening tool that would...

ALK-positive Anaplastic Large-Cell Lymphomas (ALCL) are chemo-sensitive cancers; combination of histologic and immunophenotypic or genetic studies remains the main strategy to prevent their unnecessary surgical excision as they can mimic soft-tissues sarcomas in histology. In sub-Saharan Africa, however, availability affordability studies, especially extended immunohistochemistry (IHC) tests, constitute major limitations for accurate diagnoses. The case presented herein is an example a heavy...

Blood & marrow transplant (BMT) is the only cure for many blood cancers or severe hematologic disorders. Access to BMT in low-middle-income countries (LMICs) still limited because of lack infrastructures and trained professionals, high cost drugs. We developed first GlobalBMT Training course LMIC physicians with goal build capacity foster a global network. Five participants from Uganda, Nigeria, Nepal, Bolivia Ukraine were selected UIC-affiliated institutions attend an 8-week training summer...

Presenting complaint: A 36-year-old woman in reproductive age has been referred to our hospital with a history of abdominal distension, and discomfort for the last 4 years.

<title>Abstract</title> <italic>Background</italic>: Uganda’s Health Sector Development Plan (2015/16 -2019/2020) noted that most referrals for treatment abroad were organ transplant services costing government over 5.6 million US dollars. The of Uganda has invested in building capacity Organ donation and transplantation by training human resource setting up the infrastructure Kampala where these can be accessed. However, there is no information on readiness communities scientific community...