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Introduction: Limb amputation is the surgical removal of all or part of a limb or extremity such as an arm, leg, foot, hand, toes or fingers. A major limb amputation is performed proximal to the wrist or ankle. There are various indications and short term outcomes for major limb amputations. Limb...

Perforated Peptic ulcers (PPU) is one of the common finding in patients undergoing emergency laparotomy for peritonitis at UTH, Adult Hospital, department of surgery, representing about 26.45% of these cases in a calendar year. A high risk of mortality and morbidity is encountered in patients...

Several studies have demonstrated the superiority of Laparoscopic appendicectomy in the management of acute appendicitis. Acute appendicitis has been managed solely by open appendicectomy at UTH. This was the first study that looked at the management of acute appendicitis by laparoscopy here at...

The Surgical Apgar Score (SAS) is a very easy and objective tool for triaging patients postsurgery. It can be used as an assessment tool for performance of hospitals, units or individual surgeons. However, not much research has been done to assess its utility in resource limited settings like...

Perforation peritonitis is a common surgical emergency seen by surgeons; it remains a life threatening condition with high morbidity and mortality. At the University Teaching Hospitals (UTH), the morbidity for gastro-duodenal perforation has not been studied. Furthermore, based on the available...

The most common cause of a discrete breast mass is fibroadenoma. Malignancy within a fibroadenoma is very rare with a reported incidence of 0.1 to 0.3%. Despite an audit report from the University Teaching Hospital histology lab done from January to December in 2013 showing that 11% of clinically...

Gastroduodenal perforation contributes a significant proportion of surgical patients undergoing emergency laparotomy worldwide and is associated with high morbidity and mortality. It is well established that Helicobacter pylori (H. pylori) is the main cause of peptic ulcer disease. The prevalence...

Introduction Delayed-healing in abdominal surgical wounds may be detrimental to patients and the health care. The author set out to investigate the effects of CD4+ count, serum albumin and haemoglobin (HB) levels on wound strength in HIV positive patients. Wound strength in this study is used to...

Background: The safe recovery of patients admitted to hospital depends on early detection of clinical and physiological deterioration and undertaking appropriate intervention to prevent mortality. Modified early warning score (MEWS) is a structured objective way of monitoring patients’ condition...

BACKGROUND Hydrotherapy plays an important role in the management of surgical patients, and especially so in those that have sustained burns to their skin. Different centers practice hydrotherapy differently. At the University Teaching Hospital in Lusaka, Zambia, patients with burns in surgical...