ABSTRACT
Background: Patient satisfaction is an important quality assurance measure in the delivery of health care. Objectives: The objectives were to assess current patient's degree of satisfaction; to document the main reasons for non-satisfaction and identify potential areas for improvement in surgical care delivered at CHUK. Methods: We conducted a prospective cross sectional survey on patients attending a tertiary surgical unit in Rwanda. For 6 weeks; 10 to 20 patients were randomly included in the study after an informed consent. A pre-established questionnaire was filled and descriptive statistics used to analyze the data using SPSS 16.02 and Excel computer programs. Results: 80 patients have been recruited and accepted to be part of the study. The overall satisfaction was 94. 93.8 have been well oriented.78.8 well received. 90 judged the consultation time enough. 96.87 reported having been respected during consultation. 84.37 of those who underwent surgery reported having received a postoperative fitness check appointment. Asked to mark their surgeon after consultation or on discharge; the patients gave an average note of 9.5 over 10. However 52.5 waited for more than 3hours before seeing a doctor in OPD clinic. For those who underwent surgery; only 58.53 were told indications for surgery; and no patient (0) was told eventual complications. 41.46 were not given appointment for elective surgery; 62.5 patients were not satisfied by information received on their disease and its management. 96.87 patients were not included in the treatment plan decision making. Conclusion: The overall patients 'satisfaction attending CHUK surgical facilities was 94. Clinical and nonclinical factors including waiting time; patient-care provider interactions; patient-centered care concept; and management of Rendez-vous have been identified as areas to be improved
Subject(s)
Data Collection , Delivery of Health Care , Hospitals , Patient Satisfaction , Surgical Procedures, Operative , TeachingABSTRACT
Multiple Osteochondromas (MO) or hereditary multiple exostoses (HME) is an autosomal dominant skeletal disorder mainly characterized by multiple osteochondromas predominantly located at the growth plates of long bones. MO is a genetically heterogeneous disorder and results from mutations in EXT1 and EXT2 genes located on chromosome 8q23-q24 and 11p11-p12. We hereby report a case of a 23-year-old girl who presented characteristic clinical and radiological features of MO. The same clinical signs were observed in her relatives. The p.Arg340Cys mutation in the EXT1 gene was found in the proband confirming the clinical diagnosis. A surgical management was carried out in all affected bones which consisted of excision of the bigger and pain full osteochondromas. The patient was informed of her problem and genetic counseling was offered to the family's members
Subject(s)
Disease Management , Exostoses , Exostoses/genetics , PatientsABSTRACT
Conjoined twins are identical or monozygotic twins whose bodies are joined in utero. Pygopagus or Iliopagus twins are a type of conjoined twins in which two bodies joined back to back at the buttocks. Surgical separation of conjoined twins is extremely risk of death and life threatening. We report on cases of female pygopagus twins of three months operated and separated at Kigali University Teaching Hospital. For both babies a posterior sagittal anorectoplasty was successfully performed with derivated ileostomy. Despite limited resources to carry out such operation in our settings; no complications occurred during the operation and oral feeding was done at third postoperative day. Ileostomy closure was performed three weeks after and babies were discharged from neonatology unit at 35th postoperative day. In conclusion; adequate preoperative investigation with a well organized and trained team contribute a lot to the success of such conjoined twins separation