Ethical considerations
The research topic was approved by the department of surgery, the faculty of medicine and dentistry, the directorate of postgraduate studies and research and Kampala International University Research Ethics Committee (KIU-REC) under the number KIU-REC-2021–24. After approval by the KIU-REC, the trial was registered with Pan African Clinical Trials Registry under the number PACTR 202,110,667,430,356 on 8