Browsing by Author "Habtamu Atalel"

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    Early Post-Operative Morbidities Following Early Versus Delayed Sigmoidectomy After Sigmoid Volvulus
    (Addis Ababa University, 2024-12-02) Habtamu Atalel; Solomon Bekele
    Sigmoid volvulus (SV) is characterized by the abnormal twisting of the sigmoid colon on its mesentery. It is the number one cause of acute LBO in Ethiopia. The incidence of SV varies among different regions. In Western countries, it accounts for 1-5% of all colonic obstructions, while in Ethiopia, it accounts for 58-69% of the LBO. It has a high recurrence rate of about 30 % to 80% and a significant mortality rate reaching 25–50% in some case series. According to the current practice guidelines, patients who present with uncomplicated SV are initially managed by endoscopic decompression followed by Sigmoidectomy. Sigmoidectomy carries inherent risks, including surgical site infections, anastomotic leaks, and cardio-respiratory complications. The study aimed to assess the early postoperative outcome of index and elective Sigmoidectomies.